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 .
Urinary Bladder Catheter Drainage Following Pelvic Surgery—Is It Necessary for That Long?
PURPOSE : Urinary bladder drainage for several days after pelvic surgery is a common surgical practice , despite insufficient evidence supporting its routine use . The aim of this study was to prospect ively evaluate the utility of urinary bladder drainage after pelvic colorectal surgery . METHODS : Patients undergoing pelvic surgery were prospect ively r and omly assigned to 3 groups . In group A , the Foley catheter was removed on postoperative day 1 , and in groups B and C it was removed on postoperative days 3 and 5 , respectively . Male patients with severe prostatic symptoms were excluded from the study . The main outcome criterion was acute urinary retention requiring reinsertion of the Foley catheter . RESULTS : A total of 118 patients ( 68 males ) at a mean age of 55 years were included in this study ( group A , 41 patients ; group B , 38 ; and group C , 39 ) . Overall , urinary retention after removal of the Foley catheter occurred in 12 ( 10 % ) of the patients : 6 ( 14.6 % ) in group A , 2 ( 5.3 % ) in group B , and 4 ( 10.5 % ) in group C ( P = .39 ) . Symptomatic urinary tract infection was diagnosed in 5 patients in group A , 3 in group B , and 9 in group C , but this difference did not reach statistical significance . Likewise , there were no significant differences in anastomotic leak and intra-abdominal abscess rates among the 3 groups . CONCLUSIONS : Routine prolonged urinary bladder catheterization after pelvic surgery may not be required , and the Foley catheter may be safely removed on postoperative day 1 . Larger studies are needed to confirm the findings of this study
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 .