Evaluation of Enhanced Recovery Protocol for Elective Colorectal Surgical Operations in Assiut University Hospital
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- Category: Vol. 85, September 2017
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Evaluation of Enhanced Recovery Protocol for Elective Colorectal Surgical Operations in Assiut University Hospital, MOHY EL-DIEN EL-SHAFIE, SAMIR A. AMMAR, ASHRAF A. HELMY and MOHAMED S. HAMED
Abstract
Introduction: Enhanced recovery after surgery (ERAS) program is a new set of protocols that is applied to the patient in the peri-operative period to fasten the recovery and decrease the convalescence and thus improving the surgical outcome. It is also named as Fast track surgery.
Patients and Methods: In our study we had 24 patients who underwent elective colorectal surgical operations. The ERAS protocol was implemented on group A with multiple pre, intra and postoperative elements, while group B was managed traditionally. Both groups were evaluated during the postoperative period and one month after discharge.
Results: Patients of group A have developed less compli-cations (33%) than group B (50%). In our study there were 3 cases in group A (25%) that needed readmission during the first postoperative month and only 2 cases in group B (17%). There was an obvious and significant earlier unaided mobili-zation in group A than group B Patients receiving ERAS protocol stayed shorter period of time in hospital postopera-tively. It was also noticed a clear and obvious satisfaction between patients of ERAS group in the form of early mobi-lization, return to normal activities and pain free.
Conclusion: Enhanced recovery after surgery program could be applied safely and effectively in our hospitals. It led to better outcomes, such as a shorter length of hospital stay, early mobilization and more patient satisfaction without an increased in 30 days readmission or a higher rate of postop-erative complication.