Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2021; 12(6): 346-359
Published online Jun 18, 2021. doi: 10.5312/wjo.v12.i6.346
Developing an enhanced recovery after surgery program for oncology patients who undergo hip or knee reconstruction surgery
Maria Bourazani, Eleni Asimakopoulou, Chrysseida Magklari, Nikolaos Fyrfiris, Ioannis Tsirikas, Giakoumis Diakoumis, Martha Kelesi, Georgia Fasoi, Theodoros Kormas, Gunhild Lefaki
Maria Bourazani, Eleni Asimakopoulou, Chrysseida Magklari, Nikolaos Fyrfiris, Gunhild Lefaki, Department of Anesthesiology, “Saint-Savvas” Anticancer Hospital of Athens, Athens 11522, Attica, Greece
Maria Bourazani, Martha Kelesi, Georgia Fasoi, Department of Nursing, University of West Attica, Athens 12243, Attica, Greece
Ioannis Tsirikas, Physiotherapy Center, Egaleo, Athens 12242, Attica, Greece
Giakoumis Diakoumis, Theodoros Kormas, Orthopedic Clinic, “Saint-Savvas” Anticancer Hospital of Athens, Athens 11522, Attica, Greece
Author contributions: Bourazani M wrote the main article; Asimakopoulou E wrote the “Anesthetic protocol” and “Intraoperative analgesia”; Magklari C and Fyrfiris N wrote the “Neuraxial and Regional analgesia/anesthesia”; Diakoumis G wrote the orthopedic introduction and the surgical management; Tsirikas I wrote the physiotherapy rehabilitation; Kormas T and Lefaki G were the coordinators of the literature review; Kelesi M and Fasoi G were honored as supervisors.
Conflict-of-interest statement: No conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Maria Bourazani, MSc, PhD, RN, Academic Research, Nurse, Department of Anesthesiology, “Saint-Savvas” Anticancer Hospital of Athens, 117 Alexandras Avenue, Athens 11522, Attica, Greece.
Received: November 30, 2020
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
Core Tip

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.