Fast Track Protocol after Colorectal Surgery

Document Type : Original Article

Authors

1 Professor of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

2 Lecturer of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

3 MBBCh., Faculty of Medicine, Al-Azhar University, Cairo, Egypt

https://doi.org/10.21608/aimj.2025.446565

Abstract

Background: Optimal dietary support is crucial for the successful management of postoperative patients. These supports increase wound healing and immunological response. Reduced muscle performance, respiratory function, immunological function, wound healing impairment, and increased postoperative wound complications are all linked to an inadequate nutritional condition following surgery.
Aim and objectives: To identify the importance of fast-track procedures in clinical outcomes after colorectal surgery.
Patients and methods: Forty individuals enrolled in this prospective cohort research between December 2023 and August 2024 at hospitals affiliated with Al-Azhar University. They were split into two groups at random: Twenty individuals were enrolled in the expedited program in Group A. Twenty patients were enrolled in the traditional rehabilitation treatment in Group B.
Results: In terms of colorectal disease type, colonic preparation, and anastomosis type, there was no statistically significant difference between the two groups. Group A exhibited considerably longer periods of time spent out of bed and greater walking distances compared to group B on days 1, 2, 3, 4, and 5 (P-value <0.001). In group A, the duration of hospital stays was much shorter compared to group B (P value <0.001).
Conclusion: Patients undergoing colon cancer resection benefit greatly from a fast-track rehabilitation program, which helps them regain gastrointestinal function more quickly, has fewer postoperative problems, and requires less time in the hospital.
 

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