search
for
 About Bioline  All Journals  Testimonials  Membership  News  Donations


East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 2073-9990
Vol. 17, No. 2, 2012, pp. 3-12
Bioline Code: js12029
Full paper language: English
Document type: Review Article
Document available free of charge

East and Central African Journal of Surgery, Vol. 17, No. 2, 2012, pp. 3-12

 en The Systemic Response to Surgical Trauma – A review
Weledji, E.P. & Assob, J. C.

Abstract

Better understanding of the systemic response to surgical trauma will enhance the perioperative care of the patient. This will enhance recovery; reduce morbidity, length of hospital stay and cost. The new insight of enhanced recovery is based on the physiological principles of minimizing surgical stress by limiting the initiating factors. This is manifested by avoiding the stress hormones using thoracic epidural anaesthesia and minimally invasive (laparoscopic) surgery; avoiding stressinduced diabetes (hyperglycaemia) by pre-operative anabolic setting of the patient and avoiding fasting; treating hyperglycaemia with insulin; postoperative pain control with epidural analgesia and, early postoperative feeding and mobilization.Survival is determined by physiology rather than anatomy. Enhanced recovery has challenged traditional perioperative care.

 
© Copyright 2012 - East and Central African Journal of Surgery

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2022, Site last up-dated on 10-Dec-2021.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Internet Data Center of Rede Nacional de Ensino e Pesquisa, RNP, Brazil