OPPORTUNITIES TO OPTIMIZE THE TACTICS OF PERIOPERATIVE MANAGEMENT OF PATIENTS WITH CHRONIC HEMORRHOIDS BASED ON ACCELERATED RECOVERY PROGRAMS. LITERATURE REVIEW
With the development of science and medicine in the modern world, there is an optimization of the tactics of perioperative management of patients in various areas of surgery, including colorectal. The use of optimized patient management tactics during surgical interventions reduces the number of postoperative complications, shortens the time spent in the hospital and accelerates the recovery process of patients. We conducted a review of published studies, after searching the Pubmed, EMBASE, Web of Science, Google Scholar database for the last 10 years. The conducted evaluation review of these studies shows that the introduction of accelerated recovery tactics during surgical operations helps to reduce the stress response of the body, reduce the recovery time. Some points of the program still need more solid evidence, but today the ERAS concept is generally considered effective and has been implemented in advanced surgical centers. However, there is no extensive data on the use of the program for accelerated recovery after surgery for chronic hemorrhoids. These data indicate the need for a comprehensive scientific study.
Dinara Nuspekova1, https://orcid.org/0000-0003-3577-907X Auyeskhan Dzhumabekov1, https://orcid.org/0000-0002-5817-8851 Aidos Doskaliev2, https://orcid.org/0000-0001-8727-567X Natal'ya Glushkova1, https://orcid.org/0000-0003-1400-8436 Nurlan Kemelkhanov3 1 Kazakhstan’s Medical University “Kazakhstan School of Public Health”, Almaty, the Republic of Kazakhstan; 2 National Center for Neurosurgery, Nur-Sultan c., Republic of Kazakhstan; 3 Central City Clinical Hospital of Almaty city, Almaty, the Republic of Kazakhstan.
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Nuspekova D., Dzhumabekov A., Doskaliev A., Glushkova N., Kemelkhanov N. Opportunities to optimize the tactics of perioperative management of patients with chronic hemorrhoids based on accelerated recovery programs. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 3, pp. 196-205. doi 10.34689/SH.2022.24.4.024

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