Fig. 5.1 Fast-track surgery pathways include various components divided into preoperative, anaesthetic, intraoperative and postoperative factors (Donohoe et al. 2011) (With permission from Elsevier Limited) 5.2 Preoperative Factors 5.2.1 Preoperative…
Key point What to look for? Medical and surgical history General health Comorbidities like diabetes, immunosuppressive disorders, inflammatory bowel disorders Previous abdominal and anorectal surgery Neurological disease (e.g., MS, cauda…
Fig. 9.1 Compartment approach for pelvic exenteration surgery There have been several predictive factors described that may determine R0 resections. These include for LRC, original margin status, site of pelvic…
Fig. 4.1 Definition of malnutrition Insufficient energy intake Weight loss Loss of muscle mass Loss of subcutaneous fat Localized or generalized fluid accumulation that may sometimes mask weight loss Diminished…
Fig. 3.1 Holistic patient-centred care formulated by ‘T’-shaped transdisciplinary nurse and ‘U’ that is referred to as ‘You’, the geriatric surgical patient The team recognised that achieving exemplary surgical and…
Fig. 10.1 Risk stratification for CRC according to family history (Based on Cairns et al. 2010) Evaluating cancer risk within a family is a dynamic process. Individuals may move to…
Fig. 1.1 The evolution from disciplinary to transdisciplinary (Adapted from Colón et al. (2008)) The interdisciplinary model acknowledges the overlap in knowledge of the different team members and facilitates horizontal…
Fig. 13.1 Population projections for the elderly in various countries. Source: US Census Bureau http://www.census.gov/ipc/www/idbnew.html In older adults, cancer is often only one of multiple coexisting health conditions. Physical, cognitive,…
High risk Low risk Surgical factors Surgical factors Upper abdominal surgery Lower abdominal surgery Open surgery Laparoscopic surgery Prolonged surgery (>3–4 h) Short surgical duration (<3–4 h) Vertical or oblique…
Drug Dose Time of action Considerations and adverse effects Labetalol Loading dose 20 mg followed by 20–80 mg every 10 min, up to total 300 mg. May consider 1–2 mg/min…
