Protocols for accelerated postoperative recovery in patients with deep infiltrating colorectal endometriosis


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Abstract

The data available in the literature on the clinical and economic effectiveness of accelerated recovery protocols that can be used in the perioperative management of patients with deep infiltrating endometriosis (DIE) are analyzed. The paper presents the pathophysiological principles underlying the concept of accelerated postoperative recovery. It describes the main stages, methods and features of preoperative preparation and inpatient management of surgical patients within the concept. The clinical introduction of accelerated postoperative recovery protocols can serve as a reserve for reducing drug load, discomfort in patients, length of hospital stay, and economic expenditures, without lowering the efficiency of surgical treatment in patients with DIE.

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About the authors

Ekaterina V. Lisovskaya

National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: e_lisovskaya@oparina4.ru
postgraduate student of the Surgery Department

Elena G. Khilkevich

National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: e_khilkevich@oparina4.ru
MD, obstetrician-gynecologist of the Surgery Department

Vladimir D. Chuprynin

National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru
PhD, Head of the Surgery Department

Mikhail V. Melnikov

National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: m_melnikov@oparina4.ru
Candidate of Medical Sciences, Head in Clinical Work, Department of Surgery

Gennadiy V. Filippovich

National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: g_fllippovitch@oparina4.ru
anesthesiologist-resuscitator, Department of the Anesthesiology and Resuscitation

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