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 .
Effect of preoperative suggestion on postoperative gastrointestinal motility.
Autonomic behavior is subject to direct suggestion . We found that patients undergoing major operations benefit more from instruction than from information and reassurance . We compared the return of intestinal function after intra-abdominal operations in 2 groups of patients :  the suggestion group received specific instructions for the early return of gastrointestinal motility , and the control group received an equal-length interview offering reassurance and nonspecific instructions . The suggestion group had a significantly shorter average time to the return of intestinal motility , 2.6 versus 4.1 days . Time to discharge was 6.5 versus 8.1 days . Covariates including duration of operation , amount of intraoperative bowel manipulation , and amount of postoperative narcotics were also examined using the statistical model analysis of covariance . An average savings of $ 1,200 per patient result ed from this simple 5-minute intervention . In summary , the use of specific physiologically active suggestions given preoperatively in a beleivable manner can reduce the morbidity associated with an intra-abdominal operation by reducing the duration of ileus
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 .