OPPORTUNITIES TO OPTIMIZE THE TACTICS OF PERIOPERATIVEMANAGEMENT OF PATIENTS WITH CHRONIC HEMORRHOIDS BASEDON ACCELERATED RECOVERY PROGRAMS. LITERATURE REVIEW

Abstract

With the development of science and medicine in the modern world, there is an optimization of the tactics of
perioperative management of patients in various areas of surgery, including colorectal. The use of optimized patient
management tactics during surgical interventions reduces the number of postoperative complications, shortens the time
spent in the hospital and accelerates the recovery process of patients.

We conducted a review of published studies, after searching the Pubmed, EMBASE, Web of Science, Google Scholar
database for the last 10 years. The conducted evaluation review of these studies shows that the introduction of accelerated
recovery tactics during surgical operations helps to reduce the stress response of the body, reduce the recovery time. Some
points of the program still need more solid evidence, but today the ERAS concept is generally considered effective and has
been implemented in advanced surgical centers. However, there is no extensive data on the use of the program for
accelerated recovery after surgery for chronic hemorrhoids. These data indicate the need for a comprehensive scientific
study.