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Published in:

01-06-2018

Early outcomes of an enhanced recovery protocol for open repair of ventral hernia

Authors: Evan Stearns, Margaret A. Plymale, Daniel L. Davenport, Crystal Totten, Samuel P. Carmichael, Charles S. Tancula, John Scott Roth

Published in: Surgical Endoscopy | Issue 6/2018

Abstract

Background

Enhanced recovery after surgery (ERAS) protocols are evidence-based quality improvement pathways reported to be associated with improved patient outcomes. The purpose of this study was to compare short-term outcomes for open ventral hernia repair (VHR) before and after implementation of an ERAS protocol.

Methods

After obtaining IRB approval, surgical databases were searched for VHR cases for two years prior and eleven months after protocol implementation for retrospective review. Groups were compared on perioperative characteristics and clinical outcomes using chi-square, Fisher’s exact, or Mann–Whitney U test, as appropriate.

Results

One hundred and seventy-one patients underwent VHR (46 patients with ERAS protocol in place and 125 historic controls). Age, gender, ASA Class, comorbidities, and smoking status were similar between the two groups. Body mass index was lower among ERAS patients (p = .038). ERAS patients had earlier return of bowel function (median 3 vs. 4 days) (p = .003) and decreased incidence of superficial surgical site infection (SSI) (7 vs. 25%) (p = .008) than controls.

Conclusion

An ERAS protocol for VHR demonstrated improved patient outcomes. A system-wide culture focused on enhanced recovery is needed to ensure improved patient outcomes.

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Title: Early outcomes of an enhanced recovery protocol for open repair of ventral hernia
Authors: Evan Stearns
Margaret A. Plymale
Daniel L. Davenport
Crystal Totten
Samuel P. Carmichael
Charles S. Tancula
John Scott Roth
Publication date: 01-06-2018
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 6/2018
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-017-6004-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Early outcomes of an enhanced recovery protocol for open repair of ventral hernia

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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