PremKumar Anandan, MS, FACS. Bangalore Medical College And Research Institute
Introduction: 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 maintaining physiological function and smooth the progress of recovery. Most of the patients who present for surgical emergency are not adequately prepared and many are not in normal physiological state. The feasibility of Enhanced recovery programs protocol in such emergency minimal access surgery remains indistinct. This study was designed to validate an Enhanced recovery program in patients who undergo emergency minimal access surgery.
Methods and procedures: The subjects were patients who underwent emergency minimal access surgery between June 2016 and March 2017 at the Victoria hospital, Bangalore. They received perioperative care according to an Enhanced recovery program. All data were collected and analysed. The end point was the length of hospital stay, pain and postoperative complications.
Results: A total of 135 patients were studied. According to the Clavien-Dindo classification, the incidence of ≥ grade 2 postoperative complications was 10.8% and that of ≥ grade 3 complications was 3.9%. Nearly all patients did not require delay of meal step-up (95.1%). Only 6 patients (3.0%) underwent reoperation. The median postoperative hospital stay was 5 days. Only 4 patients (2.0%) required readmission. There was no mortality.
Conclusions: Our results suggest that our Enhanced recovery program is feasible in patients who undergo emergency minimal access surgery.
Keywords: Enhanced recovery program, emergency minimal access surgery, Feasibility, Postoperative complications, perioperative care.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87754
Program Number: P353
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster