Periop Management

Folder Periop Management

Documents

video Optimising pre and post operative care, improving outcome and reducing complications: Pre-operative: pre-habilitation, making patients fit for surgery

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Educational session - Jon Lund (UK) at ESCP Vienna 2019

video Optimising pre and post operative care, improving outcome and reducing complications: ERAS and minimally invasive technique

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Educational session - Martin Hübner (Switzerland) at ESCP Vienna 2019

video Interactive Trainee Workshop: Anastomotic leak

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Educational session - Frédéric Ris (Switzerland) at ESCP Vienna 2019

video ORALEV

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International Trials Results Forum - Eloy Espin Basany (Spain) with Expert commentary from Dale Vimalachandran (UK) at ESCP Vienna 2019

video Prehabilitation, nutrition and optimisation for major surgery

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Keynote Lecture - Debby Keller at ESCP Vienna 2019

video IMAGINE study preliminary results: an international, observational study of postoperative ileus and provision of management after surgery (a EuroSurg Student Initiative)

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International Trials Results Forum - Tim van Elst (The Netherlands) at ESCP Nice 2018

video Strategies to reduce superficial surgical site infection

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Keynote Lecture - Marja Boermeester (The Netherlands) at ESCP Nice 2018

video Core Subject Update: Bowel preparation

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Educational session - Yves Panis (France) at ESCP Berlin 2017

video Core Subject Update: Definition, prevention and treatment of postoperative ileus

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Educational session - Martin Hübner (Switzerland) at ESCP Berlin 2017

video Enhanced Recovery Programmes: Introduction

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Symposium - Olle Ljunqvist (Sweden)

video Enhanced Recovery Programmes: Prehabilitation in the elderly

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Symposium - Christianne Buskens (The Netherlands) at ESCP Berlin 2017

video Enhanced Recovery Programmes: ERAS - what's left of it?

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Symposium - Jose M Ramirez (Spain) at ESCP Berlin 2017

video Enhanced Recovery Programmes: Pain management - do's and dont's

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Symposium - Nicolas Demartines (Switzerland) at ESCP Berlin 2017

video Enhanced Recovery Programmes: Panel debate

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Symposium chaired by Nicolas Demartines (Switzerland), Olle Ljungqvist (Sweden)

document Perioperative Management (Chapter 36, European Manual of Medicine: Coloproctology Second Edition)

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New technologies and increasing surgical specialization have allowed surgeons to push the limits and perform increasingly complex surgical procedures even in elderly and frail patients. Recent improvements in perioperative care aim to reduce postoperative complications and thus to ameliorate and accelerate postoperative recovery.

Seemingly simple measures such as proper administration of antibiotic prophylaxis and skin disinfection have lowered surgical site infection rates. Perioperative nutritional support has been shown to reduce (infectious) complications, duration of hospital stay, and costs.

The underlying mechanism of many individual measures is to attenuate excessive postsurgical stress response. The best prevention is no doubt the reduction of surgical trauma; this explains the impressive results of minimally invasive surgery.

A comprehensive combination of multiple useful measures is an appealing approach to optimize perioperative care and hence postoperative outcomes. This idea has been realized and developed over the past decade with the advent of enhanced recovery pathways.

Standardization and improvement of perioperative management was followed by a reduction of the surgical stress response and consecutively a tremendous reduction of postoperative complications (by 50 %). The most welcome side effects were a shortened hospital stay and reduced health care costs.

video Bowel preparation for colorectal surgery revisited

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Keynote Lecture - Yves Panis at ESCP Dublin 2015

video Core Subject Update: Perioperative managment in colorectal surgery

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Educational session - Martin Hübner at ESCP Dublin 2015

video Post-operative ileus: decreasing the risk

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ASCRS Keynote Lecture - Charles Littlejohn at ESCP Dublin 2015

video Interactive Trainee Workshop: Postoperative sepsis

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Educational session - Dieter Hahnloser at ESCP Dublin 2015

video Transabdominal- transanal total mesorrectal excision in metacronous rectal cancer

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Video Surgery - Marta Jimenez-Toscano at ESCP Barcelona 2014

video Three hour postoperative arterial lactate is an independent predictor of postoperative outcomes following elective colorectal surgery

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Oral Poster - Konstantinos Lasithiotakis at ESCP Barcelona 2014

pdf Randomised double-blind, placebo-controlled clinical trial of probiotics after mechanical bowel preparation and colonoscopy

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One of the Six Best Papers - Basil D’Souza (Australia) at Tripartite Colorectal Meeting 2014

pdf Insufflation of warm, humidified Co2 during open abdominal surgery reduces loss of peritoneal mesothelium and increases sub-peritoneal tissue oxygen tension in a rat model

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Short Paper - Jean Marshall (Australia) at Tripartite Colorectal Meeting 2014

pdf Elderly patients can adhere to and benefit from enhanced recovery care after colorectal surgery

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Short Paper - Nigel Bagnall (UK) at Tripartite Colorectal Meeting 2014

pdf Preoperative hospitalisation - a risk factor for venous thromboembolism after colorectal surgery: a NSQIP study

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Short Paper - Stefan Holubar (USA) at Tripartite Colorectal Meeting 2014

pdf Obesity, regardless of comorbidity, influences outcomes after colorectal surgery - time to rethink the pay-for-performance metrics?

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Short Paper - Ravi Kiran (USA) at Tripartite Colorectal Meeting 2014

video The impact of enhanced recovery protocol compliance on outcome following elective colorectal cancer resection

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Free paper - Andrew Currie at ESCP Belgrade 2013

video Fast-track colorectal surgery

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Core subject update - Nicolas Demartines at ESCP Vienna 2012

ESCP Affiliates