One-on-one teaching as well as group sessions in structured “gynecology school” on the ERAS pathway (with audiovisual materials and question-and-answer sessions) have been described. Five studies reported on PREHAB programs in gynecology (three RCTs, one study protocol, one pilot study). 2016 May;141(2):371-378. doi: 10.1016/j.ygyno.2016.02.019. J Minim Invasive Gynecol. 2019 Feb;26(2):288-298. doi: 10.1016/j.jmig.2018.10.016. OBJECTIVE: To summarize current knowledge of the ERAS protocol in gynecologic oncology surgery. Pre-habilitation and re-habilitation are of paramount importance to improve patients' care. Study protocols were heterogenous, but showed improvements in both physical and psychological parameters. ERAS ® protocols based on the published ERAS ® Guidelines.. ERAS ® protocols are currently available for colorectal, gynecological, urological, liver, pancreatic, bariatric, breast reconstruction and head&neck surgeries and are periodically updated and improved by the ERAS® Society Guideline groups. ERAS is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery. All ERAS® Society Guidelines are available free at the ERAS® Society website. There are no studies evaluating the use of ERAS in pediatric and adolescent gynecology (PAG). • Enhanced recovery after surgery (ERAS) protocol was developed by academic surgeons in Europe in 2001 • This group’s goal was to empathize that the key surgical end point is quality, rather than speed of recovery • This concept was based on several components 1. Persistent Opioid Use After Hysterectomy in the United States, 2005-2015. First, it re-examines traditional practices, replacing them with evidence-based best practices when necessary. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Our length of stay was reduced from 3.7 days to 2.45 days. Reference lists of all eligible articles were crosschecked for other relevant studies. Methods: A database search of publications using Embase and PubMed was performed. After implementing an ERAS protocol, we demonstrated an association with significant improvements in length of stay, patient satisfaction, and decreased costs for women undergoing major gynecologic surgery. Enhanced recovery after surgery (ERAS) was described by Denmark surgeon, Henrik Kehlet, in 1997.1 ERAS protocols employ a multimodal, multidisciplinary approach to surgical patient care that aims to decrease perioperative stress, increase quality of care, and expedite recovery. Epub 2019 May 31. Multidisciplinary team working together for patient care 2. DESIGN: Review article. ERAS® Gynecology Webcast - The New Standard for Perioperative Care in Gynecologic Oncology Live webcast from the Mayo Clinic, USA, on April 19, 2017 on Enhanced Recovery After Surgery within Gynecologic Oncology. Epub 2018 Oct 24. Ramirez-Caban L, Kannan A, Goggins ER, Shockley ME, Haddad LB, Chahine EB. Rochester, MN, Professor Outcomes with ERAS for cesarean. 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. You can find them here. Methods A database search of publications using Embase and PubMed was performed. doi: 10.1097/AOG.0000000000002818. Azhar RA, Bochner B, Catto J, Goh AC, Kelly J, Patel HD, Pruthi RS, Thalmann GN, Desai M. Eur Urol. ERAS: Nutrition Nutrition plays a key role in optimizing outcomes and enhancing surgical recovery. Engage your colleagues and team members across the continuum of care. Published by Elsevier Inc. NLM ERAS protocols in ovarian cancer patients were investigated in 12 … The ERAS ® Interactive Audit System (EIAS) offers a Gynecology protocol based on the published guidelines of the ERAS ® Society. The University of Texas MD Anderson Cancer Center Like with any clinical paradigm shift, there are multiple considerations in how to optimize ERAS implementation; the most crucial at our institution was investing in a dedicated nurse to oversee the process but once the process becomes fully entrenched, this ma… ERAS at UAB Initially implemented in colorectal surgery and urology in 2015 GYN/ONC started in our department in 2016 Moved to Benign Gyn Fall of 2017, initial quarter of FY 2018. This can be applied to the majority of patients undergoing gynecologic surgery. 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