Experience of application of accelerated rehabilitation programs in patients with distal pancreas resection

There was executed an analysis of the literature data on fast track surgery in foreign and domestic publications for the last 7 years, included in the database PubMed, Medline, Scientific electronic library (elibrary.ru). The review considers in details the principles of fast track surgery and the rationale for their use. The results of application of accelerated rehabilitation programs in surgical specialties are presented and analyzed. The use such programs allow shorten the duration of hospitalization, restore the patient’s ability to work in a more shorter time, without reducing the effectiveness of the treatment, which would have a positive economic effect. The implementation of the fast track surgery program requires a multidisciplinary approach of all specialists involved in perioperative management of the patient.

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Splenogastrectomy with distal pancreas resection in gastric cancer surgeries

Kazan medical journal ◽

10.17816/kazmj62308 ◽

1982 ◽

Vol 63 (4) ◽

pp. 49-52

Author(s):

M. Z. Segal ◽

R. M. Taziev

Keyword(s):

Gastric Cancer ◽

Postoperative Mortality ◽

Anatomical Structures ◽

Pancreas Resection ◽

Distal Pancreas ◽

Resection Of The Pancreas

Splenogastrectomy with resection of the pancreas was performed in 111 patients with gastric cancer for appropriate indications. In 75 patients, this operation was combined with resection of other organs and anatomical structures. Complications after surgery were observed in 60 people. Postoperative mortality was 20.8%. Out of 76 patients after surgery, 15 people lived for 3 years or more, 6 - over 5 years.

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Enhanced recovery programs for patients after pancreatic surgery

Annaly khirurgicheskoy gepatologii = Annals of HPB surgery ◽

10.16931/1995-5464.2020179-91 ◽

2020 ◽

Vol 25 (1) ◽

pp. 79-91

Author(s):

A. P. Koshel ◽

E. S. Drozdov ◽

S. S. Klokov ◽

T. V. Dibina ◽

Y. Y. Rakina ◽

...

Keyword(s):

Pancreatic Surgery ◽

Enhanced Recovery ◽

Postoperative Mortality ◽

Rehabilitation Programs ◽

Randomized Studies ◽

Accelerated Rehabilitation ◽

Enhanced Recovery Programs ◽

Main Components ◽

Based Medicine ◽

Complications And Mortality

The aim of the work is to highlight the main components of the enhanced rehabilitation programs, to compare the results of traditional pancreas operations performed under these programs, and also to present possible prospects for this area. The number of operations performed in patients with various pathologies of the pancreas has increased significantly. Despite a significant reduction in postoperative mortality, the frequency of postoperative complications remains significant, even in specialized centers. The full restoration of the quality of life after surgery takes considerable time. The concept of accelerated rehabilitation after surgery, based on the principles of evidence-based medicine, has been shown to be effective in specific areas of abdominal surgery. However, the role of this concept in surgical pancreatology is not specified. Non-randomized studies and individual randomized studies have shown that the use of accelerated rehabilitation protocols for pancreatic surgery is safe, allowing you to reduce the duration of postoperative hospital stay without increasing the number of complications and mortality.

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Laparoscopic distal pancreas resection of an intrapancreatic accessory spleen – Case report

Pancreatology ◽

10.1016/j.pan.2012.11.090 ◽

2012 ◽

Vol 12 (6) ◽

pp. 527

Author(s):

A. Csiszkó ◽

Zs. Szentkereszty ◽

P. Sápy ◽

L. Damjanovich ◽

M. Péter ◽

...

Keyword(s):

Case Report ◽

Accessory Spleen ◽

Intrapancreatic Accessory Spleen ◽

Pancreas Resection ◽

Distal Pancreas

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Current Concepts on Accelerated ACL Rehabilitation

Journal of Sport Rehabilitation ◽

10.1123/jsr.3.4.304 ◽

1994 ◽

Vol 3 (4) ◽

pp. 304-318 ◽

Cited By ~ 19

Author(s):

Mark S. De Carlo ◽

Kecia E. Sell ◽

K. Donald Shelbourne ◽

Thomas E. Klootwyk

Keyword(s):

Range Of Motion ◽

Cruciate Ligament ◽

Weight Bearing ◽

Knee Extension ◽

Autogenous Bone ◽

Second Phase ◽

Rehabilitation Protocol ◽

Rehabilitation Programs ◽

Accelerated Rehabilitation ◽

Patient Will

It is well established that intra-articular anterior cruciate ligament reconstruction with autogenous bone-patellar tendon-bone graft provides satisfactory long-term stability. However, the rehabilitation programs employed following this surgical procedure have been a topic of considerable debate. This paper describes an accelerated rehabilitation protocol that is divided into four phases. The first phase encompasses the preoperative period, during which the patient will work to decrease swelling and restore range of motion and strength. The second phase involves Weeks 1 and 2 following surgery, with the patient emphasizing immediate terminal knee extension and weight bearing. The final two phases involve improving lower extremity strength and full return to daily and athletic activities. This accelerated rehabilitation protocol has resulted in an earlier return of range of motion and strength without compromising ligamentous stability.

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Use of Vestibular Rehabilitation in the Pediatric Population

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig7-2019-0002 ◽

2019 ◽

Vol 4 (6) ◽

pp. 1399-1405 ◽

Cited By ~ 1

Author(s):

Jennifer Christy

Keyword(s):

Pediatric Population ◽

Dynamic Balance ◽

Vestibular Rehabilitation ◽

Rehabilitation Program ◽

Gross Motor ◽

Gaze Stabilization ◽

Motor Delay ◽

Rehabilitation Programs ◽

Motor Practice ◽

Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

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Deficits in Selective Attention Alter Gait in Frail Older Adults

GeroPsych ◽

10.1024/1662-9647/a000137 ◽

2016 ◽

Vol 29 (1) ◽

pp. 29-36 ◽

Cited By ~ 2

Author(s):

Véronique Cornu ◽

Jean-Paul Steinmetz ◽

Carine Federspiel

Keyword(s):

Older Adults ◽

Nursing Home ◽

Selective Attention ◽

Dual Task ◽

Nursing Home Residents ◽

Gait Rehabilitation ◽

Rehabilitation Programs ◽

Gait Parameters ◽

Growing Body ◽

Task Conditions

Abstract. A growing body of research demonstrates an association between gait disorders, falls, and attentional capacities in older adults. The present work empirically analyzes differences in gait parameters in frail institutionalized older adults as a function of selective attention. Gait analysis under single- and dual-task conditions as well as selective attention measures were collected from a total of 33 nursing-home residents. We found that differences in selective attention performances were related to the investigated gait parameters. Poorer selective attention performances were associated with higher stride-to-stride variabilities and a slowing of gait speed under dual-task conditions. The present findings suggest a contribution of selective attention to a safe gait. Implications for gait rehabilitation programs are discussed.

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