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CC BY 4.0 · Rev Bras Ginecol Obstet 2022; 44(02): 202-210
DOI: 10.1055/s-0042-1743401
Febrasgo Position Statement

Perioperative management in gynecological surgery based on the ERAS program

Number 2 - February 2022
Aline Evangelista Santiago 
1   Universidade Estadual Paulista “Júlio de Mesquita Filho”, Botucatu, SP, Brazil
,
Agnaldo Lopes da Silva Filho 
2   Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Eduardo Batista Cândido 
3   Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Paulo Ayrosa Ribeiro 
4   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
,
Julio César Rosa e Silva 
5   Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Walquíria Quida Salles Pereira Primo 
6   Universidade de Brasília, Brasília, DF, Brazil
,
Jesus Paula Carvalho 
7   Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
,
Sérgio Podgaec 
8   Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
,
Carlos Augusto Pires Costa Lino 
9   Hospital São Rafael, São Paulo, SP, Brazil
,
Ricardo de Almeida Quintáiros 
10   Universidade do Estado do Pará, Belém, PA, Brazil
,
Luiz Gustavo Oliveira Brito 
11   Universidade Estadual de Campinas, Campinas, SP, Brazil
› Author Affiliations
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Key points

  • The Enhanced Recovery After Surgery (ERAS) program is based on perioperative medical optimization, including pre-admission counseling, pain relief, carbohydrate intake, thromboembolism prophylaxis, standard anesthetic protocol, optimized intraoperative fluid administration, recovery of normal gastrointestinal function and early mobilization.

  • The main objectives of the ERAS program are to reduce the length of hospital stay after surgery and accelerate the return of patients to normal daily activities without increasing complications, hospital readmission rates and cost.

  • The ERAS program has been adopted in several surgical specialties and is associated with faster and safer recovery, better quality of life and patient satisfaction.

  • The process of implementing this program involves a multidisciplinary team and all units dealing with the surgical patient.

  • Postoperative adverse events, venous thromboembolism is an example, are associated with longer hospital stay and higher mortality rates. Furthermore, factors such as postoperative pain and resumption of bowel function continue to be barriers to early discharge and return to daily activities.

  • The program provides safe, high-quality perioperative care and should become standard practice for all women undergoing elective gynecological surgery.

The National Specialized Commissions on Ginecologic Endoscopy, Endometriosis and Oncological Gynecology of the Brazilian Federation of Gynecology and Obstetrics Associations (Febrasgo) endorse this document. The content production is based on scientific studies on a thematic proposal and the findings presented contribute to clinical practice.




Publication History

Article published online:
25 February 2022

© 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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