Omkar Salvi - Academia.edu (original) (raw)

Papers by Omkar Salvi

Research Square (Research Square), Nov 23, 2022

Background Enhanced recovery program (ERP) has demonstrated improved postoperative outcomes with ... more Background Enhanced recovery program (ERP) has demonstrated improved postoperative outcomes with increased adherence to pathway. However, there is scarce data on feasibility and safety in resource limited setting. The objective was to assess compliance with ERP and its impact on postoperative outcomes and return to intended oncological treatment (RIOT). Methods A single center prospective observational audit was conducted from 2014-2019, in elective colorectal cancer surgery. Before implementation, multidisciplinary team was educated regarding ERP. Adherence to ERP protocol and its elements was recorded. Impact of quantum of adherence (≥ 80% vs. <80%) to ERP on postoperative morbidity, mortality, readmission, stay, re-exploration, functional GI recovery, surgical-speci c complications, and RIOT was evaluated for open and minimal invasive surgery (MIS). Results During study, 937 patients underwent elective colorectal cancer surgery. Overall Compliance with ERP was 73.3%. More than 80% compliance was observed in 332 (35.4%) patients in the entire cohort. Patients with < 80% compliance had signi cantly higher overall, minor and surgery-speci c complications, longer postoperative stay, delayed functional GI recovery for both Open and MIS procedures. RIOT was observed in 96.5% patients. Duration to RIOT signi cantly was shorter following Open surgery with ≥ 80% compliance. Poor adherence to ERP was identi ed as one of the independent predictors for developing postoperative complications. Conclusion The study demonstrates bene cial impact on postoperative outcomes with increased adherence to ERP following open and minimally invasive surgery for colorectal cancer. Within a resource limited setting, ERP was found to feasible, safe, and effective in both open and minimally invasive colorectal cancer surgery.

Langenbeck's Archives of Surgery

Research Square (Research Square), Nov 23, 2022

Background Enhanced recovery program (ERP) has demonstrated improved postoperative outcomes with ... more Background Enhanced recovery program (ERP) has demonstrated improved postoperative outcomes with increased adherence to pathway. However, there is scarce data on feasibility and safety in resource limited setting. The objective was to assess compliance with ERP and its impact on postoperative outcomes and return to intended oncological treatment (RIOT). Methods A single center prospective observational audit was conducted from 2014-2019, in elective colorectal cancer surgery. Before implementation, multidisciplinary team was educated regarding ERP. Adherence to ERP protocol and its elements was recorded. Impact of quantum of adherence (≥ 80% vs. <80%) to ERP on postoperative morbidity, mortality, readmission, stay, re-exploration, functional GI recovery, surgical-speci c complications, and RIOT was evaluated for open and minimal invasive surgery (MIS). Results During study, 937 patients underwent elective colorectal cancer surgery. Overall Compliance with ERP was 73.3%. More than 80% compliance was observed in 332 (35.4%) patients in the entire cohort. Patients with < 80% compliance had signi cantly higher overall, minor and surgery-speci c complications, longer postoperative stay, delayed functional GI recovery for both Open and MIS procedures. RIOT was observed in 96.5% patients. Duration to RIOT signi cantly was shorter following Open surgery with ≥ 80% compliance. Poor adherence to ERP was identi ed as one of the independent predictors for developing postoperative complications. Conclusion The study demonstrates bene cial impact on postoperative outcomes with increased adherence to ERP following open and minimally invasive surgery for colorectal cancer. Within a resource limited setting, ERP was found to feasible, safe, and effective in both open and minimally invasive colorectal cancer surgery.

Langenbeck's Archives of Surgery