The program «Fast-track» with simultaneous operations

Mykhaylichenko Viacheslav Yurevich, Гербали Оксана Юрьевна, Basnaev Usein Ibragimovich, Karakursakov Nariman Eskenderovich

The effectiveness of the «Fast-track» program in the performance of simultaneous operations was studied in this research work. To achieve these goals, we conducted a prospective analysis of surgical treatment of 72 patients with сhronic calculous cholecystitis and hernia hiatal. All patients were on inpatient treatment in the surgical Department of GBUZ RK GKB № 7 in Simferopol, in the period from 2016 to 2017, and from 2015 to 2016 respectively. The treatment of patients of the main group was performed by the program «Fast-track». Whereas treatment of patients from group comparison was carried out according to the standard generally accepted technique. Clinical and instrumental data indicate the positive effect of the program «Fast-track» on the process of rehabilitation of patients in the postoperative period. Against the background of the application of this technique, there was a significant acceleration in the recovery of motor-evacuation function of the intestine in patients of the main group relative to the comparison group, a smaller number of complications in the main group relative to the comparison group. As a result, the average duration of hospitalization of patients from the comparison group was 11.1 ±1.2 days in comparison with 7,9±1,2 days in main group. The use of the program «Fast-track» in simultaneous operations does not increase the effectiveness of surgical treatment, thereby accelerating the process of rehabilitation of patients in the postoperative period.

Keywords:«Fast-track» surgery, simultaneous surgery