医学
妇产科学
多学科方法
协议(科学)
康复
侵入性外科
快速通道
腹腔镜手术
疼痛管理
外科
普通外科
物理疗法
腹腔镜检查
替代医学
怀孕
生物
病理
社会学
遗传学
社会科学
作者
Stacey A. Scheib,May S. Thomassee,Jamaan L. Kenner
标识
DOI:10.1016/j.jmig.2018.12.010
摘要
Enhanced recovery after surgery (ERAS), or "fast-track" protocol, aims to minimize the physiologic stress of surgery and optimize the rehabilitation of patients. However, there is limited data in obstetrics and gynecology. We reviewed the published literature on ERAS programs in gynecology to evaluate the outcomes and potential key elements for a successful program. Fifty studies were evaluated. We recommend preoperative counseling to the patient, no bowel preparation, an opioid-sparing multimodal approach to pain management, goal-directed fluid management, minimally invasive surgery when possible, and early mobilization and feeding. This is a multidisciplinary team effort and requires active patient participation in the process.
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