A Multimodal Enhanced Recovery Program in Anorectal Surgery (ARSE)
Colorectal Disorders, Anorectal Disorder, Patient Satisfaction
About this trial
This is an interventional treatment trial for Colorectal Disorders
Eligibility Criteria
Inclusion Criteria:
- Patients in whom surgery is planned via an anorectal approach for hemorrhoids, fissures, or fistula disease.
Exclusion Criteria:
- Patients are not eligible if currently or chronically (more than 7 days prior to presentation) on opioid medication or opioid-receptor antagonist medication.
Sites / Locations
- Columbia University Medical Center
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control
Experimental
The control group will receive standard preoperative and postoperative directions, with the anesthesiologist and surgeon's preferences for analgesia during and after surgery.
The experimental group will receive routine directions for surgery and a ReCOVER patient education document on the Enhanced Recovery protocol, with instructions on preoperative preparation, postoperative wound care, pain management, preventing and managing constipation, activity limitations, and return precautions. The information sheet will be provided to patients in clinic and reviewed with a member of the healthcare team to ensure an understanding of the plan.