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Review
. 2025 Dec 1;68(4):501-507.
doi: 10.1097/GRF.0000000000000976. Epub 2025 Oct 9.

Postoperative Enhanced Recovery After Surgery Pathways in Gynecologic Surgery

Jenna M Patterson  1 , Madeline Freeman  2 , Lisa C Hickman  1
Affiliations
Review

Postoperative Enhanced Recovery After Surgery Pathways in Gynecologic Surgery

Jenna M Patterson et al. Clin Obstet Gynecol. .

Abstract

Surgical stress affects the physiology of nearly every organ system. Enhanced recovery after surgery (ERAS) protocols counter these stressors to maintain normal physiology and promote postoperative recovery. In gynecologic surgery, ERAS pathways are associated with many postoperative benefits, including shorter length of stay, decreased pain, faster return of bowel function and both lower complication and readmission rates. This review highlights the current evidence and recommendations regarding postoperative ERAS pathways in gynecologic surgery.

Keywords: ERAS; Enhanced recovery after surgery; gynecologic surgery; postoperative analgesia; postoperative outcomes; same-day discharge.

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References

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    1. Joint Writing Group of the International Urogynecological Association and the American Urogynecologic Society. “AUGS-IUGA Joint clinical consensus statement on enhanced recovery after urogynecologic surgery. Int Urogynecol J. 2022; 33:2921–2940.
    1. Joshi TV, Bruce SF, Grim R, et al. Implementation of an enhanced recovery protocol in gynecologic oncology. Gynecol Oncol Rep. 2021;36:100771.
    1. Wijk L, Udumyan R, Pache B, et al. International validation of Enhanced Recovery After Surgery Society guidelines on enhanced recovery for gynecologic surgery. Am J Obstet Gynecol. 2019;221:237.e1–11.
    1. Basse L, Hjort Jakobsen D, Billesbolle P, et al. A clinical pathway to accelerate recovery after colonic resection. Ann Surg. 2000;232:51–57.

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