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Section I - Perioperative Management

Published online by Cambridge University Press:  20 July 2023

Dennis S. Chi
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York
Nisha Lakhi
Affiliation:
Richmond University Medical Center, Staten Island
Nicoletta Colombo
Affiliation:
University of Milan-Bicocca
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Summary

It is 2021 and conferences around the world still debate the pros and cons of mechanical bowel prep (MBP). It is baffling how a safe intervention used millions of times every day for screening colonoscopies is a subject of fierce discussions amongst colleagues, in book chapters, and lectures when applied to patients undergoing colorectal resection. Although we believe that for patients with advanced ovarian cancer undergoing cytoreductive surgery there are other quintessential questions to debate about, we understand that the debate over this issue is far from resolved and expert majority opinion has vacillated over the past decade. With all this in mind, as a disclaimer the authors are allowed to change their minds.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2023

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References

References

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References

Nelson, G, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations – 2019 update. Int J Gynecol Cancer 2019;29(4):651668. https://doi.org/10.1136/ijgc-2019-000356CrossRefGoogle ScholarPubMed
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Kalogera, E, et al. Surgical technical evidence review for gynecologic surgery conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery. Am J Obstet Gynecol 2018;219(6):563.e561–563.e519. https://doi.org/10.1016/j.ajog.2018.07.014Google Scholar

References

Pillinger, NL, et al. Nutritional prehabilitation: physiological basis and clinical evidence. Anaesth Intensive Care 2018;46(5):453462.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence. Perioperative care in adults. [H] Evidence review for pre-operative fasting. NICE guideline NG180 Perioperative care. Available at: www.nice.org.uk/guidance/ng180/documents/evidence-review-7 [last accessed October 17, 2022].Google Scholar
Nelson, G, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations – 2019 update. Int J Gynecol Cancer 2019;29(4):651668.CrossRefGoogle ScholarPubMed
Cua, S, et al. The effect of an enhanced recovery protocol on colorectal surgery patients with diabetes. J Surg Res 2021;257:153160.Google Scholar
Yi, HC, et al. Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial. Nutrients 2020;12(1):264.CrossRefGoogle ScholarPubMed

References

Nelson, G, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations2019 update. Int J Gynecol Cancer 2019;29(4):651668.Google Scholar
Amer, MA, et al. Network meta-analysis of the effect of preoperative carbohydrate loading on recovery after elective surgery. Br J Surg 2017;104(3):187197.Google Scholar
Li, L, et al. Preoperative carbohydrate loading for elective surgery: a systematic review and meta-analysis. Surg Today 2012;42(7):613624.CrossRefGoogle ScholarPubMed
Smith, MD, et al. Preoperative carbohydrate treatment for enhancing recovery after elective surgery. Cochrane Database Syst Rev 2014;8:CD009161. https://doi.org/10.1002/14651858.CD009161.pub2Google Scholar
Bilku, DK, et al. Role of preoperative carbohydrate loading: a systematic review. Ann R Coll Surg Engl 2014;96(1): 1522.Google Scholar

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