early discharge after major gynaecological surgery advantages of fast track surgery主要的妇科手术后早期放电快速跟踪手术的优点.pdfVIP

Open Journal of Obstetrics and Gynecology, 2011, 1, 1-5 OJOG doi:10.4236/ojog.2011.11001 Published Online March 2011 (http://www.SciRP.org/journal/ojog/). Early discharge after major gynaecological surgery: advantages of fast track surgery Jonathan Carter1,2, Shannon Philp1,2, Vivek Arora1 1Sydney Gynaecological Oncology Group, Sydney Cancer Centre, Royal Prince Alfred Hospital, Sydney, Australia 2The University of Sydney, Sydney, Australia Email: jocarter@.au Received 20 February 2011; revised 21 March 2011; accepted 28 March 2011. ABSTRACT fluid balance, prior to any surgical or anaesthetic insult. Intraoperatively patients were often volume loaded to Introduction: Fast Track Surgery (FTS) programs maintain a filling pressure, had nasogastric tubes in- have been adopted by many specialties with docu- serted, as well as pelvic drains to prevent development mented improved patient outcomes and reduced of collections, then spent 2 - 3 days nil by mouth (NBM) length of stay (LOS). Methods: We initiated a FTS until bowel sounds were heard before being commenced program in January 2008 and present our experience on a graduated diet of clear liquids, free fluids, light diet up to and including November 2010 on patients whose and finally commenced on a regular diet 5 - 7 days post LOS was 2 days. Results: During the study period surgery. Patients were then