ERAS protocol in practice of general surgeon. Our experience.

Abstract

the concept of Fast track surgery involves long-term reduction of the stress response on the surgery. During a pandemic, the ERAS principles of surgery offer even more relevance, in order to reduce hospital stay and thus reduce the risk of infection. In this study used the method of survey and comparison of data of patients treated at the Department of General Surgery №2 NMU named after O.O. Bogomolets in the period from September 2011 to May 2019, namely - 569 patients who underwent elective surgery using ERAS protocols and minimally invasive surgical interventions. With the using of ERAS protocols was showed that average bed-day was 1.73 days in LHE, 1.43 in LGP, 4.99 in LBI and 4.3 in LOC. Sampling was also performed for different types of surgical interventions: LGP and "open" GP were compared, the average operation time was 117 +/- 35 min and 145 +/- 41 min, respectively, relative to the time spent by the patient in the hospital, the following data were obtained: LGP-2,65 +/- 1, 21 days, and at "open" GP-7,91 +/- 1,52 days. Conclusions: Application of ERAS protocols: reduces pain for the all period of the patient's stay in the hospital, reduces hospital stay, accelerates the return to normal quality of life, reduces the risk of postoperative complications.

Keywords

• general surgery, analgesia, hernioplasty, cholecystectomy, аntiemetics, nsaids