Enhanced recovery after surgery (ERAS): new concepts in perioperative management of gynecologic surgery

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dc.creatorAgnaldo Lopes da Silva Filho
dc.creatorAline Evangelista Santiago
dc.creatorSophie Françoise Mauricette Derchain
dc.creatorJesus Paula Carvalho
dc.date.accessioned2023-04-28T20:10:57Z
dc.date.accessioned2025-09-08T22:57:43Z
dc.date.available2023-04-28T20:10:57Z
dc.date.issued2018-08
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1055/s-0038-1668581
dc.identifier.issn1806-9339
dc.identifier.urihttps://hdl.handle.net/1843/52685
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista Brasileira de Ginecologia e Obstetrícia
dc.rightsAcesso Aberto
dc.subjectConforto do paciente
dc.subjectRecuperação pós-cirúrgica melhorada
dc.subjectCuidados pós-operatórios
dc.subjectProcedimentos cirúrgicos em ginecologia
dc.subject.otherGynecologic surgery
dc.subject.otherPostoperative
dc.subject.otherCare
dc.subject.otherEnhanced recovery after surgery
dc.titleEnhanced recovery after surgery (ERAS): new concepts in perioperative management of gynecologic surgery
dc.title.alternativePrograma Enhanced Recovery After Surgery (ERAS): novos conceitos de manejo perioperatório em cirurgia ginecológica
dc.typeArtigo de periódico
local.citation.epage436
local.citation.issue8
local.citation.spage433
local.citation.volume40
local.description.resumoThe Enhanced Recovery After Surgery (ERAS) program is a paradigm shift from traditional perioperative management initiated by Kehlet in 19971 as a multidisciplinary approach to the care of the surgical patient. The programis based on perioperative medical optimization, including preoperative counseling, pain relief, carbohydrate loading, thromboembolism prophylaxis, standard anesthetic protocol and intraoperative fluid, recovery of normal gastrointestinal function, and early mobilization. The primary goal of the protocol is to minimize the response to the stress of the operation by maintaining homeostasis, avoiding catabolism with consequent loss of protein and muscle strength, and cellular dysfunction. Themain objectives of the ERAS programare to accelerate functional recovery, improve postoperative outcomes, shorten the length of stay (LOS) in the hospital, reduce the overall health care costs, and improve the satisfaction of the patients without increasing complications and/or hospital readmission rates. The ERAS protocols resulted in a 30% to 50% reduction in the LOS and similar reductions in complications, as well as lower costs and readmission rates. The protocols were developed for colorectal surgery, and variations are being adopted for surgical procedures of various specialties, including Gynecology.
local.identifier.orcidhttps://orcid.org/0000-0002-8486-7861
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://www.scielo.br/j/rbgo/a/wyr7fH6yGQVKCyHN43xKnhq/?lang=en

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