Evaluationof fast-track surgeryina pediatric population at Cairo University /
Aly Ibrahim Mahmoud Shalaby
Evaluationof fast-track surgeryina pediatric population at Cairo University / تقييم المنظومة الجراحية سريعة المسار في جراحة الاطفال بجامعة القاهرة Aly Ibrahim Mahmoud Shalaby ; Supervised Montasser ElKoutby , Omar Abdelalim , Khaled Bahaa Eldin - Cairo : Aly Ibrahim Mahmoud Shalaby , 2015 - 228 P. ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery
The concept of fast-track surgery using multimodal perioperative rehabilitation programs was introduced in the early 1990s. Fast-track surgery has been used for some general and cardiac surgery in children. Detailed data on the feasibility, safety and costs offast-track pediatric surgery are only just emerging. Patients and methods: Prospective data collection on all admissions meeting the inclusion criteria was carried out. Demographics, pain score, postoperative feeding, hospital stay,complications and readmissions weree valuated. Results: From August 2009 to December 2011,1024 patients were admitted for the following procedures:appendicectomy, closureofstoma,fundoplication, endo-anal pullthrough for Hirschsprungs disease, hypospadias repair and repair of congenital diaphragmatic hernia. A total of 617(60.2%) were eligible for fast-track. Laparoscopy was done in 35.5% of cases. The median postoperative pain intensity was 3.Median start of feeds was 1.75 days postoperatively. Hospital stay was amedian of 3days. The overall complication rate was 7.6%. The overall readmission rate was 8.4%. Conclusions: Fast-track surgery is feasible in general pediatric surgery, across a wide range of procedures. The frequency of laparoscopy in this study was low
Fast-track Minimally invasive surgery Pediatric surgery
Evaluationof fast-track surgeryina pediatric population at Cairo University / تقييم المنظومة الجراحية سريعة المسار في جراحة الاطفال بجامعة القاهرة Aly Ibrahim Mahmoud Shalaby ; Supervised Montasser ElKoutby , Omar Abdelalim , Khaled Bahaa Eldin - Cairo : Aly Ibrahim Mahmoud Shalaby , 2015 - 228 P. ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery
The concept of fast-track surgery using multimodal perioperative rehabilitation programs was introduced in the early 1990s. Fast-track surgery has been used for some general and cardiac surgery in children. Detailed data on the feasibility, safety and costs offast-track pediatric surgery are only just emerging. Patients and methods: Prospective data collection on all admissions meeting the inclusion criteria was carried out. Demographics, pain score, postoperative feeding, hospital stay,complications and readmissions weree valuated. Results: From August 2009 to December 2011,1024 patients were admitted for the following procedures:appendicectomy, closureofstoma,fundoplication, endo-anal pullthrough for Hirschsprungs disease, hypospadias repair and repair of congenital diaphragmatic hernia. A total of 617(60.2%) were eligible for fast-track. Laparoscopy was done in 35.5% of cases. The median postoperative pain intensity was 3.Median start of feeds was 1.75 days postoperatively. Hospital stay was amedian of 3days. The overall complication rate was 7.6%. The overall readmission rate was 8.4%. Conclusions: Fast-track surgery is feasible in general pediatric surgery, across a wide range of procedures. The frequency of laparoscopy in this study was low
Fast-track Minimally invasive surgery Pediatric surgery