Enhanced Recovery After Surgery (ERAS)
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Introduction
Arthroscopic Knee Surgery is a keyhole procedure performed for checking and repairing ligaments and cartilage in your knee joint. It can help find the cause of pain, swelling and stiffness in the knee joint.
- Why is it Performed?
Knee Arthroscopy can be done for a number of reasons.
- To find the cause of joint problem –
Like Joint pain, Swelling and stiffness, Knee giving way or locking
If MRI can’t find any problem in the knee then only a Diagnostic Knee Arthroscopy is performed.
- To check the Health of your Joint –
To check the damage to cartilage or joint like in arthritis
- To repair Damage in your Joints –
Repairing the damaged cartilage, Meniscus repair or Ligament reconstruction like ACL, PCL or MCL ligaments.
Who can benefit from enhanced recovery?
Some of the principles of enhanced recovery can be applied to all cases of surgery. However, for some conditions and procedures, specially designed pathways help patients benefit from the principles more effectively.
Types of surgery and conditions where enhanced recovery programmes are currently used in orthopaedics include:
- Knee Replacement
- Hip Replacement
- Arthroscopic Ligament surgeries
- Cancer surgeries
- Fractures
- Few revision Hip/Knee replacement surgeries
The Enhanced Recovery Programe
If you need to have an operation, ask your Specialist if he offers Enhanced Recovery After Surgery. To enhance your recovery from surgery, it’s important that you play an active role in your own care.
Important points to consider before your operation include:
- Eating well – Your body will need energy for repair.
- Exercise – Being physically active before your operation will help you recover quicker.
- Relaxation – Try to relax and not worry about your operation.
- Smoking and alcohol – Giving up or cutting down will help speed up your recovery and reduce your risk of developing complications.
My team will give you advice about getting into the best possible shape before having surgery. They’ll also identify and try to stabilise any health conditions you have that may affect the operation. In hospital, my team will advise you about what you can do to help make your recovery easier.
This may include:
- Staying active – You may even be walked to the operating theatre.
- Drinking clear fluids or sugar rich drinks up to 2 hours before your operation
- Becoming as active as soon as possible after your surgery
- Eating a healthy diet after your surgery
- Keeping an enhanced recovery diary to track your progress.
Where possible, techniques that will help with your recovery may also be recommended, such as using minimally invasive surgery (keyhole surgery), local or regional anaesthesia, and minimal use of drains and nasogastric tubes.
After surgery, you’ll mobilised with physiotherapy on the same day. This will help speed up your recovery and enable you to be discharged from hospital as soon as possible.
Depending on your operation, you may be able to go home sooner than usually expected. It’s therefore important to plan and prepare for your return home before going into hospital.
What are Benefits of ERAS?
- Speedy recovery
- Minimal Pain
- Early mobilization
- Early discharge to home
- No need to starve long hours before and after surgery.
- Short duration of Hospital stay
- Minimal stress and anxiety of surgery
FAQs
Frequently Asked Questions
Find answers to the most common questions about our services, appointments, and healthcare support to help you get the information you need quickly and easily.
Surgery usually takes about 60-90 minutes to finish
There is minimal pain which will be controlled by painkillers
Daily activities can be resumed after 2-3 weeks
Usually after 5-6 weeks one is comfortable to start driving
Usually after 5-6 weeks one is comfortable to start driving
Usually after 5-6 weeks one is comfortable to start driving
It would need minimal 6 months to 9 months before returning to active sports
