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.
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.
Chapman et al. (2018) studied this question.