Consensus in ERAS protocols for ventral hernia repair: evidence-based recommendations from the ACHQC QI Committee
- 01.12.2025
- Original Article
- Verfasst von
- Daphne Remulla
- Joel F. Bradley III
- Winnie Henderson
- Ronald C. Lewis
- Bridgette Kreuz
- Lucas R. Beffa
- the Abdominal Core Health Quality Collaborative Quality Improvement Committee
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
Enhanced recovery after surgery (ERAS) protocols are widely used in the post-operative care of hernia patients. Despite their prevalence, an absence of published consensus guidelines creates significant heterogeneity in practices. The aim of this study was to evaluate elements in ERAS protocols utilized in ventral hernia repair from institutions across the United States and provide consensus recommendations for each identified element.
Methods
Institutional members of the Abdominal Core Health Quality Collaborative (ACHQC) Quality Improvement (QI) committee submitted current ERAS protocols. Items within each protocol were classified as “elements”, then assigned a topic. Any topic with ≥ 2 elements from separate institutions were labeled as a “theme,” then grouped by stage in the patient care cycle. A brief review of current evidence was provided in addition to a ACHQC QI committee consensus statement.
Results
A total of 295 elements from 6 tertiary referral centers specializing in hernia care were compiled into 24 themes and grouped by four separate stages: Pre-Admission Optimization, Pre-Operative Care, Intra-operative Care, and Post-Operative Management.
Conclusion
This article represents a multi-institutional review of ERAS protocols for ventral hernia repair and identifies common themes that may provide the framework for a unified ERAS protocol in hernia surgery. Future work may serve to develop societal guidelines defined specifically for enhanced recovery in ventral hernia repair.
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- Titel
- Consensus in ERAS protocols for ventral hernia repair: evidence-based recommendations from the ACHQC QI Committee
- Verfasst von
-
Daphne Remulla
Joel F. Bradley III
Winnie Henderson
Ronald C. Lewis
Bridgette Kreuz
Lucas R. Beffa
the Abdominal Core Health Quality Collaborative Quality Improvement Committee
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03203-9
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