Fast track in colo-rectal surgery. Preliminary experience in a rural hospital.
G Chir
; 35(11-12): 293-301, 2014.
Article
em En
| MEDLINE
| ID: mdl-25644732
ABSTRACT
BACKGROUND:
"Fast Track surgery" is a therapeutic program of large application, despite some doubts about its applicability and real validity. Literature review shows that this approach to colo-rectal surgery, particularly video-assisted, can allow a rapid recovery, better performance and a faster postoperative functional autonomy of the work, which can be discharged without cause additional welfare costs; in addition it can be reproducible in different health reality.PURPOSE:
To analyze the possibility to apply the Fast Truck protocol in patients undergoing colorectal surgery in a rural hospital and non specialistic Unit of Surgery. PATIENTS ANDMETHODS:
We have conducted a prospective, randomized study on 80 patients subjected to colorectal surgery in the last year.RESULTS:
The protocol was observed in 95% of cases, compliance with the Fast Track was high and general morbidity was limited (7.8%).CONCLUSION:
This "aggressive" approach, which has fundamentally altered the usual surgical behavior, seems to allow a mean length of stay significantly lower than in controls (p < 0.05) with positive implications for patients and containment of health care costs, even after discharge (no need for home care in 92% of cases, no early re-admittance to the hospital). Homogeneous protocols are desirable, as well as an increased enrollment, to consolidate these rehabilitation programs in order to provide a reference for all hospitals.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Retais
/
Doenças do Colo
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
G Chir
Ano de publicação:
2014
Tipo de documento:
Article