Ces Urol 2013, 17(4):221-226 | DOI: 10.48095/cccu2013033

A method of accelerated rehabilitation in perioperative care of urological procedures

David Mika1,2, Ondřej Havránek1,2, David Němec1, Radek Sýkora1,2, Jan Krhut1,2
1 Urologické oddělení FN, Ostrava-Poruba
2 Katedra chirurgických oborů LF Ostravské univerzity, Ostrava

The fast track postoperative protocol, also referred to as the method of accelerated rehabilitation, or ERAS (enhanced recovery after surgery), includes complex, modern procedures aimed at diminishing the frequency of postoperative complications, reducing the length of hospital stay and enhancing a patients comfort. It is characterized by a multidisciplinary approach which involves a urologist, anesthesiologist, nurse, physiotherapist and sometimes also nutrition specialist. Although, there is clear evidence that this method is beneficial, the majority of urology departments have not adopted this approach yet.

Keywords: fast track, intestinal obstruction, perioperative nutrition, radical cystectomy

Received: July 23, 2013; Accepted: September 25, 2013; Published: September 1, 2013 

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References

  1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 1997; 78: 606-617. Go to original source... Go to PubMed...
  2. Arumainayagam N, McGrath J, Jefferson KP, et al. Introduction of an enhanced recovery protocol for radical cystectomy. BJU Int 2008; 101: 698-701. Go to original source... Go to PubMed...
  3. Koupparis A, Dunn J, Gillatt D, et al. Improvement of an enhanced recovery protocol for radical cystecomy. British Journal of Medical and Surgical Urology 2010; 3: 237-240. Go to original source...
  4. Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: Time to change practice? Can Urol Assoc J 2011; 5(5): 342-348. Go to original source... Go to PubMed...
  5. Shabsigh A, Korets R, Vora KC, et al. Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology. Eur Urol 2009; 55: 164-174. 6. Novotny V, Hakenberg OW, Wiessner D, et al. Perioperative complications of radical cystectomy in a contemporary series. Eur Urol 2007; 51: 397-401. Go to original source... Go to PubMed...
  6. Patel MI, Yao J, Hirschhorn AD, Mungovan SF. Preoperative pelvic floor physiotherapy improves continence after radical retropubic prostatectomy. Int J Urol 2013; Feb 21. doi: 10.1111/iju.12099. Go to original source... Go to PubMed...
  7. Desborough JP. The stress response to trauma and surgery. Br J Anaesth 2000; 85(1): 109-117. Go to original source... Go to PubMed...
  8. Weimann A, Braga M, Harsanyi L, et al. ESPEN Guidelines on Enteral Nutrition: Surgery including organ transplantation;Clin Nutr. 2006; 25(2): 180-244. Go to original source... Go to PubMed...
  9. Van den BG, Wouters P, Weekers F, et al. Intensive insulin therapy in the critically ill patients. N Engl J Med 2001; 345(19): 1359-1367. Go to original source... Go to PubMed...
  10. Greisen J, Juhl CB, Grofte T, et al. Acute pain induces insulin resistance in humans. Anesthesiology 2001; 95(3): 578-584. Go to original source... Go to PubMed...
  11. Uchida I, Asoh T, Shirasaka C, Tsuji H. Effect of epidural analgesia on postoperative insulin resistance as evaluated by insulin clamp technique. Br J Surg 1988; 75(6): 557-562. Go to original source... Go to PubMed...
  12. Ljungqvist O, Nygren J, Thorell A. Modulation of postoperative insulin resistance by pre-operative carbohydrate loading. Proc Nutr Soc 2002; 61(3): 329-336. Go to original source... Go to PubMed...
  13. Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev 2003(4): CD004423. Go to original source...
  14. Herranz Amo F, García Peris P, Jara Rascón, J et al. Usefulness of total parenteral nutrition in radical surgery for bladder cancer. Actas Urol Esp 199; 15(5): 429-436. Go to PubMed...
  15. Gregg JR, Cookson MS, Phillips S, et al. Effect of preoperative nutritional deficiency on mortality after radical cystectomy for bladder cancer. J Urol. 2011; 185(1): 90-96. Go to original source... Go to PubMed...
  16. Šerclová Z. Fast track ve střevní chirurgii, aktuální přehled. Rozhl. Chir. 2009; 88(9): 527-535.
  17. Slim K, Vicaut E, Launay-Savary M, Contant C, Chipponi J. Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation before colorectal surgery. Ann Surg 2009; 249(2): 203-209. Go to original source... Go to PubMed...
  18. Gravante G, Caruso R, Andreani S, Giordano P. Mechanical bowel preparation for colorectal surgery: a meta-analysis on abdominal and systemic complications on almost 5,000 patients. Int J Colorectal Dis 2008; 23(12): 1145-1150. Go to original source... Go to PubMed...
  19. Pruthi RS, Nielsen M, Smith A, et al. Fast track program in patients undergoing radical cystectomy: results in 362 consecutive patients. J Am Coll Surg 2010; 210(1): 93-99. Go to original source... Go to PubMed...
  20. Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus "nil by mouth" after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ 2001; 323: 773-776. Go to original source... Go to PubMed...
  21. Correia MI, da Silva RG. The impact of early nutrition on metabolic response and postoperative ileus. Curr Opin Clin Nutr Metab Care 2004; 7: 577-583. Go to original source... Go to PubMed...
  22. Bozzetti F, Braga M, Gianotti L, Gavazzi C, Mariani L. Postoperative enteral versus parenteral nutrition in malnourished patients with gastrointestinal cancer: a randomised multicentre trial. Lancet 2001; 358(9292): 1487-1492. Go to original source... Go to PubMed...
  23. Resnick J, Greenwald DA, Brandt LJ. Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part II. Am J Gastroenterol 1997; 92: 934-940.
  24. Luckey A, Livingston E, Taché Y. Review Mechanisms and treatment of postoperative ileus. Arch Surg 2003; 138(2): 206-214. Go to original source... Go to PubMed...
  25. Lassen K, Soop M, Nygren J, et al. Review Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. GroupArch Surg. 2009; 144(10): 961-969. Go to original source... Go to PubMed...
  26. Inman BA, Harel F, Tiguert R, et al. Routine nasogastric tubes are not required following cystectomy with urinary diversion: a comparative analysis of 430 patients. J Urol 2003; 170: 1888-1891. Go to original source... Go to PubMed...
  27. Quah HM, Samad A, Neathey AJ, et al. Does gum chewing reduce postoperative ileus following open colectomy for left-sided colon and rectal cancer? A prospective randomized controlled trial. Colorectal Dis 2006; 8: 64-70. Go to original source... Go to PubMed...
  28. Purkayastha S, Tilney HS, Darzi AW, et al. Meta-analysis of randomized studies evaluating chewing gum to enhance postoperative recovery following colectomy. Arch Surg 2008; 143: 788-793. Go to original source... Go to PubMed...
  29. Fitzgerald JE, Ahmed I. Systematic review and meta-analysis of chewing-gum therapy in the reduction of postoperative paralytic ileus following gastrointestinal surgery. World J Surg 2009; 33: 2557-2566. Go to original source... Go to PubMed...

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