Anesthesia in the early postoperative period in patients who had undergone extensive surgical interventions on the colon with plastic repair
Astakhov, V.A.; Khachaturova, E.A.; Kurbatov, N.N.; Nazarov, V.A.; Davydova, I.A.
Anesteziologiia i Reanimatologiia 2: 30-33
2001
ISSN/ISBN: 0201-7563 PMID: 11494896 Document Number: 532252
Reconstructive plastic (n = 24) and repair operations (n = 23) on the colon were performed in 47 patients at Coloproctology Research Center (Moscow). The patients were divided into 2 groups administered different anesthesias and postoperative analgesias: total intravenous anesthesia (TIA) and combined epidural anesthesia (CEA). Adequate analgesia by CEA and early activation of patients after the operation promoted earlier (by 2 days) recovery of the motor function of the intestine than after TIA and traditional intramuscular analgesia with a narcotic analgetic. CEA ensured complete blocking of nociceptive pulsation and neurovegetative protection a with lower doses of narcotics during the postoperative period and can be used in this type of operations and postoperative management. CEA prevented gastrointestinal pareses, improved microcirculation and metabolic processes at the zone of intervention, and decreased the incidence of postoperative complications.