Abstract
PURPOSE: The aim of this study was to assess the effect of postoperative multimodal rehabilitation after colostomy closure after Hartmann's procedure.
METHODS: Twenty-seven consecutive patients scheduled for colostomy closure after Hartmann's procedure received continuous postoperative epidural analgesia, laxative, and enforced oral liquids, protein drinks, and mobilization.
RESULTS: Defecation occurred at a median 2 days postoperatively. Mean and median postoperative stay was 3 days, with two readmissions (1 anastomotic dehiscence and 1 social) increasing mean total 1-month hospital stay to 4.3 (median, 3) days. No other complications occurred except three superficial wound infections.
CONCLUSION: Postoperative hospital stay and morbidity may be reduced with multimodal rehabilitation after open colostomy closure after Hartmann's resection.
| Original language | English |
|---|---|
| Journal | Diseases of the Colon and Rectum |
| Volume | 45 |
| Issue number | 12 |
| Pages (from-to) | 1661-4 |
| Number of pages | 4 |
| ISSN | 0012-3706 |
| DOIs | |
| Publication status | Published - Dec 2002 |
| Externally published | Yes |
Keywords
- Adult
- Aged
- Anastomosis, Surgical
- Colonic Diseases/surgery
- Colostomy/rehabilitation
- Defecation
- Female
- Humans
- Length of Stay
- Male
- Middle Aged
- Morbidity
- Patient Readmission
- Prospective Studies
- Surgical Wound Infection
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