Why the study?
Do minimally invasive surgery and protocol-driven recovery reduce postoperative ileus in patients undergoing major colorectal surgery?
Do minimally invasive surgery and protocol-driven recovery reduce postoperative ileus in patients undergoing major colorectal surgery?
Current literature suggests that minimally invasive techniques and protocol-driven recovery are the best strategies to reduce postoperative ileus after colorectal surgery.
May inform perioperative strategies to minimize ileus in colorectal surgery; leaves open prospective RCT confirmation.
POI is a common condition with no established definition, aetiology or treatment. According to current literature, minimally invasive surgery, protocol-driven recovery (including early feeding and opioid avoidance strategies) and measures to avoid major inflammatory events (such as anastomotic leak) offer the best chances of reducing POI.
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Chapman et al. (2018) studied this question.
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