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Erschienen in: Obesity Surgery 1/2015

01.01.2015 | Original Contributions

Fast-Track Bariatric Surgery Improves Perioperative Care and Logistics Compared to Conventional Care

verfasst von: Kemal Dogan, Linda Kraaij, Edo O. Aarts, Parweez Koehestanie, Edwin Hammink, Cees J. H. M. van Laarhoven, Theo J. Aufenacker, Ignace M. C. Janssen, Frits J. Berends

Erschienen in: Obesity Surgery | Ausgabe 1/2015

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Abstract

Background

Due to the increased incidence of morbid obesity, the demand for bariatric surgery is increasing. Therefore, the methods for optimising perioperative care for the improvement of surgical outcome and to increase efficacy are necessary. The aim of this prospective matched cohort study is to objectify the effect of the fast-track surgery (FTS) programme in patients undergoing primary Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) surgery compared to conventional perioperative care (CPC).

Methods

This study compared the perioperative outcome data of two groups of 75 consecutive morbid obese patients who underwent a primary LRYGB according to international guidelines in the periods January 2011–April 2011 (CPC group) and April 2012–June 2012 (FTS group). The two groups were matched for age and sex. Primary endpoints were surgery and hospitalisation time, while secondary endpoints were intraoperative medication use and complication rates.

Results

Baseline patient characteristics for age, sex, weight and ASA classification were similar (p > 0.05) for CPC and FTS patients. BMI and waist circumference were significantly lower (p < 0.05) in the FTS compared to CPC. The total time from arrival at the operating room to the arrival at the recovery was reduced from 119 to 82 min (p < 0.001). Surgery time was reduced from 80 to 56 min (p < 0.001); mean hospital stay was reduced from 65 to 43 h (p < 0.001). Major complications occurred in 3 versus 4 % in the FTS and CPC, respectively.

Conclusions

The introduction of a fast-track programme after primary LRYGB improves short-term recovery and may reduces direct hospital-related resources.
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Metadaten
Titel
Fast-Track Bariatric Surgery Improves Perioperative Care and Logistics Compared to Conventional Care
verfasst von
Kemal Dogan
Linda Kraaij
Edo O. Aarts
Parweez Koehestanie
Edwin Hammink
Cees J. H. M. van Laarhoven
Theo J. Aufenacker
Ignace M. C. Janssen
Frits J. Berends
Publikationsdatum
01.01.2015
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 1/2015
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1355-2

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