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Postoperative Enhanced Recovery After Surgery Pathways in Gynecologic Surgery
Jenna M Patterson1, Madeline Freeman2, Lisa C Hickman1
1Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, The Ohio State University, Wexner Medical Center.
Clinical Obstetrics and Gynecology
|October 9, 2025
Summary
Enhanced recovery after surgery (ERAS) protocols improve outcomes in gynecologic surgery. These pathways reduce hospital stays, pain, and complications while speeding recovery.
Area of Science:
- Gynecologic Surgery
- Surgical Physiology
- Postoperative Care
Background:
- Surgical stress significantly impacts multiple organ systems.
- Enhanced recovery after surgery (ERAS) protocols are designed to mitigate surgical stressors.
- ERAS aims to preserve normal physiology and enhance patient recovery post-operation.
Purpose of the Study:
- To review current evidence on ERAS pathways in gynecologic surgery.
- To provide recommendations for postoperative ERAS implementation in this patient population.
Main Methods:
- Literature review of existing studies and guidelines.
- Analysis of reported outcomes associated with ERAS protocols in gynecologic procedures.
Main Results:
- ERAS pathways in gynecologic surgery are linked to shorter hospital stays.
- Benefits include reduced postoperative pain and faster return of bowel function.
- ERAS is associated with lower complication and readmission rates.
Conclusions:
- ERAS protocols offer significant postoperative benefits for patients undergoing gynecologic surgery.
- Implementation of ERAS pathways is recommended to optimize patient recovery and outcomes.
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