Enhanced perioperative care in emergency general surgery: the WSES position paper

Ceresoli, Marco; Braga, Marco; Zanini, Nicola; Abu-Zidan, Fikri M.; Parini, Dario; Langer, Thomas; Sartelli, Massimo; Damaskos, Dimitrios; Biffl, Walter L.; Amico, Francesco; Ansaloni, Luca; Balogh, Zsolt J.; Bonavina, Luigi; Civil, Ian; Cicuttin, Enrico; Chirica, Mircea; Cui, Yunfeng; De Simone, Belinda; Di Carlo, Isidoro; Fette, Andreas; Foti, Giuseppe; Fogliata, Michele; Fraga, Gustavo P.; Fugazzola, Paola; Galante, Joseph M.; Beka, Solomon Gurmu; Hecker, Andreas; Jeekel, Johannes; Kirkpatrick, Andrew W.; Koike, Kaoru; Leppäniemi, Ari; Marzi, Ingo; Moore, Ernest E.; Picetti, Edoardo; Pikoulis, Emmanouil; Pisano, Michele; Podda, Mauro; Sakakushev, Boris E.; Shelat, Vishal G.; Tan, Edward; Tebala, Giovanni D.; Velmahos, George; Weber, Dieter G.; Agnoletti, Vanni; Kluger, Yoram; Baiocchi, Gianluca; Catena, Fausto; Coccolini, Federico

doi:10.1186/s13017-023-00519-2

World Journal of Emergency Surgery

Table 2 postoperative protocols description

From: Enhanced perioperative care in emergency general surgery: the WSES position paper

	Patients	Number of patients	Postoperative
	Patients	Number of patients	Nasogastric tube removal	Liquds per os	oral feeding	Mobilization	iv fluids	Urinary catheter	Drain removal
Burchart 2021	Major abdominal surgery	227	Quick removal	Early	Early feeding	Early	n/d	Early- when removal thoracic epidural	Output < 50 ml
Ceresoli 2023	Gastrointestinal surgery	589	When < 300 ml/d	POD 1	POD 2	Early	When oral intake adequate	When urine output > 0.5 ml/Kg/h	When perforated
Chndan 2021	Perforated peptic ulcer	42/43	When < 300 ml/d	n/d	n/d	POD 0	n/d	When urine output > 1 ml/Kg/h	Output < 100 ml
Gonenc 2013	Perforated peptic ulcer	26/21	Immediately postoperative	POD 1	POD 2	n/d	n/d	Immediately postoperative	n/d
Lohsiriwat 2014	Obtructive colorectal	20/40	POD 2	Early	Early	POD1	n/d	POD3	No routine use
Lohsiriwat 2019	Colorectal	46/14	n/d	n/d	Early feeding	POD1	n/d	n/d	No routine use
Masood 2021	Perforated duodenal ulcer	16/18	POD 0	POD 1	POD 1	POD 0	n/d	POD 0	n/d
Mohsina 2018	Perforated peptic ulcer	49/50	When < 300 ml/d	NPO till bowel sound	One day after first bowel sound	POD 0	n/d	When urine output > 1 ml/Kg/h	when < 100 ml/d
Moller 2011	Perforated peptic ulcer	117	n/d	n/d	n/d	Early	n/d	n/d	n/d
Nechai 2021	Cholecystitis	88/101	End of surgery	2 h after surgery	6 h after surgery	Early	Not indicated	Not indicated	No routine use; only for perforations
Pranavi 2022	Perforation peritonitis	49/61	When < 300 ml/d	NPO till first flatus	One day after first flatus	POD 0	n/d	When urine output > 1 ml/Kg/h	When < 100 ml/d
Pthrikar 2023	Perforated duodenal ulcer	19/22	When < 300 ml/d	POD 1	POD1	POD1	n/d	When urine output adequate	Output < 100 ml
Purushotham 2021	Trauma laparotomy	30/30	POD1	POD 2	POD 1	POD 1	n/d	POD 1	POD 1
Roulin 2014	Colorectal	28/63	Immediately postoperative	POD 0	POD 1	POD1	n/d	POD 1	No
Ruiz-Tovar 2021	Acute Appendicitis	850	n/d	POD 0	POD1	POD0	n/d	n/d	POD1
Saurabh 2020	Small bowel surgery	35/35	When < 300 ml/d	NPO till first flatus	NPO till first flatus	POD0	n/d	When urine output > 1 ml/Kg/h	Output < 100 ml
Shang 2018	Obtructive colorectal	318/318	Immediately postoperative	POD 0	POD 3	POD 1	n/d	Early	No routine use
Sharma 2021	Gastrointestinal surgery	50/50	End of surgery	POD 0	POD 1	POD 0	When oral intake adequate	POD 1	POD 2
Tengberg 2017	High-risk abdominal surgery	600/600	n/d	n/d	n/d	n/d	n/d	n/d	n/d
Wisely 2016	Major abdominal surgery	169/201	n/d	n/d	n/d	n/d	n/d	n/d	n/d

n/d not described

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ISSN: 1749-7922

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