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

  • Chapter
Laparo-endoskopische Hernienchirurgie

  • 2016 Accesses

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.

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Author information

Authors and Affiliations

  1. Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, Minnesota, 55905, USA

    MD Juliane Bingener

  2. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie; Klinik Nagold, Kreisklinikum Calw-Nagold, Röntgenstraße 20, 72202, Nagold, Deutschland

    Dr. med. Ralf Wilke

Authors
  1. MD Juliane Bingener
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  2. Dr. med. Ralf Wilke
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Editor information

Editors and Affiliations

  1. Stuttgart, Deutschland

    Reinhard Bittner

  2. Vivantes Klinikum Spandau, Berlin, Deutschland

    Ferdinand Köckerling

  3. Creighton University School of Medicine, Omaha, NE, USA

    Robert J. Fitzgibbons

  4. Our Lady of the Lake Physician Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

  5. Creighton University School of Medicine, Omaha, NE, USA

    Sumeet Mittal

  6. Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Bingener, J., Wilke, R. (2018). Perioperatives Management bei laparoskopischer Operation primärer und sekundärer Bauchdeckenhernien in der Mittellinie. In: Bittner, R., Köckerling, F., Fitzgibbons, R.J., LeBlanc, K.A., Mittal, S., Chowbey, P. (eds) Laparo-endoskopische Hernienchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56090-7_28

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  • DOI: https://doi.org/10.1007/978-3-662-56090-7_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56089-1

  • Online ISBN: 978-3-662-56090-7

  • eBook Packages: Medicine (German Language)

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