Comparative analysis of results of radical surgical treatment of patients with cancer of left half of the colon and rectum with laparoscopic and open surgical procedures as part of Fast Track Surgery

2020 ◽  
Vol 9 (4) ◽  
pp. 11
Author(s):  
A.Z. Negardinov ◽  
A.V. Kochatkov
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Surgical Procedures ◽  
Fast Track ◽  
Fast Track Surgery ◽  
Left Half ◽  
Patients With Cancer ◽  
Analysis Of Results ◽  
Colon And Rectum

scholarly journals Early enteral nutrition in surgical treatment of an acute complicated pancreatitis

2018 ◽  
Vol 85 (9) ◽  
pp. 8-10
Author(s):  
V. P. Andriushchenko ◽  
D. V. Andriushchenko ◽  
V. V. Kunovskyi ◽  
Yu. S. Lysiuk
Keyword(s):  
Surgical Treatment ◽  
Small Bowel ◽  
Enteral Nutrition ◽  
Fast Track ◽  
Early Enteral Nutrition ◽  
Fast Track Surgery ◽  
Blood Leukocytes ◽  
Necrotic Focus ◽  
Rapid Restoration ◽  
Effective Component

Objective. To estimate the efficacy of early enteral nutrition (EEN) in patients with an acute complicated pancreatitis, after determining of its content  and improving the realization methods. Маterials and methods. There were studied the results of EEN in 82 patients, suffering an acute complicated pancreatitis. Two groups of patients were delineated - the main (n=58), in which EEN was included into the complex of treatment in preoperative and postoperative periods, and a comparative one (n=24). For conduction of EEN the probe was put during fibrogastroscopy into jejunum (in 25 patients), while suboperative nasogastrointestinal intubation was performed (in 12), and a jejunostomy in accordance to Witzel procedure was formatted (in 21), what have appeared the most effective procedure and served for realization of the Fast track surgery principles. Results. Nutritious food blends were applied in combination with probiotics and the metabolism correctors. Application of EEN in the patients іn an acute complicated pancreatitis have promoted more rapid restoration of a motor-evacuation function of a small bowel, normalization of levels of the blood leukocytes and proteins, weakening of microstructural changes in mucosa and «clearance» of purulent-necrotic focus. Conclusion. EEN in the patients, suffering an acute complicated pancreatitis constitutes an effective component of surgical treatment in preoperative and postoperative periods.

scholarly journals RESULTS OF SURGICAL TREATMENT OF STRICTURAL DISEASE OF THE URETHRA (ACCORDING TO THE MATERIALS OF THE CLINIC)

2020 ◽  
Vol 74 (2) ◽  
pp. 145-147
Author(s):  
A.A. Polyantsev ◽  
◽  
A.A. Kuznetsov ◽  
N.A. Goncharov ◽  
A.A. Kiseleva ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Comparative Efficacy ◽  
Clinical Hospital ◽  
Urethral Strictures ◽  
Analysis Of Results

The retrospective analysis of results of urethral strictural disease surgical treatment cases (according to the materials of the urological department of the «Volgograd Regional Clinical Hospital № 1» for 2015–2020) was provided. The research included 168 surgical treatment cases of urethral strictures of different localization, longitude and etiology. The patients were operated using different surgical technics. Comparative analysis of results of surgical treatment in patients with urethral strictures was provided. The research evaluates the efficacy of used methods: internal optical urethrotomy, anastomotic plastics «edge to edge», buccal urethroplastics, urethral plastics without spongious body incisoin. It was found out that now-a-days the most prognostically favourable methods in urethral stictural disease surgical treatment are the buccal plastics and «edge to edge». Otherwise, due to few observed cases, the plastics without spongious body incision demands more detailed and thorough analysis for verifying it’s comparative efficacy.

scholarly journals Foundations for Molecular and Enzymatic Functional Surgery

2018 ◽  
Author(s):  
Ilya Klabukov
Keyword(s):  
Clinical Trials ◽  
Surgical Treatment ◽  
Medical Ethics ◽  
Fast Track ◽  
Modern Concept ◽  
Fast Track Surgery ◽  
Surgical Interventions ◽  
Personalized Approach ◽  
Functional Surgery ◽  
Further Development

This paper presents an approach of molecular and enzymatic surgery for treatment of human diseases, including opportunity for use of systemic biology methods in planning of surgical interventions, possible biological components of a “molecular scalpel”, and problems of standardization, medical ethics and clinical trials of the new pharma-surgical toolbox. In conclusions is proposed to consider of molecular and enzymatic surgery methods as realization of the principles of “functional surgery” and also further development of fast track surgery with attaining the modern concept of a personalized approach to surgical treatment of the patient.

scholarly journals Application of Music Therapy in General Surgical Treatment

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Jing Liang ◽  
Xiaofeng Tian ◽  
Wei Yang
Keyword(s):  
Clinical Practice ◽  
Surgical Treatment ◽  
Music Therapy ◽  
General Surgery ◽  
Conventional Treatment ◽  
Fast Track ◽  
Physiological State ◽  
Medical Industry ◽  
Fast Track Surgery ◽  
Development History

With the increasing application of music therapy in clinical practice, the effectiveness of music therapy in improving the negative emotions of patients, relieving pain, and adjusting the physiological state has also been receiving increasing recognization. Moreover, music therapy as adjuvant therapy for conventional treatment can achieve a better improvement in patient satisfaction and facilitate the acceptance of make music therapy by the medical industry. In addition to inevitable trauma, general surgery is criticized for its long treatment cycles and postoperative pain. With the continuous development of fast-track surgery (FTS), music therapy has received more attention in general surgical treatment. This study reviews the development history and prospects of music therapy in general surgery.

scholarly journals MULTIMODAL REHABILITATION OF PATIENTS OPERATED ON FOR PANCREATIC NECROSIS

2021 ◽  
pp. 36-39
Author(s):  
I. A. Kryvoruchko ◽  
K. Yu. Parkhomenko ◽  
A. G. Drozdova ◽  
V. A. Vovk ◽  
K. E. Payunov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Fast Track ◽  
Pancreatic Necrosis ◽  
Fast Track Surgery ◽  
Surgical Interventions ◽  
Surgical Department ◽  
Results Of Treatment ◽  
Financial Costs ◽  
Commercial Enterprise ◽  
Bed Days

Summary. The aim of the study — to improve the results of surgical treatment of patients operated on for pancreatic necrosis. Matherials and Methods of the study. The results of treatment of 56 patients operated on for pancreatic necrosis who were treated in the surgical department of the Municipal non-commercial enterprise of the Kharkov regional council «Regional Clinical Hospital» from 2018 to 2020, aged 22 to 69, were analyzed. In the treatment of all patients, a “step-up approach” tacktics was used and the principles of the concept of “fast-track surgery” or multimodal rehabilitation of patients after surgery were implemented. Results of the study. Along with the performed surgical interventions (mostly minimally invasive), a “staged” method of managing the postoperative period in patients operated on for pancreatic necrosis is proposed and implemented. As a result, there is a decrease in the incidence of postoperative complications and a decrease in the length of stay in the surgical department (14.6 bed-days). Conclusions. This example confirms the appropriateness of applying the principles of “fast-track surgery” in everyday surgical practice in the complex treatment of patients with pancreatic necrosis, as the results of surgical treatment of this category of patients are improved and financial costs for treatment are reduced.

scholarly journals Acute Appendicitis: Approaches to Complex Surgical Treatment in Accordance with the Principles of Multimodal Surgical Strategy (Fast-Track Surgery)

2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Adrian Kvit ◽  
Olexiy Kushniruk
Keyword(s):  
Surgical Treatment ◽  
Acute Appendicitis ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Fast Track ◽  
Pain Syndrome ◽  
Surgical Trauma ◽  
Fast Track Surgery ◽  
Duration Of Hospital Stay ◽  
Response To Stress

The objective of the research was to develop approaches to complex surgical treatment of patients with acute appendicitis taking into consideration the type of surgical approach, perioperative antibiotic therapy, adequate pain relief, duration of inpatient treatment.         Materials and methods. The analysis of complex surgical treatment of the group of patients (31) with acute appendicitis, treated in the surgical departments of Lviv Emergency Hospital during 2017 was performed. The age of patients ranged from 18 to 77 years. There were 13 (41.9%) males and 18 (58.1%) females. Duration of hospital stay from the moment of hospitalization varied from 2 to 13 days. The level of pain sensation in patients was assessed on a 10-point visual analog scale of pain 6, 12 and 24 hours after surgery (with four-step stratification of the received data - absent (0-2), weak (3-4), moderate (5-8), strong (9-10 points). All the patients were divided into two groups using blind envelope technique: Group A included 18 patients, who underwent conventional appendectomy, and Group B comprised 13 patients who underwent diagnostic laparoscopy with the transition to laparoscopic appendectomy if the diagnosis of acute appendicitis was confirmed, or laparoscopic appendectomy was initially performed. The analysis of treatment efficacy was performed taking into account the dynamics of pain relief and the duration of inpatient treatment.         Results and discussion. As a result of the conducted research it was stated that among all the patients examined, catarrhal acute appendicitis was found in 1 (3.2%) case, acute phlegmonous appendicitis was detected in 20 (64.5%) cases, acute gangrenous appendicitis was seen in 7 (22.6%) cases, acute gangrenous appendicitis with perforation and local peritonitis was diagnosed in 3 (9.7%) cases. Conventional appendectomy was performed in 18 cases; laparoscopic appendectomy was used in 13 cases. All the patients received anti-bacterial treatment in the early perioperative period. According to the prospective analysis, pain syndrome at the site of postoperative wounds was found to be present in patients of both groups. The intensity of pain syndrome was significantly lower in patients who underwent laparoscopic appendectomy. The analysis of treating patients with acute appendicitis allows confirming that the introduction of laparoscopic appendectomy into the complex of surgical treatment of patients with acute appendicitis can significantly reduce the body’s response to stress from surgical trauma and pain, speed up recovery due to early activation of the patient and maximally reduce the duration of hospital stay, which definitely corresponds to the modern principles of fast-track surgery.         Conclusions. The use of laparoscopic appendectomy makes it possible to significantly reduce the body’s response to stress from pain and surgical trauma and is an important part of the formation of the patient’s general condition. Complex surgical treatment of patients with acute appendicitis using non-invasive techniques allows shortening the duration of hospital stay (4.62 ± 0.77 days) and reducing the period of disablement. The method of minimally invasive surgical interventions can be considered a “gold standard” for providing medical care to the patients with urgent surgical diseases of the abdominal cavity, which provides an optimal approach to surgical treatment.

scholarly journals AN INTEGRATED APPROACH TO THE TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS

2021 ◽  
pp. 8-11
Author(s):  
A. G. Drozdova ◽  
K. Y. Parkhomenko ◽  
N. M. Honcharova ◽  
V. A. Vovk ◽  
K. E. Payunov ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Fast Track ◽  
Comparison Group ◽  
Integrated Approach ◽  
Fast Track Surgery ◽  
Surgical Practice ◽  
Surgical Department ◽  
Financial Costs ◽  
Commercial Enterprise

Abstract. The aim of the study – to improve the results of surgical treatment of patients with acute pancreatitis. Matherials and methods of the study. The results of the treatment of 103 patients with acute pancreatitis who were treated in the surgical department of the Municipal non-commercial enterprise of the Kharkov regional council «Regional Clinical Hospital» 2015 to 2020 were analyzed. All patients were divided into two groups: the main (56 patients) and the comparison group (47 patients). In the main group, the tactics of the “step-up approach” were applied and the principles of the ERAS concept (2018-2020) were implemented. In the comparison group (2015-2017), the ERAS principles were not implemented and the open method was mainly used as the standard surgical treatment. Results of the study. Patients treated using the principles of “fast-track surgery” along with the “step-up approach” tactics, less likely to have postoperative complications and reduced the length of stay in the surgical department. Conclusions. This example confirms the appropriateness of applying the principles of “fast-track surgery” in everyday surgical practice in the complex treatment of patients with acute pancreatitis, as the results of surgical treatment of this category of patients are improved and financial costs for treatment are reduced.

BIOCHEMICAL AND PSYCHOSOCIAL ASPECTS OF FAST TRACK SURGERY IN SURGICAL PATIENTS WITH COMORBID METABOLIC SYNDROME IN GYNECOLOGICAL PRACTICE

2020 ◽  
pp. 70-81
Author(s):  
L.N. Gumenyuk ◽  
Z.Z. Khayretdinova ◽  
G.A. Puchkina
Keyword(s):  
Quality Of Life ◽  
Metabolic Syndrome ◽  
Surgical Treatment ◽  
Fast Track ◽  
Complete Recovery ◽  
Surgical Patients ◽  
Controlled Study ◽  
Surgical Trauma ◽  
Fast Track Surgery

The aim of the paper was to study the influence of the Fast Track surgery on the perioperative dynamics of biochemical and psychosocial indicators in surgical patients with comorbid metabolic syndrome in gynecological practice. Materials and Methods. The authors conducted a prospective controlled study of 158 patients aged 18–45 with gynecological pathology requiring surgery and comorbid metabolic syndrome. All the patients underwent surgical treatment. All the patients were divided into two clinical groups according to perioperative management: Group 1 consisted of 82 patients who underwent laparoscopic operations with components of Fast Track surgery; Group 2 contained 76 patients who underwent laparoscopic operations according to the traditional management protocol. The examination of the patients included general surgical, clinical laboratory and psychometric methods. Results. The combined use of laparoscy and the basic methods of Fast Trak surgery helped to reduce the intensity of the endocrine-metabolic response to surgical trauma and the severity of psychoemotional distress, significantly increased the efficiency of surgical treatment and provided an earlier and more complete recovery of physical and psychological components of the quality of life of gynecological patients with comorbid metabolic syndrome. Conclusion. Fast Traсk surgery in laparoscopy in gynecological patients with comorbid metabolic syndrome contributed to an earlier recovery of biochemical markers of surgical stress, inflammatory-immune profile, and endothelium functional state. The psychosocial efficacy of Fast Trak surgery was confirmed by a reduction in hospital stay, earlier and complete recovery of physical and psychological components of patients’ quality of life. Keywords: surgical treatment, gynecological pathology, metabolic syndrome, Fast-Track surgery, neuro-immune-endocrine indicators, quality of life. Цель. Изучение влияния концепции Fast Track surgery на периоперационную динамику биохимических и психосоциальных показателей у пациенток хирургического профиля с коморбидным метаболическим синдромом в гинекологической практике. Материалы и методы. Выполнено проспективное контролируемое исследование 158 пациенток в возрасте от 18 до 45 лет с гинекологической патологией, требующей оперативного вмешательства, и коморбидным метаболическим синдромом, которым проведено хирургическое лечение. В зависимости от тактики периоперационного ведения больные были разделены на две клинические группы: 1-ю составили 82 пациентки, которым выполнены лапароскопические операции с применением компонентов концепции Fast Track surgery; 2-ю – 76 пациенток, которым выполнены лапароскопические операции с применением традиционного протокола ведения. Обследование пациенток включало общехирургический, клинико-лабораторный и психометрический методы. Результаты. Комбинированное применение лапароскопических операций и базовых компонентов мультимодальной концепции Fast Traсk surgery способствует снижению интенсивности эндокринно-метаболического ответа на операционную травму и выраженности психоэмоционального дистресса, значительно повышает эффективность хирургического лечения и обеспечивает более раннее и полноценное восстановление физического и психологического компонентов качества жизни гинекологических больных с коморбидным метаболическим синдромом. Выводы. Применение мультимодальной концепции Fast Traсk surgery при выполнении лапароскопических оперативных вмешательств у гинекологических больных с коморбидным метаболическим синдромом способствуют более раннему восстановлению уровня биохимических маркеров операционного стресса, воспалительно-иммунного профиля и функционального состояния эндотелия. Психосоциальная эффективность мультимодальной концепции Fast Traсk surgery подтверждается сокращением длительности пребывания в стационаре, более ранним и максимально полноценным восстановлением физического и психологического компонентов качества жизни пациенток. Ключевые слова: хирургическое лечение, гинекологическая патология, метаболический синдром, концепция Fast-Track surgery, нейро-иммунно-эндокринные показатели, качество жизни.

scholarly journals IMPLEMENTATION OF THE CONCEPT OF «FAST-TRACK SURGERY» IN THE TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS ACCORDING TO THE TACTICS «STEP-UP APPROACH»

2020 ◽  
pp. 81-84
Author(s):  
I. A. Kryvoruchko ◽  
K. Yu. Parkhomenko ◽  
A. G. Drozdova ◽  
M. V. Suplichenko
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Fast Track ◽  
Comparison Group ◽  
Complex Treatment ◽  
Fast Track Surgery ◽  
Surgical Practice ◽  
Surgical Department ◽  
Financial Costs ◽  
Commercial Enterprise

Summary. The aim of the study – to improve the results of surgical treatment of patients with acute pancreatitis using the “step-up approach” tactics, and justify the feasibility of implementing the concept of “fast-track surgery” in surgical practice using the example of these patients. Matherials and Methods of the study. The results of the treatment of 103 patients with acute pancreatitis who were treated in the surgical department of the Municipal non-commercial enterprise of the Kharkov regional council «Regional Clinical Hospital» 2015 to 2020 were analyzed. All patients were divided into two groups: the main (56 patients) and the comparison group (47 patients). In the main group, the tactics of the “step-up approach” were applied and the principles of the ERAS concept (2018-2020) were implemented. In the comparison group (2015-2017), the ERAS principles were not implemented and the open method was mainly used as the standard surgical treatment. Results of the study. Patients treated using the principles of “fast-track surgery” along with the “step-up approach” tactics, less likely to have postoperative complications and reduced the length of stay in the surgical department. Conclusions. This example confirms the appropriateness of applying the principles of “fast-track surgery” in everyday surgical practice in the complex treatment of patients with acute pancreatitis, as the results of surgical treatment of this category of patients are improved and financial costs for treatment are reduced.

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