Corelaii ntre balana hidric perioperatorie i reluarea tranzitului intestinal n chirurgia oncologic abdominal major. Rezultate preliminareObiectiv: investigarea corelaiei ntre balana hidric perioperatorie i reluarea tranzitului intestinal. Material i metod: Studiu prospectiv observaional desfurat n IRO Iai ncepnd cu 1.02.2013, ce a inclus toi pacienii consecutivi compliani cu criteriile de includere/excludere. Parametrii privind bilanul hidric au fost nregistrai ca adecvai/inadecvai: durata postului pentru lichide (< sau >2h), terapia volemic intraoperatorie (< sau > 10ml/kg/h), bilanul hidric postoperator pozitiv n oricare din primele 5zile postoperator (< sau >1000ml/zi). Reluarea tranzitului intestinal a fost consemnat ca precoce/tardiv (primul flatus la < sau >48 ore postoperator). Rezultate: Au fost nrolai 76 pacieni cu chirurgie abdominal major (histerectomii totale 27, rezecie de rect 14, de colon 12, gastrectomii 7, hepatectomii 2). Terapia hidric intraoperatorie s-a nscris ntre 4-27ml/kg/h (cu o medie de 10,7ml/kg/h, valoare modal 8ml/kg/h). Bilanul hidric n ziua1 postoperator a fost 0 la 23 pacieni (30%) i a variat cu mai mult sau mai puin de 1500ml/zi la 12(15%), respectiv 10(13%) pacieni. Reluarea precoce a tranzitului intestinal coreleaz puternic (p2h), intraoperative volume therapy (< or > 10ml/kg/h), positive postoperative water balance in any of the first 5 postoperative days (< or >1000ml/day). The return of bowel movements (first flatus) was recorded as early/late ( < or >48 hours). Results: 76 patients with major abdominal surgery (27 hysterectomy, 14 rectal, 12 colonic, 2 hepatic resection, 7 gastrectomy) were enrolled. Intraoperative volume therapy varied between 4-27ml/kg/h (average 10,7ml/kg/h, modal value 8ml/kg/h). Water balance in the first postoperative day was 0 in 23 patients (30%) and varied with more or less than 1500ml/day in 12(15%), respective 10(13%) patients. Early return of bowel movements strongly correlates (p