Enhanced recovery after rectal surgery: what we have learned so far

Abstract

Enhanced recovery after surgery (ERAS) protocols are gradually becoming the gold standard in the perioperative management of rectal patients. It is a multimodal and multidisciplinary approach that has the great merit to involve and empower the patient and bring him or her back to the centre of the strategy of care. If applied correctly, ERAS can improve the postoperative recovery, reduce the rate of complications and reduce the postoperative length of stay, in patients who had extensive pelvic dissection. The factors within ERAS and their application do not represent rigid schematizations but fluid concepts that may undergo substantial changes as soon as new evidence becomes available. The ERAS principles must be adapted to the specific environment and each team is expected to set up their own programme and quality control criteria. In this comprehensive review, the latest evidence and trend on enhanced recovery after rectal surgery have been critically appraised and presented.

Comparison of Outcome in Early Vs Conventional Feeding after Colostomy Closure in Paediatric Population

“…This finding contrasts with traditional concerns that early feeding could potentially exacerbate such complications. Nevertheless, it's crucial to acknowledge the varied metabolic responses to surgery and the potential for hospital-acquired infections, which early feeding protocols aim to mitigate by shortening hospital stays and enhancing patient recovery (23).…”

Preface of the special issue on "A bespoke approach to rectal cancer resection and management"

“…Tebala et al [1] discuss the role of enhanced recovery and demonstrate how it can shorten stay and potentially reduce complications in this complex set of patients.…”