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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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Current perioperative practice in rectal surgery in Austria and Germany

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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‘Fast-track’ 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 surgeons.The 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 intra-abdominal 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 three-fourths of the institutions. Institutions which have implemented fast track rehabilitation for rectal resections discharge the patients earlier then hospitals that adhere to traditional care.In many perioperative procedures, Austrian and German Surgeons rely on their traditional approaches. Recent evidence-based 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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Other Papers In This Journal:

  1. Current perioperative practice in rectal surgery in Austria and Germany
  2. Shortcomings in colonic stenting to palliate large bowel obstruction from extracolonic malignancies
  3. Inflammatory bowel disease-associated colorectal cancer: proctocolectomy and mucosectomy do not necessarily eliminate pouch-related cancer incidences
  4. A high lymph node yield in colon cancer is associated with age
  5. Dietary restrictions for acute diverticulitis: evidence-based or expert opinion?
  6. Long-term results of botulinum toxin for the treatment of chronic anal fissure: prospective clinical and manometric study
  7. Impact of preoperative targeted therapy on postoperative complications after resection of colorectal liver metastases
  8. A systematic review and meta-analysis of adjuvant chemotherapy after neoadjuvant treatment and surgery for rectal cancer
  9. Impact of fat obesity on laparoscopic total mesorectal excision: more reliable indicator than body mass index
  10. Occurrence of adenomas in the pouch and small intestine of FAP patients after proctocolectomy with ileoanal pouch construction
  11. Clinical and instrumental parameters in patients with constipation and incontinence: their potential implications in the functional aspects of these disorders
  12. Risk of advanced metachronous colorectal adenoma during long-term follow-up
  13. Overall survival after resection for colon cancer in a national cohort study was adversely affected by TNM stage
  14. A observational study of the efficacy and safety of capecitabine versus bolus infusional 5-fluorouracil in pre-operative chemoradiotherapy for locally advanced rectal cancer
  15. Long-term results of laparoscopy-assisted radical right hemicolectomy with D3 lymphadenectomy: clinical analysis with 177 cases
  16. Permanent sacral nerve modulation for fecal incontinence and associated urinary disturbances

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