Fistula, Surgery Site Fistula
Conditions
Brief summary
An enterocutaneous fistula (ECF) poses a major surgical problem. The definitive surgical repair of persistent fistulas remains a surgical challenge with a high rate of re-fistulation and mortality, and the reasons for that is not the surgical technique alone. Enhanced Recovery after Surgery (ERAS®) is an evidence-based multimodal perioperative protocol proven to reduce postoperative complications. The aim of the study was to assess the clinical value of ERAS protocol in surgical patients with ECF.
Detailed description
ERAS protocol was used in all patients scheduled for surgery for ECF at the Stanley Dudrick's Memorial Hospital in Skawina between 2011 and 2020. A multidisciplinary team (MDT) was in charge of the program and performed annual audits. A consecutive series of 100 ECF patients (44 F, 56 M, mean age 54.1) was evaluated. Postoperative complications rate, readmission rate, length of hospital stay, prevalence of postoperative nausea and vomiting were assessed.
Interventions
PROCEDUREERAS
Enhanced Recovery After Surgery (ERAS) protocol is an evidence-based multimodal perioperative protocol focused on stress reduction and the promotion of a return to function
Sponsors
Stanley Dudrick's Memorial Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* surgery for gastrointestinal fistula
Exclusion criteria
* conservative treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | up to 24 weeks | Any surgical complications |
| length of hospital stay | up to 24 weeks | duration of hospitalization |
| postoperative nausea and vomiting | up to 24 weeks | prevalence of postoperative nausea and vomiting |
Countries
Poland
Outcome results
None listed