Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update

Int J Gynecol Cancer. 2019 May;29(4):651-668. doi: 10.1136/ijgc-2019-000356. Epub 2019 Mar 15.


Background: This is the first updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in gynecologic/oncology surgery.

Methods: A database search of publications using Embase and PubMed was performed. Studies on each item within the ERAS gynecologic/oncology protocol were selected with emphasis on meta-analyses, randomized controlled trials, and large prospective cohort studies. These studies were then reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.

Results: All recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly.

Conclusions: The updated evidence base and recommendation for items within the ERAS gynecologic/oncology perioperative care pathway are presented by the ERAS® Society in this consensus review.

Keywords: Enhanced Recovery After Surger; intraoperative care; postoperative care; preoperative care; surgery.

Publication types

  • Practice Guideline

MeSH terms

  • Enhanced Recovery After Surgery / standards*
  • Female
  • Genital Neoplasms, Female / surgery*
  • Gynecologic Surgical Procedures / methods
  • Gynecologic Surgical Procedures / standards*
  • Humans
  • Perioperative Care / methods
  • Perioperative Care / standards