ACTIVE SURVEILLANCE PROGRAM DECREASES EMERGENCY DEPARTMENT VISITS AND READMISSIONS IN COLORECTAL ENHANCED RECOVERY AFTER SURGERY PROTOCOL PATIENTS
Daniel J Borsuk1, Ahmed AL-Khamis, MD1, Dimin Zhou, MS2, Ina Zamfirova, MS3, Christina Warner, MD1, Kunal Kochar, MD1, Slawomir J Marecik, MD1. 1Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA, 2Chicago Medical School, North Chicago, Illinois, USA, 3James R. & Helen D. Russell Institute for Research & Innovation, Advocate… Continue Reading
BATTLE OF THE SUPER OBESE SEXES: FEMALE VERSUS MALE VARIATION IN PRE-OPERATIVE CLINICAL CHARACTERISTICS AMONG 1,673 SURGICAL PATIENTS UNDERGOING BILIO-PANCREATIC BYPASS/DUODENAL SWITCH (BPD/DS)
Danielle L Tamburrini, DO, Gus Slotman, MD. Inspira Health NetworkINTRODUCTION: The objective of this study was to identify variation in weight and demographics in the distribution of pre-operative clinical characteristics between super obese females compared with males who were about to undergo BPD/DS surgery. As the American obesity epidemic increases, morbidly obese patients have become… Continue Reading
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Does adherence to perioperative enhanced recovery elements influence patient reported outcomes following colorectal resection?
Nicolò Pecorelli, MD, Saba Balvardi, A. Sender Liberman, MD, Patrick Charlebois, MD, Barry Stein, MD, Franco Carli, MD, MPhil, Liane Feldman, MD, Julio Flavio Fiore Jr., PT, MSc, PhD. McGill University Health CentreINTRODUCTION: Adherence to perioperative care elements is pivotal for the successful implementation of enhanced recovery programs(ERPs). In colorectal surgery, increased adherence is associated… Continue Reading
EARLY POSTOPERATIVE DIET AFTER BARIATRIC SURGERY: IMPACT ON LENGTH OF STAY AND 30-DAY READMISSION
Lisa A Bevilacqua1, Nabeel R Obeid, MD2, Konstantinos Spaniolas, MD1, Andrew T Bates, MD1, Salvatore Docimo Jr., MD1, Donna M Zimmermann, BS1, Aurora D Pryor, MD, FACS1. 1Stony Brook University School of Medicine, 2University of MichiganIntroduction: Pathways for enhanced recovery after surgery (ERAS) have been shown to improve length of stay and postoperative complication rates… Continue Reading
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EFFECT OF ENHANCED RECOVERY AFTER SURGERY PATHWAYS INCLUDING TRANSVERSUS ABDOMINUS PLANE BLOCK ON HOSPITAL LENGTH OF STAY AND NARCOTIC USE IN PATIENTS UNDERGOING COMPLEX VENTRAL HERNIA REPAIRS
Courtney E Collins, MD, Michael Jaronczyk, MD, Vladimir P Daoud, MD, Ibrahim Daoud. St Francis Hospital; Hartford CTObjectives: Enhanced Recovery After Surgery (ERAS) pathways have been shown to expedite discharges and lower the rate of non-surgical complications in certain surgical populations. We implemented an ERAS pathway including a transversus abdominus plane (TAP) block for patients… Continue Reading
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ERAS PROTOCOL FOR BARIATRIC SURGERY: IS IT SAFE TO DISCHARGE ON POST-OPERATIVE DAY ONE?
Jenny Lam, MD, Toshiaki Suzuki, MD, Carlos T Maeda, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD. University Of California - San DiegoObjective: To establish if an Enhanced recovery after surgery (ERAS) protocol can be performed safely in bariatric surgery. Background: Laparoscopic sleeve gastrectomy… Continue Reading
FEASIBILITY OF ENHANCED RECOVERY PROGRAM IN EMERGENCY MINIMAL ACCESS SURGERY
PremKumar Anandan, MS, FACS. Bangalore Medical College And Research InstituteIntroduction: Minimal access surgery is an imperative element of Enhanced recovery program and has significantly improved the outcomes. Enhanced recovery program (ERP) synonym “fast track” surgery “was first conceived by Dr Henrich Kelhet. Largely described for colorectal surgery and reported to be feasible and useful for… Continue Reading
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IMPROVED OUTCOMES AT REDUCED HEALTHCARE COSTS AFTER IMPLEMENTATION OF A HERNIA-SPECIFIC ENHANCED RECOVERY AFTER SURGERY (ERAS) PATHWAY
Dustin R Cummings, MD, Petersen P Rebecca, MD, Yates B Robert, MD, Hector A Rodriguez, MD, Andrew S Wright, MD. University of WashingtonINTRODUCTION: Enhanced Recovery After Surgery (ERAS) pathways have been demonstrated to improve outcomes in colorectal surgery. There is only one prior published report of outcomes following ERAS implementation in hernia surgery, which did… Continue Reading
Laparoscopic Assisted Nerve Block in Treatment of Inguinodynia
Trenton Kinnear, MD, Lauren Grimsley, MD, Brandie Forman, Nikita Shokur, Vince Vetrano, Bruce Ramshaw, MD. UT Medical Center KnoxvilleBackground: Traditional methods of clinical research may not be adequate to improve the value of care for patients with complex medical problems such as chronic pain after inguinal hernia repair. This problem is very complex with many… Continue Reading
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Laparoscopic Heller Myotomy and Dor Fundoplication: A Same Day Surgery with a Trained Team and an Enhanced Recovery Protocol
Chandni Kaushik, MS1, Madison Milhoan, MS1, Anshu Khanna, MPH1, Munish Chawla, MD2, Charles C Miller, PhD1, Farzaneh Banki, MD3. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2Memorial Hermann Southeast Esophageal Disease Center, 3McGovern Medical School at the University of Texas Health Science Center at Houston ( UT Health).… Continue Reading
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Laparoscopic Heller Myotomy with Dor Fundoplication and Type III Hiatal Hernia Repair Can Be Performed Successfully in the Same Day Surgery Setting
Margaret Jackson, MD1, Farzaneh Banki2. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2McGovern Medical School at the University of Texas Health Science Center at Houston (UT Health). Memorial Hermann Southeast Esophageal Disease Center.Introduction: The reported length of stay after Heller myotomy is 1-4 days. The aim was to… Continue Reading
Move for Your Bowels: Perioperative Activity Impacts the Duration of Postoperative Ileus
Heather Carmichael, MD, Douglas Overbey, MD, Edward Jones, MD, Teresa Jones, MD, Carlton Barnett, John Moore, MD, Thomas Robinson, MD. University of Colorado, Denver Veteran Affairs Medical CenterObjective: Prolonged postoperative ileus increases hospital length of stay and therefore impacts healthcare costs. Although many surgeons recommend ambulation in the postoperative period to hasten return of bowel… Continue Reading
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Novel Approach to a Quick and Effective Trans-peritoneal Transversus Abdominis Plane Block (TP-TAP Block) Confirmed with Ultrasound
Sepehr Lalezari, MD, Hien T Nguyen, Gina L Adrales, Jean-Pierre Ouanes, MD, Michael A Schweitzer. Johns HopkinsINTRODUCTION: Enhanced recovery pathways are an area of increasing interest for minimally invasive surgeons. The transversus abdominis plane (TAP) block has been adopted by many as a way to improve post-operative pain control. We present our modified version of… Continue Reading
NSAID Administration Post Colorectal Surgery Increases Anastomotic Leak Rate – Systematic Review/Meta-Analysis
Aryan Modasi, MD, David Pace, MD, MBA, Marshall Godwin, MD, MSc, Chris Smith, MD, Bryan Curtis, MD, MSc. Memorial University of NewfoundlandINTRODUCTION: Current enhanced recovery guidelines suggest that opioid sparing medications should be used for analgesia whenever possible following colorectal surgery. The present study aims to assess whether postoperative NSAID use is associated with an increased… Continue Reading
Opioid-free Colectomy: A Reality that Can Improve Patient & Financial Outcomes in Surgery
Deborah S Keller, MS, MD1,2, Manish Chand, MBA, FRCS, PhD2. 1Columbia University Medical Center, 2University College London Hospitals, NHS Foundation TrustsBackground: Opioids are a mainstay for postsurgical pain management, but have significant associated complications, costs, and contribute to the spiraling opioid epidemic. Enhanced Recovery After Surgery (ERAS) protocols aim to reduce opioid utilization and improve… Continue Reading