{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:24:59Z","timestamp":1792671899106,"version":"4.5.0"},"reference-count":39,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T00:00:00Z","timestamp":1624233600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_pp-2021-0117_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Enhanced recovery after surgery (ERAS) protocols have been questioned in patients undergoing cytoreductive surgery (CRS) with\/without hyperthermic intraperitoneal chemotherapy (HIPEC) for peritoneal malignancies. This survey was performed to study clinicians\u2019 practice about ERAS in patients undergoing CRS-HIPEC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_pp-2021-0117_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online survey, comprising 76 questions on elements of prehabilitation (n=11), preoperative (n=8), intraoperative (n=16) and postoperative (n=32) management, was conducted. The respondents included surgeons, anesthesiologists, and critical care specialists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_pp-2021-0117_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The response rate was 66% (136\/206 clinicians contacted). Ninety-one percent of respondents reported implementing ERAS practices. There was encouraging adherence to implement the prehabilitation (76\u201395%), preoperative (50\u201394%), and intraoperative (55\u201390%) ERAS practices. Mechanical bowel preparation was being used by 84.5%. Intra-abdominal drains usage was 94.7%, intercostal drains by 77.9% respondents. Nasogastric drainage was used by 84% of practitioners. The average hospital stay was 10\u00a0days as reported by 50% of respondents. A working protocol and ERAS checklist have been designed, based on the results of our study, following recent ERAS-CRS-HIPEC guidelines. This protocol will be prospectively validated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_pp-2021-0117_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most respondents were implementing ERAS practices for patients undergoing CRS-HIPEC, though as an extrapolation of colorectal and gynecological guidelines. The adoption of postoperative practices was relatively low compared to other perioperative practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/pp-2021-0117","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T18:40:55Z","timestamp":1624041655000},"page":"99-111","source":"Crossref","is-referenced-by-count":22,"title":["Enhanced recovery after surgery (ERAS) in cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC): a cross-sectional survey"],"prefix":"10.1515","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6865-7856","authenticated-orcid":false,"given":"Geetu","family":"Bhandoria","sequence":"first","affiliation":[{"name":"Department of Obstetrics & Gynecology , Command Hospital , Pune , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4313-7659","authenticated-orcid":false,"given":"Sohan Lal","family":"Solanki","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain , Tata Memorial Hospital, Homi Bhabha National Institute , Mumbai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mrugank","family":"Bhavsar","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine , Zydus Hospital , Ahmedabad , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpana","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology , Cancer Institute (WIA) , Chennai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherukuri","family":"Bapuji","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology , Apollo Hospital , Chennai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Bhorkar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology , Saifee Hospital , Mumbai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Bhandarkar","sequence":"additional","affiliation":[{"name":"Bhabha Atomic Research Centre (BARC) Hospital , Mumbai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Bhosale","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology , Jehangir Hospital , Pune , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jigeeshu V.","family":"Divatia","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain , Tata Memorial Hospital, Homi Bhabha National Institute , Mumbai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3663-848X","authenticated-orcid":false,"given":"Anik","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology , Tata Medical Centre , Kolkata , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology , Apollo Hospital , Chennai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Peedicayil","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology , Christian Medical College , Vellore , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Nath","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology , Kumaran Hospital , Chennai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snita","family":"Sinukumar","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology , Jehangir Hospital , Pune , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Thambudorai","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology , Tata Medical Centre , Kolkata , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramakrishnan Ayloor","family":"Seshadri","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology , Cancer Institute (WIA) , Chennai , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditi","family":"Bhatt","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology , Zydus Hospital , Ahmedabad , India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2021,6,21]]},"reference":[{"key":"2025120909274416670_j_pp-2021-0117_ref_001","doi-asserted-by":"crossref","unstructured":"Glehen, O, Gilly, FN, Boutitie, F, Bereder, JM, Quenet, F, Sideris, L, et al.. 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