- Fast track: surgical protocols of accelerated rehabilitation in gynecology
Fast track: surgical protocols of accelerated rehabilitation in gynecology
HEALTH OF WOMAN. 2016.8(114):20–24
Fast track: surgical protocols of accelerated rehabilitation in gynecology
Puchkov K. V., Korennaya V. V., Podzolkova N. M.
SBEI HPE Ryazan state medical University named after academician I. P. Pavlov Ministry of health of Russia
Swiss University clinic, Moscow, Russia
Center of clinical and experimental surgery, Moscow, Russia
SBEI SPE Russian medical Academy of postgraduate education of RMH, Moscow
Publishing: Ginekologiya. 2015; 17 (3): 40–45.
Fast track (FT) surgery – a comprehensive treatment program, including training in the preoperative phase, the use of minimally invasive techniques of surgical intervention and active management of the postoperative period, in order to reduce the timing of hospital treatment, the time rehabilitation and patients as quickly as possible to return to normal life. For the first time the principles of FT programs were formulated in the late twentieth century. Henrik Kehlet and initially introduced in cardiac surgery, сoloproctology and oncology, but gradually began to gain recognition in other surgical areas. Own experience of FT-protocols in gynecologic patients has shown that they can improve during the early postoperative period, no adverse effects on long-term outcomes and readmission rates, can significantly reduce the time of recovery after the operation and increase the satisfaction of patients of the treatment.
Key words: fast track surgerу, postoperative care.
REFERENCES
1. Kehlet H. 1997. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78:606–17. https://doi.org/10.1093/bja/78.5.606; PMid:9175983
2. Lassen K, Soop M, Nygren J et al. 2009. Consensus review of optimal perioperative care in colorectal surgery: enhanced Recovery after Surgery (ERAS) Group recommendations. Archives of Surgery 144 (10):961–9. https://doi.org/10.1001/archsurg.2009.170; PMid:19841366
3. Varadhan K, Neal K, Dejong CHC et al. 2010. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomised controlled trials. Clinical Nutrition 29(4):434–40. https://doi.org/10.1016/j.clnu.2010.01.004; PMid:20116145
4. Carter J, Philp S, Arora A. 2010. Fast track gynaecologic surgery in the overweight and obese patient. Int J Clin Med 1(2):64–9. https://doi.org/10.4236/ijcm.2010.12011
5. Carter J, Philp S, Arora V. 2010. Poster presentation. Extended experience with an enhanced surgical recovery program. Proceedings of the 13th Biennial Meeting of the International Gynecologic Cancer Society. Czech Republic European Union, Prague.
6. Carter J, Philp S, Arora V. 2010, March. Discharge on postop day 2 after major gynaecological surgery. Is it possible? Oral Presentation 25th Annual Scientific Meeting Australian Society of Gynaecological Oncologists. Bunker Bay, Western Australia.
7. Carter J, Szabo R, Sim WW et al. 2010. Fast track surgery in gynaecological oncology. A clinical audit. Australian and New Zealand Journal of Obstetrics and Gynaecology 50(2):159–63. https://doi.org/10.1111/j.1479-828X.2009.01134.x; PMid:20522073
8. Carter J, Philp S. 2011. Assessing outcomes after fast track surgical management of corpus cancer. Open Journal of Obstetrics and Gynecology 1(3):139–43. https://doi.org/10.4236/ojog.2011.13026
9. Carter J, Philp S. 2011. Development and Extended Experience with a Fast Track Surgery Program. Queenstown, New Zealand: Australian Society of Gynaecological Oncologists Annual Scientifc Meeting Millbrook Resort.
10. Carter J, Philp S, Arora V. 2011. Early discharge after major gynaecological surgery: advantages of fast track surgery. Open Journal of Obstetrics and Gynecology 1(1):1–5. https://doi.org/10.4236/ojog.2011.11001
11. Selye H. 1946. General adaptation syndrome and the diseases of adaptation. J Clin Endocrinol 6:117–230. https://doi.org/10.1210/jcem-6-2-117; PMid:21025115
12. Guenaga KK, Matos D, Wille-Jшrgensen P. 2009. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database of Systematic Reviews 1:CD001544. https://doi.org/10.1002/14651858.cd001544.pub3
13. Delaney CP. 2009. Clinical perspective on postoperative ileus and the effect of opiates. Neurogastroenterol Motil 16:61–6. https://doi.org/10.1111/j.1743-3150.2004.00559.x; PMid:15357853
14. Dierking G, Duedahl TH, Rasmussen ML et al. 2004. Effects of gabapentin on postoperative morphine consumption and pain after abdominal hysterectomy: a randomized, double-blind trial. Acta Anaesthesiologica Scandinavica 48(3):322–7. https://doi.org/10.1111/j.0001-5172.2004.0329.x; PMid:14982565
15. Turan A, Karamanlioрlu B, Memis D et al. 2004. The analgesic effects of gabapentin after total abdominal hysterectomy. Anesthesia and Analgesia 98(5):1370–3. https://doi.org/10.1213/01.ANE.0000108964.70485.B2; PMid:15105217
16. Gilron I, Orr E, Tu D. 2005. A placebo-controlled randomized clinical trial of perioperative administration of gabapentin, rofecoxib and their combination for spontaneous and movement-evoked pain after abdominal hysterectomy. Pain 113:191–200. https://doi.org/10.1016/j.pain.2004.10.008; PMid:15621380
17. Fassoulaki A, Stamatakis E, Petropoulos G et al. 2006. Gabapentin attenuates late but not acute pain after abdominal hysterectomy. Eur J Anaesthesiology 23(2):136–41. https://doi.org/10.1017/S0265021505002048; PMid:16426468
18. Sen H, Sizlan A, Yanarates O et al. 2009. A comparison of gabapentin and ketamine in acute and chronic pain after hysterectomy. Anesthesia and Analgesia 109(5):1645–50. https://doi.org/10.1213/ANE.0b013e3181b65ea0; PMid:19843803
19. Ajori L, Nazari L, Mazloomfard MM, Amiri Z. Effects of gabapentin on postoperative pain, nausea and vomiting after abdominal hysterectomy: a double blind randomized clinical trial. Archives of Gynecology and Obstetrics 2011:1–6.
20. Anesthesiology. 2010, Jan. 112(1):220–5. Doi: 0.1097/ALN.0b013e3181c6316e.
21. Kalff JC, Schraut WH, Simmons RL et al. 1998. Surgical manipulation of the gut elicits an intestinal muscularis inflammatory response resulting in postsurgical ileus. Ann Surg 228:652–3. https://doi.org/10.1097/00000658-199811000-00004; PMid:9833803 PMCid:PMC1191570
22. Abraham NS, Byrne CM, Young JM et al. 2007. Meta-analysis of non-randomized comparative studies of the short-term outcomes of laparoscopic resection for colorectal cancer. Aust NZ J Surg 77:508–16. https://doi.org/10.1111/j.1445-2197.2007.04141.x; PMid:17610681
23. Cheatham ML, Chapman WC, Key SP et al. 1995. A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy. Ann Surg 221:469–76. https://doi.org/10.1097/00000658-199505000-00004; PMid:7748028 PMCid:PMC1234620
24. Lindgren PG, Nordgren SR, Oresland T et al. 2001. Midline or trasverse abdominal incision for right-sided colon cancer – a randomized trial. Colorectal Dis 3:46–50. https://doi.org/10.1111/j.1463-1318.2001.00203.x; https://doi.org/10.1046/j.1463-1318.2001.00203.x; PMid:12791021
25. Moiniche S, Hjorsto N-S, Hansen BL. 2004. The effect of balanced analgesia on early convalescence after major orthopedic surgery. ActaAnesthesiologica Scandinavica 38:328–35. https://doi.org/10.1111/j.1399-6576.1994.tb03902.x
26. Rodgers A, Walker N, Schug S et al. 2009. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 321:1–12.
27. Natsional’nyi standart RF, protokol vedeniia bol’nykh. Profilaktika tromboembolii legochnoi arterii. Utverzhden Prikazom Federal’nogo agentstva po tekhnicheskomu regulirovaniiu i metrologii ot 18 dekabria 2008 g. №570-st GOST R 52600.6–2008, s izmeneniiami, vnesennymi Prikazom Rostekhregulirovaniia ot 31.12.2008 #4196.
28. Holte K, Klarskov B, Christensen DS et al. 2004. Liberal versus restrictive fluid administration to improve recovery after laparoscopic cholecystectomy: a randomized, double-blind study. Ann Surg 240:892–9. https://doi.org/10.1097/01.sla.0000143269.96649.3b; PMid:15492573 PMCid:PMC1356497
29. Nisanevich V, Felsenstein I, Almogy G et al. 2005. Effect of intraoperative fluid management on outcome after intraabdominal surgery. Anesthesiology. 103:25–32. https://doi.org/10.1097/00000542-200507000-00008; PMid:15983453
30. Sessler DI. 1997. Mild perioperative hypothermia. N Engl J Med 336:1730–7. https://doi.org/10.1056/NEJM199706123362407; PMid:9180091
31. Robinson JO. 1986. Surgical drainage: a historical perspective. Br J Surg 73:422–6. https://doi.org/10.1002/bjs.1800730603; PMid:3521783
32. Ramнrez JM, Blasco JA, Roig J et al. 2011. Enhanced recovery in colorectal surgery: a multicentre study. BMC Surgery 11:9. https://doi.org/10.1186/1471-2482-11-9; PMid:21489315 PMCid:PMC3095530
33. Harper CM, Lyles UM. 1998. Physiology and complications after bed rest. J Am Geriatric Society 36:1047–54. https://doi.org/10.1111/j.1532-5415.1988.tb04375.x
