Table 2: ERP
components in the surgical treatment of patients with LBO of tumor genesis.
Preoperative period |
Intraoperative period |
Postoperative period |
- Detailed
information to the patient (immediate family member), psychological training |
- Local
infiltration anesthesia along the skin incision line |
- Early activation
(a complex of rehabilitation actions within the bed immediately after extubation into the intensive care unit) |
- Front belly wall
skin marking (presumed and alternative) for possible colostomy |
- Colon
decompression |
- Early vertical
orientation (the first day of postoperative period) |
- Mechanical
preparation of the colon substenotic part (within
the framework of conservative treatment) |
- Single-step
decompression and lavage of the small intestine (under indications) |
- Urinary catheter
removal after transfer to the clinic |
- Postoperative
insulin resistance prevention |
- Enteral therapy
(polyelectrolytic mixtures, antihypoxants) |
- Drain tube
removal from the pelvis in the first day after the surgery |
- Postoperative
nausea and vomiting prevention |
- Embryology
oriented surgery and D3 lymphadenectomy |
- Early enteric
nutritional support |
- Thromboembolic
complications prevention (compression stockings) |
- Long-term nasogastrointestinal intubation rejection |
- Volume and
duration of infusion therapy reduction with enteral support increase |
- Infectious
complications prevention |
Temporary
installation of polyurethane catheter distal to the ligament
of Treitz for early enteral
nutrition |
- Prokinetics usage |
- Pain syndrome
prevention |
- Small pelvis
draining - Sheath of rectus
muscle of abdomen catheterization for postoperative pain relief |
- Early oral
nutrition - Preventive
antibiotics within 48-72 hours of postoperative period |
|
|
- Postoperative muitimodal analgesia (segmental anesthesia, NSAIDs,
opioid analgesics rejection) |
|
|
- Anticoagulants
from the first day of postoperative period |