Comparison of enhanced recovery after surgery (ERAS) protocol vs. current standard hospital care in patients undergoing elective open ventral hernia repair.

Not yet recruiting

• Conditions: Ventral hernia without obstructionor gangrene,

• Registration Number: CTRI/2022/05/042952
• Lead Sponsor: Jawaharlal Institute of Postgraduate Medical Education and Research

Brief Summary

Ventral hernias occur in the anterior abdominal wall and include most incisional hernias and Epigastric, Umbilical, Spigelian and  Parastomal hernias. Open ventral hernia repair (VHR) is associated with prolonged hospitalization, postoperative complications and hospital readmissions. Giant ventral hernia repair is associated with a high risk of postoperative morbidity with delayed return of bowel function and prolonged length of hospitalization (LOH). Enhanced Recovery After Surgery is a multimodal, multidisciplinary approach to the care of the surgical patient. ERAS protocols have now become the standard of care in many procedures across specialties demonstrating a shorter hospital stay, reduced postoperative morbidity, rapid return of bowel function and reduced infections. Considering the longer hospital stay and associated morbidities in the ventral hernia repair, Implementation of ERAS may improve the outcome. The purpose of this study was to compare LOH for patients cared for with standard hospital protocols with patients cared for with an ERAS protocol.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-01-06
• Last Update Posted: 2022-05-30

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

Patients admitted for elective open ventral hernia repair procedure requiring abdominal wall recon-struction (AWR) in the department of Surgery.

Exclusion Criteria

• Age<18 years.
• ASA class 3 or 4 3.
• BMI>40kg/m2 , for non-diabetic patient; and BMI>30kg/m2 and HbA1C>8.0mg/dl, for diabetic patient 4.
• Minor ventral hernias (epigastric, parastomal and umbilical hernias, defect size <3 cm or repair without mesh placement) 5.
• Patients with planned bowel resection or stoma reversal 6.
• Patients with neurological and/or renal dis-orders, cardiac illnesses, bed ridden patients and patients on steroids 7.
• Patients unable to understand/respond to verbal or written commands.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patient managed by ERAS protocol is expected to have shorter length of hospitalization.	4 DAYS

Secondary Outcome Measures

Name	Time	Method
Patient managed by ERAS protocol is expected to have low postoperative complications, rapid return of bowel function, and readmission rates.	TO STUDY

Trial Locations

Locations (1)

Jawaharlal Institute of Postgraduate Medical Education and Research; 🇮🇳 Pondicherry, PONDICHERRY, India

Jawaharlal Institute of Postgraduate Medical Education and Research

🇮🇳Pondicherry, PONDICHERRY, India

Diwash Koirala

Principal investigator

9843704284

diwashkoirala18@gmail.com