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Enhanced Recovery After Surgery Protocol in Emergency Laparotomy: A Randomized Control Study.
Jyoti Sharma1, Navin Kumar1, Farhanul Huda1
1Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Surgery Journal (New York, N.Y.)
|June 9, 2021
Summary
Enhanced Recovery After Surgery (ERAS) protocols are safe and effective for emergency abdominal surgeries. ERAS significantly reduces hospital stays and postoperative complications compared to conventional care.
Area of Science:
- Surgical outcomes
- Emergency medicine
- Patient recovery
Background:
- Enhanced Recovery After Surgery (ERAS) protocols are well-established for elective surgeries.
- Limited research exists on ERAS effectiveness in emergency surgical settings.
Purpose of the Study:
- To assess the feasibility and effectiveness of ERAS protocols in emergency abdominal surgeries.
- To compare surgical outcomes between ERAS and conventional care groups for intestinal perforation and small bowel obstruction.
Main Methods:
- Prospective randomized study over 16 months.
- 100 patients with intestinal perforation or small bowel obstruction randomly assigned to ERAS or conventional care (50 each).
- Primary outcomes: postoperative length of stay, 30-day morbidity, and mortality.
Main Results:
- ERAS group median hospital stay: 4 days vs. 7 days in conventional care (p ≤ 0.001).
- Reduced incidence of postoperative morbidities, including chest and surgical site infections, in the ERAS group.
- ERAS protocols demonstrated statistically significant improvements in key surgical outcomes.
Conclusions:
- ERAS protocols are safe and effective for emergency abdominal surgeries.
- Implementation of ERAS leads to improved postoperative outcomes and reduced hospital stays.
- Further research into ERAS for emergency surgery is warranted.
