Enhanced recovery after surgery care to reduce surgical site wound infection and postoperative complications for patients undergoing liver surgery.
Int Wound J
; 20(9): 3540-3549, 2023 Nov.
Article
en En
| MEDLINE
| ID: mdl-37218367
ABSTRACT
This study comprehensively assessed the effect of enhanced recovery after surgery (ERAS) on wound infection and postoperative complications in patients undergoing liver surgery. The PubMed, EMBASE, MEDLINE, Cochrane Library, China National Knowledge Infrastructure (CNKI), VIP, and Wanfang electronic databases were searched to collect published studies on the use of ERAS in liver surgery until December 2022. Literature selection was performed independently by two investigators according to the inclusion and exclusion criteria, and quality evaluation and data extraction were performed. RevMan 5.4 software was used in this study. Compared with the control group, the ERAS group showed a significantly lower incidence of postoperative wound infection (odds ratio [OR] 0.59, 95% confidence interval [CI] 0.41-0.84, P = .004) and overall postoperative complication rate (OR 0.43, 95% CI 0.33-0.57, P < .001) and significantly shorter postoperative hospital stay (mean difference -2.30, 95% CI -2.92 to -1.68, P < .001). Therefore, ERAS was safe and feasible when applied to liver resection, reducing the incidence of wound infection and total postoperative complications, and shortening the length of hospital stay. However, further studies are required to investigate the impact of ERAS protocols on clinical outcomes.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Infección de la Herida Quirúrgica
/
Recuperación Mejorada Después de la Cirugía
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Int Wound J
Año:
2023
Tipo del documento:
Article
País de afiliación:
China