Perioperative Management and Outcome of General and Abdominal Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 28 August 2025 | Viewed by 780

Special Issue Editor


E-Mail Website1 Website2
Guest Editor
1. Department of Surgery, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
2. First Clinic of Surgery, Craiova Emergency Clinical County Hospital, 200642 Craiova, Romania
Interests: abdominal surgery; surgical oncology; gastrointestinal surgery; colorectal surgery; hernia surgery; laparoscopic surgery; laparoscopic cholecystectomy
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Special Issue Information

Dear Colleagues,

It is a privilege for me to announce a Special Issue dedicated to the perioperative management and outcome of general and abdominal surgery. Not only good technical skills and a perfect operation are enough for a good outcome, but also good perioperative care for our patients.

Perioperative management represents the practice of patient-centered, multidisciplinary, and integrated medical care for patients, starting from the moment of surgery planning and reaching the moment of discharge. It includes a set of therapeutic measures administered in such a way as to improve the general health and status of the patient, lower the anxiety of the patient, prevent deep vein thrombosis and pulmonary embolism, prevent surgical site infection, ensure or even speed a good recovery for the patient, enhance their well-being, and shorten the length of their hospital stay. There is so-called traditional perioperative care that was considered the standard of care for many years until 1990, when the concept of enhanced recovery after surgery was born, followed by specific guidelines for many general and abdominal surgery subspecialties (colorectal, upper GI, pancreatic etc.). However, there is still room for improvement, as many items of the pre-, intra-, and post-operative recommendations have low and moderate quality of evidence. The focus of this Special Issue is on every aspect of perioperative care and how it may influence the outcome.

Any submission, such as reviews or original articles on the aforementioned aspects, is welcome. We look forward to receiving your contributions.

Prof. Dr. Valeriu Surlin
Guest Editor

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Keywords

  • perioperative management
  • enhanced recovery after surgery
  • postoperative recovery
  • preoperative preparation
  • surgical outcome

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Published Papers (1 paper)

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Research

22 pages, 681 KiB  
Article
Improving Perioperative Care in Gastric Surgery: Insights from the EUropean PErioperative MEdical Networking (EUPEMEN) Project
by Orestis Ioannidis, Elissavet Anestiadou, Jose M. Ramirez, Nicolò Fabbri, Javier Martínez Ubieto, Carlo Vittorio Feo, Antonio Pesce, Kristyna Rosetzka, Antonio Arroyo, Petr Kocián, Luis Sánchez-Guillén, Ana Pascual Bellosta, Adam Whitley, Alejandro Bona Enguita, Marta Teresa-Fernandéz, Stefanos Bitsianis and Savvas Symeonidis
J. Clin. Med. 2025, 14(6), 2108; https://doi.org/10.3390/jcm14062108 - 19 Mar 2025
Viewed by 509
Abstract
Background/Objectives: Gastric cancer remains a leading cause of cancer-related deaths worldwide and surgical resection represents the mainstay of treatment procedures. However, despite the advancements noted in the field of surgical oncology, perioperative complications and variability in the perioperative care provided persist. To address [...] Read more.
Background/Objectives: Gastric cancer remains a leading cause of cancer-related deaths worldwide and surgical resection represents the mainstay of treatment procedures. However, despite the advancements noted in the field of surgical oncology, perioperative complications and variability in the perioperative care provided persist. To address the challenges caused by non-standardized perioperative care for gastric surgery across European healthcare systems, the EUropean PErioperative MEdical Networking (EUPEMEN) protocol has been developed. The present study concisely provides the EUPEMEN protocol’s development, implementation, and impact on perioperative management in gastric resections. Methods: The EUPEMEN protocol was developed through a multidisciplinary collaboration involving five academic healthcare professionals from four European countries. The main activities of the collaborative group included a literature review, consensus development, the creation of multimodal rehabilitation manuals, and the development of an online learning platform. The EUPEMEN project aims for the uniform adoption of evidence-based practices across preoperative, intraoperative, and postoperative phases, leading in nutritional, psychological, and physiological optimization. Results: The implementation of the EUPEMEN protocol aims to optimize perioperative outcomes, including reduced postoperative complications, a shorter length of hospitalization, and improved recovery trajectories. The above have been achieved through structured guidelines that ensure consistent care delivery across diverse healthcare settings and tools such as rehabilitation manuals and a free-access online educational platform. Conclusions: The EUPEMEN protocol represents a new standard for perioperative care in the field of gastric surgery that is based on multidisciplinary collaboration and evidence-based practices. While challenges such as resource constraints and variability in adherence remain, the protocol demonstrates significant potential to improve patient outcomes and streamline perioperative management. Future research should focus on long-term effects and adaptation challenges in the setting of non-European healthcare systems. Full article
(This article belongs to the Special Issue Perioperative Management and Outcome of General and Abdominal Surgery)
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