scholarly journals Fast-Track Surgery Could Improve Postoperative Recovery in Patients with Laparoscopy D2 Gastrectomy

2017 ◽  
Vol 102 (3-4) ◽  
pp. 151-156 ◽  
Author(s):  
Jiayan Wu ◽  
Hongcun Sha ◽  
Xiaoting Ren ◽  
Xiaoming Hong
Keyword(s):  
Fast Track ◽  
Perioperative Period ◽  
Bowel Function ◽  
Medical Intervention ◽  
Postoperative Recovery ◽  
Conventional Care ◽  
Fast Track Surgery ◽  
D2 Gastrectomy ◽  
Care Groups ◽  
Postoperative Stress

The objective of this study is to evaluate the safety and efficacy of fast track surgery (FTS) management in gastric cancer (GC) with laparoscopy D2 gastrectomy. FTS is the integration of different medical intervention activities during the perioperative period to accelerate the recovery of patients undergoing surgery. It has been used for colorectal cancer. The present study focuses on evaluating FTS in GC with laparoscopy D2 gastrectomy. Seventy-five patients diagnosed with GC between June 2014 and December 2016 were enrolled in this study and were divided into FTS and conventional care groups. All patients received elective standard D2 gastrectomy. The clinical parameters and serum indicators were compared. FTS was associated with shorter postoperative hospital stay (17.17 ± 9.27 versus 14.06 ± 5.05 days; P = 0.046), shorter time to bowel function return (4.56 ± 1.16 versus 3.12 ± 0.88 days; P < 0.01), less stress response on postoperative day 1 (108.13 ± 40.55 versus 79.01 ± 37.10; P < 0.01), and accelerated decrease in serum albumin (30.76 ± 4.10 versus 32.56 ± 3.20 g/L; P = 0.04) and lymphocyte count (0.78 ± 0.34 versus 0.78 ± 0.34 g/L; P = 0.016). The postoperative complications, including ileus, anastomotic leakage, and infection, were similar (all P > 0.05). FTS combined with laparoscopy D2 gastrectomy can promote faster postoperative recovery, improve early postoperative nutritional status, and more effectively reduce postoperative stress reaction and is safe and effective for GC patients.

scholarly journals Effect of fast-track surgery in gynecological laparoscopy: a randomized controlled trial

2020 ◽  
Vol 7 (3) ◽  
pp. 235-238
Author(s):  
Xue-Ping Zhu ◽  
Sha-Sha Zhao ◽  
Jie-Dan Qin
Keyword(s):  
Fast Track ◽  
Controlled Trial ◽  
Postoperative Nausea And Vomiting ◽  
Perioperative Period ◽  
Bowel Function ◽  
Control Group ◽  
Fast Track Surgery ◽  
Randomized Controlled ◽  
Gynecological Laparoscopy ◽  
Function Recovery

AbstractObjectiveTo evaluate the value of fast-track surgery (FTS) in gynecological laparoscopy during the perioperative period.MethodsThe clinical data of 234 patients who underwent gynecological laparoscopy from January to December in 2018 were collected. Of note, 117 patients received a routine nursing method (control group), and 117 patients received the FTS nursing method (observation group).ResultsCompared with the control group, FTS group had a quicker postoperative bowel function recovery, earlier to get out of bed, and a lower anxiety level (P < 0.05); The incidence of postoperative nausea and vomiting of two groups had no statistical difference.ConclusionsThe application of FTS in gynecological laparoscopy is safe, effective, and worth promoting.

scholarly journals Application of fast-track surgery in the perioperative period of laparoscopic partial nephrectomy for renal tumors

2019 ◽  
Vol 47 (6) ◽  
pp. 2580-2590 ◽  
Author(s):  
Chunmei Kang ◽  
Xueliang Qiao ◽  
Meiling Sun
Keyword(s):  
Partial Nephrectomy ◽  
Fast Track ◽  
Abdominal Distension ◽  
Perioperative Period ◽  
Postoperative Recovery ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Tumors ◽  
Control Group ◽  
Observation Group ◽  
Fast Track Surgery

Objectives This study aimed to examine application of fast-track surgery (FTS) in the perioperative period of laparoscopic partial nephrectomy for renal tumors, and to discuss its effects and safety. Methods Eighty patients who received laparoscopic partial nephrectomy in urinary surgery from January 2016 to December 2017 were selected and randomly classified as the observation group (n = 40) and control group (n = 40). Traditional treatments were performed in the control group, while FTS was applied in the observation group. The complication rate after the operation was recorded. Results The duration of the operation and intraoperative blood loss were not different between the groups. The duration of anesthesia and fluid transfusion volume on the day of the operation were significantly less in the observation group than in the control group. The rates of infection of the incisional wound, nausea and vomiting, and anastomotic stomal bleeding were not significantly different between the groups. However, the rates of postoperative urinary tract infection, abdominal distension, thirst, hypothermia, and pulmonary infection were significantly lower in the observation group than in the control group. Conclusion Application of FTS in laparoscopic partial nephrectomy contributes to postoperative recovery and reduction of postoperative complications.

scholarly journals WAYS OF PREVENTION SYNDROME OF INTRA-ABDOMINAL HYPERTENSION IN BARIATRIC SURGERY

2019 ◽  
Vol 178 (5) ◽  
pp. 16-21
Author(s):  
M. I. Neimark ◽  
A. Yu. Elizariev ◽  
R. V. Kiselev
Keyword(s):  
Bariatric Surgery ◽  
Continuous Infusion ◽  
Postoperative Period ◽  
Fast Track ◽  
Perioperative Period ◽  
Abdominal Pressure ◽  
Fast Track Surgery ◽  
Beach Chair Position ◽  
Abdominal Hypertension ◽  
Combined Anesthesia

Patients with obesity who have undergone intra-abdominal endoscopic intervention belong to the category of patients with an increased risk of developing the syndrome of intra-abdominal hypertension (SIAH), which dictates the need to develop interventions aimed at its prevention.The OBJECTIVE was to evaluate the effectiveness of complex integrated methods of SIAH prevention in patients with morbid obesity with endoscopic bariatric surgery.MATERIAL AND METHODS. A randomized trial of 69 patients with a body mass index >35 kg/m INTENSIVE 2 was conducted; patients were divided into two groups depending on the type of anesthesia. In the 1st group (n=34), the operation was performed under combined anesthesia based on low-flow inhalation with desflurane in combination with prolonged epidural analgesia (PEA) with ropivacaine. Maintaining a deep level of myorelaxation under the control of acceleromyography in the post-tetanic counts (PTC) mode was achieved by continuous infusion of rocuronium. In the perioperative period, the infusion patients were in the «beach chair» position, and their research was carried out according to the principles of fast track surgery. In the 2nd group (n=35), the operation was performed under combined anesthesia based on lowflow inhalation with desflurane, neuromuscular blockade was performed by bolus injection of rocuronium under the control of acceleromyography in train of four (TOF) mode. Analgesia was provided by systemic administration of opioids. In both groups, markers of kidney injury were investigated, intra-abdominal pressure was monitored, the effectiveness of recovery after surgery and the quality of postoperative analgesia were assessed.RESULTS. A significantly lower level диурез of intra-abdominal pressure (IAP), связь higher compliance evaluation of the anterior crit abdominal внутрибрюшной wall, and a significantly стаканов lower level управляемой of markers of renal study injury in the отмечено postoperative period bariatric were revealed raga in the first дозе group compared to the second group during темпу the perioperative study period. keulenaerСONCLUSION. The effectiveness of using the position of deep muscle relaxation in the continuous infusion mode, adequate analgesia in the perioperative period using neuraxial techniques, using the «beach chair» position on the operating table and in the postoperative period, managing patients using fast track surgery for preventing the development of SIAG was identified.The authors declare no conflict of interest.The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.

scholarly journals Evolution of approaches in treatment of acute pain syndrome (review)

2020 ◽  
Vol 4 (39) ◽  
pp. 28-34
Author(s):  
M. S. Vetsheva ◽  
O. L. Podkorytova ◽  
V. O. Churakov ◽  
A. D. Dushkin ◽  
M. P. Golovashchenko
Keyword(s):  
Acute Pain ◽  
Fast Track ◽  
Pain Syndrome ◽  
Perioperative Period ◽  
Point Of View ◽  
The Body ◽  
New Drugs ◽  
Patient Controlled Analgesia ◽  
Fast Track Surgery ◽  
Independent Direction

In recent years, the treatment of acute pain syndrome has been considered as an independent direction in anesthesiology and intensive care. New schemes of postoperative analgesia and new drugs developed by pharmacologists are actively being introduced. One of the newer regimens for pain relief is patient-controlled analgesia (CPA) or on-demand analgesia. The development of the concept of fast track surgery, one of the most widely discussed areas for the development of innovative technologies in modern surgery, from the point of view of the anesthesiologist of the resuscitation specialist, minimizes the stress response of the body to surgical aggression at all stages of the perioperative period. Increasingly, the method of preemptive analgesia is used more widely, based on the use of analgesics before the start of the operation, which helps to prevent the occurrence of peripheral and central sensitization.

scholarly journals Perioperative nutrition as an important aspect implementing Fast Track surgery principles

2019 ◽  
Vol 51 (2) ◽  
pp. 21-27
Author(s):  
O.Yu. Ioffe ◽  
O.P. Stetsenko ◽  
T.V. Tarasiuk ◽  
M.S. Kryvopustov
Keyword(s):  
Stress Response ◽  
Fast Track ◽  
Surgical Intervention ◽  
Postoperative Recovery ◽  
Oral Feeding ◽  
Main Task ◽  
Fast Track Surgery ◽  
Surgical Interventions ◽  
Early Oral Feeding ◽  
General Weakness

ABSTRACT. Relevance. Fast Track surgery concept provides for a significant reduction of patient’s stress response to surgical intervention. The main task is a quick rehabilitation, quick return to a normal quality of life and significant reduction for an in-patient stay, thereby reducing medical costs. Objective: To assess the efficacy of the lack of pre- and postoperative fasting in accelerating postoperative recovery of patients and the reduction of patient’s stress response to operative injury. Materials and methods. We performed 564 surgical interventions under Fast Track approach. In particular, we used adapted, high-caloric sipping (drinking as small sips through a straw) feed manufactured at a medical enterprise and does not include dietary fibre — Nutricomp Drink Plus (BBraun). Results. Early oral feeding within the first hours after surgery accelerates recovery of productive intestinal motility. In 73.5 % of patients, the passage of flatus (spontaneous) is reported to the end of the first postoperative day that is about 8-fold higher than in patients who were not on such diet. General weakness, hunger and thirst reduced 2.5, 3 and 2.5-fold, respectively, in patients on Fast Track approach compared with the conventional perioperative management. Conclusion. The lack of pre- and postoperative fasting is one of the cornerstones of this program that proved the efficacy in terms of reduced stress response to surgical injury. Key Words: Fast Track approach, surgical intervention, pre- and postoperative nutrition.

Enhanced Postoperative Recovery - Fast - Track Surgery

2012 ◽  
Vol 3 (4) ◽  
pp. 464-465
Author(s):  
Diana Lobo ◽  
◽  
* V.B Dhaded * V.B Dhaded
Keyword(s):  
Fast Track ◽  
Postoperative Recovery ◽  
Fast Track Surgery
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