The present systematic review shows that , with the exception of laparoscopic surgery , objective evidence of the effect of individual components of ERAS protocol s in reducing the stress response following colorectal surgery is limited
Abstract Enhanced Recovery or Fast Track Recovery after Surgery protocol s ( ERAS ) have significantly changed perioperative care following colorectal surgery and are promoted as reducing the stress response to surgery .
Prospective trial of aggressive postoperative bowel stimulation following radical hysterectomy.
INTRODUCTION Postoperative traditional feeding protocol s are not based on scientific studies , but rather on anecdotal evidence . We present the first prospect i ve trial of aggressive postoperative bowel stimulation following radical hysterectomy in an attempt to determine its effect on the length of hospital stay . METHODS Twenty consecutive patients undergoing radical hysterectomy were entered onto a prospect i ve trial of aggressive postoperative bowel stimulation , which consisted of 30 cc milk of magnesia p.o . b.i.d . starting on postoperative day 1 and biscolic suppositories q.d . starting on day 2 . A clear liquid diet was begun following flatus or bowel movement and patients were discharged 12 h after tolerating a clear liquid diet . Diet was slowly advanced at home . RESULTS Median time to flatus was 3 days , bowel movement 3 days , and clear liquid diet 3 days . Median time to discharge was 4 days . No patients developed ileus or bowel obstructions and there were no readmissions for bowel complications . Our median time to discharge of 4 days represents a 50 % reduction in hospital stay compared to our previous prospect i ve study using traditional postoperative bowel management ( 8 days ) , which was statistically significant at P = 0.001 . CONCLUSION Aggressive bowel stimulation with milk of magnesia and biscolic suppositories result ed in early return of bowel function and early discharge with no noticeable complications
The present systematic review shows that , with the exception of laparoscopic surgery , objective evidence of the effect of individual components of ERAS protocol s in reducing the stress response following colorectal surgery is limited
Abstract Enhanced Recovery or Fast Track Recovery after Surgery protocol s ( ERAS ) have significantly changed perioperative care following colorectal surgery and are promoted as reducing the stress response to surgery .