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Colorectal Surgery 

Colorectal Surgery
Chapter:
Colorectal Surgery
Source:
Acute Pain Medicine
Author(s):

Aaron Persinger

, and Jeffrey Gonzales

DOI:
10.1093/med/9780190856649.003.0012

Over the past 30 years, the average length of stay after colorectal surgery has decreased from 8 to 10 days in the mid-1990s to 1 to 2 days with a laparoscopic approach in the setting of an enhanced recovery program. The time it takes a patient to return to his or her baseline functional status has also been reduced. This has been achieved by comprehensively addressing the negative physiologic effects of the stress response associated with surgery. Properly timed interventions such as preoperative preparation of the patient, various regional anesthesia techniques, avoidance of medication side effects, and avoidance of postoperative complications seem to work synergistically to speed recovery. This chapter outlines preoperative, intraoperative, and postoperative considerations that may help patients make it through their perioperative journey with increased safety, comfort, and efficiency.

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