Enhanced Recovery After Surgery (ERAS)

Gynecology Oncology ERAS

Appointment New Patient Appointment or 214-645-8300

Goals

  • Return to health as quickly as possible after surgery.
  • Make this an optimal surgical experience.
  • Reduce your hospital stay.
  • Decrease surgical stress.
  • Decrease potential complications.
  • Decrease your likelihood of readmission after discharge.

About the ERAS Program

Austin Street, M.D., and Jennifer Elia, M.D., discuss the Enhanced Recovery After Surgery (ERAS) program at UT Southwestern.

Prior to Surgery

  • We will explain the plan and expectations for your surgical and anesthetic experience.
  • On the night before surgery, do not eat solid foods after 11 p.m.
  • On the night before surgery, you can drink clear liquids (such as water, Sprite, or Gatorade) up to two hours before your surgery start time.
  • Drink either ClearFast or a 20-oz. Gatorade (if diabetic, drink only half) two hours before your surgery starts.
  • You will get oral non-narcotic pain medications, including Tylenol and gabapentin, in the pre-op area to treat pain before it starts.

During Surgery

  • You will receive general anesthesia and be completely asleep throughout the procedure.
  • After you are asleep, we might place additional intravenous (IV) lines or monitors, depending on your medical condition.
  • You will receive multiple medications to treat pain and to prevent nausea and vomiting.
  • We use a specialized anesthetic regimen to optimize your surgical conditions and decrease surgical stress.
  • Following surgery, a pain block will be performed or numbing medicine will be injected at your incision site.

Post-Anesthesia Care Unit (PACU) and After

  • The post-anesthesia care unit (PACU) is where most patients wake up.
  • You will be encouraged to chew gum and drink clear fluids.

Postoperative Days

  • You will be encouraged to walk increasing amounts each day.
  • Your diet will progress to regular food as your bowel function returns.

Concerns About Narcotics

Dr. Elia addresses concerns about narcotics in conjunction with treating pain.