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Fast-track surgery in intestinal deep infiltrative endometriosis

Abstract

Fast-track (FT), also known as enhanced recovery after surgery (ERAS), is an integrated management of patients undergoing surgery, which is focused on optimal recovery and improvement of the overall quality of care. Minimally invasive surgery is the gold standard to diagnose and treat endometriosis, and its beneficial role within the FT program was reviewed. A search was performed for recent medical literature regarding the findings of the FT approach applied to intestinal deep infiltrative endometriosis surgery. This pathway comprises a diverse number of procedures arranged in preoperative, intraoperative, and postoperative settings. Evidence-based findings in randomized clinical trials have repeatedly shown that these protocols lead to enhanced recovery after surgery, reduced morbidity and mortality with a reduction in postoperative complications, and with readmission rates similar to conventional regimes.

Post author correction

Article Type: REVIEW

Article Subject: Surgical treatment

DOI:10.5301/jeppd.5000308

Authors

Viviane C. Pissetti, Rodrigo D. Nunes, Monica T. Zomer, William Kondo

Article History

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

Affiliations

  • Department of Obstetrics and Gynecology, Regional Hospital of São José (RHSJ), São José, Santa Catarina - Brazil
  • Department of Gynecology, Vita Batel Hospital and Sugisawa Medical Center, Curitiba, Paraná - Brazil

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