Colostomy closure after Hartmann's procedure with fast-track rehabilitation

被引：51

作者：

Basse, L ^{[1
]}

Jacobsen, DH ^{[1
]}

Billesbolle, P ^{[1
]}

Kehlet, H ^{[1
]}

机构：

[1] Copenhagen Univ Hosp, Dept Surg Gastroenterol, Hvidovre, Denmark

来源：

DISEASES OF THE COLON & RECTUM | 2002年 / 45卷 / 12期

关键词：

colostomy closure; Hartmann's procedure; hospital stay; rehabilitation;

D O I：

10.1007/s10350-004-7255-0

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

PURPOSE: The aim of this study was to assess the effect of postoperative multimodal rehabilitation after colostomy closure after Hartmann's procedure. METHODS: Twenty-seven consecutive patients scheduled for colostomy closure after Hartmann's procedure received continuous postoperative epidural analgesia, laxative, and enforced oral liquids, protein drinks, and mobilization. RESULTS: Defecation occurred at a median 2 days postoperatively. Mean and median postoperative stay was 3 days, with two readmissions (I anastomotic dehiscence and I social) increasing mean total 1-month hospital stay to 4.3 (median, 3) days. No other complications occurred except three superficial wound infections. CONCLUSION: Postoperative hospital stay and morbidity may be reduced with multimodal rehabilitation after open colostomy closure after Hartmann's resection.

引用

页码：1661 / 1664

页数：4

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