Addressing Knowledge Gaps in the Impact of Nutrition on Plastic Surgery Outcomes

Addressing Knowledge Gaps in the Impact of Nutrition on Plastic Surgery Outcomes EDITORIAL Addressing Knowledge Gaps in the Impact of Nutrition on Plastic Surgery Outcomes Rebecca Knackstedt, MD, PhD,* and James Gatherwright, MD† here has been a recent, successful, and widespread movement among numerous surgical specialties to adopt en- T hanced recovery after surgery (ERAS) protocols. Through the use of multimodality pain control, strategic resus- citation, and postoperative ambulation, these protocols have greatly impacted the patient experience and have allowed for a reduction in opioid utilization and length of hospital stays. However, surgical ERAS protocols have for the most part neglected perioperative nutrition and the impact that these types of interventions could have on the surgical experience. There have been numerous studies, including well-done randomized controlled trials and meta-analyses, dem- onstrating the positive impact that perioperative nutritional support has on wound healing, pain control, complication rates, and length of hospital stays. However, the majority of these studies have been performed in patients with gastro- intestinal or head and neck cancers and involved enteral feeds with or without supplementation. Nutrients that have emerged as beneficial include arginine, omega-3 fatty acids, protein, probiotics, and various vitamins and minerals. In regard to the plastic and reconstructive surgery field, bromelain has shown utility in oral http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Plastic Surgery Wolters Kluwer Health

Addressing Knowledge Gaps in the Impact of Nutrition on Plastic Surgery Outcomes

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
0148-7043
eISSN
1536-3708
D.O.I.
10.1097/SAP.0000000000001987
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL Addressing Knowledge Gaps in the Impact of Nutrition on Plastic Surgery Outcomes Rebecca Knackstedt, MD, PhD,* and James Gatherwright, MD† here has been a recent, successful, and widespread movement among numerous surgical specialties to adopt en- T hanced recovery after surgery (ERAS) protocols. Through the use of multimodality pain control, strategic resus- citation, and postoperative ambulation, these protocols have greatly impacted the patient experience and have allowed for a reduction in opioid utilization and length of hospital stays. However, surgical ERAS protocols have for the most part neglected perioperative nutrition and the impact that these types of interventions could have on the surgical experience. There have been numerous studies, including well-done randomized controlled trials and meta-analyses, dem- onstrating the positive impact that perioperative nutritional support has on wound healing, pain control, complication rates, and length of hospital stays. However, the majority of these studies have been performed in patients with gastro- intestinal or head and neck cancers and involved enteral feeds with or without supplementation. Nutrients that have emerged as beneficial include arginine, omega-3 fatty acids, protein, probiotics, and various vitamins and minerals. In regard to the plastic and reconstructive surgery field, bromelain has shown utility in oral

Journal

Annals of Plastic SurgeryWolters Kluwer Health

Published: Jan 1, 2019

References

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