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Review
. 2021 Mar;10(3):1182-1194.
doi: 10.21037/gs.2020.04.07.

The implementation of enhanced recovery after surgery protocols in ovarian malignancy surgery

Joseph J Noh  1 , Myeong-Seon Kim  2 , Yoo-Young Lee  1
Affiliations
Review

The implementation of enhanced recovery after surgery protocols in ovarian malignancy surgery

Joseph J Noh et al. Gland Surg. 2021 Mar.

Abstract

The enhanced recovery after surgery (ERAS) refers to multimodal interventions to reduce the length of hospital stay and complications at various steps of perioperative care. It was first developed in colorectal surgery and later embraced by other surgical disciplines including gynecologic oncology. The ERAS Society recently published guidelines for gynecologic cancer surgeries to enhance patient recovery. However, limitations exist in the implementation of the guidelines in ovarian cancer patients due to the distinct characteristics of the disease. In the present review, we discuss the results that have been published in the literature to date regarding the ERAS protocols in ovarian cancer patients, and explain why more evidence needs to be specifically assessed in this type of malignancy among other gynecologic cancers.

Keywords: Enhanced recovery; continuity of patient care; cytoreductive surgery; gynecologic surgery; ovarian cancer.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/gs.2020.04.07). The authors have no conflicts of interest to declare.

References

    1. Kehlet H. Fast-track colorectal surgery. Lancet 2008;371:791-3. 10.1016/S0140-6736(08)60357-8 - DOI - PubMed
    1. Bardram L, Funch-Jensen P, Jensen P, et al. Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation. Lancet 1995;345:763-4. 10.1016/S0140-6736(95)90643-6 - DOI - PubMed
    1. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet 2003;362:1921-8. 10.1016/S0140-6736(03)14966-5 - DOI - PubMed
    1. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg 2008;248:189-98. 10.1097/SLA.0b013e31817f2c1a - DOI - PubMed
    1. Gravante G, Elmussareh M. Enhanced recovery for non-colorectal surgery. World J Gastroenterol 2012;18:205-11. 10.3748/wjg.v18.i3.205 - DOI - PMC - PubMed

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