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Use of ERAS protocols in gynecology and obstetrics and the role of midwives

Year 2022, , 33 - 37, 18.04.2022
https://doi.org/10.29228/anatoljhr.55770

Abstract

ERAS is the name given to all perioperative care protocols that include evidence-based practices. The purpose of these protocols, also known as "Accelerated Recovery Protocols"; To reduce patient stress in the perioperative period (operation process), to minimize complications, to accelerate recovery and to ensure early discharge. In particular, the use of evidence-based ERAS protocols in important gynecological and obstetric operations such as gynecological oncology surgery, vulva and vagina surgery and cesarean section is becoming widespread. Contrary to known traditional practices, the application of evidence-based ERAS protocols is of great importance in the field of women's health. In this review; It is aimed to discuss ERAS protocols and to share them in line with up-to-date information.

References

  • Ahmed, M. P., Sayed Ahmed, W. A., Atwa, K. A., & Metwally, L. (2014). Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: A prospective randomized trial. European Journal of Obstetrics & Gynecology and Reproductive Biology,176, 60-63.
  • Aksoy, A., & Vefikuluçay Yılmaz, D. (2018). Jinekolojik cerrahide kanıta dayalı uygulamalarda yeni bir yaklaşım: ERAS protokolü ve hemşirelik. Türkiye Klinikleri Hemşirelik Bilimleri, 10(1), 49-58.
  • Altman, A. D., Robert, M., Armbrust, R., Fawcett, W. J., Nihira, M., Jones, C. N., & Nelson, G. (2020). Guidelines for vulvar and vaginal surgery: Enhanced recovery after surgery (ERAS) society recommendations. American Journal of Obstetrics and Gynecology, 223(4), 475-485.
  • Apfel, C. C., Meyer, A., Orhan-Sungur, M., Jalota, L., Whelan, R. P., & Jukar-Rao, S. (2012). Supplemental intravenous crystalloids for the prevention of postoperative nausea and vomiting: Quantitative review. British Journal of Anaesthesia, 108(6), 893-902.
  • Bianchini, C., Pelucchi, S., Pastore, A., Feo, C. V., & Ciorba, A. (2014). Enhanced recovery after surgery (ERAS) strategies: Possible advantages also for head and neck surgery patients? European Archives of Oto-Rhino-Laryngology, 271(3), 439-443.
  • Bollag, L., Tiouririne, M., Lim, G., Carvalho, B., Zakowski, M., & Bhambhani, S. (2020). Society of Obstetric Anesthesia and Perinatorlogy (SOAP) Enghanced Recover After Cesarean (ERAC) Consensus Statement. May 23, 2019. Available at: https://soap.org//SOAPEnhanced-Recovery-After-Cesarean- ConsensusStatement.pdf. Erişim Tarihi: 13.01.2022
  • Bray, M., Appel, A., Kallies, K., Borgert, A., Zinnel, B., & Shapiro, S. (2017). Implementation of an Enhanced recovery after surgery program for colorectal surgery at a community teaching hospital. Wisconsin Medical Journal, 116 (1), 22-26.
  • Caughey, A. B., Wood, S. L., Macones, G. A., Wrench, I. J., Huang, J., Norman, M., ... & Wilson, R. D. (2018). Guidelines for intraoperative care in cesarean delivery: enhanced recovery after surgery society recommendations (part 2). American Journal of Obstetrics and Gynecology, 219(6), 533-544.
  • Cattin, A., De Baene, A., Achon, E., Bersot, Y., Destoop, Q., Pelissier, A., & Bonneau, S. (2017). Evaluation of enhanced recovery for elective cesarean section. Gynécologie Obstétrique Fertilité & Sénologie, 45(4), 202-209.
  • Demirhan, İ., & Pınar, G. (2014). Postoperatif iyileşmenin hızlandırılması ve hemşirelik yaklaşımları. Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik E-Dergisi, 2, 43-53.
  • ERAS Türkiye Derneği. (2022) ERAS nedir? Erişim: https://eras.org.tr/page.php?id=9 Erişim Tarihi: 02.01.2022.
  • Ersoy, E., & Gündoğdu, H. (2007). Enhanced recovery after surgery. Turkish Journal of Surgery, 23(1), 35-40.
  • Gustafsson, U. O., Oppelstrup, H., Thorell, A., Nygren, J., & Ljungqvist, O. (2016). Adherence to the ERAS protocol is associated with 5-year survival after colorectal cancer surgery: a retrospective cohort study. World Journal of Surgery, 40(7), 1741-1747.
  • Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, N., Roulin, D., & Francis, N. (2013). Guidelines for perioperative care in elective colonic surgery: Enhanced recovery after surgery (ERAS(®)) society recommendations. World Journal of Surgery, 37(2), 259-284.
  • Harlak, A., Gündoğdu, H., Ersoy, E., & Erkek, B. (2008). Ankara'daki cerrahların ameliyat sonrası hızlandırılmış iyileşme (ERAS protokolü) uygulamalarına bakışı. Ulusal Cerrahi Dergisi, 24(4), 182-188.
  • Horn, E. P., Bein, B., Böhm, R., Steinfath, M., Sahili, N., & Höcker, J. (2012). The effect of short time periods of pre‐operative warming in the prevention of peri‐operative hypothermia. Anaesthesia, 67(6), 612-617.
  • Jimenez, R. S., Alvarez, A. B., Lopez, J. T., Jimenez, A. S., Conde, F. G., & Saez, J. A. C. (2014). ERAS (Enhanced Recovery after Surgery) in colorectal surgery. In J. S. Khan (Ed.), Colorectal cancer - surgery, diagnostics and treatment. (pp. 487-503). IntechOpen.
  • Kabataş, M. S., & Özbayır, T. (2016). Kolorektal cerrahi sonrası hızlandırılmış iyileşme protokolü: Sistematik derleme. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 5(3), 120-132.
  • Kalogera, E., & Dowdy, S. C. (2016). Enhanced recovery pathway in gynecologic surgery: improving outcomes through evidence based medicine. Obstetrics and Gynecology Clinics of North America, 43(3), 551-573.
  • Kehlet, H.,& Wilmore, D. W. (2008). Evidence-based surgical care and the evolution of fast-track surgery. Annals of Surgery, 448(2), 189-198.
  • Kehlet, H., Wilmore, D. W. (2002). Multimodal strategies to improve surgical outcome. American Journal of Surgery, 183(6), 630-641.
  • Khan, S., Gatt, M., & MacFie, J. (2009). Enhanced recovery programmes and colorectal surgery: does the laparoscope confer additional advantages?. Colorectal Disease, 11(9), 902-908.
  • Macones, G. A., Caughey, A. B., Wood, S. L., Wrench, I. J., Huang, J., Norman, M. & Wilson, R. D. (2019). Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) society recommendations (part 3). American Journal of Obstetrics and Gynecology, 221(3), 247-249.
  • Myriokefalitaki, E., Smith, M., & Ahmed, A. S. (2016). Implementation of enhanced recovery after surgery (ERAS) in gynaecological oncology. Archives of Gynecology and Obstetrics, 294(1), 137-143.
  • Nelson, G., Bakkum-Gamez, J., Kalogera, E., Glaser, G., Altman, A., Meyer, L. A., Dowdy, S. C. (2019). Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update. International Journal of Gynecologic Cancer, 29(4), 1-18.
  • Pędziwiatr, M., Kisialeuski, M., Wierdak, M., Stanek, M., Natkaniec, M., Matłok, M., Major, P, Małczak, P. & Budzyński, A. (2015). Early implementation of Enhanced Recovery After Surgery (ERAS®) protocol Compliance improves outcomes: A prospective cohort study. International Journal of Surgery, 21, 75-81
  • Relph, S., Bell, A., Sivashanmugarajan, V., Munro, K., Chigwidden, K., Lloyd, S., & Yoong, W. (2014). Cost effectiveness of enhanced recovery after surgery programme for vaginal hysterectomy: A comparison of pre and post-implementation expenditures. International Journal of Health Planning and Management, 29(4), 399-406.
  • Rousseau, A., Sadoun, M., Aimé, I., Leguen, M., Carbonnel, M., & Ayoubi, J. M. (2017). Comparative study about enhanced recovery after cesarean section: What benefits, what risks?. Gynecologie, Obstetrique, Fertilite & Senologie, 45(7-8), 387-392.
  • Soyer, T. (2014). Novel definition of surgical site infections and current practice in prophylaxis. ANKEM Dergisi, 28(2),156-161.
  • Stewart, D. E., Wong, F, Cheung, A. M., Dancey, J., Meana, M., Cameron, J. I. (2000). Information needs and decisional preferences among woman ovarian cancer. Gynecologic Oncology, 77(3), 357-361.
  • Terzioğlu, F., Şimsek, S., Karaca, K., Sariince, N., Altunsoy, P., & Salman, M. C. (2013). Multimodal interventions (chewing gum, early oral hydration and early mobilisation) on the intestinal motility following abdominal gynaecologic surgery. Journal of Clinical Nursing, 22(13-14), 1917-1925.
  • Thomsen, T., Villebro, N., & Møller, A. M. (2010). Interventions for preoperative smoking cessation. Cochrane Database of Systematic Reviews, 7(7), CD002294.
  • Torbe, E., Crawford, R., Nordin, A., & Acheson, N. (2013). Enhanced recovery in gynaecology. Obstetrician and Gynaecologist, 15(4), 263-268.
  • Varadhan, K. K., Neal, K. R., Dejong, C. H., Fearon, K. C., Ljungqvist, O., & Lobo, D. N. (2010). The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trials. Clinical Nutrition, 29(4), 434-440.
  • Yuan, J., Sun, Y., Pan, C., & Li, T. (2017). Goal-directed fluid therapy for reducing risk of surgical site infections following abdominal surgery–a systematic review and meta-analysis of randomized controlled trials. International Journal of Surgery, 39, 74-87.
  • Wilson, R. D., Caughey, A. B., Wood, S. L., Macones, G. A., Wrench, I. J., Huang, J., & Nelson, G. (2018). Guidelines for antenatal and preoperative care in cesarean delivery: Enhanced recovery after surgery society recommendations (part 1). American Journal of Obstetrics and Gynecology, 219(6), 523-e1.

Jinekoloji ve obstetride ERAS protokollerinin kullanımı ve ebelerin rolü

Year 2022, , 33 - 37, 18.04.2022
https://doi.org/10.29228/anatoljhr.55770

Abstract

ERAS, kanıta dayalı uygulamaları içeren perioperatif bakım protokollerinin tamamına verilen bir addır. “Hızlandırılmış İyileşme Protokolleri” olarak da bilinen bu protokollerin amacı; perioperatif dönemde (ameliyat süreci) hasta stresini azaltmak, komplikasyonları en aza indirmek, iyileşmeyi hızlandırarak erken taburculuğu sağlamaktır. Günümüzde jinekolojik onkoloji cerrahisi, vulva ve vajen cerrahisi ve sezaryen gibi önemli jinekolojik ve obstetrik operasyonlarda kanıt temelli ERAS protokollerinin kullanımı oldukça yaygındır. Bilinen geleneksel uygulamaların aksine kanıt temelli ERAS protokollerinin uygulanması kadın sağlığı alanında büyük önem taşımaktadır. Bu derlemede; ERAS protokollerinin ele alınması ve güncel bilgiler doğrultusunda paylaşılması amaçlanmaktadır.

References

  • Ahmed, M. P., Sayed Ahmed, W. A., Atwa, K. A., & Metwally, L. (2014). Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: A prospective randomized trial. European Journal of Obstetrics & Gynecology and Reproductive Biology,176, 60-63.
  • Aksoy, A., & Vefikuluçay Yılmaz, D. (2018). Jinekolojik cerrahide kanıta dayalı uygulamalarda yeni bir yaklaşım: ERAS protokolü ve hemşirelik. Türkiye Klinikleri Hemşirelik Bilimleri, 10(1), 49-58.
  • Altman, A. D., Robert, M., Armbrust, R., Fawcett, W. J., Nihira, M., Jones, C. N., & Nelson, G. (2020). Guidelines for vulvar and vaginal surgery: Enhanced recovery after surgery (ERAS) society recommendations. American Journal of Obstetrics and Gynecology, 223(4), 475-485.
  • Apfel, C. C., Meyer, A., Orhan-Sungur, M., Jalota, L., Whelan, R. P., & Jukar-Rao, S. (2012). Supplemental intravenous crystalloids for the prevention of postoperative nausea and vomiting: Quantitative review. British Journal of Anaesthesia, 108(6), 893-902.
  • Bianchini, C., Pelucchi, S., Pastore, A., Feo, C. V., & Ciorba, A. (2014). Enhanced recovery after surgery (ERAS) strategies: Possible advantages also for head and neck surgery patients? European Archives of Oto-Rhino-Laryngology, 271(3), 439-443.
  • Bollag, L., Tiouririne, M., Lim, G., Carvalho, B., Zakowski, M., & Bhambhani, S. (2020). Society of Obstetric Anesthesia and Perinatorlogy (SOAP) Enghanced Recover After Cesarean (ERAC) Consensus Statement. May 23, 2019. Available at: https://soap.org//SOAPEnhanced-Recovery-After-Cesarean- ConsensusStatement.pdf. Erişim Tarihi: 13.01.2022
  • Bray, M., Appel, A., Kallies, K., Borgert, A., Zinnel, B., & Shapiro, S. (2017). Implementation of an Enhanced recovery after surgery program for colorectal surgery at a community teaching hospital. Wisconsin Medical Journal, 116 (1), 22-26.
  • Caughey, A. B., Wood, S. L., Macones, G. A., Wrench, I. J., Huang, J., Norman, M., ... & Wilson, R. D. (2018). Guidelines for intraoperative care in cesarean delivery: enhanced recovery after surgery society recommendations (part 2). American Journal of Obstetrics and Gynecology, 219(6), 533-544.
  • Cattin, A., De Baene, A., Achon, E., Bersot, Y., Destoop, Q., Pelissier, A., & Bonneau, S. (2017). Evaluation of enhanced recovery for elective cesarean section. Gynécologie Obstétrique Fertilité & Sénologie, 45(4), 202-209.
  • Demirhan, İ., & Pınar, G. (2014). Postoperatif iyileşmenin hızlandırılması ve hemşirelik yaklaşımları. Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik E-Dergisi, 2, 43-53.
  • ERAS Türkiye Derneği. (2022) ERAS nedir? Erişim: https://eras.org.tr/page.php?id=9 Erişim Tarihi: 02.01.2022.
  • Ersoy, E., & Gündoğdu, H. (2007). Enhanced recovery after surgery. Turkish Journal of Surgery, 23(1), 35-40.
  • Gustafsson, U. O., Oppelstrup, H., Thorell, A., Nygren, J., & Ljungqvist, O. (2016). Adherence to the ERAS protocol is associated with 5-year survival after colorectal cancer surgery: a retrospective cohort study. World Journal of Surgery, 40(7), 1741-1747.
  • Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, N., Roulin, D., & Francis, N. (2013). Guidelines for perioperative care in elective colonic surgery: Enhanced recovery after surgery (ERAS(®)) society recommendations. World Journal of Surgery, 37(2), 259-284.
  • Harlak, A., Gündoğdu, H., Ersoy, E., & Erkek, B. (2008). Ankara'daki cerrahların ameliyat sonrası hızlandırılmış iyileşme (ERAS protokolü) uygulamalarına bakışı. Ulusal Cerrahi Dergisi, 24(4), 182-188.
  • Horn, E. P., Bein, B., Böhm, R., Steinfath, M., Sahili, N., & Höcker, J. (2012). The effect of short time periods of pre‐operative warming in the prevention of peri‐operative hypothermia. Anaesthesia, 67(6), 612-617.
  • Jimenez, R. S., Alvarez, A. B., Lopez, J. T., Jimenez, A. S., Conde, F. G., & Saez, J. A. C. (2014). ERAS (Enhanced Recovery after Surgery) in colorectal surgery. In J. S. Khan (Ed.), Colorectal cancer - surgery, diagnostics and treatment. (pp. 487-503). IntechOpen.
  • Kabataş, M. S., & Özbayır, T. (2016). Kolorektal cerrahi sonrası hızlandırılmış iyileşme protokolü: Sistematik derleme. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 5(3), 120-132.
  • Kalogera, E., & Dowdy, S. C. (2016). Enhanced recovery pathway in gynecologic surgery: improving outcomes through evidence based medicine. Obstetrics and Gynecology Clinics of North America, 43(3), 551-573.
  • Kehlet, H.,& Wilmore, D. W. (2008). Evidence-based surgical care and the evolution of fast-track surgery. Annals of Surgery, 448(2), 189-198.
  • Kehlet, H., Wilmore, D. W. (2002). Multimodal strategies to improve surgical outcome. American Journal of Surgery, 183(6), 630-641.
  • Khan, S., Gatt, M., & MacFie, J. (2009). Enhanced recovery programmes and colorectal surgery: does the laparoscope confer additional advantages?. Colorectal Disease, 11(9), 902-908.
  • Macones, G. A., Caughey, A. B., Wood, S. L., Wrench, I. J., Huang, J., Norman, M. & Wilson, R. D. (2019). Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) society recommendations (part 3). American Journal of Obstetrics and Gynecology, 221(3), 247-249.
  • Myriokefalitaki, E., Smith, M., & Ahmed, A. S. (2016). Implementation of enhanced recovery after surgery (ERAS) in gynaecological oncology. Archives of Gynecology and Obstetrics, 294(1), 137-143.
  • Nelson, G., Bakkum-Gamez, J., Kalogera, E., Glaser, G., Altman, A., Meyer, L. A., Dowdy, S. C. (2019). Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update. International Journal of Gynecologic Cancer, 29(4), 1-18.
  • Pędziwiatr, M., Kisialeuski, M., Wierdak, M., Stanek, M., Natkaniec, M., Matłok, M., Major, P, Małczak, P. & Budzyński, A. (2015). Early implementation of Enhanced Recovery After Surgery (ERAS®) protocol Compliance improves outcomes: A prospective cohort study. International Journal of Surgery, 21, 75-81
  • Relph, S., Bell, A., Sivashanmugarajan, V., Munro, K., Chigwidden, K., Lloyd, S., & Yoong, W. (2014). Cost effectiveness of enhanced recovery after surgery programme for vaginal hysterectomy: A comparison of pre and post-implementation expenditures. International Journal of Health Planning and Management, 29(4), 399-406.
  • Rousseau, A., Sadoun, M., Aimé, I., Leguen, M., Carbonnel, M., & Ayoubi, J. M. (2017). Comparative study about enhanced recovery after cesarean section: What benefits, what risks?. Gynecologie, Obstetrique, Fertilite & Senologie, 45(7-8), 387-392.
  • Soyer, T. (2014). Novel definition of surgical site infections and current practice in prophylaxis. ANKEM Dergisi, 28(2),156-161.
  • Stewart, D. E., Wong, F, Cheung, A. M., Dancey, J., Meana, M., Cameron, J. I. (2000). Information needs and decisional preferences among woman ovarian cancer. Gynecologic Oncology, 77(3), 357-361.
  • Terzioğlu, F., Şimsek, S., Karaca, K., Sariince, N., Altunsoy, P., & Salman, M. C. (2013). Multimodal interventions (chewing gum, early oral hydration and early mobilisation) on the intestinal motility following abdominal gynaecologic surgery. Journal of Clinical Nursing, 22(13-14), 1917-1925.
  • Thomsen, T., Villebro, N., & Møller, A. M. (2010). Interventions for preoperative smoking cessation. Cochrane Database of Systematic Reviews, 7(7), CD002294.
  • Torbe, E., Crawford, R., Nordin, A., & Acheson, N. (2013). Enhanced recovery in gynaecology. Obstetrician and Gynaecologist, 15(4), 263-268.
  • Varadhan, K. K., Neal, K. R., Dejong, C. H., Fearon, K. C., Ljungqvist, O., & Lobo, D. N. (2010). The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trials. Clinical Nutrition, 29(4), 434-440.
  • Yuan, J., Sun, Y., Pan, C., & Li, T. (2017). Goal-directed fluid therapy for reducing risk of surgical site infections following abdominal surgery–a systematic review and meta-analysis of randomized controlled trials. International Journal of Surgery, 39, 74-87.
  • Wilson, R. D., Caughey, A. B., Wood, S. L., Macones, G. A., Wrench, I. J., Huang, J., & Nelson, G. (2018). Guidelines for antenatal and preoperative care in cesarean delivery: Enhanced recovery after surgery society recommendations (part 1). American Journal of Obstetrics and Gynecology, 219(6), 523-e1.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Midwifery (Other)
Journal Section Reviews
Authors

Zeliha Sunay 0000-0001-9375-4300

Publication Date April 18, 2022
Published in Issue Year 2022

Cite

APA Sunay, Z. (2022). Jinekoloji ve obstetride ERAS protokollerinin kullanımı ve ebelerin rolü. Anatolian Journal of Health Research, 3(1), 33-37. https://doi.org/10.29228/anatoljhr.55770

Content of this journal is licensed under a Creative Commons Attribution NonCommercial 4.0 International License

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