Fast track surgery for optimizing standard postoperative surgical care

Abstract EN

The aim of this study was to evaluate fast track surgery in improving the postoperative results of open cholecystectomy through a randomized controlled study.

Eighty patients were randomly divided into a fast track or a standard protocol of postoperative care.

Parameters assessed in the postoperative period were: pain, analgesia, intra-venous fluid requirements, oral intake, nausea, vomiting, bowel sounds, and first bowel this was made possible through the integration of motion, mobilization, use of drains, complications.

Patients in the fast track group had milder pain for significantly fewer days (1.5 ± 0.8 versus 3.5 ± 0.71) and significantly less patients required narcotic physiological and psychological stress associated analgesics in comparison to patients in the standard protocol (16 - 40% versus 40 - 100%).

All patients the fast track groups were able to start feeding six in significantly fewer days (1.4 ± 0.48 versus 2.3 ± 0.8).

Significantly fewer patients in the fast track group suffered from nausea (9 – 22.5% versus 3- 75%) and vomiting (5 – 12.5% versus 21 – 52.5%).

These findings were associated with significantly less amounts (liters) of intra-venous fluid being given to patients in the fast track group (1.1 ± 0.22 versus 7.1± 1.88).

All patients in the fast track group were able to leave their beds on the day of surgery and hospital stay in days was significantly shorter than patients in the standard group (1.7 ± 0.46 versus surgery.

The aim (3.6 ± 1.1).This did not lead to any increase in complications as there was no significant difference in the complications encountered in both groups Fast track surgery is superior conventional study.

Surgery with faster recovery and earlier hospital discharge and should be pursued whenever possible especially in the absence of laparoscopic facilities.