Publications by authors named "Giancarlo Missana"

Article Synopsis
  • The Enhanced Recovery After Surgery (ERAS) pathway aims to improve outcomes for patients undergoing colorectal surgery, but its complexity can hinder full implementation.
  • A study analyzed data from 722 patients to identify key items within the ERAS protocol affecting time to discharge readiness (TRD) and overall morbidity, revealing specific practices that significantly improve these outcomes.
  • The findings suggest that hospitals should prioritize active intraoperative warming, early cessation of intravenous fluids, and certain procedures like removing urinary catheters and nasogastric tubes to enhance recovery while continuing efforts to adopt the full ERAS protocol.
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Previous studies reported that enhanced recovery pathway (ERP) is safe in elderly who did not require a specifically tailored protocol. In previous studies, elderly have been considered as a homogeneous cohort and the cut-off value to identify them was different. The aim of the present study is to assess the compliance to ERP and its impact on postoperative outcome in three subgroups of elderly patients with increasing ages.

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Introduction: Previous studies reported that laparoscopic surgery (LPS) improved postoperative outcomes in patients undergoing colorectal surgery within an enhanced recovery program (ERP). However, the effect of minimally invasive surgery on each ERP item has not been clarified, yet. The aim of this study is to assess the impact of LPS on adherence to ERP items and recovery as measured by time to readiness for discharge (TRD).

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Background: Enhanced recovery after surgery (ERAS) pathways represent the optimal approach for patients undergoing colorectal surgery. Elderly or low physical status patients have been often excluded from ERAS pathways because considered at high risk. The aim of this study is to assess the adherence to ERAS protocol and its impact on short-term postoperative outcome in patients with different surgical risk undergoing elective colorectal resection.

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