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Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma
Includes bibliographical references
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Surgery
2016
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| _version_ | 1867613222725484544 |
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| access_status_str | Open Access |
| author | Moydien, Mahammed Riyaad |
| author2 | Navsaria, Pradeep H |
| author_browse | Moydien, Mahammed Riyaad Navsaria, Pradeep H |
| author_facet | Navsaria, Pradeep H Moydien, Mahammed Riyaad |
| author_sort | Moydien, Mahammed Riyaad |
| collection | Thesis |
| description | Includes bibliographical references |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/16657 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:42.829Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Surgery |
| publisherStr | Department of Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/16657 Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma Moydien, Mahammed Riyaad Navsaria, Pradeep H Surgery Includes bibliographical references Introduction: ERAS programmes employed in elective colorectal, vascular, urologic and orthopaedic surgery has provided strong evidence for decreased lengths of hospital stay without increase in postoperative complications. Aim: The aim of this study was to explore the role and benefits, if any, of ERAS / ERP (early recovery programmes) implemented in patients undergoing emergency laparotomy for trauma at a level 1 trauma centre. Methods: Institutional UCT-HREC approved study. A prospective cohort of 38 consecutive patients with isolated penetrating abdominal trauma undergoing emergency laparotomy were included in the study. The ERP included: early feeding, early urinary catheter removal, early mobilisation/physiotherapy, early intravenous line removal and early optimal oral analgesia. This group was compared to a historical control group of 40 consecutive patients undergoing emergency laparotomy for penetrating abdominal trauma, prior to introduction of ERP. Demographics, mechanism of injury and injury severity scores (ISS and PATI) were determined for both groups. The primary end-points were the length of hospital stay and incidence of complications (Clavien-Dindo classification) in the 2 groups. The difference in means was tested using the t-test assuming unequal variances. Statistical significance was defined as p < 0.05. Results: The two groups were comparable with regards to age, gender, mechanism of injury and ISS and PATI scores. The mean time to solid diet, urinary catheter removal and NGT removal was (non ERAS) 3.6 and (ERAS) 2.8 days [p < 0.035], (non ERAS) 3.3 and (ERAS) 1.9 days [p < 0.00003], (non ERAS) 2.1 and (ERAS) 1.2 days [p < 0.0042], respectively. There was no difference in time from admission to time of laparotomy [(non ERAS) 313 vs. (ERAS) 358] min (p < 0.07). There were 11 and 12 complications in the control and study group, respectively. When graded as per the Clavien-Dindo classification there was no significant difference in the 2 groups (p < 0.59). Hospital stay was significantly shorter in the ERAS group: 5.5 (SD 1.8) days vs. 8.4 (SD 4.2) days [p < 0.00021]. Conclusion: This small pilot study shows that ERPs can be successfully implemented with significant shorter hospital stays without any increase in postoperative complications in trauma patients undergoing laparotomy for penetrating abdominal trauma. Furthermore, the study shows that ERP can also be applied to patients undergoing emergency surgery. 2016-02-01T10:15:19Z 2016-02-01T10:15:19Z 2015 Master Thesis Masters MMed http://hdl.handle.net/11427/16657 eng application/pdf Department of Surgery Faculty of Health Sciences University of Cape Town |
| spellingShingle | Surgery Moydien, Mahammed Riyaad Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma |
| thesis_degree_str | Master's |
| title | Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma |
| title_full | Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma |
| title_fullStr | Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma |
| title_full_unstemmed | Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma |
| title_short | Enhanced recovery after surgery (ERAS) in penetrating abdominal trauma |
| title_sort | enhanced recovery after surgery eras in penetrating abdominal trauma |
| topic | Surgery |
| url | http://hdl.handle.net/11427/16657 |
| work_keys_str_mv | AT moydienmahammedriyaad enhancedrecoveryaftersurgeryerasinpenetratingabdominaltrauma |