Division of Gynecology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Division of Gynecology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Obstet Gynecol Clin North Am. 2022 Jun;49(2):381-395. doi: 10.1016/j.ogc.2022.02.014.
Enhanced recovery after surgery (ERAS) is a multimodal, multidisciplinary approach to optimize patient outcomes by minimizing surgical stress with the goal of returning to normal physiologic function. Using minimally invasive surgery as the preferred route for gynecologic surgery is an integral component of ERAS and is strongly correlated with improved postoperative outcomes. Implementation of ERAS programs in minimally invasive gynecologic surgery results in substantial improvements in clinical outcomes with higher rates of same-day discharge, reduction in postoperative nausea and vomiting, improved patient satisfaction, and decreased opioid consumption without increase in complications, readmissions, or health care costs.
术后加速康复（ERAS）是一种多模式、多学科的方法，通过最小化手术应激来优化患者的治疗效果，以恢复正常的生理功能。将微创外科作为妇科手术的首选途径是 ERAS 的一个组成部分，并且与改善术后结果密切相关。在微创妇科手术中实施 ERAS 方案可显著改善临床结局，包括更高的当日出院率、减少术后恶心和呕吐、提高患者满意度以及减少阿片类药物的使用，而不会增加并发症、再入院或医疗成本。
