Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

Wilhelm, Wolfram; Vassiliadis, N.; Röhrig, S.; Eberhart, Leopold; Görtz, G.

doi:10.1007/s00101-008-1402-2

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…После операций небольшого объема на органах брюшной полости пикосульфат натрия профилактирует парез и восстанавливает нарушенную эвакуаторную функцию толстой кишки, что позволяет достигнуть более раннего отхождения газов и появления первого стула в послеоперационном периоде и благоприятно сказывается на самочувствии пациента, позволяя раньше выписать его на амбулаторное лечение [27,37].…”

Section: Discussionunclassified

“…Существует несколько исследований, анализирующих лечение послеоперационного пареза приемом пикосульфата натрия и его аналога предыдущего поколения бисакодила, и все они показали положительные результаты, что позволяет использовать их в периоперационном лечении, но из-за низкой доказательной базы требуется проведение дальнейших исследований в этой важной для хирургии теме, поскольку если эти наблюдения будут подтверждены, методика раннего опорожнения толстой кишки приемом стимулирующих слабительных найдет широкое применение в абдоминальной хирургии и других ее разделах [27,37].…”

Section: Discussionunclassified

“…Более ранняя выписка не повлияла ни на частоту осложнений, ни на удовлетворенность пациентов проведенным лечением. Авторы исследования пришли к выводу, что продолжительность пребывания в стационаре после лапароскопического грыжесечения может ПРОКТОЛОГИЯ быть сокращена на один день благодаря относительно простому средству без ущерба удовлетворенности пациентов или изменения частоты осложнений [27].…”

Section: герниологияunclassified

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Sodium picosulfate in the clinical practice of a surgeon

Matveev,

Lipovoy,

Kozlov

et al. 2023

Ambulatornaya khirurgiya

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Picosulfate, a diphenylmethane derivative, belongs to a group of drugs called stimulant laxatives. It is widely used in surgery to treat various colon evacuation disorders due to its effectiveness, safety of use and ease of dosage selection, as well as the option to combine with other laxatives. It is administered much more frequently for colorectal cancer screening, when the colon is prepared using sodium picosulfate combined with other osmotic laxatives, most often polyethylene glycol, which allows to use smaller volumes of solution. According to the literature, this method for cleaning the colon is used most often, which is associated with better adherence of patients to the intake of small volumes of liquid, as shown by our observations. The article highlights the literature data, and the authors also present their own experience – a clinical case report of the treatment of a 30-year-old patient diagnosed with grade I external and internal hemorrhoids. Laser ablation of internal and excision of external hemorrhoids was performed under local anesthesia. Regulax® Picosulfate was included in the therapy in the postoperative period, along with topical and pain relief drugs. As a result, the patient had a comfortable, not very painful bowel movement on the following day after the surgery. The laxative was used to manage stool for a week. In conclusion, the authors draw attention to the fact that increased patient compliance in preparing the colon for examination leads to better cleaning and more informative results during colonoscopy. Therefore, Regulax® Picosulfate combined with other laxatives to prepare a patient for examination, in particular colorectal cancer screening, where it is used most often, applies to a huge number of patients, so the problem of further study of its use is socially significant.

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Section: Discussionunclassified

Section: герниологияunclassified

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Sodium picosulfate in the clinical practice of a surgeon

Matveev,

Lipovoy,

Kozlov

et al. 2023

Ambulatornaya khirurgiya

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“…Accordingly, the postoperative length of stay (including the day of surgery) was significantly reduced from 4.2 ± 0.6 to 3.3 ± 0.6 days. 17 Fixation of the mesh was done by secure strap in TEP 21 cases, nonfixation was done in 28 cases and in TAPP, fixation of the mesh was done in 23 cases, nonfixation was done in 26 cases; no recurrence occurs in fixed mesh. Contrary to our results, Craig Taylor et al found that mesh fixation appears to be unnecessary in TEP repair of small hernial defects.…”

Section: Discussionmentioning

confidence: 99%

Factors Guarantee Competence of Laparoscopic Repair of Inguinal Hernia

Elheny¹,

Mahran²,

Saleh³

2018

World Journal of Laparoscopic Surgery With DVD

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Aim: To evaluate the impact of age, type of hernia, size of the mesh used, and fixation of the mesh on the competence of laparoscopic repair of inguinal hernia. Materials and methods: Randomized controlled clinical study carried out from November 2016 to July 2017 in 98 patients with inguinal hernias admitted to surgery Department of Minia University Hospital. Patients were divided into two groups randomly. Group I includes 49 patients who underwent laparoscopic transabdominal preperitoneal (TAPP) hernioplasty and group II includes 49 patients who underwent laparoscopic totally extra peritoneal (TEP) hernioplasty with and without fixation of the mesh. Results: Operative time in group I ranges between 40 minutes and 110 minutes with mean time of about 66.85 minutes, while in group II ranges between 20 minutes and 105 minutes with mean time of about 52.65 minutes. This difference was statistically significant. Pain was 8.2% in group I and 10.2% in group II. Scrotal edema was 0% in all patients in both groups. Urinary retention was 2% in group I and 4.1% in group II. Seroma was the same (6.1%) in both groups. Recurrence after 6-month follow-up was 2% in both groups. All recurrent cases are nonfixed. Conclusion:There is no difference between TEP and TAPP, but TAPP technique appears to be superior to the TEP repair in patients undergoing unilateral inguinal hernia repair. Clinical significance: The TEP approach can be offered to patients with bilateral and recurrent hernias. TEP procedure was associated with more adverse events during surgery but less postoperative pain, faster recovery of daily activities, quicker return to work, and less impairment of sensibility after 1 year.

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“…Die Zunahme ambulanter Operationen und der Anspruch der Patienten auf eine schnelle sowie komplikationslose post operative Erholung physischer und psy chischer Funktionen erfordern Anäs thesietechniken, die eine zügige Wieder herstellung der Vigilanz ermöglichen [4,12]. Neben der Vermeidung postoperati ver Komplikationen wie Schmerzen, post operative Übelkeit und Erbrechen ("post operative nausea and vomiting", PONV) oder "shivering" ist auch die rasche Wie derherstellung einer ausreichenden Vi gilanz von großer Bedeutung.…”

Section: Hintergrund/fragestellungunclassified

Implementierung neuer Standards in der Anästhesie

et al. 2010

Self Cite

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The implementation of a new drug (here: desflurane to substitute sevoflurane) can improve speed of recovery immediately after termination of anaesthesia even after a very short period of introducing the new technique but has no positive long term effects. Thus, the results of this trial performed under a real world scenario (health service research) without tight standardization by an artificial study protocol supports the results originating from randomized controlled clinical trials.

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Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

Cited by 4 publications

References 15 publications

Sodium picosulfate in the clinical practice of a surgeon

Sodium picosulfate in the clinical practice of a surgeon

Factors Guarantee Competence of Laparoscopic Repair of Inguinal Hernia

Implementierung neuer Standards in der Anästhesie

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