Day-case loop ileostomy reversal based on the community hospital joined enhanced recovery after surgery (CHJ-ERAS) program in China: Safe and feasible - 17/06/23
, Wenjian Meng ⁎ , Zi-Qiang Wang ⁎ Abstract |
Background |
This study was performed to determine the feasibility of Day-case loop ileostomy reversal (DLIR) in China based on the community hospital joined enhanced recovery after surgery (CHJ-ERAS) program.
Method |
Patients who underwent loop ileostomy were enrolled in the CHJ-ERAS program for DLIR after rigorous evaluation. The primary outcome was the results of short-term follow-ups.
Results |
From August 2017 to April 2022, 216 patients have been enrolled in the CHJ-ERAS program for DLIR. After DLIR, 14 patients (14/216, 6.5%) have recorded 17 episodes of postoperative complications within 1 month after surgery, including 10 readmission and 2 reoperation. Compared with in-patient loop ileostomy reversal, DLIR based on CHJ-ERAS did not increase the postoperative complications and reoperations.
Conclusion |
The CMJ-ERAS program for DLIR in our center is a safe and feasible alternative option for inpatient LIR and an acceptable transitional approach for the development of day-case DLIR in developing countries.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The CHJ-ERAS program for DLIR has been proved safe and feasible, with over 90% of patients recovering with uncomplicated recovery. |
• | This is the first study reporting the application of the DLIR process in developing countries with the largest samples of patients in a single center. |
• | The current study provides a new and feasible form of enhanced recovery after surgery (ERAS) in developing countries. |
Keywords : Enhanced recovery after surgery, Loop ileostomy reversal, Day-case surgery, Postoperative complications
Plan
Vol 226 - N° 1
P. 70-76 - juillet 2023 Retour au numéro
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