Published online Jun 18, 2021. doi: 10.5312/wjo.v12.i6.346
Peer-review started: November 30, 2020
First decision: April 6, 2021
Revised: April 20, 2021
Accepted: May 7, 2021
Article in press: May 7, 2021
Published online: June 18, 2021
Enhanced recovery after surgery (ERAS) protocols are applied in orthopedic surgery and are intended to reduce perioperative stress by implementing combined evidence-based practices with the cooperation of various health professionals as an interdisciplinary team. ERAS pathways include pre-operative patient counselling, regional anesthesia and analgesia techniques, post-operative pain management, early mobilization and early feeding. Studies have shown improvement in the recovery of patients who followed an ERAS program after hip or knee arthroplasty, compared with those who followed a traditional care approach. ERAS protocols reduce post-operative stress, contribute to rapid recovery, shorten length of stay (LOS) without increasing the complications or readmissions, improve patient satisfaction and decrease the hospital costs. We suggest that the ERAS pathway could reduce the LOS in hospital for patients undergoing total hip replacement or total knee replacement. These programs require good organization and handling by the multidisciplinary team. ERAS programs increase patient's satisfaction due to their active participation which they experience as personalized treatment. The aim of the study was to develop an ERAS protocol for oncology patients who undergo bone reconstruction surgeries using massive endoprosthesis, with a view to improving the surgical outcomes.
Core Tip: Enhanced recovery after surgery (ERAS) pathways are applied to oncology patients undergoing primary total hip replacement or total knee replacement; and through evidenced practices are used by the multidisciplinary team, with the aim of reducing the perioperative stress and its effects. ERAS protocols have been reported to promote early recovery, early mobilization, early feeding, and better pain management with multimodal analgesia. ERAS pathways in orthopedic surgery, also, reduce postoperative length of stay, postoperative complications and mortality by 30 d after surgery, hospital costs, and readmission rate by 30 d after discharge.