Elective Surgical Procedures Clinical Trial
Official title:
Fast Track Surgery for Abdominal Surgery in Rwanda: a Randomized Controlled Trial
Fast Track Surgery (FTS) was started in colorectal surgery, but was later applied to other
surgical fields. Core elements include epidural or regional anaesthesia, perioperative fluid
management, minimally invasive surgical techniques, pain control, and early mobilization and
feeding. Beneficial effects of FTS include reduced costs, early hospital discharge, and
increased availability of hospital beds.The main aim of this study was to explore the
efficacy of FTS in the Rwandan surgical setting and to demonstrate the benefits of FTS.
it is study comparing the management of surgical patients using traditional management and
fast track surgery. the study was done on patients undergoing elective abdominal surgery
only
Fast track surgery (FTS) uses a multifaceted approach to reduce the stress response to
surgery, thereby improving outcomes and decreasing length of hospital stay. The core
elements of FTS include: epidural or regional anesthesia, peri-operative fluid management,
minimally invasive techniques, optimal pain control, early initiation of oral feeding and
early mobilization. The combination of these approaches has led to a significant reduction
in complication rates, morbidity and mortality rates, duration of hospital stay and costs of
hospitalization, and greatly improved postoperative recovery The main aim of this study was
to explore the efficacy of FTS in the Rwandan surgical setting and to demonstrate the
benefits of FTS.
This randomized control trial was conducted in CHUK over a period of three months (October -
December, 2015). For patients in the FTS arm, the study investigator would assess patients
on a daily basis and work with the primary surgical team. The study investigator would
prompt the primary surgical team for early feeding, mobilization, pain control and fluid
management recommendations.
Data were collected on variables including postoperative analgesia, mobilisation, resuming
oral feeding, hospital stay and complications. The primary outcome was duration of
postoperative hospital stay and secondary outcome was major complications.
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