Prospective 30-Day Outcome Evaluation of a Fast-Track Protocol for 23-Hour Ambulatory Primary and Revisional Laparoscopic Roux-en-Y Gastric Bypass in 820 Consecutive Unselected Patients

Factors that Hinder 24-Hour Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Retrospective Analysis at a Low-Volume Center

“…However, the current study may be underpowered to detect significance given the low patient number and the low incidence of complications in this study. In referring to previous large studies with reported readmission rates ranging between 1.7 and 5.6%, reoperation between 1.02 and 2.49%, overall complication rates between 1.9 and 3.76%, and mortality rates up to 0.94% [ 9 – 11 , 14 , 19 ], our results fall within these ranges and therefore meet the safety standards.…”

“…With demonstrated benefits, including a shortened length of stay (LOS) and reduced overall cost [7], these protocols can be a useful and timely tool in such a situation. As evidence continues to emerge, studies have shown that it is feasible for selected patients to be discharged after 23 h on an outpatient basis after laparoscopic Roux-en-Y gastric bypass (LRYGB) [8][9][10]. However, these discharge plans after LRYGB usually occur in specialized high-volume centers and in experienced hands.…”

Benefits of multimodal enhanced recovery pathway in patients undergoing kidney transplantation

“…This is mostly due to the lack of reliable and valid tools that can be used widely across many centers to report patients' experiences. Nevertheless, in the literature on this subject, ERAS does not seem to adversely influence quality of life (QoL), 39 satisfaction, 40 or psychomotor functions such as sleep quality, pain, and fatigue levels after surgery. 39 We believe an ERAS pathway can be instituted from the conception of a kidney transplant for all patients, not just those deemed to be low risk.…”