ArticleSurgical endoscopy2022
A steady stream of knowledge: decreased urinary retention after implementation of ERAS protocols in ambulatory minimally invasive inguinal hernia repair.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 24 citations in OpenAlex.
- The effect of enhanced recovery after surgery in laparoscopic sacrocolpopexy: a randomized controlled trial.International journal of surgery (London, England) · 2026Article
- First use of augmented reality headset in minimally invasive general surgery: seeing is believing.Surgical endoscopy · 2025Article
- Sugammadex reduces urinary retention after laparoscopic inguinal hernia repair: a retrospective analysis and brief literature review.Surgical endoscopy · 2025Review
- Perioperative management protocol for abdominal wall hernia repair in a public reference healthcare unit in Amazonas - Brazil.Revista do Colegio Brasileiro de Cirurgioes · 2025Article
- Increased age and the volume of intraoperative fluid administered predict urinary retention after elective inguinal herniorrhaphy.Perioperative medicine (London, England) · 2024Article
- Use of sugammadex in prevention of post-operative urinary retention in minimally invasive hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Effect of neuromuscular blockade reversal on post-operative urinary retention following inguinal herniorrhaphy.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Implementation of robotic hernia surgery using the Versius® system.Journal of robotic surgery · 2023Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPotential complications after inguinal hernia repair include uncontrolled post-operative pain and post-operative urinary retention (POUR). Enhanced Recovery After Surgery (ERAS) protocols aim to mitigate post-operative morbidity. We study the impact of ERAS measures alongside discharge without a narcotic prescription on post-operative pain and POUR after minimally invasive inguinal hernia repair.
methodsA retrospective review of a prospectively maintained database identified patients that underwent minimally invasive inguinal hernia repair at a single institution. Intra-operative data included operative time, narcotic usage, non-narcotic adjunct medication, and fluid administration. Primary outcomes included rates of POUR and uncontrolled post-operative pain. Operations performed after 2018 were included in the ERAS cohort. Uncontrolled post-operative pain was defined as needing additional narcotic prescriptions, admission, or ER visits for post-operative pain. POUR was defined as requiring an indwelling urethral catheter at discharge, admission for retention, or returning to the ER for urinary retention.
resultsBetween January 2008 and March 2021, 1097 patients who underwent minimally invasive inguinal hernia repair were identified. 91.3% of these procedures were laparoscopic and 8.7% were robotic. Average patient age was 57.4 years, 93% were male. Patients receiving care after initiation of the ERAS protocol were significantly less likely to experience POUR when compared to their prior counterparts (1.4% vs. 4.2% p = 0.01); there was no difference in post-operative pain complications (1.4% vs. 2.9% p = 0.15). Patients who were discharged without a narcotic prescription had 0% incidence of POUR. Significant differences were found between the ERAS and non-ERAS cohort regarding narcotic usage and fluid administration. Age, higher fluid volume, and higher narcotic usage were found to be risk factors for POUR while ERAS, sugammadex, and dexamethasone were found to be protective.
conclusionImplementation of an ambulatory ERAS protocol can significantly decrease urinary retention and narcotic usage rates after minimally invasive inguinal hernia repair.
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