Fast Recovery Surgery, Surgery
Conditions
Brief summary
Based on enhanced recovery after surgery (ERAS), ambulatory loop ileostomy reversal (ALIR) has been reported in developed countries. However, there is still no research proposing how to carry out ALIR in developing countries. This study was performed to determine the feasibility of ALIR in China based on the community hospital joined enhanced recovery after surgery (CHJ-ERAS) program.
Detailed description
CHJ-ERAS program for ALIR was launched. Patients who underwent loop ileostomy with age ≤ 65 and ASA II or III were enrolled and underwent ALIR after rigorous evaluation. Strict follow-ups were conducted after ALIR. The primary outcome was the results of short-term follow-ups.
Interventions
Patients who underwent loop ileostomy with age ≤ 65 and ASA II or III were enrolled and underwent ALIR after rigorous evaluation.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with ileostoma and preparing for LIR 2. Patients age between 18-65; 3. ASA grade II; 4. Patients willing to underwent day-case LIR
Exclusion criteria
* 1\) Patients who underwent single-lumen ileostomy, transverse colostomy or Hartmann; 2) Complex previous laparotomies or required exploratory laparotomy; 3) Age over 65; 4) ASA grade over III (assessed by anesthetists); 5) Presence of moderate or severe preoperative anemia (hemoglobin \<90g/L); 6) Therapeutic anticoagulation or anti-platelet medications used within 1 week before surgery; 7) Patient refusal; 8) Severe co-morbidities or other conditions evaluated by surgeons or anesthetists not inappropriate to be included in the program.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Results of short-term follow-up | Within 1 month after surgery | The occurrence of postoperative complications |
| Readmissions | Within 1 month after surgery | Readmission within 1 month after surgery |
| Reoperation | Within 1 month after surgery | Reoperation within 1 month after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital stays | 1 day | Hospital stays |
Countries
China