Consensus in ERAS protocols for ventral hernia repair: evidence-based recommendations from the ACHQC QI Committee.
Autor: | Remulla D; Cleveland Clinic Center for Abdominal Core Health, 9500 Euclid Ave, Cleveland, OH, 44195, USA. remulld@ccf.org., Bradley JF 3rd; Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA., Henderson W; Oregon Surgical Wellness LLC, Springfield, OR, USA., Lewis RC; Northeast Georgia Physicians Group, Surgical Associates, Gainesville, GA, USA., Kreuz B; OhioHealth Pickerington Methodist Hospital, Pickerington, OH, USA., Beffa LR; Cleveland Clinic Center for Abdominal Core Health, 9500 Euclid Ave, Cleveland, OH, 44195, USA. |
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Jazyk: | angličtina |
Zdroj: | Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2024 Nov 15; Vol. 29 (1), pp. 4. Date of Electronic Publication: 2024 Nov 15. |
DOI: | 10.1007/s10029-024-03203-9 |
Abstrakt: | Purpose: Enhanced recovery after surgery (ERAS) protocols are widely used in the post-operative care of hernia patients. Despite their prevalence, an absence of published consensus guidelines creates significant heterogeneity in practices. The aim of this study was to evaluate elements in ERAS protocols utilized in ventral hernia repair from institutions across the United States and provide consensus recommendations for each identified element. Methods: Institutional members of the Abdominal Core Health Quality Collaborative (ACHQC) Quality Improvement (QI) committee submitted current ERAS protocols. Items within each protocol were classified as "elements", then assigned a topic. Any topic with ≥ 2 elements from separate institutions were labeled as a "theme," then grouped by stage in the patient care cycle. A brief review of current evidence was provided in addition to a ACHQC QI committee consensus statement. Results: A total of 295 elements from 6 tertiary referral centers specializing in hernia care were compiled into 24 themes and grouped by four separate stages: Pre-Admission Optimization, Pre-Operative Care, Intra-operative Care, and Post-Operative Management. Conclusion: This article represents a multi-institutional review of ERAS protocols for ventral hernia repair and identifies common themes that may provide the framework for a unified ERAS protocol in hernia surgery. Future work may serve to develop societal guidelines defined specifically for enhanced recovery in ventral hernia repair. Competing Interests: Declarations Conflict of interest Daphne Remulla, Joel F. Bradley III, Winnie Henderson, and Bridgette Kreuz have no disclosures. Ronald C. Lewis is a consultant for Intuitive Surgical, Inc. Lucas R. Beffa receives honoraria from Intuitive Surgical, Inc. Ethical approval This study is a consensus statement from a professional society. This study did not involve patients and therefore did not require informed consent. (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.) |
Databáze: | MEDLINE |
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