ERAS protocol in gynecologic oncology
Authors:
S. Bajsová 1,2; J. Klát 1,2
Authors‘ workplace:
Gynekologicko-porodnická klinika FN, Ostrava, přednosta doc. MUDr. O. Šimetka, Ph. D., MBA
1; Gynekologicko-porodnická klinika, Ostravská univerzita, Ostrava, přednosta doc. MUDr. O. Šimetka, Ph. D., MBA
2
Published in:
Ceska Gynekol 2019; 84(5): 376-385
Category:
Overview
Objective: To summarize current knowledge of the ERAS protocol in gynecologic oncology surgery.
Design: Review article.
Settings: Department of Obstetrics and Gynecology, University Hospital Ostrava, Ostrava, Department of Obstetrics and Gynecology, University of Ostrava, Ostrava.
Methods: Literature review, PubMed and Medline databases were used to search relevant literature from 1995 to 2019.
Conclusion: ERAS (Enhanced Recovery after Surgery) is a perioperative treatment program based on evidence-based medicine. Guidelines consist of pre-operative, perioperative and post-operative care items. Implementation of the ERAS protocol leads to a decrease in complications up to 40% and a reduction in hospitalization by up to 30%, thereby reducing overall costs without increasing the number of rehospitalizations. Multidisciplinary cooperation not only with anesthesiologists and consultant surgeons, but also with nutritional specialists and nurses is crucial.
Keywords:
ERAS protocol – gynecologic oncology surgery
Sources
1. Ahmed, MR., Sayed Ahmed, WA., Atwa, KA., Metwally, L. Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: a prospective randomized trial. Eur J Obstet Gynecol Reprod Biol [online], 2014, 176, p. 60–63. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0301211514001092
2. Alletti, SG., Bottoni, C., Fanfani, F., et al. Minimally invasive interval debulking surgery in ovarian neoplasm (MISSION trial-NCT02324595): a feasibility study. American Journal of Obstetrics and Gynecology [online]. 2016, 214(4), 503.e1–503.e6 Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0002937815022279
3. Angioli, R., Plotti, F., Capriglione, S., et al. The effects of giving patients verbal or written pre-operative information in gynecologic oncology surgery: a randomized study and the medical-legal point of view. European Journal of Obstetrics & Gynecology and Reproductive Biology [online]. 2014, 177, p. 67–71. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0301211514001948
4. Bakhru, A. Effect of ovarian tumor characteristics on venous thromboembolic risk. Journal of Gynecologic Oncology [online]. 2013, 24(1). Dostupné z: https://synapse.koreamed.org/DOIx.php?id=10.3802/jgo.2013.24.1.52
5. Baron, DM., Hochrieser, H., Posch, M., et. al. Preoperative anaemia is associated with poor clinical outcome in non-cardiac surgery patients. British Journal of Anaesthesia [online]. 2014, 113(3), p. 416–423. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0007091217317658
6. Bergqvist, D., Agnelli, G., Cohen, AT., et.al. Prolonged prophylaxis against venous thromboembolism with enoxaparin in patients undergoing cancer surgery: long-term survival analysis. Phlebology: The Journal of Venous Disease [online]. 2016, 21(4), p. 195–198 Dostupné z: http://journals.sagepub.com/doi/10.1258/026835506779115753
7. Berríos-Torres, SI., Umscheid, CA., Bratzler, DW., et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surgery [online]. 2017, 152(8). Dostupné z: http://archsurg.jamanetwork.com/article.aspx?doi=10.1001/jamasurg.2017.0904
8. Cao, F., Li, J., Li, F. Mechanical bowel preparation for elective colorectal surgery: updated systematic review and meta-analysis. International Journal of Colorectal Disease [online]. 2012, 27(6), p. 803–810. Dostupné z: http://link.springer.com/10.1007/s00384-011-1361-y
9. Cerantola, Y., Valerio, M., Persson, B., et al. Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS®) society recommendations. Clinical Nutrition [online]. 2013, 32(6), p. 879–887. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0261561413002549
10. Česká společnost anesteziologie, resuscitace a intenzivní medicíny ČLS JEP. Doporučení pro omezování příjmu tekutin a stravy před anesteziologickou péčí, Verze 1.5. (27.8.2011) Dostupné z: https://www.csarim.cz/content/uploads/2018/11/doporuceni-pro-omezovani-prijmu-tekutin-a-stravy-pred-anesteziologickou-peci-2011.pdf.
11. Darouiche, RO., Wall, MJ., Itani, KM., et al. Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis. New England Journal of Medicine [online]. 2010, 362(1), p. 18–26. Dostupné z: http://www.nejm.org/doi/abs/10.1056/NEJMoa0810988
12. de Leede, EM., van Leersum, NJ., Kroon, HM., et al. Multicentre randomized clinical trial of the effect of chewing gum after abdominal surgery. British Journal of Surgery [online]. 2018, 105(7), 820–828. Dostupné z: http://doi.wiley.com/10.1002/bjs.10828
13. de Oliveira, GS., Schink, JC., Buoy, C., et al. The association between allogeneic perioperative blood transfusion on tumour recurrence and survival in patients with advanced ovarian cancer. Transfusion Medicine [online]. 2012, 22(2), p. 97–103. Dostupné z: http://doi.wiley.com/10.1111/j.1365-3148.2011.01122.x
14. Felder, S., Rasmussen, MS., King, R., et al. Prolonged thromboprophylaxis with low molecular weight heparin for abdominal or pelvic surgery. Cochrane Database of Systematic Reviews [online] Dostupné z: http://doi.wiley.com/10.1002/14651858.CD004318.pub3
15. Gale, J., Thompson, C., Lortie, KJ., et al. Early Discharge after Laparoscopic Hysterectomy: a Prospective Study. Journal of Obstetrics and Gynaecology Canada [online]. 2018, 40(9), p. 1154–1161. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S1701216317309854
16. Gan, TJ., Diemunsch, P., Habib, AS., et al. Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. Anesthesia & Analgesia [online]. 2014, 118(1), p. 85–113. Dostupné z: https://insights.ovid.com/crossref?an=00000539-201401000-00013
17. Glance, LG., Dick, AW., Mukamel, DB., et al. Association between intraoperative blood transfusion and mortality and morbidity in patients undergoing noncardiac surgery. Anesthesiology [online]. 2011, 114(2), p. 283–292. Dostupné z: http://anesthesiology.pubs.asahq.org/Article.aspx?doi=10.1097/ALN.0b013e3182054d06
18. Greco, PS., Bazzi, AA., McLean, K., et.al. Incidence and timing of thromboembolic events in patients with ovarian cancer undergoing neoadjuvant chemotherapy. Obstetrics & Gynecology [online]. 2017, 129(6), p. 979–985. Dostupné z: http://Insights.ovid.com/crossref?an=00006250-201706000-00004
19. Güenaga, KF., Matos, D., Wille-Jørgensen, P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database of Systematic Reviews [online]. 2011. Dostupné z: http://doi.wiley.com/10.1002/14651858.CD001544.pub4
20. Güngördük, K., Özdemir, İA., Güngördük, Ö., et.al. Effects of coffee consumption on gut recovery after surgery of gynecological cancer patients: a randomized controlled trial. American Journal of Obstetrics and Gynecology [online]. 2017, 216(2), 145.e1–145.e7. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0002937816309140
21. Joshi, GP., Kehlet, H. Procedure-specific pain management. Anesthesiology [online]. 2013, 118(4), p. 780–782. Dostupné z: http://anesthesiology.pubs.asahq.org/Article.aspx?doi=10.1097/ALN.0b013e31828866e1
22. Kehlet, H. Multimodal approach to control postoperative pathophysiology and rehabilitation. British Journal of Anaesthesia [online]. 1997, 78(5), p. 606–617. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0007091217399890
23. Kehlet, H., Mogensen, T. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. British Journal of Surgery [online]. 1999, 86(2), p. 227–230. Dostupné z: http://doi.wiley.com/10.1046/j.1365-2168.1999.01023.x
24. Laffin, MR., Li, S., Brisebois, R., et al. The Use of a Pre-operative Carbohydrate Drink in Patients with Diabetes Mellitus: A Prospective, Non-inferiority, Cohort Study. World Journal of Surgery [online]. 2018, 42(7), p. 1965–1970. Dostupné z: http://link.springer.com/10.1007/s00268-017-4413-9
25. Macario, A., Weinger, M., Carney, S., Kim, A. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesthesia & Analgesia [online]. 1999, 89(3). Dostupné z: https://insights.ovid.com/crossref?an=00000539-199909000-00022
26. Makaryus, R., Miller, TE., Gan, TJ. Current concepts of fluid management in enhanced recovery pathways. British Journal of Anaesthesia [online]. 2018, 120(2), p. 376–383. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0007091217539768
27. Martin, ET., Kaye, KS., Knott, C., et al. Diabetes and risk of surgical site infection: a systematic review and meta-analysis. Infection Control & Hospital Epidemiology [online]. 2016, 37(01), p. 88–99. Dostupné z: https://www.cambridge.org/core/product/identifier/S0899823X15002494/type/journal_article
28. Melling, AC., Ali, B., Scott, EM., Leaper, DJ. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomised controlled trial. The Lancet [online]. 2001, 358(9285), p. 876–880. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0140673601060718
29. Migaly, J., Bafford, AC., Francone,TD., et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Use of Bowel Preparation in Elective Colon and Rectal Surgery. Diseases of the Colon & Rectum [online]. 2019, 62(1), p. 3–8. Dostupné z: http://Insights.ovid.com/crossref?an=00003453-201901000-00002
30. Musallam, KM., Tamim, HM., Richards, T., et al. Preoperative anaemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study. The Lancet [online]. 2011, 378(9800), 1396–1407. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0140673611613810
31. Nelson, G., Altman, AD., Nick, A., et al. Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations - Part I. Gynecologic Oncology. Elsevier, 2016/02/01, 140(2), p. 313–322. Dostupné z: https://doi.org/10.1016/j.ygyno.2015.11.015
32. Nelson, G., Altman, AD., Nick A., et al. Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations - Part II. Gynecologic Oncology. Elsevier, 2016/02/01, 140(2), p. 323–332. Dostupné z: https://doi.org/10.1016/j.ygyno.2015.12.019
33. Nelson, G., Bakkum-Gamez, J, Kalogera, E., et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations – 2019 update. International Journal of Gynecologic Cancer [online]. 2019, ijgc;ijgc-2019-000356v1 Dostupné z: http://ijgc.bmj.com/lookup/doi/10.1136/ijgc-2019-000356
34. Nelson, R., Edwards, S., Tse, B. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst Rev 2007, Cochrane Database of Systematic Reviews [online]. 2007(3).
35. Nguyen, JMV., Sadeghi, M., Gien, LT., et al. Impact of a preventive bundle to reduce surgical site infections in gynecologic oncology. Gynecologic Oncology [online]. 2019, 152(3), p. 480–485. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0090825818312198
36. Nugent, EK., Hoff, JT., Gao, F., et al. Wound complications after gynecologic cancer surgery. Gynecologic Oncology [online]. 2011, 121(2), p. 347–352. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0090825811000709
37. Nygren, J., Thacker, J., Carli, F., et al. Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations, World J Surg (2013) 37: 285. https://doi.org/10.1007/s00268-012-1787-6
38. Nygren, J., Thorell, A., Ljungqvist, O. Preoperative oral carbohydrate therapy. Current Opinion in Anaesthesiology [online]. 2015, 28(3), p. 364–369. Dostupné z: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00001503-201506000-00022
39. Oppedal, K., Møller, AM., Pedersen, B., Tønnesen, H. Preoperative alcohol cessation prior to elective surgery. Cochrane Database of Systematic Reviews [online]. Dostupné z: http://doi.wiley.com/10.1002/14651858.CD008343.pub2
40. Pineda, CE., Shelton, AA., Hernandez-Boussard, T., et al. Mechanical bowel preparation in intestinal surgery: a meta-analysis and review of the literature. Journal of Gastrointestinal Surgery [online]. 2008, 12(11), p. 2037–2044. Dostupné z: http://link.springer.com/10.1007/s11605-008-0594-8
41. Ramirez, PT., Frumovitz, M., Pareja, R., et al. Minimally invasive versus abdominal radical hysterectomy for cervical cancer. New England Journal of Medicine [online]. 2018, 379(20), p. 1895–1904. Dostupné z: http://www.nejm.org/doi/10.1056/NEJMoa1806395
42. Saadeh, FA., Norris, L., O‘Toole, S., Gleeson, N. Venous thromboembolism in ovarian cancer: incidence, risk factors and impact on survival. European Journal of Obstetrics & Gynecology and Reproductive Biology [online]. 2013, 170(1), p. 214–218. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0301211513002637
43. Silva, JM., de Oliveira, AMRR., Nogueira, FA., et al. The effect of excess fluid balance on the mortality rate of surgical patients: a multicenter prospective study. Critical Care [online]. 2013, 17(6). Dostupné z: http://ccforum.biomedcentral.com/articles/10.1186/cc13151
44. Sørensen, LT. Wound healing and infection in surgery. Archives of Surgery [online]. 2012, 147(4). Dostupné z: http://archsurg.jamanetwork.com/article.aspx?doi=10.1001/archsurg.2012.5
45. Tanner, J., Norrie, P., Melen, K. Preoperative hair removal to reduce surgical site infection. Cochrane Database of Systematic Reviews [online] Dostupné z: http://doi.wiley.com/10.1002/14651858.CD004122.pub4
46. Toneva, GD., Deierhoi, RJ., Morris, M., et al. Oral antibiotic bowel preparation reduces length of stay and readmissions after colorectal surgery. Journal of the American College of Surgeons [online]. 2013, 216(4), p. 756–762. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S1072751512014445
47. Walker, JL., Piedmonte, MR., Spirtos, NM., et al. Recurrence and Survival After Random Assignment to Laparoscopy Versus Laparotomy for Comprehensive Surgical Staging of Uterine Cancer: Gynecologic Oncology Group LAP2 Study. Journal of Clinical Oncology [online]. 2012, 30(7), p. 695–700. Dostupné z: http://ascopubs.org/doi/10.1200/JCO.2011.38.8645
48. Walker, KJ., Smith, AF. Premedication for anxiety in adult day surgery. Cochrane Database of Systematic Reviews [online]. Dostupné z: http://doi.wiley.com/10.1002/14651858.CD002192.pub2
49. Warner, DO. Helping surgical patients quit smoking: why, when, and how. Anesthesia & Analgesia [online]. 2005, 101(2), p. 481–487 Dostupné z: http://Insights.ovid.com/crossref?an=00000539-200508000-00033
50. Weber, WP., Marti, WR., Zwahlen, M., et al. The timing of surgical antimicrobial prophylaxis. Annals of Surgery [online]. 2008, 247(6), p. 918–926. Dostupné z: https://insights.ovid.com/crossref?an=00000658-200806000-00003
51. Weimann, A., Braga, M., Carli, F., et al. ESPEN guideline: Clinical nutrition in surgery. Clinical Nutrition [online]. 2017, 36(3), p. 623–650. Dostupné z: https://linkinghub.elsevier.com/retrieve/pii/S0261561417300638
52. West, MA., Wischmeyer, PE., Grocott, MPW. Prehabilitation and nutritional support to improve perioperative outcomes. Current Anesthesiology Reports. 2017, 7(4), p. 340–349. Dostupné z: https://doi.org/10.1007/s40140-017-0245-2
53. Wolk, S., Meißner, T., Linke, S., et al. Use of activity tracking in major visceral surgery – the Enhanced Perioperative Mobilization (EPM) trial: study protocol for a randomized controlled trial. Trials [online]. 2017, 18(1). Dostupné z: http://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-1782-1
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2019 Issue 5
Most read in this issue
- Syndrome Mayer-Rokitansky-Küster-Hauser – uterine and vaginal agenesis: current knowledge and therapeutic options
- ERAS protocol in gynecologic oncology
- First-trimester screening for preeclampsia
- Uterine rupture during pregnancy