ERAS - Early recovery care program after surgery with Vinmec Ha Long

The article was written by MSc Nguyen Thai Binh - Gastroenterologist - Department of General Surgery - Vinmec Ha Long International General Hospital.

ERAS is an acronym for Enhanced Recovery After Surgery. Vinmec Times City International General Hospital under the Vinmec system is the first hospital in Vietnam to implement ERAS applied in the field of digestive surgery. ERAS can be applied in many types of digestive surgery such as: colorectal surgery, stomach surgery, hepatobiliary surgery, bariatric surgery...

Vinmec International General Hospital has performed ERAS for gastrointestinal - hepatobiliary surgery such as: laparoscopic appendectomy, laparoscopic cholecystectomy, colorectal cancer surgery...
Here are methods of caring for patients before, during and after surgery with the participation of many specialists from many specialties in the hospital to help patients recover soon after surgery.
The goal of ERAS is to provide comprehensive care for patients in the pre-, intra- and post-operative period to shorten hospital stay, improve treatment quality, reduce complication rate and reduce treatment costs for patients. patient.
At Vinmec Ha Long International General Hospital, thanks to the application of this program, most of:
Patients were discharged from the hospital 2 to 5 days after surgery, instead of having to stay in the hospital for 7-10 days like before. The rate of complications decreased, the length of stay in the intensive care unit, the rate of re-hospitalization as well as the cost of the patient all decreased. Applying ERAS helps to reduce the time of care by 30%, and to reduce complications after surgery by 50%; bring many benefits to both the customer and the hospital.

Patients with ERAS surgery do not need to fast, no enema. During surgery without drainage, optimal infusion to avoid water-electrolyte disturbances, pain relief without morphine, antibiotics only use 1 prophylactic dose before surgery to avoid side effects. After surgery, during the day, drink water, milk, eat soft, sit up after 2 hours; The first day after surgery is to give up fluids and eat raw, practice walking after 6 hours.
ERAS includes care regimens with many different modalities for patients before, during, and after surgery. These regimens are designed to be standardized and optimized to minimize the impact of surgery on the patient, reduce stress and organ dysfunction. Therefore, patients can recover quickly and soon after surgery.
The key elements of ERAS are pre-operative counseling so that the patient can feel secure, confident, happy to participate in the treatment and care process with medical staff, optimize nutrition, and induce Non-morphine analgesia and early motor rehabilitation.

When choosing surgery to treat digestive diseases at Vinmec, you will receive specific advice from your doctor on the least invasive treatment method, instructions on care and treatment before, during and after surgery to achieve effective treatment. highest value. However, this is not a mandatory care program for customers because after being consulted by a doctor, you have the right to choose whether to participate in ERAS or not.