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Updated: Jul 21, 2025

Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Enhanced Recovery in Gynecologic Oncology Surgery-State of the Science
1Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, 1331 29 St NW, Calgary, Alberta, T2N 4N2, Canada. gregg.nelson@ahs.ca.
Purposeof Review:
The purpose of this review is to describe the state of the science of enhanced recovery after surgery (ERAS) in gynecologic oncology.
Recent Findings:
Over the last 5 years, there is mounting evidence supporting ERAS in gynecologic oncology surgery. Despite this, surveys have found suboptimal uptake of ERAS, and stakeholders have highlighted the difficulty of ERAS implementation as a major barrier. To address this, the core components required for a successful ERAS implementation program (protocol, ERAS team, audit system) are reviewed. ERAS developments specific to gynecologic oncology are also discussed, including same-day discharge initiatives for minimally invasive surgery, implications of telemedicine, and methods to increase uptake of ERAS in low- and middle-income countries. ERAS is a surgical quality improvement program with strong evidence supporting its effectiveness in gynecologic oncology. Efforts are required to address ERAS implementation barriers to increase uptake globally, especially in low-income settings.
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