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
1   Universidade Estadual Paulista “Júlio de Mesquita Filho”, Botucatu, SP, Brazil
2   Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
3   Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
4   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
5   Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
6   Universidade de Brasília, Brasília, DF, Brazil
7   Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
8   Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
9   Hospital São Rafael, São Paulo, SP, Brazil
10   Universidade do Estado do Pará, Belém, PA, Brazil
11   Universidade Estadual de Campinas, Campinas, SP, Brazil
› Author Affiliations

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

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