Langenbeck's archives of surgery
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Langenbecks Arch Surg · Aug 2004
ReviewEffect of postoperative pain treatment on outcome-current status and future strategies.
The effect of postoperative pain relief on morbidity and hospital stay is reviewed. ⋯ The effects of pain relief on outcome remains debatable, despite beneficial effects of pathophysiological responses. Future outcome studies are required where optimised dynamic pain relief is integrated with a multimodal rehabilitation programme.
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Langenbecks Arch Surg · Aug 2004
Postoperative recovery of microcirculation after gastric tube formation.
The formation of a gastric tube is associated with partial devascularisation of the stomach and impaired tissue perfusion in the anastomotic region. The aim of the study was to gain data on the time interval of microcirculatory recovery of the normal gastric conduit. ⋯ High levels of pCO(2)I indicate an impaired postoperative microcirculation in normal gastric tubes. After initial deterioration, gastric microcirculation takes approximately 4 days to recovery. These data are important for the implementation of ischaemic conditioning prior to gastric tube formation and gastric pull-up.