IMPLEMENTATION OF FAST-TRACK PROGRAM FOR STOMA REVERSAL PROCEDURES

Author:

Darvin V. V.1,Ilkanich A. Y.1,Voronin Yu. S.1

Affiliation:

1. BU «Surgut Regional Clinical Hospital»; Surgut State University

Abstract

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.

Publisher

Russian Association of Coloproctology

Subject

Materials Chemistry

Reference9 articles.

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2. Zatevakhin I.I., Pasechnik I.N., Achkasov S.I., et al. Clinical guideline son implementation of enhanced-recovery-after-surgery program for elective colorectal surgery. Doctor.ru Anesthesiology and Critical Care Medicine. 2016; no. 12 (129), с. 8-21. (in Russ.).

3. Bagnall NM, Malietzis G, Kennedy RH, et al. A systematic review of enhanced recovery care after colorectal surgery in elderly patients. Colorectal Diseases. 2014;16(12):947-56.

4. Gillissen F., Ament S., Maessen J., et al. Sustainability of an Enhanced Recovery after Surgery Program (ERAS) in сolonic surgery. World Journal of Surgery. 2015;2(39):526-533.

5. Achkasov S.I., Surovegin E.S., Sushkov O.I., et al. Results of the implementation of the enhanced recovery program in coloproctology. Koloproktologia. 2018; no. 2 (64), pp. 32-38. (in Russ.).

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