Rodríguez PY, Solarana OJ, Ramírez PYL, Benítez GY, Velázquez LY

Language: Spanish
References: 10
Page: 1090-1104
PDF size: 247.19 Kb.

ABSTRACT

Introduction: Fast-Track (FT) or quick recovery designs are perioperative multimodal recovery schemes that adapt strategies predestined to shorten and improve the recovery period. They have an impact on the decrease of ileus, postoperative pain, hospital stay and increase of patient satisfaction, without risking his life.
Objective: To determine the evolution of patients undergoing appendectomy, with the application of a perioperative FT protocol of this type.
Method: An open-ended clinical trial was conducted. An FT protocol was applied to patients in the appendectomy postoperative, in those uncomplicated acute appendicitis. The sample was 108 patients.
Results: The most frequent complication was superficial surgical site infection, in 11% of patients. An early start with solid diet was well tolerated in 87%. The incidence of postoperative nausea and vomiting was low. The average post-operative stay was 13 hours. 6% of patients consulted the emergency department after discharge and only 1% was readmitted due to reasons associated with the FT protocol.
Conclusions: The application of an FT protocol in patients with open appendectomies is a safe and beneficial procedure for the patient.

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