Theoretical foundations of the interdisciplinary approach to enhanced recovery in oncological surgery of the ocular adnexa
Keywords:
interdisciplinarity; medical rehabilitation; oncological surgery; ophthalmology; medical careAbstract
Tumors of the ocular adnexa constitute a heterogeneous group of rare neoplasms that nonetheless have a significant functional and aesthetic impact. This article aims to provide a theoretical basis for an interdisciplinary approach as the structuring element of an enhanced recovery protocol for oncological surgery of the ocular adnexa. A theoretical-conceptual analysis was conducted based on a review of literature from PubMed/MEDLINE, SciELO, Scopus, Google Scholar, and Infomed—complemented by Cuban health system regulatory documents—covering the period from january to march 2026. The study examines levels of disciplinary integration and identifies five critical areas where an interdisciplinary approach is essential: joint diagnosis and staging, shared treatment planning, integrated perioperative management, functional and aesthetic rehabilitation, and psychosocial support. The Cuban health system offers a favorable framework for implementing this approach, although further studies are needed to evaluate its impact within the national context.
Downloads
References
1. Rojas Bruzón R, Hechavarría Jiménez Y, Socarrás Fonseca LK, Hernández Acosta K, Pérez Pupo A. Reconstrucción palpebral luego de una resección total por cáncer. Rev Cubana Oftalmol [Internet]. 2023 [citado 15/01/2026];36(1). Disponible en: https://revoftalmologia.sld.cu/index.php/oftalmologia/article/view/1613
2. Audivert Hung Y, Turiño Peña H, Rodríguez Báez LE, Rojas Rondó I, Rodríguez Purón M. Caracterización de pacientes con cáncer ocular en un hospital de Santiago de Cuba. EDISAN [Internet]. 2022 [citado 15/01/2026];26(2):266-280. Disponible en: https://medisan.sld.cu/index.php/san/article/view/4117
3. Wainwright TW, Gill M, McDonald DA, Middleton RG, Reed M, Sahota O, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Acta Orthop [Internet]. 2020 [cited 2026 Jan 15];91(1):3-19. Available from: https://actaorthop.org/actao/article/view/385
4. Nelson G, Bakkum Gamez J, Kalogera E, Glaser G, Altman A, Meyer LA, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update. Int J Gynecol Cancer [Internet]. 2019 [cited 2026 Jan 15];29(4):651-68. Available from: https://www.gynecologiconcology-online.net/article/S0090-8258(23)00180-4/fulltext
5. Morales Jasso G, Benítez Ramírez DM, Romero Contreras S, Diédhiou I, Velázquez Delgado G, Castillo López G, et al. Multi, inter y transdisciplina, aportes para una mejor interpretación de sus significados. Nova Sci [Internet]. 2022 [citado 15/01/2026];14(29):1-25. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=9554570
6. Camejo Sampedro G, Díaz Gómez SM, Mosquera Betancourt G, Brunet Bernal G, Rodríguez Olazábal Y. Propuesta de Consulta Interdisciplinaria de Medicina del Sueño en Camagüey. Arch Med Camagüey [Internet]. 2024 [citado 02/02/2026];28:e1075. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/9883
7. Ministerio de Salud Pública de Cuba, Sección Independiente para el Control del Cáncer. Programa Integral para el Control del Cáncer en Cuba: Estrategia Nacional para el Control del Cáncer [Internet]. La Habana: Editorial Ciencias Médicas; 2020 [citado 02/02/2026]. Disponible en: https://www.iccp-portal.org/sites/default/files/plans/CUB_B5_s21_programa_control_cancer_estrategia_nacional.pdf
8. Milman T, Grossniklaus HE, Goldman Levy G, Kivelä TT, Coupland SE. The 5th Edition of the World Health Organization Classification of Tumours of the Eye and Orbit. Ocul Oncol Pathol [Internet]. 2023 [cited 2026 Feb 6];9(3-4):71–95. Available from: https://pubmed.ncbi.nlm.nih.gov/37900189/
9. Feito Rodríguez M, Mayor Ibarquren A. Melanoma palpebral. En: Sección 2. Tumores palpebrales [Internet]. España: Oftalmoseo; 2023 [citado 02/02/2026]; Capítulo 2.6. Disponible en: https://www.oftalmoseo.com/documentacion/P2023/P2023_capitulo-2.6.pdf
10. Martucci M, Savino G, Piccinni F, Pagliara MM, Sammarco MG, Caputo CG, et al. Multidisciplinary ocular and periocular cancers meetings: implementation in a tertiary referral center and analysis over a 12-months period. BMC Ophthalmol [Internet]. 2022 [cited 2026 Feb 6];22(1):497. Available from: https://doi.org/10.1186/s12886-022-02694-3
11. Asencio-Durán M, Fernández-Gutiérrez E, Larranaga-Cores M, Klein-Burgos C, Dabad-Moreno JV, Capote-Díez M. Efectos secundarios oculares de las terapias oncológicas. Revisión. Arch Soc Esp Oftalmol [Internet]. 2024 [citado 06/02/2026];99(3):109-132. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S036566912300182X
12. Zhao Z, Frank SJ, Ning J, Zhao J, Jiang X, Wang XA, et al. Visual outcome and ocular complications in patients with lacrimal gland carcinoma after eye-sparing surgery and adjuvant radiation therapy. Br J Ophthalmol [Internet]. 2023 [cited 2026 Feb 8];107(12):1914-1919. Available from: https://doi.org/10.1136/bjo-2022-321889
13. Puram SV, Wick E, Pissaridou M, Wells AM, Cuddy T, Caversaccio M, et al. In Need of Structured Recovery, Ocular Oncology Needs Enhanced Recovery after Surgery. Ocul Oncol Pathol [Internet]. 2025 [cited 2026 Feb 10];11(3):216-218. Available from: https://doi.org/10.1159/000548157
14. Rawlani S, Karnik PP, Subramanian S, Narsingrao R. Adapting enhanced recovery after surgery protocols for day-care surgeries under general anesthesia at a tertiary care ophthalmic setting. Saudi J Anaesth [Internet]. 2026 [cited 2026 Feb 12];20(2):268-280. Available from: https://doi.org/10.4103/sja.sja_644_25
15.Romeo MA, Taloni A, Borselli M, Di Maria A, Mancini A, Mollace V, et al. Iatrogenic Ocular Surface Complications After Surgery for Ocular and Adnexal Tumors. Cancers [Internet]. 2025 [cited 2026 Feb 12];17(9):1384. Available from: https://doi.org/10.3390/cancers17091384
16.Monserrate Romero AG, Ramirez Gaona AS, Palma Mera F, Tobar Moran MR. Salud mental en pacientes con diagnóstico de cáncer según los sistemas de información. Una revisión sistemática. RECIMUNDO [Internet]. 2025 [citado 15/03/2026];9(1):94-113. Disponible en: https://recimundo.com/index.php/es/article/view/2481/3195
17.López Ramírez E, Sifuentes Valenzuela MC, Lucero Rodríguez R, Aguilard SL, Perea González GP. Evaluación de la calidad del servicio en las clínicas de la Licenciatura en Estomatología de la BUAP: metodologías SERVPERF y Donabedian. Entreciencias [Internet]. 2021 [citado 25/03/2026];9(23):1-20. Disponible en: https://www.scielo.org.mx/pdf/edsc/v9n23/2007-8064-edsc-9-23-e2377710.pdf
18. López González JO, Ferretiz López G, Colunga Rosado CA, Bernal Galván MD. Manejo del dolor inducido por cáncer metastásico. Rev Chil Anest. [Internet].2023[25/03/2026]; 52(8):780-784. Disponible en: https://revistachilenadeanestesia.cl/revchilanestv52n8-25/
19. Zambrano AD, Mora MG. Calidad de Vida Relacionada con la Salud en Pacientes Oncológicos: Revisión de la Literatura 2020–2025. Ciencia Latina Revista Científica Multidisciplinar.[Internet] 2025 [25/03/2026];9(5):15382-408. doi: https://doi.org/10.37811/cl_rcm.v9i5.20772
20.Di Giampietro Farías L, López Basalo AJ. Calidad de vida relacionada a la salud y función sexual en supervivientes de cáncer cervical. Rev Venez Oncol. [Internet].2023 [25/03/2026];35(1). Disponible en: https://www.redalyc.org/articulo.oa?id=375673448003
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Yisell Hernández Barzagas, Gretel Mosquera Betancourt, Lisneydi Alfonso Gómez , Denisse del Carmen Alvarez Ortiz
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors of this journal agree to the following terms:
a) They retain their copyright and grant the journal the right of first publication of their work, which is subject to the Creative Commons Attribution License. This license includes the following terms: Attribution (give appropriate credit to the work, provide a link to the license, and indicate if changes were made); Non-commercial (you may not use the material for commercial purposes); and Share-Alike (you may remix, transform, or build upon this work). The content may be shared, copied, and redistributed in any medium or format.
b) Authors may enter into other non-exclusive licensing agreements for distribution of the published version of their work, provided that the initial publication in this journal is acknowledged.
