Clinical application of fast track surgery in patients with vaginal hysterectomy for non-prolapsed uterus

Abstract

Objective To investigate the safety and feasibility of fast track surgery (FTS) in patients with vaginal hysterectomy for non-prolapsed uterus. Methods 110 cases of vaginal hysterectomy for non-prolapsed uterus with benign uterine disease were randomly divided into two groups: fast track group (n=55) and conventional group (n=55).The operative time, intraoperative blood loss, postoperative nausea and vomiting, anal exhaust time, postoperative hospital stay, medical cost and perioperative complications were compared between the two groups. Results In FTS group, the incidence rate of postoperative nausea and vomiting, the postoperative anal exhaust time, hospital stay, cost of hospitalization were 16.4%, (13.73±2.41)h and (4.38±1.08)d, (7 541.00±253.17)yuan, respectively, which in the control group were 36.4%, (18.56±1.54)h, (4.89±1.26)d, (8 155.15±495.89)yuan, the differences were statistically significant between the two groups (χ2=5.67, t=-12.53, -2.28, -8.17, all P 0.05). Conclusion FTS has good security.It can short the hospitalization time, reduce medical costs and improve the quality of life in patients who underwent vaginal hysterectomy for non-prolapsed uterus with benign uterine disease. Key words: Hysterectomy, vaginal; Rehabilitation; Postoperative complications