Preview

Bashkortostan Medical Journal

Advanced search

FAST TRACK SURGERY IN A UROLOGICAL DEPARTMENT: DIFFICULTIES AND PROSPECTIVES

Abstract

In recent years there has been a significant change of preand postoperative tactics, associated with new approaches to pain management, introduction of methods that reduce stress response, and the use of minimally invasive surgical procedures. As a result of search for an effective treatment of surgical patients with minimal risk we came up with a new concept - fast track surgery (acceleration of various stages of treatment process) or ERAS (early rehabilitation after surgery). Fast track surgery combined with minimally invasive technology is actively used in I.M. Sechenov First MSMU clinic of urology. The studies have shown that the use of fast track protocol leads to statically significant reduction of hospital time and postoperative complications compared to the traditional preand postoperative tactics.

About the Authors

P. V. Glybochko
ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России
Russian Federation


E. A. Bezrukov
ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России
Russian Federation


T. M. Alekseeva
ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России
Russian Federation


I. V. Lapkina
ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России
Russian Federation


E. V. Goryacheva
ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России
Russian Federation


A. O. Prostomolotov
ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России
Russian Federation


References

1. Shuldham C. A review of the impact of pre-operative education on recovery from surgery // Int. J. Nurs. Stud. - 1999. - Vol. 36. - P. 171-177

2. Halaszynski, T. Optimizing postoperative outcomes with efcient preoperative assessment and management / T. Halaszynski, R. Juda, D. Silverman // Crit. Care Med. - 2004. - Vol. 32. - P. 76-86

3. Blay N. The effect of pre-admission education on domiciliary recovery following laparoscopic cholecystectomy / N. Blay, J. Donoghue // Aust. J. Adv. Nurs. - 2005. - Vol. 22, № 4. - P. 14-19

4. Mechanical bowel preparation for elective colorectal surgery: outcome of a multicentre randomised study / C. Contant [et al.] // Lancet. - 2007. - Vol. 370. - P. 2112-2117

5. Multicentre randomized clinical trial of mechanical bowel preparation in elective colonic resection / B. Jung [et al.] // Br. J. Surg. - 2007. - Vol. 94. - P. 689-695

6. The impact of mechanical bowel preparation on postoperative complications for patients undergoing cystectomy and urinary diversion / M. Large [et al.] // J. Urol. - 2012. - Vol. 188. - P. 1801-1805

7. Reliability of frozen section examination of obturator lymph nodes and impact on lymph node dissection borders during radical cystectomy: results of a prospective multicentre study by the Turkish Society of Urooncology / G. Aslan [et al.] // Urol. Oncol. - 2013. - Vol. 31. - P. 664-670

8. Preoperative oral fluids: is a five-hour fast justified prior to elective surgery? / J. Maltby [et al.] // Anesth. Analg. - 1986. - Vol. 65. - P. 1112-1116

9. Hill, J. Reducing the risk of venous thromboembolism in patients admitted to hospital: summary of the NICE guideline / J. Hill, T. Treasure // Heart. - 2010. - Vol. 96. - P. 879-882

10. Routine drain placement after partial nephrectomy is not always necessary / G. Godoy [et al.] // J. Urol. - 2011. - Vol. 186. - P. 411-415. 11. Abaza R., Prall D. // J. Urol. - 2013. - Vol. 189. - P. 823-827

11. Total prostatectomy and lymph node dissection may be done safely without pelvic drainage: an extended experience of over 600 cases / N. Sachedina [et al.] //Can. J. Urol. - 2009. - Vol. 13. - P. 4721-4725

12. Extended pelvic lymphadenectomy and various radical prostatectomy techniques: is pelvic drainage necessary? / H. Danuser [et al.] // BJU Int. - 2013. - Vol. 111. - P. 963-969

13. Ozdemir, A. Is placement of pelvic drain indispensable after radical cystectomy, extended lymph node dissection, and orthotopic neobladder substitution? / A. Ozdemir, S. Altinova // Turk. J. Med. Sci. - 2013. - Vol. 43. - P. 263-267

14. Evidence basis for regional anesthesia in multidisciplinary fast-track surgical care pathways / F. Carli [et al.] // Reg. Anesth. Pain. Med. - 2011. - Vol. 36. - P. 63-72

15. Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations / U. Gustafsson [et al.] // World J. Surg. - 2013. - Vol. 37. - P. 259-284

16. Chandrakantan, A. Multimodal therapies for postoperative nausea and vomiting, and pain / A. Chandrakantan, P. Glass // Br. J. Anaesth. - 2011. - Vol. 107 (Suppl.). - P. 27-40

17. Results of a clinical care pathway for radical prostatectomy patients in an open hospital-multiphysician system / E. Gheiler [et al.] //Eur. Urol. - 1999. - Vol. 35, №3. - P. 210-216

18. Kehlet H. Evidence-based surgical care and the evolution of fast-track surgery // Recent Results Cancer Res. - 2009. - Vol. 165. - P. 8-13


Review

For citations:


Glybochko P.V., Bezrukov E.A., Alekseeva T.M., Lapkina I.V., Goryacheva E.V., Prostomolotov A.O. FAST TRACK SURGERY IN A UROLOGICAL DEPARTMENT: DIFFICULTIES AND PROSPECTIVES. Bashkortostan Medical Journal. 2017;12(3):118-125. (In Russ.)

Views: 65


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1999-6209 (Print)