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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.14.Ph.D.2015.Al.E
100 0 _aAly Ibrahim Mahmoud Shalaby
245 1 0 _aEvaluationof fast-track surgeryina pediatric population at Cairo University /
_cAly Ibrahim Mahmoud Shalaby ; Supervised Montasser ElKoutby , Omar Abdelalim , Khaled Bahaa Eldin
246 1 5 _aتقييم المنظومة الجراحية سريعة المسار في جراحة الاطفال بجامعة القاهرة
260 _aCairo :
_bAly Ibrahim Mahmoud Shalaby ,
_c2015
300 _a228 P. ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery
520 _aThe 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 Hirschsprung{u2019}s 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
530 _aIssued also as CD
653 4 _aFast-track
653 4 _aMinimally invasive surgery
653 4 _aPediatric surgery
700 0 _aKhaled Bahaa Eldin ,
_eSupervisor
700 0 _aMontasser Elkoutby ,
_eSupervisor
700 0 _aOmar Abdelalim ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aAml
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c56360
_d56360