MULTIMODAL REHABILITATION OF PATIENTS OPERATED ON FOR PANCREATIC NECROSIS

  • I. A. Kryvoruchko
  • K. Yu. Parkhomenko
  • A. G. Drozdova
  • V. A. Vovk
  • K. E. Payunov
  • S. M. Diahiliev
Keywords: pancreatic necrosis, multimodal rehabilitation, postoperative period.

Abstract

Summary. The aim of the study to improve the results of surgical treatment of patients operated on for pancreatic necrosis.

Matherials and Methods of the study. The results of treatment of 56 patients operated on for pancreatic necrosis who were treated in the surgical department of the Municipal non-commercial enterprise of the Kharkov regional council «Regional Clinical Hospital» from 2018 to 2020, aged 22 to 69, were analyzed. In the treatment of all patients, a “step-up approach” tacktics was used and the principles of the concept of “fast-track surgery” or multimodal rehabilitation of patients after surgery were implemented.

Results of the study. Along with the performed surgical interventions (mostly minimally invasive), a “staged” method of managing the postoperative period in patients operated on for pancreatic necrosis is proposed and implemented. As a result, there is a decrease in the incidence of postoperative complications and a decrease in the length of stay in the surgical department (14.6 bed-days). Conclusions. This example confirms the appropriateness of applying the principles of “fast-track surgery” in everyday surgical practice in the complex treatment of patients with pancreatic necrosis, as the results of surgical treatment of this category of patients are improved and financial costs for treatment are reduced.

References

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Published
2021-03-20
How to Cite
Kryvoruchko, I. A., Parkhomenko, K. Y., Drozdova, A. G., Vovk, V. A., Payunov, K. E., & Diahiliev, S. M. (2021). MULTIMODAL REHABILITATION OF PATIENTS OPERATED ON FOR PANCREATIC NECROSIS. Kharkiv Surgical School, (1), 36-39. https://doi.org/10.37699/2308-7005.1.2021.07
Section
QUESTIONS OF SURGERY OF PANCREATOBILIARY SYSTEM

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