Impact of Enhanced Recovery After Surgery (ERAS) Program on Short-Term Outcomes after Bariatric Surgery

2017 ◽  
Vol 225 (4) ◽  
pp. e4
Author(s):  
Iman Ghaderi ◽  
Nisha Dhanabalsamy ◽  
Carlos A. Galvani
Keyword(s):  
Bariatric Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Short Term

Utilization of Enhanced Recovery After Surgery in Patients Undergoing Revisional Bariatric Surgery

2018 ◽  
Vol 14 (11) ◽  
pp. S152
Author(s):  
Kevin J Bree ◽  
John Mitko ◽  
Lala Hussain ◽  
George M Kerlakian ◽  
Kevin M Tymitz ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Revisional Bariatric Surgery

Anaesthesia for general surgery (including transplantation)

2014 ◽  
Author(s):  
Jeremy Prout ◽  
Tanya Jones ◽  
Daniel Martin
Keyword(s):  
Bariatric Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Treatment Modalities ◽  
Major Surgery ◽  
Ethical Aspects ◽  
Goal Directed Therapy ◽  
Urological Surgery ◽  
Life Saving ◽  
Systemic Impact

This chapter focuses on aspects of anaesthesia for complex, major surgery such as hepatic resection and oesophagectomy. The theories and practice of enhanced recovery after surgery and perioperative optimisation with goal directed therapy are included here. The systemic impact of malignancy and its treatment modalities are also discussed. The practical and ethical aspects of organ transplantation are discussed. Anaesthesia for renal and hepatic transplant is described, as well as considerations for anaesthetising the transplant recipient for non-transplant surgery. Recognition of transurethral resection syndrome in urological surgery is potentially life-saving; causes, management and avoidance are discussed. The NICE criteria for performing bariatric surgery, types of surgery, and conduct of anaesthesia for this challenging patient group is also covered.

scholarly journals Influence of Preoperative Weight Loss on Outcomes of Bariatric Surgery for Patients Under the Enhanced Recovery After Surgery Protocol

2019 ◽  
Vol 29 (4) ◽  
pp. 1134-1141 ◽  
Author(s):  
Tomasz Stefura ◽  
Jakub Droś ◽  
Artur Kacprzyk ◽  
Mateusz Wierdak ◽  
Monika Proczko-Stepaniak ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Preoperative Weight Loss ◽  
Preoperative Weight

Enhanced recovery after surgery and mini-invasive approaches in rectal cancer surgery – short-term outcomes

2020 ◽  
Vol 99 (12) ◽  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Rectal Surgery ◽  
Postoperative Recovery ◽  
Control Group ◽  
Rectal Cancer Surgery ◽  
Short Term ◽  
Postoperative Stay ◽  
Surgical Data ◽  
Eras Protocol

Introduction: The aim of this study was to evaluate short-term outcomes of patients undergoing mini-invasive rectal resection within an ERAS (enhanced recovery after surgery) protocol. Methods: A prospectively managed database of patients undergoing rectal operations performed at our department between January 2015 and April 2020 was retrospectively analyzed. An ERAS protocol was implemented into clinical practice at our department in April 2016 and mini-invasive rectal procedures in May 2016. The ERAS group consisted of all patients who underwent mini-invasive rectal resections or amputations within the ERAS protocol. The control group consisted of patients who underwent open procedures and received standard perioperative care. The extracted data included basic patient characteristics, surgical data, postoperative recovery parameters, 30-day morbidity, length of postoperative stay and 30-day rehospitalization. Results: A total of 110 patients were included in the study: 67 patients in the ERAS group and 43 in the control group. Within the ERAS group 47 patients underwent robotic procedures and 20 had laparoscopic procedures. Patients in the ERAS group had significantly better clinical and laboratory recovery parameters except for postoperative nausea and vomiting. A significantly lower incidence of paralytic ileus (20.9% vs. 3%) and a shorter length of postoperative stay (13 days vs. 9 days) was found in the ERAS group. The rehospitalization rate and 30-day morbidity were not different between the ERAS and control group. Conclusions: Implementation of the ERAS protocol in combination with mini-invasive approaches leads to better short-term postoperative outcomes after rectal surgery.

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