Postoperative Outcomes within Enhanced Recovery after Surgery Protocol in Colorectal Surgery. (Power Study)

2018 ◽  
Author(s):  
Javier Ripollés-Melchor ◽  
José M. Ramírez-Rodríguez ◽  
Rubén Casans-Francés ◽  
César Aldecoa ◽  
Ane Abad-Motos ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Postoperative Outcomes ◽  
Power Study

Comparison of Outcomes between Obese and Non-Obese Patients in a Colorectal Enhanced Recovery After Surgery (ERAS) Program: A Single-Center Cohort Study

2020 ◽  
Vol 37 (5) ◽  
pp. 420-427
Author(s):  
Pouya Iranmanesh ◽  
Vaihere Delaune ◽  
Jeremy Meyer ◽  
Emilie Liot ◽  
Beatrice Konrad ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Bowel Function ◽  
Postoperative Outcomes ◽  
University Hospital ◽  
Obese Patients ◽  
Oncologic Surgery ◽  
Elective Colorectal Surgery ◽  
Increased Risk

Introduction: Obese patients are considered at increased risk of postoperative adverse events after colorectal surgery. Objective: The objective of the present study was to compare postoperative outcomes between obese and non-obese patients undergoing elective colorectal surgery in an Enhanced Recovery After Surgery (ERAS) program. Methods: A retrospective analysis of a prospective cohort including patients who underwent elective colorectal surgery and were included in an ERAS protocol between February 2014 and December 2017 at Geneva University Hospital, Geneva, Switzerland, was performed. Postoperative outcomes of obese and non-obese patients were compared. Results: Data of 460 patients were analyzed, including 374 (81%) non-obese and 86 (19%) obese patients. Overall, there was no difference in postoperative outcomes between the 2 groups. Among patients undergoing oncologic surgery, obese subjects had a significantly higher rate of conversion to laparotomy (11.9 vs. 2.1%, p = 0.01) and longer time until return of bowel function (2.38 vs. 1.98 days, p = 0.03), without increased morbidity or longer length of stay. Conclusion: Obese and non-obese patients had similar postoperative outcomes after elective colorectal surgery with ERAS management. ERAS can potentially reduce the increased morbidity usually observed in obese patients following elective colorectal surgery.

Neuromuscular blockade management and postoperative outcomes in enhanced recovery colorectal surgery: secondary analysis of POWER trial

2021 ◽  
Vol 87 (1) ◽  
Author(s):  
Ana B. SERRANO ◽  
Óscar DÍAZ-CAMBRONERO ◽  
Javier MELCHOR-RIPOLLÉS ◽  
Alfredo ABAD-GURUMETA ◽  
Jose M. RAMIREZ-RODRIGUEZ ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Neuromuscular Blockade ◽  
Enhanced Recovery ◽  
Secondary Analysis ◽  
Postoperative Outcomes

scholarly journals Operative Time and Outcome of Enhanced Recovery After Surgery After Laparoscopic Colorectal Surgery

2014 ◽  
Vol 18 (2) ◽  
pp. 265-272 ◽  
Author(s):  
Oliver J. Harrison ◽  
Neil J. Smart ◽  
Paul White ◽  
Adela Brigic ◽  
Elinor R. Carlisle ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Operative Time ◽  
Enhanced Recovery ◽  
Laparoscopic Colorectal Surgery ◽  
Enhanced Recovery After Surgery

Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery

2017 ◽  
Vol 127 (1) ◽  
pp. 36-49 ◽  
Author(s):  
Juan C. Gómez-Izquierdo ◽  
Alessandro Trainito ◽  
David Mirzakandov ◽  
Barry L. Stein ◽  
Sender Liberman ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Fluid Therapy ◽  
Postoperative Ileus ◽  
Enhanced Recovery ◽  
Laparoscopic Colorectal Surgery ◽  
Enhanced Recovery After Surgery ◽  
Therapy Group ◽  
Control Group ◽  
Goal Directed Fluid Therapy ◽  
The Impact

Abstract Background Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Methods Randomized patient and assessor-blind controlled trial conducted in adult patients undergoing laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Patients were assigned randomly to receive intraoperative goal-directed fluid therapy (goal-directed fluid therapy group) or fluid therapy based on traditional principles (control group). Primary postoperative ileus was the primary outcome. Results One hundred twenty-eight patients were included and analyzed (goal-directed fluid therapy group: n = 64; control group: n = 64). The incidence of primary postoperative ileus was 22% in the goal-directed fluid therapy and 22% in the control group (relative risk, 1; 95% CI, 0.5 to 1.9; P = 1.00). Intraoperatively, patients in the goal-directed fluid therapy group received less intravenous fluids (mainly less crystalloids) but a greater volume of colloids. The increase of stroke volume and cardiac output was more pronounced and sustained in the goal-directed fluid therapy group. Length of hospital stay, 30-day postoperative morbidity, and mortality were not different. Conclusions Intraoperative goal-directed fluid therapy compared with fluid therapy based on traditional principles does not reduce primary postoperative ileus in patients undergoing laparoscopic colorectal surgery in the context of an Enhanced Recovery After Surgery program. Its previously demonstrated benefits might have been offset by advancements in perioperative care.

scholarly journals Early Recovery after Caeserean Section What is Possible in Our Setup to Travel the Less Trodden Path: A Review

2021 ◽  
pp. 188-194
Author(s):  
Pratibha Deshmukh ◽  
Priyanka Deshmukh ◽  
Parag Sable ◽  
Vivek Chakole
Keyword(s):  
Caesarean Section ◽  
Colorectal Surgery ◽  
Surgical Procedures ◽  
Consensus Statement ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Developed Countries ◽  
Early Recovery ◽  
Obstetric Anaesthesia

Enhanced recovery after surgery is a concept put forward by Henrik Kehlet in 1997 for colorectal surgery & presented a protocol. Since then, it is adopted for various surgical procedures in many developed countries. Obstetricians & obstetric anaesthesiologists are also following the same line. In 2020 Society for obstetric anaesthesia & perinatology (SOAP) USA published a consensus statement on “early recovery after caesarean section”, presenting the pathways. Is it possible to adopt it fully in our country? Do we need to modify here & there? We are trying to find out the answers.

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