Periop Management

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

Educational session - Deborah Keller (USA) at ESCP Vienna 2019

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

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

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Keynote Lecture - Debby Keller at ESCP Vienna 2019

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

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

Symposium - Olle Ljunqvist (Sweden)

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

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

Symposium - Nicolas Demartines (Switzerland) at ESCP Berlin 2017

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

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.

Keynote Lecture - Yves Panis at ESCP Dublin 2015

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