Protocols for accelerated postoperative recovery in patients with deep infiltrating colorectal endometriosis
The data available in the literature on the clinical and economic effectiveness of accelerated recovery protocols that can be used in the perioperative management of patients with deep infiltrating endometriosis (DIE) are analyzed. The paper presents the pathophysiological principles underlying the concept of accelerated postoperative recovery. It describes the main stages, methods and features of preoperative preparation and inpatient management of surgical patients within the concept. The clinical introduction of accelerated postoperative recovery protocols can serve as a reserve for reducing drug load, discomfort in patients, length of hospital stay, and economic expenditures, without lowering the efficiency of surgical treatment in patients with DIE.Lisovskaya E.V., Khilkevich E.G., Chuprynin V.D., Melnikov M.V., Filippovich G.V.
Keywords
accelerated recovery protocols
deep infiltrating endometriosis
surgical treatment of endometriosis
Fast-Track surgery
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Received 06.04.2018
Accepted 20.04.2018
About the Authors
Lisovskaya, Ekaterina V., postgraduate student of the Surgery Department, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: 8(495)438–78–33. E–mail: e_lisovskaya@oparina4.ruKhilkevich, Elena G., MD, obstetrician–gynecologist of the Surgery Department, National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387783. E–mail: e_khilkevich@oparina4.ru.
ORCID ID: 0000–0001–8826–8439
Chuprynin, Vladimir D., PhD, Head of the Surgery Department, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician
V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954383575. E–mail: v_chuprynin@oparina4.ru
Melnikov, Mikhail V., Candidate of Medical Sciences, Head in Clinical Work, Department of Surgery, Research Center of Obstetrics, Gynecology, and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: 8 (495) 438–78–33. E–mail: m_melnikov@oparina4.ru
Filippovich, Gennadiy V., anesthesiologist–resuscitator, Department of the Anesthesiology and Resuscitation, National Medical Research Center of Obstetrics,
Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. Tel.: 8 (495) 438–78–33.
E–mail: g_filippovitch@oparina4.ru
For citations: Lisovskaya E.V., Khilkevich E.G., Chuprynin V.D., Melnikov M.V., Filippovich G.V. Protocols for accelerated postoperative recovery in patients with deep infiltrating colorectal endometriosis. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (1): 34-41. (in Russian)
https://dx.doi.org/10.18565/aig.2019.1.34-41
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