| Autor: |
Linda Basse, Dorthe Hjort Jacobsen, Per Billesbølle, Henrik Kehlet |
| Zdroj: |
Diseases of the Colon & Rectum; Dec2002, Vol. 45 Issue 12, p1661-1664, 4p |
| Abstrakt: |
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 (1 anastomotic dehiscence and 1 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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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