Setting up an enhanced recovery after surgery (ERAS) programme in gynaecological oncology in low-to middle-income countries (LMIC): the challenges and opportunities



enhanced recovery after surger (ERAS), gynaecological oncology, low-to middle-income countries


The International Agency for Research (IARC) has predicted a global increase of cancer by 54,5% by 2040 (Cancer Tomorrow tool), but this is more significant in low-to middle-income (LMIC) countries with a predicted increase of 88,6% in Africa. In terms of gynaecological malignancies, cervical cancer predominates in Africa and South Africa. There is a global predicted increase of 40% in both uterine and ovarian cancer by 2040, but a predicted increase of 96% and 88% of uterine and ovarian cancer in Africa, respectively.1 LMIC must be strategic in their cancer care planning: this includes revisiting resources such as systems for anticancer care. This includes surgery and surgical care pre- and postoperatively.

Author Biography

  • TS Adams, University of Cape Town

    Gynaecological Oncology, Department of Obstetrics and Gynaecology, Groote Schuur Hospital, University of Cape Town and South African Medical Research Centre, University of Cape Town, Gynaecological Cancer Research Centre and University of Cape Town Global Surgery, South Africa