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of the North Caucasus
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Series ПИ #ФС 77-26521.
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ISSN 2073-8137
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Complex perioperational analgesia in patients undergoing laparoscopic surgery for hiatal hernia

[Surgery]
Maksim Burikov; Yulia Makhno; Natalia Volkova; Oleg Shoolgin; Ivan Skazkin; Irina Sokirenko; Aleksandr Kinyakin;

Operations for hiatal hernia especially those modified by Nissen are the most common type of surgical interventions on esophagus. Complex multimodal anaesthezia is the key part of the fast patient recovery program (FAST-TRACK). According to the literature data and our own experience, multimodal complex anaesthezia helps improve patient’s satisfaction after laparoscopic Nissen – Rosetti fundoplication.

Comparative analysis of such data as haemodynamics, bispectral index (bis), degree of postoperational pain and time of activation after surgery in 92 patients undergoing modified Nissen-Rosetti operation with conventional endotracheal anesthesia and complex multimodal analgesia shows that 53 patients on the FAST-TRACK program demonstrated earlier activation, lower postoperational pain and shorter rehabilitation after surgery as compared to the conventional management group.

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7. Vlug M. S., Wind J., Hollmann M. W., Ubbink D. T., Cense H. A. [et al.]. Laparoscopy in сombination with fast-track multimodal management is the best perioperative strategy in patients undergoing colonic surgery:a randomized clinical trial (LAFA-study). Surg. Endosc. 2011; 254(6):867-875. https://doi.org/10.1097/sla.0b013e31821fdlce

Keywords: complex analgesia, hiatal hernia, FAST-TRACK


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy