دورية أكاديمية
Enhanced recovery after surgery: Current research insights and future direction.
| العنوان: | Enhanced recovery after surgery: Current research insights and future direction. |
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| المؤلفون: | Abeles A; Aliza Abeles, Richard Mark Kwasnicki, Ara Darzi, Department of Surgery and Cancer, St Mary's Hospital, Imperial College London, London W2 1NY, United Kingdom., Kwasnicki RM; Aliza Abeles, Richard Mark Kwasnicki, Ara Darzi, Department of Surgery and Cancer, St Mary's Hospital, Imperial College London, London W2 1NY, United Kingdom., Darzi A; Aliza Abeles, Richard Mark Kwasnicki, Ara Darzi, Department of Surgery and Cancer, St Mary's Hospital, Imperial College London, London W2 1NY, United Kingdom. |
| المصدر: | World journal of gastrointestinal surgery [World J Gastrointest Surg] 2017 Feb 27; Vol. 9 (2), pp. 37-45. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 101532473 Publication Model: Print Cited Medium: Print ISSN: 1948-9366 (Print) NLM ISO Abbreviation: World J Gastrointest Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group Original Publication: Beijing, China : Baishideng |
| مستخلص: | Since the concept of enhanced recovery after surgery (ERAS) was introduced in the late 1990s the idea of implementing specific interventions throughout the peri-operative period to improve patient recovery has been proven to be beneficial. Minimally invasive surgery is an integral component to ERAS and has dramatically improved post-operative outcomes. ERAS can be applicable to all surgical specialties with the core generic principles used together with added specialty specific interventions to allow for a comprehensive protocol, leading to improved clinical outcomes. Diffusion of ERAS into mainstream practice has been hindered due to minimal evidence to support individual facets and lack of method for monitoring and encouraging compliance. No single outcome measure fully captures recovery after surgery, rather multiple measures are necessary at each stage. More recently the pre-operative period has been the target of a number of strategies to improve clinical outcomes, described as prehabilitation. Innovation of technology in the surgical setting is also providing opportunities to overcome the challenges within ERAS, e.g ., the use of wearable activity monitors to record information and provide feedback and motivation to patients peri-operatively. Both modernising ERAS and providing evidence for key strategies across specialties will ultimately lead to better, more reliable patient outcomes. Competing Interests: Conflict-of-interest statement: The authors have no conflict of interest for this article. |
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| فهرسة مساهمة: | Keywords: Enhanced recovery after surgery; Laparoscopic surgery; Outcome measures; Prehabilitation; Technology |
| تواريخ الأحداث: | Date Created: 20170315 Latest Revision: 20240524 |
| رمز التحديث: | 20240524 |
| مُعرف محوري في PubMed: | PMC5329702 |
| DOI: | 10.4240/wjgs.v9.i2.37 |
| PMID: | 28289508 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1948-9366 |
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| DOI: | 10.4240/wjgs.v9.i2.37 |