Fast-track Packages in Colorectal Surgery PDF Download
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Author: Catherine Jane Walter
Publisher:
ISBN:
Category :
Languages : en
Pages : 252
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Book Description
During the last decade Fast-track or Enhanced Recovery packages have shown rapid evolution and widespread introduction to colorectal units throughout Europe and the United States of America. The 'fast-track' approach prescribes a 'multi-modal' and 'multi-disciplinary' package of care to guide the pre-operative, peri-operative and post-operative management of surgical patients. By using these care protocols fast-track surgery aims to optimise patient's post-operative recovery through reducing the physiological stress response evoked by surgery and enabling quicker physiological recovery thus allowing early return to normal function and discharge. Furthermore, it is believed that psychological and physical benefits arise through the application of fast-track packages which also act to promote patients' recovery. A detailed review examining the evidence for each individual element of the fast-track packages was undertaken. It demonstrated the range in availability and quality of evidence available to guide application of modern clinical management. Currently fast-track enthusiasts still rely on data from observational studies and controlled clinical trials to justify their use of this approach, as a few, small, single-centred and low-numbered randomised controlled trials exist in this field.
Author: Catherine Jane Walter
Publisher:
ISBN:
Category :
Languages : en
Pages : 252
Get Book Here
Book Description
During the last decade Fast-track or Enhanced Recovery packages have shown rapid evolution and widespread introduction to colorectal units throughout Europe and the United States of America. The 'fast-track' approach prescribes a 'multi-modal' and 'multi-disciplinary' package of care to guide the pre-operative, peri-operative and post-operative management of surgical patients. By using these care protocols fast-track surgery aims to optimise patient's post-operative recovery through reducing the physiological stress response evoked by surgery and enabling quicker physiological recovery thus allowing early return to normal function and discharge. Furthermore, it is believed that psychological and physical benefits arise through the application of fast-track packages which also act to promote patients' recovery. A detailed review examining the evidence for each individual element of the fast-track packages was undertaken. It demonstrated the range in availability and quality of evidence available to guide application of modern clinical management. Currently fast-track enthusiasts still rely on data from observational studies and controlled clinical trials to justify their use of this approach, as a few, small, single-centred and low-numbered randomised controlled trials exist in this field.
Author: Nader Francis
Publisher: Springer Science & Business Media
ISBN: 0857299530
Category : Medical
Languages : en
Pages : 187
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Book Description
Manual of Fast Track Recovery for Colorectal Surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient’s condition, patient education and conditioning of their expectations. Manual of Fast Track Recovery for Colorectal Surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge. Manual of Fast Track Recovery for Colorectal Surgery is a valuable reference tool for colorectal surgeons, anaesthetists, ward nurses and other members of the team involved in perioperative care: pain control specialists, physiotherapists, dietitians, specialist therapists (such as colorectal and stoma nurses), and outpatient nurses.
Author: Nader Francis
Publisher: Springer Science & Business Media
ISBN: 0857299522
Category : Medical
Languages : en
Pages : 187
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Book Description
Manual of Fast Track Recovery for Colorectal Surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient’s condition, patient education and conditioning of their expectations. Manual of Fast Track Recovery for Colorectal Surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge. Manual of Fast Track Recovery for Colorectal Surgery is a valuable reference tool for colorectal surgeons, anaesthetists, ward nurses and other members of the team involved in perioperative care: pain control specialists, physiotherapists, dietitians, specialist therapists (such as colorectal and stoma nurses), and outpatient nurses.
Author: Yik- Hong Ho
Publisher: BoD – Books on Demand
ISBN: 9535102575
Category : Medical
Languages : en
Pages : 136
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Book Description
In recent years, significant progress in colorectal surgery has been made which includes laparoscopic techniques, pre-operative management, emergency colorectal surgery, fast track multimodal recovery, management of complex wound problems and colorectal cancer follow-up. "Contemporary Issues in Colorectal Surgical Practice" aims to bridge the gap between the journal article and the traditional textbook in these areas.
Author: Scott R. Steele
Publisher: Elsevier Health Sciences
ISBN: 1455773603
Category : Medical
Languages : en
Pages : 513
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Book Description
This issue will explore the complications, considerations and consequences of colorectal surgery. Topics will include evaluating colorectal surgery patients to estimate and minimize morbidity and mortality, fast-track pathways, intra-operative adjuncts, colorectal anastomotic complications, proctectomy, stomas, Crohn’s disease, rectal prolapse, pelvic surgery, laparoscopy, enterocutaneous fistula, and more.
Author: Miguel A. Cuesta
Publisher: Springer Science & Business Media
ISBN: 144714354X
Category : Medical
Languages : en
Pages : 334
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Book Description
Any surgical intervention, elective or acute, may lead to postoperative complications. Moreover, the pertaining approach - laparoscopic or open - will probably not differ in the morbidity rate after surgery. Complications that occur after a surgical intervention can be classified as major or minor. Major complications to the digestive tract after surgery imply in most of cases a leakage of an anastomosis, bleeding in the abdominal cavity or in the tract, the appearance of intraperitoneal abscesses, or surgical site infections and wound dehiscence. These complications, depending on the organ affected, upper GI, HPB tract or colorectal, are associated with high morbidity and mortality. Early suspicion and diagnosis, followed by an early and effective treatment is imperative in order to reduce the morbidity and mortality. Adequate treatment will involve a good coordination of the three disciplines involved in treatment: the surgeon, the intervention radiologist, and the gastroenterologist. Approach of these postoperative complications is changing constantly and these changes are not properly known by general and more specialized digestive surgeons daily involved in the treatment of these diseases. The proposal for this book is to offer a systematic description of the most frequent complications occurring in the three above mentioned parts of the digestive tract. In this way, the reader will have access to a practical book in which every current complication can be easily recognized, along with relevant information as guide for an adequate treatment.
Author: Conor P. Delaney
Publisher: Lippincott Williams & Wilkins
ISBN: 1451142781
Category : Medical
Languages : en
Pages : 248
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Book Description
Laparoscopic surgery has been established as a safe, effective approach in the management of colorectal disease. Compared with open surgery, laparoscopy is associated with decreased postoperative analgesia requirements, faster return of bowel function and resumption of oral intake, shorter hospital stay, and better cosmetic repair. Now in its second edition, this book gives surgeons the learning tools they need to understand and successfully incorporate laparoscopic colorectal surgery into their practice.
Author: Sanjiv Haribhakti
Publisher: CRC Press
ISBN: 1000201880
Category : Medical
Languages : en
Pages : 245
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Book Description
This comprehensive book provides the reader a perspective of the current evidence-based management of Laparoscopic Colorectal Surgery. It covers sections on benign surgery for IBD, diverticulitis, rectal prolapse etc. along with the procedures for colon and rectal cancers, including laparoscopic TME. The accompanying videos complement the text imparting specific operative skills of exposure, retraction, countertraction, dissection, vascular control, hemostasis, laparoscopic Stapling, anastomosis, specimen extraction and stoma formation. This book aims to help surgeons to learn, standardize, practice and master the complex skills of Laparoscopic colorectal surgery. Key Features Provides step by step solution to the difficulties encountered by the beginners by covering a section on bugbears. Caters to General, GI, Oncology and Colorectal surgeons who have the adequate basic laparoscopic skills and have already been doing some advanced laparoscopic surgery in form of laparoscopic Upper GI and bowel surgery and would want to start laparoscopic colorectal surgery. Covers a section on Robotic and single incision laparoscopic surgery providing the contemporary knowledge in this emerging field, whereas a section on trans-anal surgery provides a futuristic dimension to this field.
Author: Gregory Kouraklis
Publisher: Springer Nature
ISBN: 3030567281
Category : Medical
Languages : en
Pages : 170
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Book Description
This book is the structured, comprehensive work of experienced surgeons and constitutes the condensed and succinct epitome of knowledge and guidance for those interested in Laparoscopic Colon Surgery (LCS), focusing only on colon laparoscopy. The milestones in LCS are presented offering valuable background information about the evolution of LCS throughout the years and presenting how it still has a limited application, no matter the need for minimal invasive, fast-track, surgical procedures that can offer better quality to patients and less cost for any healthcare system. The book aims to highlight the preferred diagnostic procedures, the right methods for the efficient and rational selection of patients, the choice of the best surgical techniques and treatments, and the best management of post-operative complications for an early discharge. It provides adequate information to the surgeons or the surgical residents interested in LCS about how to select, what to avoid, what instruments to use, what techniques to follow, how the evaluation of patient’s anatomy can lead to better surgical planning, and the add-on of robotic colon surgery in the quality of patients’ life. Moreover, the book provides information about the most efficient anaesthesia adequate for LCS; information that most books of its kind do not include. Finally, the book provides excellent information about the best education and practices to be followed in LCS; something of special importance after considering the level of difficulty associated with LCS and the high conversion rate compared to other laparoscopic procedures. Although the primary focus of this book are surgeons (LCS, GI, General) and surgical residents, the content still can offer valuable information to these healthcare leaders who are interested in understanding the milestones and benefits of the right model of education, and the best practices related to LCS.
Author: Sheila Ryan Barnett
Publisher: Cambridge University Press
ISBN: 1108515789
Category : Medical
Languages : en
Pages : 283
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Book Description
Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.
