Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic and open cholecystectomy | ||
| Benha Journal of Applied Sciences | ||
| Article 15, Volume 6, Issue 3, May and June 2021, Pages 83-91 PDF (741.65 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2021.188695 | ||
| Authors | ||
| R.K. Kamel; M.M. Abdelwahab; E.S. Abdalazem; A.M. gad | ||
| Anesthesia, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||
| Abstract | ||
| Target: In this research, the Multimodal Pathway designed for Elective Laparoscopic Docystectomy through collaboration between the Departments of General Surgery and Anesthesiology and the patient was investigated for functional healing, duration and protection. Patients and procedures The research included 80 patients who were candidates for abdominal or laparoscopic cholecystectomy, with a gallbladder infection, and Randomly, patients were divided into four equivalent categories according to the allocated management method utilising sealed envelopes: two laparoscopic and open-scopic ERAS categories, and two normal, laparoscopic and openness categories. The patients were evaluated by a multidisciplinary team and observed throughout the peri-operative phase. The data collected contained demographic and general clinical data, compliance data, surgical data, post-operative injuries, rehabilitation, ICU and hospital stays. When we have a strong adherence rate to the ERAS protocol, the rates vary greatly across various parameters. We find that ERAS has been correlated with a substantial decrease of the average overall patient residence. This was 1.2 days for laparscopic and 2.65 days for open group compared to 1.55 days for traditional laparoscopic and 3.8 days for conventional open group. Our ERAS portion leads to less discomfort and no danger of excessive narcotic problems and further reduces tension and postoperative nausea and vomiting (PONV) as well as other complications. Conclusion: In addition to optimising patient's functional rehabilitation and his quality of life, ERAS route for elective patients with open or laparoscopic cholecystectomy is secure. AS is correlated with an important decrease in average postoperative hospitalisation and overall hospitalisation with lower complications and little chance of readmission. | ||
| Keywords | ||
| cholecystectomy; total hospital stay; enhanced recovery after surgery; perioperative | ||
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