Advance in abdominal hernia repair based on enhanced recovery after surgery
10.3760/cma.j.cn115396-20210823-00325
- VernacularTitle:基于加速康复外科理念下腹壁疝修补术的研究进展
- Author:
Yunfeng LI
1
;
Yongjiang YU
;
Binjie SUN
;
Weirong JIANG
;
Kun YU
Author Information
1. 兰州大学第一临床医学院 730000
- Keywords:
Hernia, abdominal;
Perioperative care;
Enhanced recovery after surgery;
Comparative effectiveness research
- From:
International Journal of Surgery
2021;48(10):695-699
- CountryChina
- Language:Chinese
-
Abstract:
Enhanced recovery after surgery (ERAS) is a systematic approach to care that optimizes perioperative management, improves clinical outcomes, and reduces healthcare costs. ERAS has been introduced into abdominal hernia repair in recent years. Preoperative management was optimized through health education, smoking cessation, weight control, blood glucose and pain management, infection and thrombosis prophylaxis. And prevention of hypothermia, standardized anesthesia management, fluid replacement control, minimally invasive operation, controlled catheter placement and other intraoperative management optimization measures. And multi-mode analgesia, early postoperative activity, recovery of gastrointestinal function and control of blood glucose and other postoperative management optimization measures effectively reduced the incidence of complications such as surgical site infection, alleviated the pain of patients, and shortened the hospital stay. ERAS factors such as perioperative pain management, early postoperative activity, and recovery of gastrointestinal function are the key to shorten hospital stay and improve prognosis during abdominal wall hernia repair. ERAS can be used safely and effectively for abdominal hernia repair.
