Periop Management

Folder Periop Management

Documents

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 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 ORALEV

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

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 Post-operative ileus: decreasing the risk

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ASCRS Keynote Lecture - Charles Littlejohn at ESCP Dublin 2015

video Prehabilitation, nutrition and optimisation for major surgery

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Keynote Lecture - Debby Keller at ESCP Vienna 2019

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

video Prevention and Management of Complications: Psychology of dealing with complications

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Educational session - Samuel Adegbola (UK) at ESCP Dublin 2022

video Prevention of anastomotic leak - ICG and bowel preparation: Mechanical bowel prep and oral antibiotics (MBP+OA) Con

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Breakfast session - Narimantas E. Samalavicius (Lithuania) at ESCP Vilnius 2023

video Prevention of anastomotic leak - ICG and bowel preparation: Mechanical bowel prep and oral antibiotics (MBP+OA) Pro

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Breakfast session - Deborah Keller (USA) at ESCP Vilnius 2023

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

video Strategies to reduce superficial surgical site infection

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

video SUNRRISE: Single use negative pressure dressings to reduce SSI after emergency laparotomy

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International Trial Results - Tom Pinkney (UK) at ESCP Dublin 2022

video The impact of enhanced recovery on the requirement for post-operative radiological imaging

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Free Paper - Jennifer Lane at ESCP Copenhagen 2011

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 The modern colorectal surgeon: Home monitoring after colorectal surgery for a safe early discharge

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Cettela Slootmans (The Netherlands) at ESCP Vilnius 2023

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

video Transabdominal- transanal total mesorrectal excision in metacronous rectal cancer

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Video Surgery - Marta Jimenez-Toscano at ESCP Barcelona 2014

ESCP Affiliates