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
Annals of Plastic Surgery – Wolters Kluwer Health
Published: Jan 1, 2019
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