Vijay Bhaaskar, V (2020) Enhanced Recovery After Surgery (ERAS) in Elective Laparatomy. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
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Abstract
INTRODUCTION: This aim of reducing stress and promote faster return to function has led to the formulation of an evidence-based multimodal perioperative protocol called Enhanced Recovery After Surgery (ERAS). Touted as an evidence-based protocol for perioperative care, ERAS (Enhanced Recovery After Surgery) is effective in lowering the recovering time and post-operative complication rates. AIMS AND OBJECTIVES: The following study aimed to show the usefulness of ERAS in Length of hospital stay, Decrease in major morbidity, Post-operative recovery, Reduction of surgical stress response and Cost effectiveness. METHODS: From July 2017 to June 2019, a prospective study was undertaken among 50 cases purposively chosen and admitted to GMKMC hospital Salem for elective laparotomy and ERAS protocol was implemented. RESULTS: The mean age of the patients is 47 years with a standard deviation of 13.08 years ranging between 28-75 years. Majority of them (n=15, 30%) were in the age group of 36-45 years. Majority of them (n=15, 30%) were in the age group of 36-45 years. Females were large in number (n=26, 52%) while the rest were males (n=24, 48%). Out of 50 patients, around 20% (n=10) had cholelithiasis while 12% (n=6) had carcinoma of caecum. The mean number of days of hospital stay is 5.10 days with a standard deviation of 0.931 days ranging between 4 to 6 days and a median of 5 days. The most commonly admitted duration is six days. Majority of them were ambulated on the first post-operative day (n=27, 54%) while the rest were ambulated on the day of surgery (n=23, 46%). Out of 50 patients, 25 of them (50%) were started on oral diet on 2nd post-operative day and the rest were started on oral diet on the 4th post-operative day. Out of 50 patients, majority of them (n=29, 58) removed the drain on 4th postoperative day. None of the patients had complications or readmission within the next six weeks. CONCLUSION: Following established benefits are seen in ERAS; shorter length of hospital stay, low postoperative pain, low need for analgesia, increase return of bowel function, decreased complications, low readmission rates, increased patient satisfaction.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711411 |
| Uncontrolled Keywords: | Enhanced Recovery After Surgery (ERAS), Elective Laparatomy. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 12 Feb 2021 16:16 |
| Last Modified: | 12 Feb 2021 16:16 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14059 |
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