| Patient inclusion criteria |
Case inclusion criteria |
| • Adult |
• Elective surgery |
| • Hgb > 10 |
• Minimally invasive surgery |
| • Albumin > 3.5, pre-albumin > 20 |
• Off midline specimen extraction site: examples: pffanensteil extraction incision, natural orifice extraction, ostomy site extraction |
| • Ambulatory |
|
| • Functionally independent |
|
| • No contraindications to TAP block (incl. allergies to dexamethasone or bupivacaine) or opioid-sparing analgesia (i.e. NSAIDs or acetaminophen) |
|
| • Adequate home support |
|
| • Owns and is capable of using a telephone or ‘smart’ mobile device running iOS or Android (or other device needed for remote monitoring) |
|
| Patient exclusion criteria |
Case exclusion criteria |
| • Cognitive impairment |
• Intraoperative complications |
| • Significant cardiopulmonary disease |
• Prolonged operative time |
| • Anemia (Hgb < 10) |
• More than one bowel anastomosis created |
| • Malnutrition (albumin < 3.5) |
• Any revisions needed for the initial anastomosis |
| • Active tobacco/nicotine use |
• Excessive intra-operative bleeding/transfusion |
| • Coronary artery disease |
• Creation of new ostomy |
| • Cardiac arrhythmia |
• Locally advanced malignancy requiring multi-visceral resection |
| • Chronic anticoagulation or coagulopathy |
|
| • Liver or renal failure |
|
| • Chronic opioid use |
|
| • Inflammatory bowel disease (crohns disease, ulcerative colitis) |
|
| • Home > 1 h travel from institution |
|
| • Lack of adequate home support |
|
| • Language barrier (primary language other than patient education instructions) |
|
| • Unable to participate in remote monitoring: no telephone, or no ‘smart’ mobile device |
|
