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Enhanced recovery after surgery protocol allows ambulatory laparoscopic appendectomy in uncomplicated acute appendicitis: a prospective, randomized trial.
What is already known:
The vast majority of ERAS programmes are focused on purely elective surgery. This study focusses on the common emergency operation, appendicitis.
What this paper adds:
In this small RCT patients were randomised into 2 groups (ERAS vs standard care). With the exception for the pre-admission elements, this was a fairly comprehensive ERAS programme. They demonstrated an impressively short length of stay (a mean of only 9.7 hours to discharge, compared to 23.2 hours in the standard group). There was a reduced time to resume diet and a reduced incidence of moderate to severe pain scores postoperatively (28% vs 62%). There was no difference in complications, reoperations and importantly readmissions.
Chris Jones, Guildford. @chrisnjones
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