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Title of Journal: Int J Colorectal Dis

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Abbravation: International Journal of Colorectal Disease

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Springer-Verlag

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DOI

10.1016/0167-0115(96)87947-x

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1432-1262

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Current perioperative practice in rectal surgery i

Authors: Till Hasenberg Friedrich Längle Bianca Reibenwein Karin Schindler Stefan Post Claudia Spies Wolfgang Schwenk Edward Shang
Publish Date: 2010/02/20
Volume: 25, Issue: 7, Pages: 855-863
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Abstract

‘Fasttrack’ rehabilitation is able to accelerate recovery reduce general morbidity and decrease hospital stay This is widely accepted for colonic resections Despite recent evidence that fast track concepts are safe and feasible in rectal resection there is no information on the acceptance and utilization of these concepts among Austrian and German surgeonsThe response rate was 63 in Austria 76 centers and 30 in Germany 385 centers Mechanical bowel preparation is only abandoned by 2 of the Germany and 7 of the Austrian surgeons Nasogastric decompression tubes are rarely used four of five of the questioned surgeons in both countries use intraabdominal drains Half of the surgical centers allow the intake of clear fluids on the day of surgery Mobilization starts in half of the centers on the day of surgery Epidural analgesia is used in threefourths of the institutions Institutions which have implemented fast track rehabilitation for rectal resections discharge the patients earlier then hospitals that adhere to traditional careIn many perioperative procedures Austrian and German Surgeons rely on their traditional approaches Recent evidencebased adaptations of perioperative routines in rectal resections are only slowly introduced into daily routine therefore further efforts have to be done to optimizing patients’ care

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