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The SAGES Manual of Colorectal Surgery pp 87–102Cite as

Debunking Enhanced Recovery Protocols in Colorectal Surgery: Minimal Requirements for Maximum Benefit

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Abstract

Enhanced recovery protocols (ERPs) are established “order sets” covering the entire patient surgical experience. ERPs eliminate outdated perioperative care principles, reduce physiological stress and postoperative organ dysfunction, and implement evidence-based innovations to expedite recovery. Since their introduction in the 1990s, ERPs have been proven to reduce the time to recovery, postoperative complications, hospital length of stay, use of postdischarge nursing care, and healthcare utilization with no increase in readmission or reoperation rates. While there is solid support for ERP, awareness and use are still not unanimous. Full implementation and compliance with protocols are a distinct process that requires planning and participation of the entire surgical team, institution, and patient. Using a stepwise approach, the steps and minimal requirements for successful incorporation of ERP into practice can be applied by surgeons performing colorectal surgery for maximum benefit.

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Author information

Authors and Affiliations

  1. Division of Colorectal Surgery, Department of Surgery, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, USA

    Deborah S. Keller

  2. Department of Surgery, McGill University Health Centre, Montreal, QC, Canada

    Lawrence Lee

Authors
  1. Deborah S. Keller
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  2. Lawrence Lee
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Editor information

Editors and Affiliations

  1. Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Patricia Sylla

  2. Keck School of Medicine of USC, Los Angeles, CA, USA

    Andreas M. Kaiser

  3. Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Daniel Popowich

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© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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Keller, D.S., Lee, L. (2020). Debunking Enhanced Recovery Protocols in Colorectal Surgery: Minimal Requirements for Maximum Benefit. In: Sylla, P., Kaiser, A., Popowich, D. (eds) The SAGES Manual of Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24812-3_7

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  • DOI: https://doi.org/10.1007/978-3-030-24812-3_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24811-6

  • Online ISBN: 978-3-030-24812-3

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