Systematic review of the effect of implementing enhanced recovery after surgery on selected attributes of surgical recovery in gynecology/Jinekolojik cerrahide cerrahi iyilesmenin secilmis nitelikleri uzerinde cerrahi sonrasi hizlandirilmis iyilesme kullaniminin etkisinin sistematik derlemesi

This study aimed to systematically review the available literature on enhanced recovery after surgery (ERAS) following gynecologic procedures performed either as an open surgery or as a minimally invasive gynecological surgery (MIGS) in terms of outcomes. This review revealed the results of published literature and assessed the benefits and diverse outcomes of ERAS implementation in patients undergoing MIGS or other gynecologic surgeries. In this review, we sought to examine the efficacy of entire ERAS protocols, faithfully performed, to determine whether they were successful in improving individual attributes of surgical recovery. Electronic databases of PubMed, Cochrane, Web of Science, Scopus, MEDLINE, and ClinicalTrials.gov were systematically searched in January 2021 for relevant studies. Data were extracted from eligible studies including LOS, change in the quality-of-life and recovery over time, postoperative complications including nausea and vomiting, opioid or anesthesia use, hospital cost, patient satisfaction, postoperative pain, and readmission rate as outcomes. Many of the included studies reported a significant reduction in the LOS as well as in readmission rates, hospital cost, and occurrence of nausea and vomiting postoperatively. Moreover, a clinically significant increase was noted in patient satisfaction in studies that have used tools that measure patient satisfaction. No studies have reported a significant increase in the overall quality of recovery using appropriately validated tools. Following ERAS implementation, patients' postoperative rehabilitation, including postoperative discomfort, readmission rates, and satisfaction, showed a clinically significant improvement. Keywords: ERAS, enhanced recovery after surgery, ERAS protocols, recovery from surgery Acik veya minimal invaziv jinekolojik cerrahi (MIGS) ile gerceklestirilen jinekolojik prosedurlerin ardindan "cerrahi sonrasi hizlandirilmis iyilesme" (ERAS) hakkinda mevcut literaturu farkli sonuclar acisindan sistematik olarak gozden gecirmeyi amacladik. Yayinlanmis literaturu gozler onune serdik ve MIGS veya diger jinekolojik cerrahi geciren hastalarda ERAS uygulamasinin faydalarini ve cesitli sonuclarini degerlendirdik. Cerrahi iyilesmenin bireysel ozelliklerini iyilestirmede basarili olup olmadiklarini belirlemek icin, sadakatle uygulanan tum ERAS protokollerinin etkinligini incelemeye calistik. Guvenilir calismalar icin Ocak 2021'de PubMed, Cochrane, Web of Science, Scopus, ME