A quick, 100% safe and effective solution thanks to a multidisciplinary diagnosis and approach, preparatory biopsies through scans or ultrasounds, and thanks to physicians, a team and technical platform of the latest generation gathered in a single location.
Interview with Professor Jacques Proust, general medicine and geriatrics specialist and Director of the Nescens Preventive Medicine Center, and Doctor Jean-Pierre Chevalley, specialist in visceral surgery at Clinique de Genolier.
Detecting tumors, before the symptoms
Essential to prevent the arrival of serious or disabling illnesses (cardiovascular diseases, diabetes, cancer, osteoarticular afflictions, etc.), check-ups allow for the detection of various illnesses well before the appearance of their clinical signs: “We have state-of-the-art technology on-site that calls on imaging, biology, and genetic and functional tests, tests that prove to be diagnostic, predictive and preventive”, explains Professor Proust. “We regularly have cases of tumors diagnosed by imaging techniques as part of a check-up, where there have been no symptoms”, explains Doctor Chevalley.
The ERAS protocol, better care of the patient, before, during and after surgery
Following an operation, whether minimally invasive or, if it is technically impossible to do otherwise, performed by laparotomy, the aim of accelerated rehabilitation after surgery (ERAS for Enhanced Recovery After Surgery) is to improve the patient’s recovery, by actively involving them, to reduce the effects of the operation, as well as the length of their hospital stay. This approach has really revolutionized care for patients operated on in terms of the pre-, per- and postoperative measures, especially with the removal of tubes and drains… Everything that is likely to keep the patient in bed is removed, with immobilization being detrimental. The patient has to get up and walk, immediately after the operation if possible, but on the same day in any case.
Less pain, faster recovery and a shorter hospital stay
Not that long ago, fairly complicated surgery such as a bowel resection implied, for example, the placement and maintenance of a stomach tube for several days, due to fear of postoperative ileus and the stitches not holding. Experience has shown that stitches are solid and that, on the contrary, a quick recovery may allow for quicker healing. The application of these principles, among others, with an early postoperative recuperation, has resulted in a significant reduction in the duration of hospital stays, without an increase in the rate of hospital readmission. “Removing catheters, good analgesia and very quick mobilization allows for a return to normal life, together with a quick recuperation. What’s important is listening to your body”, concludes Doctor Chevalley. The ERAS protocol was first developed for colon surgery, and was then adapted to rectal and pancreatic surgery, as well as to other surgical procedures and disciplines.
For further information
Medical Conference Fifth Swiss Medical Network Symposium Meet Doctor Jean-Pierre Chevalley and other specialists at the Fifth Symposium on new therapies in the treatment of digestive diseases: Thursday 3rd May 2018, at Clinique de Genolier