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Gynecological Oncology pp 61–72Cite as

Techniques of Enhanced Recovery in Post Operative Care

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Abstract

Patients undergoing major surgery are exposed to surgical stress leading to a decrease in functional capacity resulting in delayed postoperative recovery. Enhanced Recovery after Surgery (ERAS) protocol of perioperative care consists of inclusion of certain clinical practices and exclusion of certain traditional practices to facilitate earlier post operative recovery of surgical patients. Implementation of ERAS protocol is associated with decreased length of hospital stay, decrease in rates of postoperative complications, decreased morbidity and cost saving with improved patient satisfaction and quality of life. The main components include preoperative patient counselling, prehabilitation, reduced preoperative fasting, preoperative bowel preparation with oral antibiotics, maintenance of euvolemia, perioperative normoglycemia, normothermia, early initiation of oral intake, early postoperative ambulation, multimodal analgesia and early discharge.

Keywords

  • Enhanced recovery after surgery
  • Prehabilitation
  • Perioperative care

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Fig. 7.1
Fig. 7.2

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Author information

Authors and Affiliations

  1. University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India

    Shweta Sharma

  2. Department of Obstetrics & Gynecology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India

    Bindiya Gupta

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  1. Shweta Sharma
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  2. Bindiya Gupta
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Editors and Affiliations

  1. Pan Birmingham Gynaecology Cancer Centre, City Hospital, Birmingham, UK

    Kavita Singh

  2. Department of Obstetrics & Gynecology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India

    Bindiya Gupta

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Sharma, S., Gupta, B. (2022). Techniques of Enhanced Recovery in Post Operative Care. In: Singh, K., Gupta, B. (eds) Gynecological Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-94110-9_7

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  • DOI: https://doi.org/10.1007/978-3-030-94110-9_7

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