Enhanced Recovery after Surgery (ERAS) protocols optimize perioperative care by utilizing
concepts including preoperative counseling and limited fasting, early postoperative
enteral intake and mobilization, opioid-sparing analgesia, and limited use of intravenous
fluids (IVF) and surgical drains. ERAS has been successfully implemented in adult
gynecology, adult and pediatric colorectal and urologic surgery with reduction in
length of hospital stay (LOS), narcotic use, complications, and improvement in patient
satisfaction. There are no studies evaluating the use of ERAS in pediatric and adolescent
gynecology (PAG). The aim of this study is to review safety, patient satisfaction,
and decreased opioid use in PAG patients undergoing intra-abdominal gynecologic surgery
while cared for under this pilot ERAS protocol.
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