Enhanced Recovery Programme in Colorectal Surgery
Background information
The enhanced recovery programme was developed in Copenhagen by Professor Henrik Kehlet (Kehlet 1997) and has been used in the UK since January 2002. Within St Mark’s Hospital there has been an enhanced recovery programme since March 2006. All colorectal surgeons at St Marks Hospital use the enhanced recovery programme when appropriate (cases that may not be appropriate are repair of enterocutaneous fistulae, for example).
Enhanced recovery can be used with laparoscopic or open surgery to optimise rehabilitation following major surgery. The programme works by modifying many aspects of the intervention and recovery – the term multimodal rehabilitation has been applied to this, as there are many factors that are necessary to aid recovery.
A brief overview of the enhanced recovery programme
- The outpatient clinic
- The pre-admission clinic
- Stoma care
- Hospital Stay
- Surgery
- Pain Control
- Mobilising after surgery
- Eating and drinking
- Discharge home
- What to do if there are problems?
- Subsequent review in the outpatient clinic
Patients hospital stay on the enhanced recovery programme – day to day summary
There is also a booklet that explains the enhanced recovery programme available on the St Mark’s website; please click here for the Enhanced Recovery Programme booklet. Alternatively email Jennie Burch on jburch1@nhs.net if you require additional information.
The enhanced recovery team
June 2011
Relative links:
Enhanced Recovery Programme course information
Enhanced Recovery Symposium Presentations:
ERAS Society website: www.erassociety.org
ERAS stands for Enhanced Recovery After Surgery. ERAS is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery.
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