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.
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.
Authors: Till Hasenberg; Friedrich Längle; Bianca Reibenwein; Karin Schindler; Stefan Post; Claudia Spies; Wolfgang Schwenk; Edward Shang Journal: Int J Colorectal Dis Date: 2010-02-20 Impact factor: 2.571
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Authors: P O Berberat; H Ingold; A Gulbinas; J Kleeff; M W Müller; C Gutt; M Weigand; H Friess; M W Büchler Journal: J Gastrointest Surg Date: 2007-07 Impact factor: 3.452
Authors: Mayou Martin T Tampo; Mark Augustine S Onglao; Marc Paul J Lopez; Marie Dione P Sacdalan; Ma Concepcion L Cruz; Rosielyn T Apellido; Hermogenes J Monroy Iii Journal: Ann Coloproctol Date: 2020-09-18