PHYSICAL THERAPY FOR EMERGENCY ABDOMINAL SURGERY: STATE OF THE PROBLEM IN UKRAINE
Keywords:
postoperative rehabilitation, guidelines in emergency abdominal surgical pathology
Abstract
For today there are significant medical advances in surgical treatment of emergency abdominal pathology and surgical techniques. However, the place of physical therapy in guidelines of acute abdominal pathology complex treatment remains insufficiently described in the specialized literature, and its significance in clinical practice underestimated. Emergency abdominal surgical pathology still remains a significant proportion of all surgical diseases, whereas mortality and postoperative complications remain considerably high. Surgical interventions in this cohort belong to the high-risk category in the cases of old age, poor general health with the limited cardiorespiratory reserve, low physical strength and obesity. Among other reasons of this study importance, there are insufficient clinical guidelines and misunderstanding of physical therapy impact on treatment outcome, such as mortality, frequency and type of postoperative morbidity, duration of in hospital stay, quality of life and rate of physical recovery. Only moderate quantity of thorough studies is available, concerning major urgent abdominal pathology complex treatment which comprehends surgical, anesthesia, laboratory, imaging, physiotherapy and nutritional support expertise. However, current evidence from trials remains obscure due to absence of clearly defined, standardized physiotherapy interventions, which limits the comparison in the treatment outcomes assessment. Currently in Ukraine there are no standards of physical therapy in clinical protocol of emergency abdominal surgical pathology. Consequently, there is a necessity for theoretic and practical justification of physical therapy as an important component of comprehensive treatment in the case of emergency abdominal surgical pathology.
References
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26. Saunders, D. I., Murray, D., Pichel, A. C., Varley, S., Peden, C. J.; UK Emergency Laparotomy Network. (2012). Variations in mortality after emergency laparotomy: the first report of the UK emergency laparotomy network. Br J Anaesth.
27. Shahan, C. P., Bell, T., Paulus, E., Zarzaur, B. L. (2015). Emergency general surgery outcomes at safety net hospitals. J Surg Res.
28. Stephens, T. J., Peden, C. J., Pearse, R. M., Shaw, S. E., Abbott, T. E. F., Jones, E. L., et al. (2018). The Improving care at scale: process evaluation of a multi-component quality improvement intervention to reduce mortality after emergency abdominal surgery (EPOCH trial). Implement Sci.
29. Tengberg, L. T., Bay-Nielsen, M., Bisgaard, T., Cihoric, M., Lauritsen, M. L., Foss, N. B.; AHA study group. (2017). Multidisciplinary perioperative protocol in patients undergoing acute high-risk abdominal surgery. Br J Surg.
30. Tengberg, L. T., Bay-Nielsen, M., Bisgaard, T., Cihoric, M., Lauritsen, M. L., Foss, N. B.; AHA study group. (2017). Multidisciplinary perioperative protocol in patients undergoing acute high-risk abdominal surgery. Br J Surg.
31. Tolstrup, M. B., Watt, S. K., Gögenur, I. (2016). Morbidity and mortality rates after emergency abdominal surgery: an analysis of 4346 patients scheduled for emergency laparotomy or laparoscopy. Langenbeck’s Arch Surg.
32. Visioni, A., Shah, R., Gabriel, E., Attwood, K., Kukar, M., Nurkin, S. (2018). Enhanced recovery after surgery for noncolorectal surgery? A systematic review and meta-analysis of major abdominal surgery. Ann Surg.
33. Wolk, S., Distler, M., Müssle, B., Söthje, S., Weitz, J., Welsch, T. (2016). Adherence to ERAS elements in major visceral surgery – an observational pilot study. Langenbeck’s Arch Surg.
2. Alam, R., Montanez, J., Law, S., Lee, L., Pecorelli, N., Watanabe, Y., et al. (2019). Development of a conceptual framework of recovery after abdominal surgery. Surg Endosc.
3. Al-Temimi, M. H., Griffee, M., Enniss, T. M., Preston, R., Vargo, D., Overton, S., et al. (2012). When is death inevitable after emergency laparotomy? Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. J Am Coll Surg.
4. Barberan-Garcia, A., Ubré, M., Roca, J., Lacy, A. M., Burgos, F., Risco, R., et al. (2018). Personalised prehabilitation in high-risk patients undergoing elective major abdominal surgery: a randomized blinded controlled trial. Ann Surg.
5. Bereznyczkyy, Y. S., Yaroshenko K. O. (2015). Suchasni organizacijni ta taktychni pytannya likuvannya shlunkovo-kyshkovyh krovotech [Modern organizational and tactical issues in treatment of gastrointestinal bleeding]. Acta medica Leopoliensia. [in Ukrainian]
6. Boden, I., Sullivan, K., Hackett, C., Winzer, B., Lane, R., McKinnon, M., et al. (2018). ICEAGE (Incidence of Complications following Emergency Abdominal surgery: Get Exercising): study protocol of a pragmatic, multicentre, randomised controlled trial testing physiotherapy for the prevention of complications and improved physical recovery after emergency abdominal surgery. World J Emerg Surg.
7. Broughton, K. J., Aldridge, O., Pradhan, S., Aitken, R. J. (2017). The Perth emergency laparotomy audit. ANZ J Surg.
8. Burcharth, J., Abdulhady, L., Danker, J., Ekeloef, S., Jørgensen, T., Lauridsen, H., et al. (2019). Implementation of a multidisciplinary perioperative protocol in major emergency abdominal surgery. Eur J Trauma Emerg Surg.
9. Dovidnyk DZ "Centr medychnoyi statystyky MOZ Ukrayiny" "Pokaznyky zdorovya naselennya", 2000-2018rr. [Digest of public institution «Medical Statistics Center of the Ministry of Health of Ukraine» "Indicators of public health", 2000-2018]. Kyiv. [in Ukrainian]
10. Fomin, P. D., Usenko, O. Y., Bereznyczkyy, Y. S., et al. (2018). Nevidkladna xirurgiya organiv cherevnoyi porozhnyny (standarty organizaciyi ta profesijno oriyentovani algorytmy nadannya medychnoyi dopomogy) [Emergency abdominal surgery (standards of organization and professionally oriented algorithms of medical care)]. Kyiv: Zdorovya Ukrayiny. [in Ukrainian]
11. Gramlich, L. M., Sheppard, C. E., Wasylak, T., Gilmour, L. E., Ljungqvist, O., Basualdo-Hammond, C., et al. (2017). Implementation of enhanced recovery after surgery: a strategy to transform surgical care across a health system. Implement Sci.
12. Green, G., Shaikh, I., Fernandes, R., Wegstapel, H. (2013). Emergency laparotomy in octogenarians: a 5-year study of morbidity and mortality. World J Gastrointest Surg.
13. Grygoryev, A. J., Balan, M. M., Raczul, A. B. (2008). Encyklopediya fizychnoyi reabilitaciyi. Naukovo-metodychne vydannya. Kyiv: Imeks-LTD [in Ukrainian]
14. Howes, T. E., Cook, T. M., Corrigan, L. J., Dalton, S. J., Richards, S. K., Peden, C. J. (2015). Postoperative morbidity survey, mortality and length of stay following emergency laparotomy. Anaesthesia.
15. Kamarajah, S. K., Bundred, J., Weblin, J., Tan, B. H. L. (2019). Critical appraisal on the impact of preoperative rehabilitation and outcomes after major abdominal and cardiothoracic surgery: A systematic review and meta-analysis. Surgery.
16. Lavallée, J. F., Gray, T. A., Dumville, J., Russell, W., Cullum, N. (2017). The effects of care bundles on patient outcomes: a systematic review and meta-analysis. Implement Sci.
17. Lawrence, V. A., Hazuda, H. P., Cornell, J. E., Pederson, T., Bradshaw, P. T., Mulrow, C. D., et al. (2004). Functional independence after major abdominal surgery in the elderly. J Am Coll Surg.
18. Ljungqvist, O., Scott, M., Fearon, K. C. (2017). Enhanced recovery after surgery: a review. JAMA Surg.
19. McIsaac, D. I., Moloo, H., Bryson, G. L., van Walraven, C. (2017). The association of frailty with outcomes and resource use after emergency general surgery: a population-based cohort study. Anesth Analg.
20. Møller, M. H., Adamsen, S., Thomsen, R. W., Møller, A. M. (2011). Multicentre trial of a perioperative protocol to reduce mortality in patients with peptic ulcer perforation. Br J Surg. Nakaz № 1422 MOZ Ukrayini vid 29.12.2016 r. «Pro vnesennya zmin do nakazu Ministerstva okhoroni zdorov’ya Ukrayini vid 28 veresnya 2012 roku № 751» [Order № 1422 of the Ministry of Health of Ukraine dated Dec 29, 2016 "On amendments to the order of the Ministry of Health of Ukraine from Sep 28, 2012 № 751»]. Kyiv. [in Ukrainian]
21. Nakaz № 297 MOZ Ukrayini vid 02.04.2010r. «Pro zatverdzhennya standartiv ta klinichnikh protokoliv nadannya medichnoyi dopomogi zi spetsialnosti "Khirurgiya"» [Order № 297 of the Ministry of Health of Ukraine dated Apr 2, 2010 "On approval of standards and clinical protocols for the provision of medical care in the specialty «Surgery»"]. Kyiv. [in Ukrainian]
22. Nakaz № 751 MOZ Ukrayini vid 28.09.2012r. «Pro stvorennya ta vprovadzhennya mediko-tekhnologichnikh dokumentiv zi standartizatsiyi medichnoyi dopomogi v sistemi Ministerstva okhoroni zdorov’ya Ukrayini» [Order № 751 of the Ministry of Health of Ukraine dated Sep 28, 2012 “About creation and introduction of medical and technological documents on standardization of medical care in system of the Ministry of Health of Ukraine”]. Kyiv. [in Ukrainian]
23. Nally, D. M., Sørensen, J., Valentelyte, G., Hammond, L., McNamara, D., Kavanagh, D. O., et al. (2019). Volume and in-hospital mortality after emergency abdominal surgery: a national population-based study. BMJ Open.
24. Pedziwiatr, M., Kisialeuski, M., Wierdak, M., Stanek, M., Natkaniec, M., Matłok, M., et al. (2015). Early implementation of enhanced recovery after surgery (ERAS®) protocol – compliance improves outcomes: a prospective cohort study. Int J Surg.
25. Rose, J., Weiser, T. G., Hider, P., Wilson, L., Gruen, R. L., Bickler, S. W. (2015). Estimated need for surgery worldwide based on prevalence of diseases: a modelling strategy for the WHO Global Health Estimate. Lancet Glob Health.
26. Saunders, D. I., Murray, D., Pichel, A. C., Varley, S., Peden, C. J.; UK Emergency Laparotomy Network. (2012). Variations in mortality after emergency laparotomy: the first report of the UK emergency laparotomy network. Br J Anaesth.
27. Shahan, C. P., Bell, T., Paulus, E., Zarzaur, B. L. (2015). Emergency general surgery outcomes at safety net hospitals. J Surg Res.
28. Stephens, T. J., Peden, C. J., Pearse, R. M., Shaw, S. E., Abbott, T. E. F., Jones, E. L., et al. (2018). The Improving care at scale: process evaluation of a multi-component quality improvement intervention to reduce mortality after emergency abdominal surgery (EPOCH trial). Implement Sci.
29. Tengberg, L. T., Bay-Nielsen, M., Bisgaard, T., Cihoric, M., Lauritsen, M. L., Foss, N. B.; AHA study group. (2017). Multidisciplinary perioperative protocol in patients undergoing acute high-risk abdominal surgery. Br J Surg.
30. Tengberg, L. T., Bay-Nielsen, M., Bisgaard, T., Cihoric, M., Lauritsen, M. L., Foss, N. B.; AHA study group. (2017). Multidisciplinary perioperative protocol in patients undergoing acute high-risk abdominal surgery. Br J Surg.
31. Tolstrup, M. B., Watt, S. K., Gögenur, I. (2016). Morbidity and mortality rates after emergency abdominal surgery: an analysis of 4346 patients scheduled for emergency laparotomy or laparoscopy. Langenbeck’s Arch Surg.
32. Visioni, A., Shah, R., Gabriel, E., Attwood, K., Kukar, M., Nurkin, S. (2018). Enhanced recovery after surgery for noncolorectal surgery? A systematic review and meta-analysis of major abdominal surgery. Ann Surg.
33. Wolk, S., Distler, M., Müssle, B., Söthje, S., Weitz, J., Welsch, T. (2016). Adherence to ERAS elements in major visceral surgery – an observational pilot study. Langenbeck’s Arch Surg.
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Published
2021-11-12
How to Cite
Hula, H., & Bas, O. (2021). PHYSICAL THERAPY FOR EMERGENCY ABDOMINAL SURGERY: STATE OF THE PROBLEM IN UKRAINE. Scientific Journal of Polonia University, 46(3), 222-228. https://doi.org/10.23856/4629
Section
HEALTH, ENVIRONMENT, DEVELOPMENT
