Enhanced Recovery after Surgery (ERAS) for Minimally Invasive Gynecologic Oncology Surgery: A Review

Abstract

Enhanced recovery after surgery (ERAS) has established benefits in open gynecologic oncology surgery. However, the benefits for gynecologic oncology patients undergoing minimally invasive surgery (MIS) are less well defined. We conducted a review of this topic after a comprehensive search of the peer-reviewed literature using MEDLINE and PubMed databases. Our search yielded 25 articles, 14 of which were original research articles, in 10 distinct patient cohorts describing ERAS in minimally invasive gynecologic oncology surgery. Major benefits of ERAS in MIS included: decreased length of stay and increased rates of same-day discharge, cost-savings, decreased opioid use, and increased patient satisfaction. ERAS in minimally invasive gynecologic oncology surgery is an area of great promise for both patients and the healthcare system.

Revolutionizing Surgical Care: The Power of Enhanced Recovery After Surgery (ERAS)

“…Gynecological surgery, which includes procedures such as hysterectomies and pelvic surgeries, employs ERAS protocols thoughtfully constructed to mitigate postoperative pain, reduce hospital stays, and expedite recovery. Central components of these protocols typically involve the use of minimally invasive surgical approaches, effective pain management modalities, prompt, patient ambulation, and a dedicated emphasis on preserving and restoring pelvic functionality, all contributing to the attenuation of postoperative complications [14].…”