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Enhanced recovery after surgery protocol in colorectal surgery
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Wael Mahmoud Ibrahim Abdullah
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Surgery The egyptian society of surgeons
Volume:
Keywords :
Enhanced recovery after surgery protocol , colorectal
Abstract:
Background/purpose. Principles of enhanced recovery have been used to enable early recovery and discharge from hospital and minimize potential complications, and thereby improve patient outcomes following colorectal surgery. Enhanced recovery after surgery (ERAS) implementation involves a team consisting of surgeons, anesthetists, an ERAS coordinator, and staff from units that care for the surgical patient. We compare ERAS with traditional protocol in colorectal surgery to detect advantages of ERAS over traditional care in colorectal surgery and to encourage application of ERAS in our hospitals. Patients and methods. This study was carried on 18 patients who were scheduled for colorectal surgery in the GIT Surgical Unit in the Department of General Surgery, Zagazig University Hospitals, from April 2018 till April 2019. The patients were divided into two groups: group A was managed by traditional protocol and group (B) was managed by enhanced recovery protocol (ERAS). Results. We found that ERAS decreased both primary hospital length of stay from 12 to 5 days and total hospital stay from 13.7 to 7 days. ERAS decreased mean cost from 6800 to 3900 pounds. General postoperative complications were also reduced from 22 to 11%. Pain scores in first postoperative day improved from 6 to 4, first time to flatus passage was reduced from 3.6 to 1.8 days, and mean time to first solid meal decreased from 5.5 to 3.2 days. Conclusions ERAS are multimodal perioperative care programs that resulted in an ERAS, reduced morbidity rates as well as primary and overall hospital stay, and improved postoperative pain and bowel function.
Author Related Publications
Wael Mahmoud Ibrahim Abdullah, "Laparoscopic sleeve gastrectomy with loop bipartition versus laparoscopic sleeve gastrectomy in treating obese people with type II diabetes mellitus: a prospective randomized comparative study", The egyptian society of surgeons, 2019
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Wael Mahmoud Ibrahim Abdullah, "Efficacy of Intraperitoneal Lidocaine with Tenoxicam on Pain Relief and Bowel Recovery after Laparoscopic Cholecystectomy, Egypt", the Surgical Society of Northern Greece, 2021
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Wael Mahmoud Ibrahim Abdullah, "piRNA-823 Is a Unique Potential Diagnostic Non-Invasiv Biomarker in Colorectal Cancer Patients", MPDI, 2021
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Wael Mahmoud Ibrahim Abdullah, "Impact of bariatric surgery on androgen profile and ovarian volume in obese polycystic ovary syndrome patients with infertility", elsevier, 2021
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Wael Mahmoud Ibrahim Abdullah, "Predictive Factors of Para-Aortic Lymph Nodes Metastasis and Survival Advantages of Para-Aortic Lymphadenectomy in Early Stage Cervical Cancer", Mary Ann Liebert, 2021
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Department Related Publications
Fady Mehaney Habib Salamh, "Mesh or not in the repair of complicated umbilical hernia in cirrhotic patients with decompensated liver cell failure", Wolters Kluwer - Medknow, 2018
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Mohamed Ibrahim Ahmed Mansour, "Outcomes of side-to-end versus end-to-end colorectal anastomosis in non-emergent sigmoid and rectal cancers: randomized controlled clinical trial", pISSN 2287-9714 eISSN 2287-9722 www.coloproctol.org, 2022
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Mohamed Ibrahim Ahmed Mansour, "Post-Cholecystectomy Gallbladder Remnant and Cystic Duct Stump Stone: Surgical Pitfalls, Causes of Occurrence and Completion Cholecystectomy (Open versus Laparoscopic) as a Safe Surgical Option of Treatment: Short and Long Term Outcome. Randomized Controlled Clinical Trial", Department of surgery, Zagazig University hospitals, 2021
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Mohamed Mahmoud Mokhtar, "laparoscopy versus laparotomy in evaluation of penetrating abdominal injuries.", internatinal journal of advanced research, 2018
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Mohamed Mahmoud Mokhtar, "Comparison Of Onlay Versus Sublay Mesh Repair For Management of Paraumbilical Hernia", Zagazig University Medical Journal, 2020
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