Enhanced recovery after surgery: Progress in adapted pathways for implementation in standard and emerging surgical settings

doi:10.12998/wjcc.v12.i25.5636

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Sep 6, 2024 (publication date) through Jul 16, 2024

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Sep 6, 2024; 12(25): 5636-5641
Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5636

Enhanced recovery after surgery: Progress in adapted pathways for implementation in standard and emerging surgical settings

Mohamed Wishahi, Nabawya M Kamal, Mohamed Saied Hedaya

Mohamed Wishahi, Department of Urology, Theodor Bilharz Research Institute, Cairo 12411, Egypt

Nabawya M Kamal, Department of Anaesthesia and Surgical Intensive Care, Theodor Bilharz Research Institute, Cairo 12411, Egypt

Mohamed Saied Hedaya, Department of Surgery, Theodore Bilharz Research Institute, Cairo 12411, Egypt

Author contributions: Wishahi M contributed to the data collection, analysis, manuscript writing, and revision; Kamal NM contributed to the manuscript writing, and revision; Hedaya MS contributed to the manuscript writing, and revision; and all the authors approved the final manuscript.

Conflict-of-interest statement: All authors have no conflicts of interest to disclose.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Mohamed Wishahi, Doctor, Professor, Department of Urology, Theodor Bilharz Research Institute, Ministry of High Education and Scientific Research, Embaba, Giza, Cairo 12411, Egypt. moh.weshahy@gmail.com

Received: March 12, 2024
Revised: April 29, 2024
Accepted: May 21, 2024
Published online: September 6, 2024
Processing time: 125 Days and 19.9 Hours

Core Tip

Core Tip: Enhanced recovery after surgery protocols (ERAS) is implemented in different surgical settings. The major advantage of ERAS is the early mobilization of the patient, which diminishes the possible risk of postoperative complications, including ileus and thromboembolic events. ERAS protocols include reduction of the period of hunger, acceleration of carbohydrate load, early oral feeding, and early mobilization that accelerates the recovery of normal activities, and reduces recovery time, hospital stay and hospital costs. ERAS is implemented in standard surgical settings; recently, ERAS has been successfully implemented in pediatric surgery, laparoscopy and robotic assisted surgery, and organ transplantation.