scholarly journals Minimally invasive surgery and enhanced recovery after surgery: The ideal combination?

2017 ◽  
Vol 116 (5) ◽  
pp. 613-616 ◽  
Author(s):  
Basile Pache ◽  
Martin Hübner ◽  
Jonas Jurt ◽  
Nicolas Demartines ◽  
Fabian Grass
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
The Ideal

scholarly journals The Endoscopic Approach to Lumbar Discectomy, Fusion, and Enhanced Recovery: A Review

2020 ◽  
Vol 10 (2_suppl) ◽  
pp. 65S-69S
Author(s):  
Jason I. Liounakos ◽  
Michael Y. Wang
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Spine Surgery ◽  
Invasive Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Endoscopic Spine Surgery ◽  
Regulatory Constraints ◽  
Current State ◽  
Spine Care

Study Design: Review. Objectives: To review the current state of endoscopic spine surgery with regard to discectomy, interbody fusion, and combination with Enhanced Recovery After Surgery programs in order to evaluate its relevance to the future of spine care. Methods: A review of the literature and expert opinion is used to accomplish the objectives. Results: The greatest strength of endoscopic spine surgery lies in its adherence to the basic tenets of minimally invasive surgery and its innate compatibility with Enhanced Recovery After Surgery programs, which aim to improve outcomes and reduce health care costs. The greatest challenge faced is the unique surgical skill set and significant learning curve. Conclusions: Endoscopic spine surgery strives to achieve the core goals of minimally invasive surgery, while reducing cost and enhancing quality. In a healthcare market that is becoming increasingly burdened by cost and regulatory constraints, the utilization of endoscopy may become more widespread in the coming years.

scholarly journals Clinical Outcomes and Predicted Model of Surgical Patients With Enhanced Recovery After Surgery (ERAS): A Multicenter Prospective Clinical Study

2021 ◽  
Author(s):  
Li Ren ◽  
Feng Lv ◽  
Su Min ◽  
Juying Jin ◽  
Wenjian Wang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Systolic Blood Pressure ◽  
Invasive Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Surgical Patients ◽  
Prospective Clinical Study ◽  
Clinical Effects

Abstract Enhanced recovery after surgery (ERAS) has been accepted widely in the whole world. However, clinical effects of ERAS in China have not been systematically reported, and it is still unclear whether there is key component with the present ERAS program to secure enhanced recovery. Patients who were undergoing operations with ERAS program were included. All the perioperative information were collected via a website and a nomogram to predict postoperative complication was conducted. 950 subjects from 59 hospitals were included in this study. Illness of cardiovascular (22.6%) and endocrine system (11.1%) were the top two coexisted diseases preoperatively. The recovery time of ability of drinking water after surgery was 6 (4-8) h, and almost half of patients could do active exercises in bed within 6 h postoperatively. The overall incidence of complications within 1 month postoperatively was 11.1%. Preoperative creatinine and bilirubin, intraoperative maximum systolic blood pressure and NRS scores at rest at postoperative 3 days were independent risk factors for complications within 1 month postoperatively. However, minimally invasive surgery was associated with a decrease probability of the complications. This study firstly indicates preoperative hepatorenal function, intraoperative systolic blood pressure, minimally invasive surgery and postoperative pain control can independently influence the prognosis of surgical patients.

EVAN-G score in patients undergoing minimally invasive gynecology oncologic surgery in an Enhanced Recovery After Surgery (ERAS) program

2020 ◽  
Vol 30 (12) ◽  
pp. 1966-1974
Author(s):  
Domenico Ferraioli ◽  
Camille Pouliquen ◽  
Camille Jauffret ◽  
Axelle Charavil ◽  
Guillaume Blache ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Minimally Invasive Surgery ◽  
Length Of Stay ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Compliance Rate ◽  
Gynecologic Malignancy ◽  
Validated Questionnaire

IntroductionEnhanced Recovery After Surgery (ERAS) has been proven to decrease the length of hospital stay without increasing re-admission rates or complications. There are limited data on the satisfaction of patients undergoing minimally invasive surgery for gynecologic malignancy within ERAS programs. The aim of this study was to evaluate patient satisfaction after minimally invasive surgery for gynecologic malignancy within the ERAS program using the 'Evaluation du Vécu de l’Anésthésie Génerale (EVAN-G)' questionnaire.MethodsThis observational retrospective study was conducted at the Paoli-Calmettes Institute between June 2016 and December 2018. All the included patients underwent minimally invasive surgery for a gynecologic malignancy. EVAN-G, a validated questionnaire, was used to measure peri-operative patient satisfaction. This questionnaire consists of 26 items assessing six elements: attention, privacy, information, pain, discomfort, and waiting time. Each element is assessed via a 5-step numerical scale and then transformed to a 0–100 scale according to the degree of satisfaction. The EVAN-G questionnaire was given to patients before surgery and collected during the post-operative consultation (2–3 weeks after surgery).ResultsA total of 175 patients underwent minimally invasive surgery for gynecologic malignancy within the ERAS program. Of these, 92 patients were included in the study and 83 patients were excluded. The overall patient compliance rate with our ERAS program was 90%. The analysis of the EVAN-G score of all participants showed an overall high level of satisfaction with a mean score of 81.9 (range 41.6–100). Patients with peri-operative complications or having prolonged hospitalization also showed high levels of satisfaction with a mean score of 80.5 (41.6-100) and 83.2(55-100), respectively.ConclusionIn this study we showed a high patient satisfaction with the ERAS program. When comparing length of stay and complications, neither extended length of stay nor development of complications after minimally invasive surgery impacted patient satisfaction.

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