Should enhanced recovery after surgery (ERAS) pathways be preferred over standard practice for patients undergoing abdominal wall reconstruction? A systematic review and meta-analysis.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
A SartoriM Podda

Abstract

Although many studies assessing enhanced recovery after surgery (ERAS) pathways in abdominal wall reconstruction (AWR) have recently demonstrated lower rates of postoperative morbidity and a decrease in postoperative length of stay compared to standard practice, the utility of ERAS in AWR remains largely unknown. A systematic literature search for randomized and non-randomized studies comparing ERAS (ERAS +) pathways and standard protocols (Control) as an adopted practice for patients undergoing AWR was performed using MEDLINE, the Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and EMBASE databases. A predefined search strategy was implemented. The included studies were reviewed for primary outcomes: overall postoperative morbidity, abdominal wall morbidity, surgical site infection (SSI), and length of hospital stay; and for secondary outcome: operative time, estimated blood loss, time to discontinuation of narcotics, time to urinary catheter removal, time to return to bowel function, time to return to regular diet, and readmission rate. Standardized mean difference (SMD) was calculated for continuous variables and Odds Ratio for dichotomous variables. Five non-randomized studies were included for quali...Continue Reading

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Apr 21, 2005·BMC Medical Research Methodology·Stela Pudar HozoIztok Hozo
Jan 7, 2011·Journal of Clinical Epidemiology·Howard BalshemGordon H Guyatt
Feb 18, 2011·The Cochrane Database of Systematic Reviews·Willem R SpanjersbergCornelis Jhm van Laarhoven
Mar 18, 2011·The Cochrane Database of Systematic Reviews·Stefan SauerlandMarc Miserez
Jul 12, 2011·American Journal of Surgery·Mary T HawnCatherine C Vick
Jul 20, 2011·Surgical Infections·Vivian M SanchezKamal M F Itani
Jan 29, 2014·The British Journal of Surgery·A NicholsonA F Smith
Jul 21, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·John P FischerStephen J Kovach
Sep 26, 2014·Plastic and Reconstructive Surgery·Mojtaba FayezizadehYuri W Novitsky
Feb 26, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K K JensenL N Jorgensen
Apr 7, 2016·Journal of the American College of Surgeons·Arnab MajumderYuri W Novitsky
Oct 14, 2016·BMJ : British Medical Journal·Jonathan Ac SterneJulian Pt Higgins
Nov 18, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F I B Macedo, V K Mittal
Dec 24, 2016·Annals of Surgery·Mike K LiangDavid H Berger
Aug 16, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jeremy A WarrenRobert R Morgan
Dec 23, 2017·Surgical Endoscopy·Evan StearnsJohn Scott Roth
Jan 11, 2019·Journal of the American College of Surgeons·Jeremy A WarrenWilliam S Cobb
Jun 10, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K Slim, D Standaert
Oct 3, 2019·Surgical Endoscopy·Chris HarrymanJ Scott Roth
Jan 25, 2020·The British Journal of Surgery·UNKNOWN EuroSurg Collaborative

❮ Previous
Next ❯

Citations

Jan 23, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Wolfgang Schwenk
Jul 30, 2021·Current Opinion in Anaesthesiology·Leander MancelAna M Lopez

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.