Enhanced Recovery After Surgery in Surgical Specialties: Gynecologic Oncology

Haller J Smith; Charles A Leath 3rd; John Michael Straughn Jr

doi:10.1016/j.suc.2018.07.013

Enhanced Recovery After Surgery in Surgical Specialties: Gynecologic Oncology

Surg Clin North Am. 2018 Dec;98(6):1275-1285. doi: 10.1016/j.suc.2018.07.013. Epub 2018 Aug 21.

Authors

Haller J Smith¹, Charles A Leath 3rd¹, John Michael Straughn Jr²

Affiliations

¹ Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 176F Room 10250, 619 19th Street South, Birmingham, AL 35249-7333, USA.
² Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 176F Room 10250, 619 19th Street South, Birmingham, AL 35249-7333, USA. Electronic address: jstraughn@uabmc.edu.

PMID: 30390859
DOI: 10.1016/j.suc.2018.07.013

Abstract

Many of the enhanced recovery after surgery principles initially developed for colorectal surgery can be successfully applied to gynecologic oncology and lead to significant improvements in perioperative care. Enhanced recovery after surgery guidelines specific to gynecologic oncology were published in 2016 and provide a framework for the development and implementation of institutional protocols. Identification of key stakeholders and a multidisciplinary approach are critical to identifying which principles are best suited for implementation at a particular institution and for ensuring success of the protocol. Herein, we review our experience with protocol development and implementation on a gynecologic oncology service.

Keywords: ERAS; Enhanced recovery after surgery; Gynecologic surgery; Surgical innovation.

Publication types

Review

MeSH terms

Female
Gynecology*
Humans
Perioperative Care*
Postoperative Complications / prevention & control*
Recovery of Function*
Surgical Oncology*

Grants and funding

P30 CA013148/CA/NCI NIH HHS/United States