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Erschienen in:

2018 | OriginalPaper | Buchkapitel

28. Perioperatives Management bei laparoskopischer Operation primärer und sekundärer Bauchdeckenhernien in der Mittellinie

verfasst von : MD Juliane Bingener, Dr. med. Ralf Wilke

Erschienen in: Laparo-endoskopische Hernienchirurgie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Dieses Kapitel beschreibt die Anwendung der Komponenten der „enhanced recovery after surgery“ (ERAS) auf die laparoskopische ventrale Hernienreparatur. Es ist wichtig, die Patienten vor der Operation sorgfältig über die Komponenten eines ERAS/Fast track-Programms aufzuklären und das gesamte perioperative Team mit einzubeziehen. Nur so kann der verkürzte Behandlungspfad erfolgreich zu sein. Die Aufklärung über die multimodale perioperative Schmerzkontrolle ist ein wichtiger Teil der präoperativen Evaluation. Die Reduktion von Narkotika durch Acetaminophen/Paracetamol, Lokalanästhetika und nicht steroidale entzündungshemmende Medikamente, angemessene Hydratisierung, die frühe postoperative orale Nahrungsaufnahme sowie eine rasche Mobilisation sind die entscheidenden Faktoren für die postoperative Erholung.

Vorheriges Kapitel Standardtechnik für die laparoskopische Reparation von Ventral- und Narbenhernien

Nächstes Kapitel Komplikationen und deren Prävention bei der laparoskopischen Operation von Bauchwand- und Narbenhernien

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Titel: Perioperatives Management bei laparoskopischer Operation primärer und sekundärer Bauchdeckenhernien in der Mittellinie
verfasst von: MD Juliane Bingener
Dr. med. Ralf Wilke
Verlag: Springer Berlin Heidelberg
Buch: Laparo-endoskopische Hernienchirurgie
Print ISBN: 978-3-662-56089-1

Electronic ISBN: 978-3-662-56090-7

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-56090-7_28

Springerpflege

Zusammenfassung

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