Murat Türkeün ILGINEL, Kadir OKTAY, Özge ÖZDEN, Demet LAFLI TUNAY, Ebru BİRİCİK, Feride KARACAER, Mazhar ÖZSOY, Nuri Eralp ÇETİNALP, Yasemin GÜNEŞ

LOMBER MİKRODİSKEKTOMİ AMELİYATINDA AMELİYAT SONRASI HIZLANDIRILMIŞ İYİLEŞME (ERAS) PROTOKOLLERİNİN ETKİNLİĞİ

Giriş: Bu çalışma, lomber diskektomi ameliyatlarında ameliyat sonrası hızlandırılmış iyileşme (ERAS) protokollerinin etkinliğini değerlendirmeyi amaçladı. Gereç ve Yöntemler: Ocak 2021-Ocak 2023 tarihleri arasında tek merkezde lomber mikrodiskektomi ameliyatı uygulanan 92 hastadan elde edilen veriler toplandı. Daha sonra hastalar ERAS protokol grubu (n=60) ve konvansiyonel cerrahi grubu (n=32) olmak üzere iki gruba ayrıldı. Sonuç: Hastaların yaş ortalaması 49.4±14 idi. Bunların 31'i kadın, 61'i erkekti. İki grubun demografik, cerrahi ve sonuç parametreleri karşılaştırıldı. ERAS protokol grubunda yatış süresi ve spondilodiskit oranlarında istatistiksel olarak anlamlı düşüşler saptandı. Kalış süresi ERAS grubunda 25,52±12,53 saat, konvansiyonel cerrahi grubunda 34±20,06 saat bulundu (p=0,002). Spondilodiskit oranları ERAS ve konvansiyonel cerrahi gruplarında sırasıyla %3,3 ve %15,6 idi (p=0,034). Tartışma: Bu çalışma, ERAS protokolünün lomber mikrodiskektomi cerrahisinde hastanede kalış süresini ve spondilodiskit oranlarını azalttığını ortaya koydu. Omurga cerrahilerinde ERAS protokollerinin teşvik edilmesi ve daha yaygın uygulanması gerektiği kanaatindeyiz.

Anahtar Kelimeler:

Ameliyat sonrası hızlandırılmış iyileşme, ERAS, omurga, lomber mikrodiskektomi, spondilodiskit

Efficacy of Enhanced Recovery after Surgery (ERAS) Protocols in Lumbar Microdiscectomy Surgery

Aim: This study aimed to asses the efficacy of enhanced recovery after surgery (ERAS) protocols in the lumbar discectomy surgeries. Methods: Data obtained from 92 patients who underwent lumbar microdiscectomy surgery at a single institution between January 2021 and January 2023. Then, the patients were divided into two groups: ERAS protocol group (n=60), and conventional surgery group (n=32). Results: The mean age of the patients was 49.4±14 years. Among these, 31 were females, and 61 were males. The demographic, surgical and outcome parameters of two groups were compared. There were statistically significant decreases in length of stay and spondylodiscitis rates in the ERAS protocol group. Length of stay was found 25.52±12.53 hours in ERAS group, and 34±20.06 hours in conventional surgery group (p=0.002). Spondylodiscitis rates were 3.3% and 15.6% in the ERAS and conventional surgery groups, respectively (p=0.034). Conclusions: This study revealed that ERAS protocol reduces length of stay in hospital, and spondylodiscitis rates in lumbar microdiscectomy surgery. We conclude that ERAS protocols should be encouraged and applied more widely in spine surgeries.

Keywords:

Enhanced recovery after surgery, ERAS, spine, lumbar microdiscectomy, spondylodiscitis,

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