Why the study?
Do enhanced recovery protocols improve postoperative recovery and reduce length of stay in patients undergoing gynecologic surgery?
Do enhanced recovery protocols improve postoperative recovery and reduce length of stay in patients undergoing gynecologic surgery?
Enhanced recovery protocols in gynecologic surgery reduce length of stay, costs, and opioid use, while traditional interventions lacking evidence of benefit should be discouraged.
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ERAS may shorten stays and cut costs in gynecologic oncology; leaves open optimal component selection for randomized confirmation.
Enhanced recovery protocols consist of a bundle of concepts including early feeding, opioid-sparing multimodal pain management, and euvolemia, with the overarching goal of hastening postoperative recovery. Enhanced recovery after surgery has been shown to reduce hospital length of stay, reduce costs, and decrease perioperative opioid requirements in benign and oncologic gynecologic surgery. Interventions without supporting evidence of benefit, such as the use of mechanical bowel preparation, routine use of nasogastric tubes and surgical drains, caloric restriction, routine use of intravenous opioid analgesics, and over-vigorous intravenous hydration should be discouraged to improve broader endpoints such as patient satisfaction and overall recovery. Successful implementation requires engagement from a multidisciplinary team including surgeons, anesthesiologists, nurses, and pharmacists.
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Glaser et al. (2018) studied this question.
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