Early discharge after external anal sphincter repair.

Bidragets oversatte titel: Early discharge after external anal sphincter repair.

J Rosenberg, H Kehlet

8 Citationer (Scopus)

Abstract

PURPOSE: The aim of this study was to describe an accelerated-stay program for repair of the external anal sphincter. METHODS: Twenty consecutive patients undergoing overlapping repair of the external anal sphincter were included in the study. Effect parameters were length of hospitalization and complications within 30 days after the operation. Surgery was performed during the period of March 1993 to May 1997. The accelerated-stay program included preoperative information, no premedication, a surgical procedure without colostomy, single-dose prophylactic antibiotics, paracetamol for analgesia, free oral fluid and food immediately after the operation supplemented by laxatives, and enforced mobilization. Follow-up by questionnaire was performed at a median of 14 (range, 4-52) months after the operation. RESULTS: Median hospital stay was one day. Fifteen patients were discharged the day after surgery and 5 patients stayed for 48 hours after the operation. There was no 30-day morbidity, and no patient received a colostomy in conjunction with the sphincter repair. Fourteen of 19 patients available for follow-up reported a significantly improved functional result compared with preoperative state. CONCLUSION: We have described a safe accelerated-stay program (24 to 48 hours) for overlapping repair of external anal sphincter.
Bidragets oversatte titelEarly discharge after external anal sphincter repair.
OriginalsprogEngelsk
TidsskriftDiseases of the Colon and Rectum
Vol/bind42
Udgave nummer4
Sider (fra-til)457-459
Antal sider3
ISSN0012-3706
StatusUdgivet - 1999

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