"FAST-TRACK" IN SIMULTANEOUS OPERATIONS AGAINST THE BACKGROUND OF WIDESPREAD PERITONITIS

V Yu Mykhaylichenko,N E Karakursakov,O Yu Gerbali,U I Basnaev

doi:10.25207/1608-6228-2018-25-5-141-146

Abstract

Aim. This research was conducted to study the possibility and effectiveness of the "Fast-track" fast recovery program application when performing simultaneous operations against the background of widespread peritonitis.Materials and methods. In the course of the study were examined 66 patients, the ratio of woman/man was 45:21. The main group – 32 (48,5%) patients with the major disease of constricted postoperative hernia complicated by the widespread peritonitis and chronic calculous cholecystitis (a prospective analysis of surgical treatment). The comparison group – 34 (51,5%) patients with the identical pathology – the retrospective analysis of surgical treatment. The treatment of patients of the main group was supplemented with the application of the elements of the «Fast-track» program. Whereas, the treatment of patients of the comparison group was performed exclusively according to the standard scheme of the patient management with widespread peritonitis.Results. Clinical, laboratory and instrumental data indicate the positive effect of the "Fast-track" program on the process of rehabilitation of patients in the postoperative period. There was a significant acceleration in the recovery of motorevacuation function of the intestine in patients of the main group in relation to the comparison group and a smaller number of complications in the main group in relation to the comparison group against the background of the application of this technique. As a result, the average duration of hospitalization of patients from the comparison group was 10- 5 days (average 12±2,4 days). While the average duration of hospitalization of patients from the comparison group was 17-20 days (on average 18±1,2 days).Conclusion. The use of the "Fast-track" program in simultaneous operations does not increase the effectiveness of surgical treatment, thereby accelerating the process of rehabilitation of patients in the postoperative period.

Highlights

The main group – 32 (48,5%) patients with the major disease of constricted postoperative hernia complicated by the widespread peritonitis and chronic calculous cholecystitis
The treatment of patients of the main group was supplemented with the application of the elements of the «Fast-track» program
The treatment of patients of the comparison group was performed exclusively according to the standard scheme of the patient management with widespread peritonitis

Summary

ОРИГИНАЛЬНЫЕ СТАТЬИ

Федеральное государственное автономное образовательное учреждение высшего образования «Крымский федеральный университет имени В. Изучить роль и эффективность применения программы ускоренного выздоровления «Fast-track» в симультанной хирургии на фоне распространенного перитонита. Лечение больных основной группы дополнялось применением элементов программы «Fast-track», тогда как лечение больных группы сравнения проводилось исключительно по стандартной схеме ведения больных с распространенным перитонитом. Клинические, лабораторные и инструментальные данные свидетельствуют о положительном действии программы «Fast-track» на процесс реабилитации больных в послеоперационном периоде. Применение программы «Fast-track» при симультанных операциях повышает эффективность проводимого хирургического лечения, ускоряя тем самым процесс реабилитации больных в послеоперационном периоде. «Fast-track» при симультанных операциях на фоне распространенного перитонита. For citation: Mykhaylichenko V.Yu., Gerbali O.Yu., Basnaev U.I., Karakursakov N.E. «Fast-track» in simultaneous operations against the background of widespread peritonitis. E. KARAKURSAKOV "FAST-TRACK" IN SIMULTANEOUS OPERATIONS AGAINST THE BACKGROUND OF WIDESPREAD PERITONITIS.

Materials and methods

The severity of the condition of hospitalized patients on SAPS scale

Важным компонентом интраоперационного

Результаты и обсуждение