Mykhaylichenko Viacheslav Yurevich (doctor of medical Sciences, senior researcher, V. I. Vernadsky Crimean Federal University of S. I. Georgievsky Medical Academy)
Гербали Оксана Юрьевна (candidate of medical Sciences, assistant, V. I. Vernadsky Crimean Federal University of S. I. Georgievsky Medical Academy)
Basnaev Usein Ibragimovich (Assistan, V. I. Vernadsky Crimean Federal University of S. I. Georgievsky Medical Academy)
Karakursakov Nariman Eskenderovich (candidate of medical Sciences, associate Professor, V. I. Vernadsky Crimean Federal University of S. I. Georgievsky Medical Academy)
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The effectiveness of the «Fast-track» program in the performance of simultaneous operations was studied in this research work. To achieve these goals, we conducted a prospective analysis of surgical treatment of 72 patients with сhronic calculous cholecystitis and hernia hiatal. All patients were on inpatient treatment in the surgical Department of GBUZ RK GKB № 7 in Simferopol, in the period from 2016 to 2017, and from 2015 to 2016 respectively. The treatment of patients of the main group was performed by the program «Fast-track». Whereas treatment of patients from group comparison was carried out according to the standard generally accepted technique. Clinical and instrumental data indicate the positive effect of the program «Fast-track» on the process of rehabilitation of patients in the postoperative period. Against the background of the application of this technique, there was a significant acceleration in the recovery of motor-evacuation function of the intestine in patients of the main group relative to the comparison group, a smaller number of complications in the main group relative to the comparison group. As a result, the average duration of hospitalization of patients from the comparison group was 11.1 ±1.2 days in comparison with 7,9±1,2 days in main group. The use of the program «Fast-track» in simultaneous operations does not increase the effectiveness of surgical treatment, thereby accelerating the process of rehabilitation of patients in the postoperative period.
Keywords:«Fast-track» surgery, simultaneous surgery
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Citation link:
Mykhaylichenko V. Y., Гербали О. Ю., Basnaev U. I., Karakursakov N. E. The program «Fast-track» with simultaneous operations // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2018. -№11. -С. 175-178 |
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