ERAS protocol in gynecologic oncology

Česká verzia

Authors: S. Bajsová ^1,2; J. Klát ^1,2
Authors place of work: Gynekologicko-porodnická klinika FN, Ostrava, přednosta doc. MUDr. O. Šimetka, Ph. D., MBA ¹; Gynekologicko-porodnická klinika, Ostravská univerzita, Ostrava, přednosta doc. MUDr. O. Šimetka, Ph. D., MBA ²
Published in the journal: Ceska Gynekol 2019; 84(5): 376-385
Category: Přehledový článek

Summary

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

Zdroje

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