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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Related Experiment Video

Updated: Nov 27, 2025

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Rural context, single institution prospective outcomes after enhanced recovery colorectal surgery protocol

Levi Smucker1, Jennifer Victory2, Melissa Scribani2

  • 1Bassett Medical Center, Cooperstown, NY, USA. leviyodersmucker@gmail.com.

BMC Health Services Research
|December 4, 2020
PubMed
Summary

Implementing Enhanced Recovery protocols (ERAS) in rural hospitals significantly reduced length of stay and costs. This study demonstrates successful ERAS adoption in a small, rural network, offering valuable insights for similar institutions.

Keywords:
Colorectal surgeryERASEnhanced recoveryOrganizational changeRural

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Area of Science:

  • Surgical innovation
  • Health services research
  • Rural healthcare delivery

Background:

  • Rural hospitals encounter distinct obstacles in adopting Enhanced Recovery after Surgery (ERAS) protocols for colorectal procedures.
  • Limited documented successes and outcome-based trials of ERAS exist in rural US settings.

Purpose of the Study:

  • To evaluate the impact of implementing an ERAS protocol in a rural hospital network.
  • To assess changes in cost, length of stay, readmission rates, and complications post-ERAS implementation.

Main Methods:

  • Retrospective analysis of prospectively collected data from elective bowel resections.
  • Comparison of outcomes 2 years prior to and 3 years after ERAS protocol implementation.
  • Data collected from a small, rural health network in upstate New York.

Main Results:

  • A statistically significant reduction in mean length of stay (6.9 to 5.1 days).
  • Achieved per-patient cost savings of $3000 for the hospital.
  • No significant changes observed in 30-day readmission rates or complication rates.

Conclusions:

  • Successful implementation of ERAS protocols in rural settings is achievable through targeted organizational strategies.
  • Addressing rural-specific barriers can lead to sustainable improvements in surgical care delivery.
  • ERAS protocols can yield significant benefits in cost and efficiency for rural hospitals.