Perioperative Optimisation for Major Urological Surgery
The concept of perioperative medicine has gained a central role in the field of surgery in the last decade, and encompasses prehabilitation of patients, optimization of intraoperative anaesthetic techniques, and postoperative rehabilitation. Together, these measures contribute to the concept of enhanced recovery after surgery (ERAS) implemented at the Bern University Hospital to reduce postoperative morbidity, shorten the length of hospital stay, and reduce health costs in Switzerland.
Our group aims to optimise patients’ physical status before major urological surgery (cystectomy with urinary diversion, major renal surgery, open radical prostatectomy), to determine optimal perioperative fluid management in terms of amount and composition of fluid administered, and to contribute to guidelines for optimal postoperative analgesia. We also perform mechanistic research on the effect of thoracic epidurally administered analgesic drugs on the lower urinary tract.
We aim to become one of the leading research groups investigating optimal perioperative care for patients undergoing open cystectomy and urinary diversion. In this context, we work intensively with the Inselspital’s Department of Urology (Prof. F. Burkhard and Prof. G. Thalmann), and are in the process of setting up international collaborations.