In this interesting masterclass, Dr. Boza reviews in detail the main aspects of the application of enhanced recovery protocols (ERAS) in bariatric surgery. ERAS protocols, together with the implementation of the minimally invasive approach, are two of the fundamental pillars of modern surgery. This type of protocols began to be implemented and developed in the field of colorectal surgery, until they were extended to the rest of general and digestive surgery subspecialties.
Dr. Boza explains, through an extensive compilation of high quality studies (mainly meta-analyses), the advantages of its application in bariatric surgery. It is associated with a lower number of adverse symptoms and complications (major and minor), improvement in multiple clinical management parameters (including costs), as well as in the quality perceived by patients. In addition, Dr. Boza explains his own ERAS protocol in detail, specifying the measures he considers fundamental as well as the four main phases for its application (preoperative education, intraoperative phase, discharge criteria, and recommendations). Finally, he describes the dynamic nature of these protocols, which must be able to adapt to the needs of each patient as well as incorporate any new developments in this field.
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