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OUR EXPERIENCE OF ENHANCED RECOVERY AFTER SURGERY PROGRAM USAGE IN DIFFERENT UROLOGIC INTERVENTIONS

Abstract

The Enhanced Recovery After Surgery (ERAS) program can reduce pain, stress, the number of additional interventions in patients after a surgery. The use of ERAS in oncourology does not increase the number of complications and leads to earlier recovery of patients and discharge from hospital. The aim of the study was to determine the possibilities of ERAS protocol in private medical practice.ERAS elements were used with 12 patients: 6 - with kidney cancer, 6 - with urolithiasis. All the patients were divided into 2 groups: gr1. - laparoscopic procedures were used, gr2. - endoscopic intervention was used. Before surgery all the patients were consulted about actions during fast track program and rehabilitation period.Intraoperative complications included: in gr1 bleeding about 1000 ml, in gr2.- urethral mucosal prolapse occurred, requiring correction and necrotized tissue erasion. There were no complications during follow-up.Thus, the use of ERAS allows to reduce the time of hospitalization.

About the Authors

M. M. Kutluev
Клинический госпиталь «Мать и Дитя»
Russian Federation


R. I. Safiullin
Клинический госпиталь «Мать и Дитя»; ФГОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


References

1. Impact of an enhanced recovery after surgery programme in radical cystectomy. A cohort-comparative study / R. Casans-Francés [et al.] // Rev. Esp. Anestesiol. Reanim. - 2017. - Vol. 14. - Р. 34-56

2. A prospective clinical study for multimodal „fasttrack” rehabilitation in elective pancreatic cancer surgery/ M.W. Wichmann [et al.] // Rozhl. Chir. - 2006. - Vol. 85(4). - P. 169-175

3. Cost minimization analysis of laparoscopic surgery for colorectal cancer within the enhanced recovery after surgery (ERAS) protocol: a single-centre, case-matched study/ M. Pędziwiatr [et al.] // Wideochir. Inne. Tech.Maloinwazyjne. - 2016. - Vol. 11(1). - P. 14-21

4. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry/ ERAS Compliance Group //Ann. Surg. - 2015. - Vol. 261(6). - P. 1153-1159

5. Программа раннего восстановления при радикальном хирургическом лечении больных раком предстательной железы: опыт специализированного стационара/ А.К. Носов [и др.] // Онкоурология. - 2016. - № 4. - C.60-70

6. Dindo D. Classification of surgical complications a new proposal with evaluation in a cohort of 6336 patients and results of a survey/ D. Dindo, N. Demartines, P-A. Clavien //Ann. Surg. - 2004. - Vol. 240 (2). - P. 205-213

7. Программа ускоренного выздоровления: роль хирурга и анестезиолога-реаниматолога - автономность или командный подход?/ И.Н. Пасечник [и др.] // Доктор.Ру. - 2016. - № 12. - C. 54-59

8. Современные подходы к ускоренному восстановлению после хирургических вмешательств / Пасечник И. Н. [и др.]// Доктор.Ру. - 2015. - № 15-16 (117). - C. 10-17

9. Lewis S.J. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and metaanalysis/ S.J. Lewis, H.K. Andersen, S. Thomas //J. Gastrointest. Surg. - 2009. - Vol. 13(3). - P.569-575


Review

For citations:


Kutluev M.M., Safiullin R.I. OUR EXPERIENCE OF ENHANCED RECOVERY AFTER SURGERY PROGRAM USAGE IN DIFFERENT UROLOGIC INTERVENTIONS. Bashkortostan Medical Journal. 2017;12(3):41-44. (In Russ.)

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ISSN 1999-6209 (Print)