Colorectal Surgery Retrospective Analysis

•

2 j'aime•907 vues

fast.track

Santé & Médecine Formation

COLORECTAL SURGERY RETROSPECTIVE ANALYSIS ENRIQUE MONCADA. Colo-proctology Unit Dept. of Surgery H. Meixoeiro- CHUVI XVII Colo-proctology Course. Baiona February 2009

POSTOPERATIVE STAY IN COLORECTAL SURGERY Europe USA F-T/ERAS

[object Object],[object Object],[object Object]

PERIOPERATIVE CARE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CONVENTIONAL EBM

Mechanical preparation of the colon ,[object Object],[object Object]

Guenaga KKFG, Matos D, Wille-Jørgensen P Cochrane Database of Systematic Reviews 2009, Issue 1. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Guenaga KKFG, Matos D, Wille-Jørgensen P Cochrane Database of Systematic Reviews 2009, Issue 1. ,[object Object],[object Object]

MECHANICAL PREPARATION OF COLON Spain Roig JV Colorectal Dis 2008 Europe USA F-T/ERAS Kehlet JAmColSurg 2006

PREOPERATIVE FASTING ,[object Object],Hunger Anxiety Pre-op Stress Catecholamines Increased insulin resistance Post-op Hyperglycemia

EBM ,[object Object],[object Object],Soop M et al. Br. J Surg 2004

VERTICAL INCISIONS ,[object Object],[object Object],[object Object],[object Object]

HORIZONTAL INCISIONS ,[object Object],[object Object],[object Object],[object Object],Brown SR et al. Transverse verses midline incisions for abdominal surgery. Cochrane Database of Systematic Reviews 2005, Issue 4 .

Laparoscopic Access ,[object Object],[object Object],[object Object],[object Object],[object Object],Schwenk W et al. Short term benefits for laparoscopic colorectal Resection. Cochrane Database Syst Rev 2005

Laparoscopic colorectal surgery UK France Germany Italy Spain USA Kehlet el al. J Am Coll Surg .2006

Postoperative Fasting ,[object Object],[object Object],[object Object]

Nutrition immediately postoperative ,[object Object],[object Object],[object Object],[object Object],Lewis el al BMJ 2001

Postoperative Nutrition: introduction of liquids. UK France Germany Italy Spain USA F-T/ERAS Kehlet JAm Coll Surg 2006

Postoperative Nutrition: First solid food UK France Germany Italy Spain USA F-T/ERAS Kehlet. J Am Coll Surg 2006

Postoperative rest ,[object Object],[object Object],[object Object],[object Object],[object Object]

Postoperative movilization ,[object Object],[object Object],[object Object],Kehlet J Am Coll Surg 2006

NGT ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cheatham et al. Ann.Surg 1995. Meta-analysis compares a selective routinary use of NGT on 6850 patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NGT in Spain 1996 2006 Roig JV. Cir Esp. 2008

Prophylactic drains ,[object Object],[object Object],[object Object],[object Object],[object Object]

Karliczec A et al. Drainage or non drainage in elective colorectal anastomosis: a systematic review and meta analysis. Colorectal Dis. 2006 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Drains in Spain Routinary Selective Roig JV. Cir Esp. 2008

Foley ( urine )catheter ,[object Object],[object Object],[object Object]

Benoist S . Optimal duration of urinary drainage after rectal resection: A randomized controlled trial. Surgery 1999 ,[object Object],[object Object],[object Object]

Surgical practice evidence based Ubbink DT Br J Surg 2004

Surgeons are questioning the veracity and accuracy of the publications : “one thing is what has been published and another……”

THE NEAR FUTURE ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Kehet H, Wilmore D. Ann Surg 2008

Contenu connexe

Tendances

HIDA ScanDr. Yash Kumar Achantani

Mid Term Functional Results Following Surgical Treatment of Recto-Urinary Fis...CrimsonPublishersUrologyJournal

Peritonectomy2 Asgo 2007a.crandon

Evaluating Current Laparoscopic Applications In SurgeryGeorge S. Ferzli

A Coliseum with frail foundations: a critical analysis of the state-of-the-ar...Marco Lotti

Tratamiento del cáncer de colon localmente avanzadoSociedadColoprocto

Minimally Invasive Esophagectomyguest87d35b

Use of laparoscopy in the management of abdominal trauma a center experiencewael mansy

Surgical challenges of lap pouch surgerySociedadColoprocto

Dr Pradeep Jain Fortis Hospital - Current Applications of Lap in GI SurgeryDr Pradeep Jain Reviews

Poster UPASICON 2016, Allahabad - Won Third PrizeDr Kaushal Deep Singh Mathuria

Minimally invasive oesophagectomyforegutsurgeon

Laparoscopic Pancreatic SurgeryGeorge S. Ferzli

Pancreaticoduodenectomyinjoosweb

Treatment options for HCC a combined hospital experiencewael mansy

Immediate Management of Appendiceal Goblet Cell Carcinoid Initially Diagnosed...Debdeep Banerjee

Una nuova tecnica tecnica chirurgica di enucleazione transvescicale della pro...Merqurio

Laparoscopic surgery for adrenal tumors (results from 450 operations) | Γιώρ...Γιώργος Ζωγράφος

BALKAN MCO 2011 - A. Cervantes - Multidisciplinary management of liver metast...European School of Oncology

Laparoscopic Ivor Lewis EsophagectomyPradeep Jain

Tendances (20)

HIDA Scan

Mid Term Functional Results Following Surgical Treatment of Recto-Urinary Fis...

Peritonectomy2 Asgo 2007

Evaluating Current Laparoscopic Applications In Surgery

A Coliseum with frail foundations: a critical analysis of the state-of-the-ar...

Tratamiento del cáncer de colon localmente avanzado

Minimally Invasive Esophagectomy

Use of laparoscopy in the management of abdominal trauma a center experience

Surgical challenges of lap pouch surgery

Dr Pradeep Jain Fortis Hospital - Current Applications of Lap in GI Surgery

Poster UPASICON 2016, Allahabad - Won Third Prize

Minimally invasive oesophagectomy

Laparoscopic Pancreatic Surgery

Pancreaticoduodenectomy

Treatment options for HCC a combined hospital experience

Immediate Management of Appendiceal Goblet Cell Carcinoid Initially Diagnosed...

Una nuova tecnica tecnica chirurgica di enucleazione transvescicale della pro...

Laparoscopic surgery for adrenal tumors (results from 450 operations) | Γιώρ...

BALKAN MCO 2011 - A. Cervantes - Multidisciplinary management of liver metast...

Laparoscopic Ivor Lewis Esophagectomy

Similaire à Colorectal Surgery Retrospective Analysis

appendicular mass.pptxsaid umer

Fast track surgery eras 2Mohamed Abosdira

Successful Repeated CT-Guided Drainage Of Rectal Mucocele After LAleksandr Reznichenko

5_6310083981832358678.pptxSendhil Kumar

esophageal cancer surgery types and complicationsved sah

Finalised - Copy in early 🌅 (1).pp...txsaid umer

Surgery anorectum colonAnkita Singh

Laparoscopic surgery in dogs and cats Dr. Maykel Povea Mora DVM, M.Sc., MRCVS.

Spanish Multi-Center Fast-Track Group - Protocol and Preliminary Resultsfast.track

International Journal of Hepatology & Gastroenterology SciRes Literature LLC. | Open Access Journals

LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN ADULTS. (STUDY OF 50 CASES)KETAN VAGHOLKAR

Surgical management of female stress urinary incontinence.pptxSonuKumarPlash

Faisal edris ERAS protocol in radical.pptxMaiAlansary

Cholecystectomy PathoLisa Funari

Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: Dece...Sean M. Fox

Anaesthetic management of tracheoesophageal fistula and congenital diaphragmaticIqraa Khanum

Enhanced Recovery After SurgeryRobiul Karim

Surge anesAj Berbano

Cholecystectomy.pptxGUNABHIDAS1

HirschprungImad Zafar

Similaire à Colorectal Surgery Retrospective Analysis (20)

appendicular mass.pptx

Fast track surgery eras 2

Successful Repeated CT-Guided Drainage Of Rectal Mucocele After L

5_6310083981832358678.pptx

esophageal cancer surgery types and complications

Finalised - Copy in early 🌅 (1).pp...tx

Surgery anorectum colon

Laparoscopic surgery in dogs and cats

Spanish Multi-Center Fast-Track Group - Protocol and Preliminary Results

International Journal of Hepatology & Gastroenterology

LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN ADULTS. (STUDY OF 50 CASES)

Surgical management of female stress urinary incontinence.pptx

Faisal edris ERAS protocol in radical.pptx

Cholecystectomy Patho

Drs. Penzler, Ricker, and Ahmad’s CMC Abdominal Imaging Mastery Project: Dece...

Anaesthetic management of tracheoesophageal fistula and congenital diaphragmatic

Enhanced Recovery After Surgery

Surge anes

Cholecystectomy.pptx

Hirschprung

Plus de fast.track

ENHANCED RECOVERY AFTER SURGERY (ERAS)fast.track

Enhanced recovery pathwaysfast.track

Doppler guided intraoperative fluid management evidence basefast.track

Doppler Guided Intraoperative Fluid Management Data Analysisfast.track

Fast-track Colorectal Surgery in China—3 years’ Experiencefast.track

FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?fast.track

MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...fast.track

Letter 1 Dr. Paul W. Coreyfast.track

Letter 2 Dr. Paul W. Coreyfast.track

Preoperative Metabolic Conditioningfast.track

Haemodynamic Control in Fast-Track Surgery. CardioQfast.track

Simposium Madrid 051108fast.track

Fluid therapy and colorectal surgery Use or abuse?fast.track

LAparoscopy and/or FAst track multimodal management versus standard care (LAF...fast.track

Fast-track rehabilitation for elective colonic surgery in Germanyfast.track

Specifieke vragen over het maag-darm systeemfast.track

Fast Track Anesthesie Protocol Algemeenfast.track

Fast Track Rehabilitation For Elective Colonic Surgery In Germanyfast.track

Perioperative strategy in colonic surgeryfast.track

Plus de fast.track (20)

ENHANCED RECOVERY AFTER SURGERY (ERAS)

Enhanced recovery pathways

Doppler guided intraoperative fluid management evidence base

Doppler Guided Intraoperative Fluid Management Data Analysis

Fast-track Colorectal Surgery in China—3 years’ Experience

FT SURGERY IN SPAIN: ON THE WAY TO IMPLEMENTATION?

MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RE...

Letter 1 Dr. Paul W. Corey

Letter 2 Dr. Paul W. Corey

Preoperative Metabolic Conditioning

Haemodynamic Control in Fast-Track Surgery. CardioQ

Simposium Madrid 051108

Fluid therapy and colorectal surgery Use or abuse?

LAparoscopy and/or FAst track multimodal management versus standard care (LAF...

Fast-track rehabilitation for elective colonic surgery in Germany

Specifieke vragen over het maag-darm systeem

Fast Track Anesthesie Protocol Algemeen

Fast Track Rehabilitation For Elective Colonic Surgery In Germany

Perioperative strategy in colonic surgery

Dernier

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X79953056974 Low Rate Call Girls In Saket, Delhi NCR

Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...khalifaescort01

Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Anamika Rawat

Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh

Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...GENUINE ESCORT AGENCY

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora

Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293

Dernier (20)

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7

Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...

Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...

Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available

Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available

Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...

Colorectal Surgery Retrospective Analysis

1. COLORECTAL SURGERY RETROSPECTIVE ANALYSIS ENRIQUE MONCADA. Colo-proctology Unit Dept. of Surgery H. Meixoeiro- CHUVI XVII Colo-proctology Course. Baiona February 2009

2. POSTOPERATIVE STAY IN COLORECTAL SURGERY Europe USA F-T/ERAS

9. MECHANICAL PREPARATION OF COLON Spain Roig JV Colorectal Dis 2008 Europe USA F-T/ERAS Kehlet JAmColSurg 2006

10.

11.

12.

13.

14.

15. Laparoscopic colorectal surgery UK France Germany Italy Spain USA Kehlet el al. J Am Coll Surg .2006

16.

17.

18. Postoperative Nutrition: introduction of liquids. UK France Germany Italy Spain USA F-T/ERAS Kehlet JAm Coll Surg 2006

19. Postoperative Nutrition: First solid food UK France Germany Italy Spain USA F-T/ERAS Kehlet. J Am Coll Surg 2006

20.

21.

22.

23.

24. NGT in Spain 1996 2006 Roig JV. Cir Esp. 2008

25.

26.

27. Drains in Spain Routinary Selective Roig JV. Cir Esp. 2008

28.

29.

30.

31. Surgical practice evidence based Ubbink DT Br J Surg 2004

32. ¿MEDICINE BASED ON EVIDENCE?

33.

34. Eminence-based medicine.

35. Medicine based on vehemence

36. Surgeons are questioning the veracity and accuracy of the publications : “one thing is what has been published and another……”

37.

38.

39. Thank You

Colorectal Surgery Retrospective Analysis

Recommandé

Recommandé

Contenu connexe

Tendances

Tendances (20)

Similaire à Colorectal Surgery Retrospective Analysis

Similaire à Colorectal Surgery Retrospective Analysis (20)

Plus de fast.track

Plus de fast.track (20)

Dernier

Dernier (20)

Colorectal Surgery Retrospective Analysis