https://dergipark.org.tr/tr/download/article-file/3787835
The Enhanced Recovery After Surgery (ERAS) protocol refers to multifaceted evidence-based interventions applied to reduce the duration of hospital stay and the risk of complications for patients after the surgical procedure. In this context, it is effective in different types of major surgery, inclu...
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Kirsehir Ahi Evran University
2024-12-01
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| Series: | Ahi Evran Medical Journal |
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| author | Burcu Küçükkaya Mehtap Temiz |
| author_facet | Burcu Küçükkaya Mehtap Temiz |
| author_sort | Burcu Küçükkaya |
| collection | DOAJ |
| description | The Enhanced Recovery After Surgery (ERAS) protocol refers to multifaceted evidence-based interventions applied to reduce the duration of hospital stay and the risk of complications for patients after the surgical procedure. In this context, it is effective in different types of major surgery, including surgery of gynecological cancers. Especially since the Hyperthermic Intraperitoneal Chemotherapy After Cytoreductive Surgery (SRCHIPEK) procedure is a major and complex procedure with high complication, morbidity and mortality rates, preparation and care in the preoperative period are of great importance. For patients planned for SRCHIPEC, gynecology nurses have responsibilities such as informing and counseling the patient with the ERAS protocol approach within the scope of evidence-based practices, teaching healthy lifestyle behaviors, evaluating nutrition and anemia status, ensuring immunonutrition, assessing cardiac risk and function, and avoiding unnecessary premedication, monitoring sedative/anxiolytic use and side effects, preventing long-term fasting before the procedure with planned preoperative preparations, maintaining and frequent monitoring of normothermia and normoglycemia. Thus, the incidence of complications in women with ovarian cancer who have undergone SRCHIPEC will decrease, patients will be able to meet their basic needs independently, they will be able to be discharged earlier, and therefore they will be able to return to social life more quickly. The aim of this review is to examine the evidence-based practices used in the preoperative management of the hyperthermic intraperitoneal chemotherapy procedure after cytoreductive surgery, which is planned to be applied to patients with ovarian cancer, and the roles and responsibilities of nurses in the ERAS protocol. |
| format | Article |
| id | doaj-art-6fe1bd1a4c574f4083d3e0cdf6c9fe33 |
| institution | DOAJ |
| issn | 2619-9203 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Kirsehir Ahi Evran University |
| record_format | Article |
| series | Ahi Evran Medical Journal |
| spelling | doaj-art-6fe1bd1a4c574f4083d3e0cdf6c9fe332025-08-20T02:51:59ZengKirsehir Ahi Evran UniversityAhi Evran Medical Journal2619-92032024-12-018338339310.46332/aemj.1451215https://dergipark.org.tr/tr/download/article-file/3787835Burcu Küçükkaya0https://orcid.org/0000-0002-3421-9794Mehtap Temiz1https://orcid.org/0009-0006-9926-615XBARTIN ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, DOĞUM VE KADIN HASTALIKLARI HEMŞİRELİĞİ ANABİLİM DALIBARTIN ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, DOĞUM VE KADIN HASTALIKLARI HEMŞİRELİĞİ ANABİLİM DALIThe Enhanced Recovery After Surgery (ERAS) protocol refers to multifaceted evidence-based interventions applied to reduce the duration of hospital stay and the risk of complications for patients after the surgical procedure. In this context, it is effective in different types of major surgery, including surgery of gynecological cancers. Especially since the Hyperthermic Intraperitoneal Chemotherapy After Cytoreductive Surgery (SRCHIPEK) procedure is a major and complex procedure with high complication, morbidity and mortality rates, preparation and care in the preoperative period are of great importance. For patients planned for SRCHIPEC, gynecology nurses have responsibilities such as informing and counseling the patient with the ERAS protocol approach within the scope of evidence-based practices, teaching healthy lifestyle behaviors, evaluating nutrition and anemia status, ensuring immunonutrition, assessing cardiac risk and function, and avoiding unnecessary premedication, monitoring sedative/anxiolytic use and side effects, preventing long-term fasting before the procedure with planned preoperative preparations, maintaining and frequent monitoring of normothermia and normoglycemia. Thus, the incidence of complications in women with ovarian cancer who have undergone SRCHIPEC will decrease, patients will be able to meet their basic needs independently, they will be able to be discharged earlier, and therefore they will be able to return to social life more quickly. The aim of this review is to examine the evidence-based practices used in the preoperative management of the hyperthermic intraperitoneal chemotherapy procedure after cytoreductive surgery, which is planned to be applied to patients with ovarian cancer, and the roles and responsibilities of nurses in the ERAS protocol.https://dergipark.org.tr/tr/download/article-file/3787835abdominal cavitycell reducing operationgynecological neoplasmheated chemotherapeutic drugnursing care |
| spellingShingle | Burcu Küçükkaya Mehtap Temiz https://dergipark.org.tr/tr/download/article-file/3787835 Ahi Evran Medical Journal abdominal cavity cell reducing operation gynecological neoplasm heated chemotherapeutic drug nursing care |
| title | https://dergipark.org.tr/tr/download/article-file/3787835 |
| title_full | https://dergipark.org.tr/tr/download/article-file/3787835 |
| title_fullStr | https://dergipark.org.tr/tr/download/article-file/3787835 |
| title_full_unstemmed | https://dergipark.org.tr/tr/download/article-file/3787835 |
| title_short | https://dergipark.org.tr/tr/download/article-file/3787835 |
| title_sort | https dergipark org tr tr download article file 3787835 |
| topic | abdominal cavity cell reducing operation gynecological neoplasm heated chemotherapeutic drug nursing care |
| url | https://dergipark.org.tr/tr/download/article-file/3787835 |
| work_keys_str_mv | AT burcukucukkaya httpsdergiparkorgtrtrdownloadarticlefile3787835 AT mehtaptemiz httpsdergiparkorgtrtrdownloadarticlefile3787835 |