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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

Views: 2493

Downloaded: 76

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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 2025 (Russian Journal of Evidence-Based Gastroenterology)
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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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