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Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Lidzhieva E.A.

Sechenov University

Elifkhanova Kh.U.

Sechenov University

Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Oettinger A.P.

Pirogov Russian National Research Medical University

Enhanced recovery after surgery programs in herniology

Authors:

Tarasova I.A., Lidzhieva E.A., Elifkhanova Kh.U., Shestakov A.L., Oettinger A.P.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2021;10(4): 57‑66

DOI: 10.17116/dokgastro20211004157

Read: 3203 times

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Table of contents

ENHANCED RECOVERY AFTER SURGERY PROGRAMS IN HERNIOLOGY
ENHANCED RECOVERY AFTER SURGERY PROGRAMS IN HERNIOLOGY

To cite this article:

Tarasova IA, Lidzhieva EA, Elifkhanova KhU, Shestakov AL, Oettinger AP. Enhanced recovery after surgery programs in herniology. Russian Journal of Evidence-Based Gastroenterology. 2021;10(4):57‑66. (In Russ.)
https://doi.org/10.17116/dokgastro20211004157

Подписка 2026 Доказательная гастроэнтерология (Russian Journal of Evidence-Based Gastroenterology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The principles of enhanced recovery after surgery (ERAS) in patients with abdominal wall hernias are becoming increasingly popular. However, the introduction of protocols into clinical practice is slow and requires complex assessment.

OBJECTIVE

To analyze recent data on the application of the enhanced recovery programs in anterior abdominal wall hernia surgery.

MATERIAL AND METHODS

We collected data about fast-track recovery program protocols in abdominal wall hernias surgery in searched engines — Scopus, Pubmed, Google Scholar in English and Russian languages. The main elements and results of the enhanced recovery program protocols in hernia surgery were evaluated.

RESULTS

The enhanced recovery program realization of abdominal wall hernia repair, especially after ventral hernia operations, shortens the postoperative rehabilitation period and decreases hospital length of stay. Most elements of the ERAS program are universal and applicable for the treatment of patients with different anterior abdominal wall hernias. However, surgery principles of the different hernias localization, some specific elements, such as duration of antibiotic prophylaxis, drainage use, long-term preoperative preparation, S.aureus eradication, use of open or laparoscopic surgery, and different anesthesia techniques, as well as application of the enhanced recovery program itself, require further investigation.

CONCLUSION

ERAS in anterior abdominal wall hernia surgery positively influences clinical outcomes, first of all, the length of stay.

Keywords:

hernia
ventral hernia repair
fast track
postoperative rehabilitation
enhanced recovery after surgery

Authors:

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Lidzhieva E.A.

Sechenov University

Elifkhanova Kh.U.

Sechenov University

Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Oettinger A.P.

Pirogov Russian National Research Medical University

Received:

11.08.2021

Accepted:

09.10.2021

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References:

  1. Gustafsson U, Scott M, Schwenk W, Demartines N, Roulin D, Francis N, McNaught C, Macfie J, Liberman A, Soop M. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. Clinical Nutrition. 2012;31(6):783-800.  https://doi.org/10.1007/s00268-018-4844-y
  2. Kleppe KL, Greenberg JA. Enhanced recovery after surgery protocols: rationale and components. Surgical Clinics. 2018;98(3):499-509.  https://doi.org/10.1016/j.suc.2018.01.006
  3. Scott MJ, Baldini G, Fearon KC, Feldheiser A, Feldman LS, Gan TJ, Ljungqvist O, Lobo DN, Rockall TA, Schricker T, Carli F. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations. Acta Anaesthesiologica Scandinavica. 2015;59(10):1212-1231. https://doi.org/10.1111/aas.12601
  4. Thanh NX, Chuck AW, Wasylak T, Lawrence J, Faris P, Ljungqvist O, Nelson G, Gramlich LM. An economic evaluation of the Enhanced Recovery after Surgery (ERAS) multisite implementation program for colorectal surgery in Alberta. Canadian Journal of Surgery. 2016;59(6):415-421.  https://doi.org/10.1503/cjs.006716
  5. Programma uskorennogo vyzdorovlenija hirurgicheskih bol’nyh: Fast track. Kollektivnaja monografija. Pod red. Zatevahina I.I. M.: Izdatel’skaja gruppa «GEOTAR-Media»; 2017. (In Russ.).
  6. Cerantola Y, Valerio M, Persson B, Jichlinski P, Ljungqvist O, Hubner M, Kassouf W, Muller S, Baldini G, Carli F, Naesheimh T, Ytrebo L, Revhaug A, Lassen K, Knutsen T, Aarsether E, Wiklund P, Patel HR. Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS (R)) society recommendations. Clinical Nutrition. 2013;32(6):879-887.  https://doi.org/10.1016/j.clnu.2013.09.014
  7. Feldman LS, Delaney CP, Ljungqvist O, Carli F, eds. The SAGES/ERAS Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer; 2015. https://doi.org/10.1007/978-3-319-20364-5
  8. Colvin J, Rosen M, Prabhu A, Rosenblatt S, Petro C, Zolin S, Krpata D. Enhanced recovery after surgery pathway for patients undergoing abdominal wall reconstruction. Surgery. 2019;166(5): 849-853.  https://doi.org/10.1016/j.surg.2019.05.023
  9. Jensen KK, Brondum TL, Harling H, Kehlet H, Jorgensen LN. Enhanced recovery after giant ventral hernia repair. Hernia. 2016; 20(2):249-256.  https://doi.org/10.1007/s10029-016-1471-0
  10. Lode L, Oma E, Henriksen NA, Jensen KK. Enhanced recovery after abdominal wall reconstruction: a systematic review and meta-analysis. Surgical Endoscopy. 2021;35(2):514-523.  https://doi.org/10.1007/s00464-020-07995-6
  11. Orenstein SB, Martindale RG. Enhanced Recovery Pathway for Complex Abdominal Wall Reconstruction. Plastic and Reconstructive Surgery. 2018;142(3 S):133-141.  https://doi.org/10.1097/PRS.0000000000004869
  12. Slim K, Standaert D. Enhanced recovery after surgical repair of incisional hernias. Hernia. 2020;24(1):3-8.  https://doi.org/10.1007/s10029-019-01992-y
  13. Malinovsky AV, Galimon MM, Badion SYu. Mini-laparoscopic operations in combination with a fast-track protocol for cholelithiasis and hernias. Surgery of Ukraine.2019;3(71):30-37. (In Russ.). https://doi.org/10.30978/SU2019-3-30
  14. Macedo F, Mittal V. Does enhanced recovery pathways affect outcomes in ventral hernia repair? Hernia. 2017;21(5):817-818.  https://doi.org/10.1007/s10029-016-1553-z
  15. Majumder A, Fayezizadeh M, Neupane R, Elliott HL, Novitsky YW. Benefits of multimodal enhanced recovery pathway in patients undergoing open ventral hernia repair. Journal of the American College of Surgeons. 2016;222(6):1106-1115. https://doi.org/10.1016/j.jamcollsurg.2016.02.015
  16. Stearns E, Plymale MA, Davenport DL, Totten C, Carmichael SP, Tancula CS, Roth JS. Early outcomes of an enhanced recovery protocol for open repair of ventral hernia. Surgical Endoscopy. 2018;32(6):2914-2922. https://doi.org/10.1007/s00464-017-6004-0
  17. Zatevakhin II, Pasechnik IN, Achkasov SI, Gubaidullin RR, Lyadov KV, Protsenko DN, Shelygin YuA, Tsitsiashvili MSh. Clinical guidelines on implementation of enhanced-recovery-after-surgery program for elecive colorectal surgery. Doctor.Ru. 2016;129(12-1):8-21. (In Russ.).
  18. Lorenz R. Ambulatory Hernia Surgery. In: Campanelli G, eds. The Art of Hernia Surgery. Springer; 2018. https://doi.org/10.1007/978-3-319-72626-7_18
  19. Kirkpatrick A, Nickerson D, Roberts D, Rosen M, McBeth P, Petro C, Berrevoet F, Sugrue M, Xiao J, Ball C. Intra-abdominal hypertension and abdominal compartment syndrome after abdominal wall reconstruction: quaternary syndromes? Scandinavian Journal of Surgery. 2017;106(2):97-106.  https://doi.org/10.1177/1457496916660036
  20. Wilhelm W, Vassiliadis N, Röhrig S, Eberhart L, Görtz G. Optimization of perioperative management in laparoscopic hernioplasty. Der Anaesthesist. 2008;57(9):915-925.  https://doi.org/10.1007/s00101-008-1402-2
  21. Mortensen K, Nilsson M, Slim K, Schafer M, Mariette C, Braga M, Carli F, Demartines N, Griffin SM, Lassen K. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS) Society recommendations. British Journal of Surgery. 2014;101(10):1209-1229. https://doi.org/10.1002/bjs.9582
  22. Kubasiak JC, Landin M, Schimpke S, Poirier J, Myers JA, Millikan KW, Luu MB. The effect of tobacco use on outcomes of laparoscopic and open ventral hernia repairs: a review of the NSQIP dataset. Surgical Endoscopy. 2017;31(6):2661-2666. https://doi.org/10.1007/s00464-016-5280-4
  23. Lovecchio F, Farmer R, Souza J, Khavanin N, Dumanian GA, Kim JY. Risk factors for 30-day readmission in patients undergoing ventral hernia repair. Surgery. 2014;155(4):702-710.  https://doi.org/10.1016/j.surg.2013.12.021
  24. Liang M, Holihan J, Itani K, Alawadi Z, Gonzalez JR, Askenasy E, Ballecer C, Chong H, Goldblatt M, Greenberg J. Ventral Hernia Management: Expert Consensus Guided by Systematic Review. Annals of Surgery. 2017:265(1):80-89.  https://doi.org/10.1097/SLA.0000000000001701
  25. Newcomb W, Polhill J, Chen A, Kuwada T, Gersin K, Getz S, Kercher K, Heniford B. Staged hernia repair preceded by gastric bypass for the treatment of morbidly obese patients with complex ventral hernias. Hernia. 2008;12(5):465-469.  https://doi.org/10.1007/s10029-008-0381-1
  26. Lazzati A, Nassif GB, Paolino L. Concomitant ventral hernia repair and bariatric surgery: a systematic review. Obesity Surgery. 2018;28(9):2949-2955. https://doi.org/10.1007/s11695-018-3366-x
  27. Anderin C, Gustafsson UO, Heijbel N, Thorell A. Weight loss before bariatric surgery and postoperative complications: data from the Scandinavian Obesity Registry (SOReg). Annals of Surgery. 2015;261(5):909-913.  https://doi.org/10.1097/SLA.0000000000000839
  28. Gerber P, Anderin C, Thorell A. Weight loss prior to bariatric surgery: an updated review of the literature. Scandinavian Journal of Surgery. 2015;104(1):33-39.  https://doi.org/10.1177/1457496914553149
  29. Liang MK, Bernardi K, Holihan JL, Cherla DV, Escamilla R, Lew DF, Berger DH, Ko TC, Kao LS. Modifying Risks in Ventral Hernia Patients With Prehabilitation: A Randomized Controlled Trial. Annals of Surgery. 2018;268(4):674-680.  https://doi.org/10.1097/SLA.0000000000002961
  30. Malyshev YP, Zabolotskikh IB, Lebedinskii KM, Neumark MI, Dunts PV. Perioperative Management of Patients with Diabetes Mellitus. Vestnik intensivnoj terapii. 2016;4:41-51. (In Russ.).
  31. Martindale RG, Deveney CW. Preoperative risk reduction: strategies to optimize outcomes. Surgical Clinics. 2013;93(5):1041-1055. https://doi.org/10.1016/j.suc.2013.06.015
  32. van Veenendaal N, Simons M, Hope W, Tumtavitikul S, Bonjer J. Consensus on international guidelines for management of groin hernias. Surgical Endoscopy. 2020;34(6):2359-2377. https://doi.org/10.1007/s00464-020-07516-5
  33. Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK, Fish DN, Napolitano LM, Sawyer RG, Slain D. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surgical Infections. 2013;14(1):73-156.  https://doi.org/10.2146/ajhp120568
  34. McCoubrey AS. The use of mechanical bowel preparation in elective colorectal surgery. The Ulster Medical Journal. 2007;76(3):127-130. 
  35. Elnahas A, Urbach D, Lebovic G, Mamdani M, Okrainec A, Quereshy FA, Jackson TD. The effect of mechanical bowel preparation on anastomotic leaks in elective left-sided colorectal resections. The American Journal of Surgery. 2015;210(5):793-798.  https://doi.org/10.1016/j.amjsurg.2015.03.030
  36. Krpata DM, Prabhu AS, Carbonell AM, Haskins IN, Phillips S, Poulose BK, Rosen MJ. Drain placement does not increase infectious complications after retromuscular ventral hernia repair with synthetic mesh: an AHSQC analysis. Journal of Gastrointestinal Surgery. 2017;21(12):2083-2089. https://doi.org/10.1007/s11605-017-3601-0
  37. Gustafsson UO, Tiefenthal M, Thorell A, Ljungqvist O, Nygrens J. Laparoscopic-assisted and open high anterior resection within an ERAS protocol. World Journal of Surgery. 2012;36(5):1154-1161. https://doi.org/10.1007/s00268-012-1519-y
  38. Venclauskas L, Maleckas A, Arcelus JI. European guidelines on perioperative venous thromboembolism prophylaxis: Surgery in the obese patient. European Journal of Anaesthesiology (EJA). 2018;35(2):147-153.  https://doi.org/10.1097/EJA.0000000000000703
  39. Venclauskas L, Llau JV, Jenny JY, Kjaersgaard-Andersen P, Jans Ø. European guidelines on perioperative venous thromboembolism prophylaxis: day surgery and fast-track surgery. European Journal of Anaesthesiology (EJA). 2018;35(2):134-138.  https://doi.org/10.1097/EJA.0000000000000706
  40. Weiss E, McClelland P, Krupp J, Karadsheh M, Brady MS. Use of Prolonged Prophylactic Antibiotics with Closed Suction Drains in Ventral Abdominal Hernia Repair. The American Surgeon. 2019;85(4):403-408.  https://doi.org/10.1177/000313481908500432
  41. Leyderman IN, Gritsan AI, Zabolotskikh IB, Lomidze SV, Mazurok VA, Nekhaev IV, Nikolaenko EM, Nikolenko AV, Poliakov IV, Sytov AV, Yaroshetskiy AI. Perioperative nutritional support. Russian Federation of anesthesiologists and reanimatologists guidelines. Vestnik intensivnoj terapii im. A.I. Saltanova. 2018;3:5-21. (In Russ.). https://doi.org/10.21320/1818-474X-2018-3-5-21
  42. Ljungqvist O. Preoperative carbohydrates to prepare metabolism for surgery. Acta Anaesthesiologica Belgica. 2004;55(suppl):61-63. 
  43. Mathur S, Plank LD, McCall JL, Shapkov P, McIlroy K, Gillanders LK, Merrie AE, Torrie JJ, Pugh F, Koea JB, Bissett IP, Parry BR. Randomized controlled trial of preoperative oral carbohydrate treatment in major abdominal surgery. British Journal of Surgery. 2010;97(4):485-494.  https://doi.org/10.1002/bjs.7026
  44. Grant A. Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data. Hernia. 2002;6(1):2-10.  https://doi.org/10.1007/s10029-002-0050-8
  45. Rosen M, Garcia-Ruiz A, Malm J, Mayes JT, Steiger E, Ponsky J. Laparoscopic hernia repair enhances early return of physical work capacity. Surgical Laparoscopy Endoscopy and Percutaneous Techniques. 2001;11(1):28-33.  https://doi.org/10.1097/00129689-200102000-00007
  46. Kitching AJ, O’neill SS. Fast-track surgery and anaesthesia. Continuing Education in Anaesthesia, Critical Care and Pain. 2009; 9(2):39-43.  https://doi.org/10.1093/bjaceaccp/mkp006
  47. Pogatzki-Zahn EM, Segelcke D, Schug SA. Postoperative pain — from mechanisms to treatment. Pain Reports. 2017;2(32):e588. https://doi.org/10.1097/PR9.0000000000000588
  48. Jensen KK, Dressler J, Baastrup NN, Kehlet H, Jørgensen LN. Enhanced recovery after abdominal wall reconstruction reduces length of postoperative stay: An observational cohort study. Surgery. 2019;165(2):393-397.  https://doi.org/10.1016/j.surg.2018.07.035
  49. Mohapatra SK, Balaji M, Ganapathi R. Application of enhanced recovery pathway in abdominal wall reconstruction surgery in a tertiary care hospital in Andhra Pradesh. International Journal of Surgery. 2019;3(4):141-143.  https://doi.org/10.33545/surgery.2019.v3.i4c.231
  50. Bojaxhi E, Lee J, Bowers S, Frank R, Pak S, Rosales A, Padron S, Greengrass R. Paravertebral blocks reduce the risk of postoperative urinary retention in inguinal hernia repair. Hernia. 2018;22(5):871-879.  https://doi.org/10.1007/s10029-018-1792-2
  51. Carli F, Kehlet H, Baldini G, Steel A, McRae K, Slinger P, Neal JM. Evidence Basis for Regional Anesthesia in Multidisciplinary Fast-Track Surgical Care Pathways. Regional Anesthesia and Pain Medicine. 2011;36(1):63-72.  https://doi.org/10.1097/AAP.0b013e31820307f7
  52. Warren JA, Carbonell AM, Jones LK, Mcguire A, Hand WR, Cancellaro VA, Ewing JA, Cobb WS. Length of stay and opioid dose requirement with transversus abdominis plane block vs epidural analgesia for ventral hernia repair. Journal of the American College of Surgeons. 2019;228(4):680-686.  https://doi.org/10.1016/j.jamcollsurg.2018.12.017
  53. Shao JM, Deerenberg EB, Prasad T, Dunphy C, Colavita PD, Augenstein VA, Heniford BT. Adoption of enhanced recovery after surgery and intraoperative transverse abdominis plane block decreases opioid use and length of stay in very large open ventral hernia repairs. American Journal of Surgery. 2021;222(4):806-812.  https://doi.org/10.1016/j.amjsurg.2021.02.025
  54. Doble J, Winder J, Witte S, Pauli E. Direct visualization transversus abdominis plane blocks offer superior pain control compared to ultrasound guided blocks following open posterior component separation hernia repairs. Hernia. 2018;22(4):627-635.  https://doi.org/10.1007/s10029-018-1775-3
  55. Li L, Pang Y, Wang Y, Li Q, Meng X. Comparison of spinal anesthesia and general anesthesia in inguinal hernia repair in adult: a systematic review and meta-analysis. BMC Anesthesiology. 2020; 20(1):1-12.  https://doi.org/10.1186/s12871-020-00980-5
  56. White PF. Optimizing anesthesia for inguinal herniorrhaphy: general, regional, or local anesthesia? Anesthesia and Analgesia. 2001;93(6):1367-1369. https://doi.org/10.1097/00000539-200112000-00001
  57. Kehlet H, Aasvang E. Groin hernia repair: anesthesia. World Journal of Surgery. 2005;29(8):1058-1061. https://doi.org/10.1007/s00268-005-7969-8
  58. Akcaboy E, Akcaboy Z, Gogus N. Ambulatory inguinal herniorrhaphy: paravertebral block versus spinal anesthesia. Minerva Anestesiologica. 2009;75(12):684-691. 
  59. Andersen F, Nielsen K, Kehlet H. Combined ilioinguinal blockade and local infiltration anaesthesia for groin hernia repair — a double-blind randomized study. British Journal of Anaesthesia. 2005;94(4):520-523.  https://doi.org/10.1093/bja/aei083
  60. Harryman C, Plymale MA, Stearns E, Davenport DL, Chang W, Roth JS. Enhanced value with implementation of an ERAS protocol for ventral hernia repair. Surgical Endoscopy. 2020;34(9):3949-3955. https://doi.org/10.1007/s00464-019-07166-2
  61. Ueland W, Walsh-Blackmore S, Nisiewicz M, Davenport DL, Plymale MA, Plymale M, Roth JS. The contribution of specific enhanced recovery after surgery (ERAS) protocol elements to reduced length of hospital stay after ventral hernia repair. Surgical Endoscopy. 2020;34(10):4638-4644. https://doi.org/10.1007/s00464-019-07233-8
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