2014, Number 3
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Rev Mex Cir Pediatr 2014; 18 (3)
Fast-Track concept for patent ductus arteriosus surgery.
Montoya SF, Tachiquín GRR, Flores ME
Language: Spanish
References: 12
Page: 121-128
PDF size: 424.30 Kb.
ABSTRACT
Background: Patent Ductus Arteriosus (PDA) is the most common congenital cardiac defect and echocardiogram confirms the diagnosis. The PDA
treatment involves pharmacological, percutaneous and surgery options, surgical ligation was the first surgery performed for a congenital heart disease. In
the 90´s, Fast Track concept was introduced to reduce surgical trauma. The aim of this study was to investigate the safety of this concept.
Methods: We analyzed patients operated with Fast-Track concept for PDA: Gender, surgical time, associated anomalies, surgical and late
complications, and days of hospital stay were evaluated.
Results: We studied 20 patients: 1:1.8 M : F ratio, surgical time was from 35 to 105 minutes (mean 55minutes). Hospital stay ranges from 36 to 96 hours
(mean 55.8hours). At follow-up of 3 months, no complications attributed to fast-track surgery were reported.
Conclusion: The Fast-Track concept for PDA surgery is feasible to perform in limited hospitals to reduce surgical time, materials, recovery, hospital
stay and finally reduce patient cost. We recommend this concept for PDA surgery.
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