Open AccessIMPLEMENTATION OF FAST-TRACK PROGRAM FOR STOMA REVERSAL PROCEDURES
Author(s) -
В. В. Дарвин,
A. Ya. Ilkanich,
Yu. S. Voronin
Publication year - 2020
Publication title -
koloproktologiâ
Language(s) - English
Resource type - Journals
eISSN - 2686-7303
pISSN - 2073-7556
DOI - 10.33878/2073-7556-2020-19-1-67-72
Subject(s) - fast track , stoma (medicine) , medicine , protocol (science) , surgery , clinical practice , general surgery , nursing , alternative medicine , pathology
AIM: evaluation of the effectiveness of the enhanced recovery protocol for stoma reversal procedures. PATIENTS AND METHODS: a single-center retrospective analysis of stoma reversal surgery in 130 ostomy patients in 2012-18 was performed. From 2012 to 2015, 56 (43.1%) patients were treated before the implementation of the Enhanced Recovery After Surgery (ERAS) protocol in clinical practice, 74(56.9%) patients were treated in accordance with the principles of fast-track. RESULTS: the introduction into clinical practice of the ERAS protocol reduced postoperative complications from 8.5% to 5.4% (p=0.002) and the hospital stay from 16,3±9,4 to 11,4±4,2 days (p=0.003). CONCLUSION: the fast-track strategy is an effective way to improve the results of stoma reversal procedures.