Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme.

摘要: Background: Hospital stay after colonic surgery is usually between 5 and 10 days, limiting factors being pain, ileus, organ dysfunction fatigue. Single-modality intervention to reduce these with laparoscopic requires a hospital of days. This paper reports the results multimodal rehabilitation regimen open sigmoidectomy. Methods: Sixteen unselected patients scheduled for elective sigmoid resection (median age 71 years) underwent operation under combined spinal–epidural anaesthesia. After operation, epidural analgesia was continued 48 h, immediate oral nutrition mobilization, planned discharge 2 days surgery. Results: The median postoperative (range 2–6) (48 h), mobilized h on second day (24–48 h) third (48–72 h). Within 14 had an intake 2000 ml or more 15 resumed defaecation. Fatigue pain scores were low during first 8–9 13 mobilization per discharge. There no medical surgical complications 30 follow-up, except two who suffered postspinal headache. Conclusion: Postoperative recovery may be accelerated by effective relief integrated into programme. © 1999 British Journal Surgery Society Ltd