Fast-Track versus Traditional Perioperative Care in Laparoscopic Cholecystectomy with Fast Healing

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Elmeligy H.A.; Hassan A.M.A.; Alsebae S.; Azzam A.M.; Zidan M.; Hassan H.F.; Amer M.S.; Refaat A.I.; Maher M.A.; Ossama Y.; Rady M.

Journal: Surgery, Gastroenterology and Oncology

Publisher: Editura Celsius

Publication Date: 2024

Volume / Issue: Volume 29 / Issue 3

Pages: 228–234

ISSN: 2559723X

DOI: 10.21614/sgo-699

Scopus: View on Scopus

Document Type: Article

Access: All Open Access; Gold Open Access

Authors and Affiliations

Elmeligy H.A., Department of General Surgery, Theodor Bilharz Research Institute, Giza, Egypt; Hassan A.M.A., Department of General Surgery, Theodor Bilharz Research Institute, Giza, Egypt; Alsebae S., Department of General Surgery, Theodor Bilharz Research Institute, Giza, Egypt; Azzam A.M., Department of Environmental Research, Theodor Bilharz Research Institute, Giza, Egypt; Zidan M., Department of Anaesthesiology, Theodor Bilharz Research Institute, Giza, Egypt; Hassan H.F., Department of Anaesthesiology, Theodor Bilharz Research Institute, Giza, Egypt; Amer M.S., Department of Anaesthesiology, Theodor Bilharz Research Institute, Giza, Egypt; Refaat A.I., Department of Anaesthesiology, Theodor Bilharz Research Institute, Giza, Egypt; Maher M.A., Department of Anaesthesiology, Theodor Bilharz Research Institute, Giza, Egypt; Ossama Y., Department of Pathology, October 6 University, Giza, Egypt; Rady M., Department of General Surgery, Theodor Bilharz Research Institute, Giza, Egypt

Abstract

Background: The fast-track program of laparoscopic cholecystectomy has proven its efficacy in elective surgery and could hypothetically improve outcomes in acute settings. Materials and Methods: The fast-track protocol included minimizing drain use; local anesthesia; low-pressure pneumoperitoneum; early mobilization and oral diet. The primary outcome was postoperative pain, length of stay (pLOS), and the total cost. ZnO-Agar nanocomposite was synthesized by a microwave method. Results: Modified protocol reduced median pLOS to 0.9 days vs 1.6 days in the controls (p<0.001). Ninety-five (86%) of fast-track patients were discharged within 6h (p<0.001) after surgery; 0 readmissions were reported. Postoperative pain intensity assessed on the visual analog scale was significantly lower in the fast-track group (p<0.0001). The severity of shoulder and neck pain was lower but its incidence was similar. Peristalsis recovery was achieved earlier in the study group. Patient satisfaction and total cost were better in the study group. ZnO-Agar nanocomposite (ZOA NC) possesses antimicrobial activity and enhances wound healing. Conclusion: The fast-track program for laparoscopic cholecystectomy has advantages over the traditional approach. Copyright © Celsius Publishing House.

Keywords

cholecystectomy; fast-track protocol; perioperative; total hospital stay; ZnO-Agar nanocomposite

Citation Information

Scopus Citations: 0

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