{"id":3205,"date":"2017-09-20T08:47:28","date_gmt":"2017-09-20T08:47:28","guid":{"rendered":"https:\/\/www.bariatricsurgerynewjersey.com\/?page_id=3205"},"modified":"2024-01-17T23:47:16","modified_gmt":"2024-01-18T04:47:16","slug":"enhanced-recovery","status":"publish","type":"page","link":"https:\/\/www.bariatricsurgerynewjersey.com\/bariatric-surgery\/enhanced-recovery\/","title":{"rendered":"Enhanced Recovery After Bariatric Surgery"},"content":{"rendered":"<p>For patients undergoing any type of surgical procedure, Fast-Track Surgery, or Enhanced Recovery After Surgery (ERAS) are synonymous terms describing <em>one of the latest innovations in modern medicine<\/em>.\u00a0 Evidence-based integration of a \u201cmulti-modal\u201d approach effectively <em>reduces the physiologic stress response to surgery and results in faster recovery and less postoperative pain for patients<\/em>.\u00a0 In light of the recent opioid epidemic, reducing a patient\u2019s needs for narcotic medications after surgery may in turn lead to reducing the number of people dealing with narcotic addiction.\u00a0 Fast-Track Surgery\/ERAS protocols are gaining popularity among surgeons and patients alike because they are associated with better surgical outcomes, decreased complication rates, decreased hospital length of stay, reduced lost days of work, and ultimately happier, healthier patients.<\/p>\n<p>Fast-Track Surgery\/ERAS consists of three phases: the <strong>Pre-surgery<\/strong> or <strong>Pre-Habilitation<\/strong> <strong>Phase<\/strong>, the <strong>Intraoperative Phase<\/strong>, and the <strong>Postoperative\/Recovery phase<\/strong>.\u00a0 \u00a0All are equally important and work synergistically to speed surgical recovery.<\/p>\n  \n        <div class=\"inner-schedule\">\n            <!-- left  -->\n            <div class=\"left\">\n                <button class=\"scd\" onclick=\"window.open('https:\/\/bariatricsurgerynewjersey.com\/contact\/schedule-appointment-online\/')\">Schedule Appointment<\/button>\n            <\/div>\n            <!-- right  -->\n            <div class=\"right\">\n                <a href=\"tel:+17326405316\">(732) 640-5316<\/a>\n            <\/div>\n        <\/div>\n    \n<h2>What is Fast-Track Surgery?<\/h2>\n<p>For patients undergoing any type of surgical procedure, Fast-Track Surgery, or Enhanced Recovery After Surgery (ERAS) are synonymous terms describing one of the latest innovations in modern medicine.\u00a0 Evidence-based use of a multi-modal approach effectively reduces the physiologic stress response to surgery and results in faster recovery and less postoperative pain for patients.\u00a0 In light of the recent opioid epidemic, reducing a patient\u2019s needs for narcotic medications after surgery may in turn lead to fewer people dealing with narcotic addiction.\u00a0 Fast-Track Surgery\/ERAS protocols are gaining popularity among surgeons and patients alike because they are associated with better surgical outcomes, decreased complication rates, decreased hospital length of stay, reduced lost days of work, and ultimately happier, healthier patients.<\/p>\n<h2>Pre-Habilitation Phase<\/h2>\n<p>The <strong>Pre-Habilitation Phase<\/strong> involves evaluation and optimization of the patient\u2019s existing nutritional and fitness status, as well as reducing and\/or controlling co-morbid medical conditions such as heart disease and diabetes.\u00a0 Smoking cessation at least 4 weeks prior to surgery is key to reducing risks of DVT and PE blood clots, postoperative pneumonia, and problems with wound healing.\u00a0 Nutritional optimization with high-protein foods combined with strength training has been shown to augment resiliency after surgery.<\/p>\n  \n        <div class=\"fullWidthIn\">\n            <div class=\"inner-five-star\">\n                                <div class=\"single-five-star\">\n                    <span class=\"star\"><span>5.0<\/span> \u2605 \u2605 \u2605 \u2605 \u2605<\/span>\n                                        <span class=\"title\">The doctors were great<\/span>\n                                        <p>I had surgery in 2017. I am so happy with the decision I made. The doctors were great answered every question I needed. and the front desk were also great. They are super friendly!<\/p>\n                                        <span class=\"c-name\">Sara C.<\/span>\n                                    <\/div>\n                            <\/div>\n        <\/div>\n    \n<h2>Intraoperative Phase<\/h2>\n<p>The <strong>Intraoperative Phase<\/strong> consists of seamless integration of the Anesthesia, Nursing, and Surgical teams to achieve an efficient operation and minimize time spent under general anesthesia. This in turn facilitates the patient\u2019s ability to begin early ambulation and early return to oral nutrition. \u00a0There are many protocols for Multi-modal analgesia, which utilize non-narcotic pain medications (such as Tylenol and gabapentin)\u2014sometimes given even before surgery\u2014together with regional nerve blocks to help reduce the requirements for narcotic pain medications and subsequently the untoward side-effects of these medications which include include nausea, vomiting, and severe constipation<\/p>\n<h2>Postoperative Phase<\/h2>\n<p>The <strong>Postoperative Phase<\/strong> begins in the recovery room, and continues until the patient is back to his\/her level of normal function.\u00a0 Recovery is an ACTIVE process, not a passive one, i.e. patients must make a concerted and consistent effort to walk several times daily, keep pain levels under control with oral medication regimens that mainly consist of non-narcotic mediations, and use narcotics only for severe pain.\u00a0 Patients must also monitor their nutrition and hydration status at home and be sure they are on target with daily goals.\u00a0 Constipation can be a common side effect of surgery, and patients must pro-actively monitor and prevent constipation from becoming a serious problem by taking a bowel regimen.\u00a0 Activity restrictions differ depending on the type of surgery, but in general, returning to normal daily activity as soon as possible is recommended, with light exercise as tolerated and\/or directed by the surgeon.<\/p>\n<h3>The result? You. Better. Faster.<\/h3>\n<p>If you are facing elective surgery in the near future, seek out a surgeon and\/or program that has an active Fast-Track Surgery\/ERAS protocol in place.\u00a0 You\u2019ll be better because of it.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>For patients undergoing any type of surgical procedure, Fast-Track Surgery, or Enhanced Recovery After Surgery (ERAS) are synonymous terms describing one of the latest innovations in modern medicine.\u00a0 Evidence-based integration of a \u201cmulti-modal\u201d approach effectively reduces the physiologic stress response to surgery and results in faster recovery and less postoperative pain for patients.\u00a0 In light [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":23442,"menu_order":15,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/3205"}],"collection":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/comments?post=3205"}],"version-history":[{"count":1,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/3205\/revisions"}],"predecessor-version":[{"id":27313,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/3205\/revisions\/27313"}],"up":[{"embeddable":true,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/23442"}],"wp:attachment":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/media?parent=3205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}