关键词: 理疗与康复医学, 妇科外科手术, 围手术期医护, 加速康复外科

Abstract: The Danish surgeon Kehlet comprehensively optimized the perioperative management measures. In 1997, he first proposed the concept of enhanced recovery after surgery(ERAS). In recent years, the concept has been widely promoted in Europe and the United States, and has gradually been adopted and applied domestically. From the perspective of evidence-based, ERAS strives to reduce the physiological and psychological traumatic stress response of surgical patients. Through the close cooperation of departments such as surgery, anesthesia, nursing, and nutrition, it takes a variety of interventions to optimize the perioperative clinical pathway, reduce perioperative traumatic stress response and the incidence of postoperative complications, promote rehabilitation, shorten hospital stay, and reduce medical expenses. This theoretical system has been promoted and applied in various surgical fields since it was officially put forward in 1997. At present, ERAS has been applied to the perioperative period of thoracic surgery, general surgery, colorectal surgery, obstetrics and gynecology. In recent years, there have been many successful cases in which ERAS and the perioperative management model of obstetrics and gynecology have been combined. The current application of the concept of surgery in the clinical practice of obstetrics and gynecology is reviewed.

Key words: Physical and rehabilitation medicine, Gynecologic surgical procedures, Perioperative care, Enhanced recovery after surgery