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Enhanced Recovery Protocol Reduces Postoperative Infections After Robotic Assisted Radical Cystectom
2 года назад
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Enhanced Recovery Protocol Reduces Postoperative Infections After Robotic Assisted Radical Cystectom
#surgeryrecovery #sepsis #uti Enhanced Recovery Protocol Reduces Postoperative Infections After Robotic-Assisted Radical Cystectomy In a significant development in the field of urology, the implementation of an enhanced recovery after surgery (ERAS) protocol has led to a substantial reduction in postoperative infections following robotic-assisted radical cystectomy (RARC). Despite the significant improvements in morbidity associated with RARC, infectious complications, including sepsis, urinary tract infections (UTIs), wound infections (WIs), and intra-abdominal infections (AIs), have remained a concern. Researchers conducted a retrospective analysis of patients undergoing RARC between 2014 and 2022 at a tertiary care institution, categorizing them into two groups based on adherence to a modified ERAS protocol. The modified ERAS group included intracorporeal urinary diversion (ICUD) and antibiogram-directed antimicrobial prophylaxis, while the unmodified ERAS group followed extracorporeal urinary diversion (UD) and guideline-recommended prophylaxis. The study aimed to assess the impact of these protocol modifications on infection rates post-surgery. The analysis involved 396 patients, with the modified-ERAS group comprising 258 patients and the unmodified-ERAS group comprising 138 patients. The modified-ERAS group showed a significant reduction in the rates of both 30-day and 90-day UTIs as well as 30-day wound infections.Multivariate regression analysis confirmed that the modified-ERAS protocol was associated with a significantly lower risk of UTIs and WIs. Get the latest medical and health news at medicaldialogues.in Follow us on Twitter: / medicaldialogs Facebook: / medicaldialogues Instagram: / medicaldialogues LinkedIn: / medical-dialogues Website: https://medicaldialogues.in/
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