St. Paul's colorectal surgery research team push envelope with new outpatient strategy
Submitted by Providence Health Care Research Institute
At St. Paul's Hospital, the colorectal surgery team, led by Dr. Carl Brown, have become global leaders in Transanal Endoscopic Microsurgery (TEM). This technique allows for the removal of premalignant lesions and some early rectal cancers without the need for an abdominal incision. In a recent publication in Colorectal Diseases, Dr. Brown and his team report on their experience performing TEM as outpatient surgery.
"In most centres around the world, surgeons perform TEM surgery and admit patients to hospital for at least one day, often longer," Dr. Brown shares, "but over the past few years we have challenged that paradigm. Patients prefer to be at home, and with adequate support from our team, most patients can safely leave hospital on the day of surgery."
In their study, over 80% of patients were discharged on the day of surgery after the team changed from an inpatient to an outpatient strategy. Despite this change, they saw no increase in readmission to hospital or any other surgery related complications. Dr. Brown emphasized that a team approach to care was critical to achieving this success.
"At Providence, we have an Enhanced Recovery after Surgery (ERAS) program, co-led by Drs. Ahmer Karimuddin and Jill Osborne, that has engaged physicians, nurses, physiotherapists, dieticians, pharmacists to provide best peri-operative care based on available evidence. Without the collaboration of the entire team, this work wouldn't have been possible."
Click here to learn more about colorectal surgery research at St. Paul's Hospital.
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