Ultrasound Guided Enhanced Recovery Program in Colorectal Surgery: Kasralainy Modified Protocol

Enhanced recovery after surgery (ERAS) protocols were created to improve patient recovery and to reduce the postoperative hospital stay and comorbidities. Temporary postoperative gastrointestinal dysfunction, as nausea, vomiting, or abdominal distension, is a common morbidity after abdominal surgery that largely determines clinical recovery and hospital stay. Currently, the diagnoses of temporary postoperative GI.dysfunction and paralytic ileus are based on subjective reporting of clinical symptoms. In our study an objective assessment tool to identify temporary postoperative GI. dysfunction and paralytic ileus, as well as their resolution was used and the results showed that ERAS combined with abdominal ultrasound used for the care of patients undergoing colorectal surgery is improving standards of care by reducing postoperative hospital stay, attempting to improve the overall quality of recovery, decrease the percentage of postoperative vomiting, cost saving, and patient satisfaction.