International journal of colorectal disease
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Int J Colorectal Dis · Jun 2009
Perioperative fluid retention and clinical outcome in elective, high-risk colorectal surgery.
There is some controversy regarding concepts currently propagated for an optimal perioperative fluid management in colorectal surgery. We wanted to analyze the association of net intraoperative and postoperative fluid balances with postoperative morbidity and length of stay. ⋯ If guided by established standards, even large perioperative fluid retentions do not appear to be associated with a worse outcome after extended colorectal surgery. Epidural analgesia may provide a significant benefit in those high-risk patients.