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Revista del Nacional (Itauguá)

Print version ISSN 2072-8174

Abstract

WILSON MUSTELIER, Arlines; MILAN DINZA, Erick Manuel; LOPEZ WILSON, Arleen  and  RODRIGUEZ FONSECA, Robert Alejandro. Accelerated recovery after surgical treatment in patients with cáncer of the colon. Rev. Nac. (Itauguá) [online]. 2019, vol.11, n.2, pp.51-63. ISSN 2072-8174.  https://doi.org/10.18004/rdn2019.0011.02.051-063.

Introduction:

colorectal cancer is the second leading cause of death worldwide. The ERAS Protocol (accelerated recovery after surgery) is intended to reduce surgical stress and accelerate postoperative recovery, incorporating multidisciplinary pre, intra and postoperative interventions, reducing the time spent in hospital without compromising patient safety.

Objective:

to characterize the behavior of the clinical and surgical parameters of patients operated by colorectal cancer with the application of the ERAS protocol in the General Hospital “Dr. Juan Bruno Zayas Alfonso ”(Santiago de Cuba), between January 2017 and December 2018.

Materials and Methods:

a cross-sectional descriptive observational study was performed in patients operated by colorectal cancer with the application of the ERAS protocol. The sample consisted of 46 subjects. Demographic and clinical variables were measured, in addition to the time of occurrence of hydro-noise, post-operative complications, first deposition and hospital stay.

Results:

the most frequent age range was between 50 and 59 years (47.8 %). The female predominated (63 %). The appearance of hydro-noise was detected in the first 24 hours in 57.8 %. The most frequent postoperative complication was surgical site infection (4.3 %). The majority of patients had a stay between 4 and 5 days (84.8 %).

Conclusions:

with the application of the improved recovery protocol after surgery, an early onset of the oral route was achieved in patients operated for cáncer of the colon, with the early appearance of hydro-air noises and defecation, which conditioned a short postoperative stay with a minimum of complications.

Keywords : ERAS protocol; postoperative period; colon malignancies; surgical wound infection..

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