• Integrating Fast track surgery in the treatment scheme operated patients with acute gynecological pathology 

Integrating Fast track surgery in the treatment scheme operated patients with acute gynecological pathology 

HEALTH OF WOMAN. 2016.4(110):146–149; doi 10.15574/HW.2016.110.146 

Integrating Fast track surgery in the treatment scheme operated patients with acute gynecological pathology 

Vdovichenko Y. P., Anoshina T. N., Vinarska-Svyrydiuk V. L., Boyko E. N.

National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev

Kyiv city clinical hospital

The article presents the results of treatment of operated patients with acute gynecological pathology after integration of the principles regimen fast track surgery.

Patients and methods. The study included patients from 17 to 55 years with acute gynecological pathology who were treated with surgery and laparoscopic gynecology department in KMKL №6 at the Department of Obstetrics, Gynecology and Perinatology named of P.L. Shupyka. NMAPE in 2013-2015.

All patients (n = 346) were divided into 2 groups. The first group (n = 166) of patients was treated by the traditional method, the second group (n=180) was introduced with FTS program, performing laparoscopic surgery.

Results. It is proved that the using elements of fast track surgery improves outcomes of patients with acute gynecological pathology. It also allows to reduce the feeling of pain on VAS from 2,7 to 1,9, the length of dyspepsia, duration of antibiotic therapy and infusion of 3,4 and 3,2 days to 1,5 and 1,8 days. All this things lead to a reduction in bed days from 4,2 days to 2,9 and can reduce the cost of treatment.

Conclusion. Multimodal FTS program increases the efficiency of the surgical treatment of patients, provides a comfortable postoperative course, contributes to reduce the period of rehabilitation , early hospital discharge and reduce treatment costs, that is of course, the direct economic effect and significantly increases the prestige of the doctor and the medical establishment.

Key words: acute gynecological pathology, laparoscopy, perioperative therapy.


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