ArticleSurgical endoscopy2020
The contribution of specific enhanced recovery after surgery (ERAS) protocol elements to reduced length of hospital stay after ventral hernia repair.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Should enhanced recovery after surgery (ERAS) pathways be preferred over standard practice for patients undergoing abdominal wall reconstruction? A systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Enhanced recovery after abdominal wall reconstruction: a systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- Pooled it
- Outpatient care or less than 48-hour length of hospital stay after open complex abdominal wall surgery: current reality or just a surgeon fantasy?International journal of surgery (London, England) · 2026Article
- Effectiveness of prehabilitation for patients undergoing complex abdominal wall surgery.Surgical endoscopy · 2025Article
- Consensus in ERAS protocols for ventral hernia repair: evidence-based recommendations from the ACHQC QI Committee.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Comparison of Medical Research Abstracts Written by Surgical Trainees and Senior Surgeons or Generated by Large Language Models.JAMA network open · 2024Article
- Initial experience with enhanced recovery after surgery (ERAS) and early discharge protocols after robotic extended totally extraperitoneal (eTEP) hernia surgery.Surgical endoscopy · 2024Article
- Outcomes of Robotic Transabdominal Retromuscular Repair: 3-Year Follow-up.Journal of abdominal wall surgery : JAWS · 2024Article
- Article
- Comparison of the Effects of Special Care Enhanced Recovery and Conventional Recovery Methods after Mini Omega Gastric Bypass.Advanced biomedical research · 2023Article
- Physical activity recommendations pre and post abdominal wall reconstruction: a scoping review of the evidence.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Review
- Ventral hernia patient outcomes postoperatively housed on surgical vs non-surgical units.Surgical endoscopy · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVentral hernia repair (VHR) is a commonly performed procedure that may be associated with prolonged hospitalization. Enhanced recovery after surgery (ERAS) protocols are intended to decrease hospital length of stay (LOS) and improve outcomes. This study evaluated the impact of compliance with individual VHR ERAS elements on LOS.
methodsWith IRB approval, a medical record review (perioperative characteristics, clinical outcomes, compliance with ERAS elements) was conducted of open VHR consecutive cases performed in August 2013-July 2017. The ERAS protocol was implemented in August 2015; elements in place prior to implementation were accounted for in compliance review. Clinical predictors of LOS were determined through forward regression of log-transformed LOS. The effects of specific ERAS elements on LOS were assessed by adding them to the model in the presence of the clinical predictors.
resultsTwo-hundred and thirty-four patients underwent VHR (109 ERAS, 125 pre-ERAS). Across all patients, the mean LOS was 5.4 days (SD = 3.3). Independent perioperative predictors (P's < 0.05) of increased LOS were CDC Wound Class III/IV (38% increase above the mean), COPD (35%), prior infected mesh (21%), concomitant procedure (14%), mesh size (3% per 100 cm
conclusionsImplementation of an ERAS protocol for VHR results in decreased hospital LOS. Evaluation of the impact of specific ERAS element compliance to LOS is unique to this study. Compliance with acceleration of intestinal recovery, early postoperative mobilization, and multimodal pain management standards provided the greatest LOS reduction.
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