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Colostomy closure after Hartmann's procedure with fast-track rehabilitation
Linda Basse1, Dorthe Hjort Jacobsen, Per Billesbølle
1Department of Surgical Gastroenterology, Copenhagen University Hospital, Hvidore, Denmark.
Purpose:
The aim of this study was to assess the effect of postoperative multimodal rehabilitation after colostomy closure after Hartmann's procedure.
Methods:
Twenty-seven consecutive patients scheduled for colostomy closure after Hartmann's procedure received continuous postoperative epidural analgesia, laxative, and enforced oral liquids, protein drinks, and mobilization.
Results:
Defecation occurred at a median 2 days postoperatively. Mean and median postoperative stay was 3 days, with two readmissions (1 anastomotic dehiscence and 1 social) increasing mean total 1-month hospital stay to 4.3 (median, 3) days. No other complications occurred except three superficial wound infections.
Conclusion:
Postoperative hospital stay and morbidity may be reduced with multimodal rehabilitation after open colostomy closure after Hartmann's resection.