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A randomized controlled trial to assess the impact of ERAS (Enhanced recovery after surgery) on Laparoscopic Cholecystectomy

Rajareddy GV, Athish B Shetty, Santhosh CS, Prem Kumar A, Sunil Kumar V, Mallikarjuna Manangi.




Abstract
Cited by 0 Articles

Background:
Gallstone disease represents a significant burden for health-care systems making laparoscopic cholecystectomy one of the most common surgical procedures performed in the world.
Aims and Objectives:
To compare the outcome of Enhanced recovery after surgery (ERAS) program and conventional care in patients undergoing laparoscopic cholecystectomy with respect to their post-operative pain, bowel movements, complications and the post-operative length of stay.
Methods:
A prospective study was conducted on 40 patients undergoing laparoscopic cholecystectomy in Victoria Hospital, from the month of November 2019 to May 2021. Laparoscopic cholecystectomy was performed electively on patients diagnosed with symptomatic cholelithiasis. ERAS protocol implemented for Group A with 20 patients whereas Conventional care followed for Group B with 20 patients, all chosen and allocated randomly.
Results:
ERAS protocol resulted in better post-operative analgesia and decreased post-operative length of stay in comparison to Conventional care.
Conclusion:
ERAS protocol in laparoscopic cholecystectomy has a positive impact on the patient and the healthcare system and therefore, needs to be followed in all cases henceforth.

Key words: ERAS, Laparoscopic cholecystectomy, Post operative recovery






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