Enhanced Recovery After Surgery for Suspected Ovarian Malignancy: A Survey of Perioperative Practice Among Gynecologic Oncologists in Australia and New Zealand to Inform a Clinical Trial

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Kristina LindemannAlison Brand

Abstract

The objective of this survey was to review the current standard of perioperative care of patients with suspected advanced ovarian cancer in Australia and New Zealand in order to determine the level of equipoise for specific interventions. In May 2016, a web-based questionnaire (SurveyMonkey Inc, Palo Alto, CA) was sent to all gynecologic oncologists in Australia and New Zealand (n = 56). Descriptive statistics were used. Response rate was 75%. Prevention of hypothermia, extended thromboembolic prophylaxis, antibiotic prophylaxis, and the avoidance of the routine use of drains were standard of care. Bowel preparation was given by 10% routinely and by 35% when bowel resection was planned. Fasting times for fluids of six hours or more were common (55%). Only 26% had shortened fasting times of two hours. Twelve percent used carbohydrate loading. The majority of patients started a light diet within the first postoperative day and advanced diet subsequently as tolerated. Six respondents (15%) used thoracic epidural, whereas the majority (73%) administered an opioid-based intravenous patient-controlled analgesia as the predominant postoperative analgesia, mainly as part of a multimodal pain management. The majority of respondents expr...Continue Reading

References

Mar 29, 2002·The New England Journal of Medicine·David BergqvistUNKNOWN ENOXACAN II Investigators
Dec 12, 2003·Lancet·Henrik Kehlet, Jørgen B Dahl
May 25, 2005·BMJ : British Medical Journal·Kristoffer LassenUNKNOWN Enhanced Recovery After Surgery Group
Dec 27, 2005·Journal of the American College of Surgeons·Henrik KehletRussell Williamson
Feb 23, 2010·International Journal of Colorectal Disease·Till HasenbergEdward Shang
Mar 18, 2010·The British Journal of Surgery·J AhmedJ MacFie
Oct 27, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·U O GustafssonUNKNOWN Enhanced Recovery After Surgery Society
Dec 18, 2013·European Journal of Anaesthesiology·Massimiliano GrecoLuigi Beretta
Oct 2, 2015·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Mark RockleyJason Bayne
Jun 9, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H M ForsmoC Erichsen

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Citations

Aug 6, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Geetu Prakash BhandoriaGregg Nelson
Jan 15, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Elisa PiovanoKristina Lindemann
Oct 2, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Laurence BernardLimor Helpman

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