Comment on: Patient and operative factors influence delayed discharge following bariatric surgery in an enhanced recovery setting

In the late 1990s, the Danish surgeon Kehlet published a seminal paper describing an approach to reduce the intra- and postoperative surgical stress response with the goal to improve recovery and reduce postoperative morbidity (1). The central tenant was a multimodal approach, wherein many small changes that on their own would not cause a clinical impact, when combined could cause drastic improvement in patient recovery. Key elements included preoperative treatment of alcohol misuse and malnutrition, minimally invasive surgery, multimodal pain control avoiding narcotics, and early mobilization.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Editorial Source Type: research