Manuscript Title:

ENHANCED RECOVERY IN COLORECTAL SURGERY: OUR EXPERIENCE WITH A SERIES OF 170 CASES

Author:

KAMEL HAIL, KAFIA BELHOCINE, RADIA BENYAHIA, LOUNAS BENGHANEM, NABIL BELLIK, NAZIM LARABA

DOI Number:

DOI:10.5281/zenodo.11065045

Published : 2021-12-23

About the author(s)

1. KAMEL HAIL - Professor, Department of Medico-Surgical Emergencies, Mustapha University Hospital, Algiers, University of Algiers 1.
2. KAFIA BELHOCINE - Mustapha University Hospital, Algiers, University of Algiers 1, Algeria.
3. RADIA BENYAHIA - Pierres Et Marie Curie Center, Algiers, University of Algiers 1, Algeria.
4. LOUNAS BENGHANEM - Mustapha University Hospital, Algiers, University of Algiers 1, Algeria.
5. NABIL BELLIK - Beni Messous University Hospital, Algiers, University of Algiers 1, Algeria.
6. NAZIM LARABA - Bab El Oued University Hospital, Algiers, University of Algiers 1, Algeria.

Full Text : PDF

Abstract

Introduction: Colorectal surgery can lead to surgical complications as well as side effects that can increase medical morbidity and postoperative mortality. To address this, Enhanced Recovery after Surgery (ERAS) is a therapeutic approach that involves a protocol aimed at quickly rehabilitating the patient, thereby reducing morbidity, mortality, and length of hospital stay. Its objective is to return the patient to their normal state as early as possible. Materials and methods: Our prospective study aimed to evaluate the feasibility of an ERAS program after colorectal surgery in a group of 170 patients operated on for colorectal pathology and treated according to a "FAST-TRACK" protocol. Evaluation criteria included adherence to the program, duration of postoperative stay, morbidity, mortality, readmission rates, and impact on postoperative comfort of patients who underwent these procedures. Results: The protocol adherence rate was 83.8%, and the average length of stay after colorectal surgery was 4 days. The overall morbidity rate was 14.1%, with medical and surgical morbidity rates of 5.9% and 8.3%, respectively. There were no deaths, and the readmission rate was 4.7%. Postoperative comfort was well managed with a higher rate of pain control EVA < 3 in 96.3% of patients, good management of nausea and vomiting in 85.9% of cases, early feeding in 94.1% of patients, and early mobilization in 91.8% of patients. Conclusions: Enhanced Recovery after Colorectal Surgery is feasible and safe. It offers a reduction in length of stay and complications as well as rapid functional recovery of the patient, at the cost of multidisciplinary collaboration.


Keywords

Enhanced Recovery, Surgery, ERAS, Colon, Rectum, Postoperative