Objective: To summarize current knowledge of the ERAS protocol in gynecologic oncology surgery.
Design: Review article.
Settings: Department of Obstetrics and Gynecology, University Hospital Ostrava, Ostrava, Department of Obstetrics and Gynecology, University of Ostrava, Ostrava.
Methods: Literature review, PubMed and Medline databases were used to search relevant literature from 1995 to 2019.
Conclusion: ERAS (Enhanced Recovery after Surgery) is a perioperative treatment program based on evidence-based medicine. Guidelines consist of pre-operative, perioperative and post-operative care items. Implementation of the ERAS protocol leads to a decrease in complications up to 40% and a reduction in hospitalization by up to 30%, thereby reducing overall costs without increasing the number of rehospitalizations. Multidisciplinary cooperation not only with anesthesiologists and consultant surgeons, but also with nutritional specialists and nurses is crucial.
Keywords: ERAS protocol; gynecologic oncology surgery; perioperative care.