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Intraoperative Management for Enhanced Recovery After Gynecologic Surgery
Gavin G Ovsak1, Gabriel E Mena, Javier D Lasala
1Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology, Critical Care Medicine, and Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Clinical Obstetrics and Gynecology
|October 9, 2025
Summary
Enhanced recovery after surgery protocols improve gynecologic surgery outcomes. Anesthesiologists use multimodal analgesia, fluid management, and normothermia for faster patient recovery and satisfaction.
Area of Science:
- Anesthesiology
- Surgical Care
- Gynecologic Procedures
Background:
- Enhanced Recovery After Surgery (ERAS) protocols optimize perioperative care.
- ERAS aims to minimize surgical stress and accelerate patient recovery.
- Anesthesiologists are crucial in implementing ERAS intraoperatively for gynecologic surgery.
Purpose of the Study:
- To outline evidence-based intraoperative anesthetic management for ERAS in gynecologic surgery.
- To detail key ERAS components including multimodal analgesia, fluid management, normothermia, and lung protective ventilation.
Main Methods:
- Review of current literature on ERAS principles in gynecologic anesthesia.
- Delineation of specific anesthetic techniques supporting ERAS goals.
- Focus on intraoperative strategies to reduce surgical stress.
Main Results:
- Integration of ERAS protocols leads to significant improvements in patient outcomes.
- Key benefits include reduced hospital stays and decreased opioid requirements.
- Enhanced patient satisfaction is a notable outcome of ERAS implementation.
Conclusions:
- Intraoperative anesthetic management is integral to successful ERAS protocols in gynecology.
- Adherence to ERAS principles enhances recovery and patient experience.
- Multimodal strategies are effective in achieving ERAS goals for gynecologic procedures.
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