Health Condition 1: K439- Ventral hernia without obstructionor gangrene
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients admitted for elective open ventral hernia repair procedure requiring abdominal wall recon-struction (AWR) in the department of Surgery
Exclusion criteria
Exclusion criteria: 1. Age 2. ASA class 3 or 4 3. BMI >40kg/m2 , for non-diabetic patient; and BMI >30kg/m2 and HbA1C >8.0mg/dl, for diabetic patient 4. Minor ventral hernias (epigastric, parastomal and umbilical hernias, defect size 5. Patients with planned bowel resection or stoma reversal 6. Patients with neurological and/or renal dis-orders, cardiac illnesses, bed ridden patients and patients on steroids 7. Patients unable to understand/respond to verbal or written commands
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient managed by ERAS protocol is expected to have shorter length of hospitalization. Timepoint: 4 DAYS | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient managed by ERAS protocol is expected to have low postoperative complications, rapid return of bowel function, and readmission rates. TO STUDY â?¢ Duration of ileus and Time to first bowel sound (in days) â?¢ Time to first flatus and first stool (in days) â?¢ Time to first fluid diet and first solid diet (in days) â?¢ Time of removal of urinary catheter (days) â?¢ Need for extra analgesiaâ??n (%) â?¢ 30-day morbidity (Morbidity in terms of post-operative complications will be stratified using the Clavien- Dindo classification) 1 Number of patients who developed PONV (graded using the Apfel score) 2 Superficial and Deep incisional SSI (diagnosed according to CDC criteria) 3 Pulmonary complications (atelectasis, pleural effusion) diagnosed on Chest X-Ray. 4 Urinary tract infections (diagnosed by Urine Routine/Microscopy with Culture & Sensitivity) 5 Reoperation â?¢ Mortality and readmission rates up to 30 days following surgery Timepoint: 30 DAYS | — |
Countries
India
Contacts
JIPMER