EXPERIENCE OF ERAS PROTOCOL IMPLEMENTATION IN THE SURGICAL PRACTICE FOR THE TREATMENT OF POSTOPERATIVE VENTRAL HERNIA
Aim: to study the experience of introducing elements of the protocol for enhanced recovery after surgery (ERAS) in the surgical treatment of postoperative ventral hernias.
Materials and methods: This article presents the results of surgical treatment of 122 patients with postoperative ventral hernias, in whom in 24 (20%) cases operations on the anterior abdominal wall were performed laparoscopically (study group), in 98 (80%) - by “open” method (control group).
Results: The average duration of the “open” operations was 135 ± 45 min., laparoscopic one - 120 ± 30 min. After laparoscopic hernioplasty patients became active within 1.5-2 hours after extubation. After the operation according to the sublay method, in 61.2% of cases the patient was verticalized and became active within the chamber after 5-6 hours, and in 38.7% of cases- during the first days after operation. Postoperative stay in hospital among patients in the control group after “open” hernioplasty was 7.3 ± 1.5, after laparoscopic surgery - 2.6 ± 1.2.
Conclusions: Based on the analysis of the obtained results, it is possible to argue about the feasibility of introducing elements of the ERAS protocol for the surgical treatment of postoperative ventral hernias, especially when performing laparoscopic hernioplasty.
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