Enforced mobilization, early oral feeding, and balanced analgesia improve convalescence after colorectal surgery

Henriksen, Michala de Linde; Jensen, Martin Bach; Hansen, H. V.; Jespersen, T. W.; Hessov, I

doi:10.1016/s0899-9007(01)00748-1

Cited by 112 publications

(86 citation statements)

References 22 publications

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“…Both caretakers and patients knew which treatment patients were receiving, and this could have introduced bias regarding a general increase in mobilization and energy intake in the CPC group-and thereby an underestimation of the efficacy of the optimization strategies. Yet another weakness was that we did not assess patients' biochemistry, body composition, or muscle strength in order to be able to compare our results with those of other studies (Henriksen et al 2002, Gatt et al 2005.…”

Section: Discussionmentioning

confidence: 99%

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Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

2008

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Background and purpose Fast-track surgery has been reported to improve rehabilitation outcome after major surgery, with length of hospitalization and muscle strength as outcome measures. We assessed the effect of optimization of perioperative care during admission on self-reported functional outcome, and compared patient status 6 months after THR with an age-matched healthy cohort.Patients and methods 79 THR patients were randomized to optimized perioperative care (OPC) or conventional perioperative care (CPC). 61 patients fulfilled the requirements of the study protocol. Endpoint outcome was measured by SF-36 and WOMAC. To compare functional outcome in the THR group with that in healthy controls, we used data from a representative sample of 4,098 non-institutionalized Danish adults collected by the Danish National Institute of Public Health.Results We found similar improvements in SF-36 and WOMAC scores for the OPC and CPC groups postoperatively, except for the total WOMAC score and the WOMAC subscore "function"-in which the CPC group did statistically significantly better. The OPC and CPS groups had similar score levels. 6 months after surgery, THR patients scored higher overall in the general health subscale and lower in three physical subscales of SF-36 compared to age-matched healthy controls.Interpretation We found no evidence for the effect of optimization strategies during admission on selfreported functional outcome after THR. Although THR patients improved considerably after treatment, their

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Section: Discussionmentioning

confidence: 99%

“…It has been introduced to improve recovery, reduce hospitalization, and improve rehabilitation after surgery (Wilmore and Kehlet 2001, Henriksen et al 2002, Kehlet and Wilmore 2002, Anderson et al 2003, Gatt et al 2005, Kehlet and Husted et al 2006a, b, c, Petersen et al 2006.…”

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confidence: 99%

Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

2008

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“…Some studies also show that NGT can delay normal gastrointestinal function [72]. Removal of NGT in the immediate postoperative period promotes early oral diet introduction that has some physiological advantages: decreases bacterial translocation, ensures function of intestinal mucosal cells, activates digestive secretory system, reduces postoperative infection, and accelerates organ recovery [73]. Oral feeding can be initiated during the irst 48 h, following a stepwise programme from water to luid meals, and inally to semiluid meals and normal food.…”

Section: Fast-track Surgery (Fts) Protocol On Patient Undergoing Miementioning

confidence: 99%

Minimally Invasive Esophagectomy

Calduch¹,

Oliver²,

Mozos³

et al. 2017

Esophageal Abnormalities

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Minimally Invasive Surgery (MIS) for esophageal carcinoma has improved the outcome of patients. This approach has been shown to decrease the rate of respiratory complications, the intensive care unit (ICU) stay, and to allow a faster recovery of patients. Also, an improvement in perioperative care has contributed to beter outcomes compared to the open approach. MIS has been shown to be as safe as open surgery in terms of resectability, harvested lymph nodes, and overall survival.

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“…Early mobilization has been postulated to reduce chest complications and may counteract insulin resistance from immobilization (62,10).…”

Section: Early Mobilizationmentioning

confidence: 99%

Enhanced Recovery After Surgery (ERAS) Protocols and Perioperative Lung Protection

Huang¹

2014

J Anesth Perioper Med

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Aim of review:Patients are at risk for lung injury in the perioperative period. The enhanced recovery after surgery (ERAS) has been associated with a reduction in duration of hospital stay, readmissions, and reoperations, together with decreased mortality and morbidity, improved pain control, better cost containment, and improved patient satisfaction.Method: we review the recent literatures on ERAS for prevention of perioperative pulmonary complications (PPCs). Summary: ERAS elements can prevent lung injury, reduce complications, enhance recovery, reduce length of stay, and lower the cost. ABSTRACT Review Article

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Enforced mobilization, early oral feeding, and balanced analgesia improve convalescence after colorectal surgery

Cited by 112 publications

References 22 publications

Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

Minimally Invasive Esophagectomy

Enhanced Recovery After Surgery (ERAS) Protocols and Perioperative Lung Protection

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