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[Fast track bariatric surgery]

Tilda Hahl, Pipsa Peromaa-Haavisto, Pekka Tarkiainen

    Duodecim; Laaketieteellinen Aikakauskirja
    |April 6, 2016
    PubMed

    Insights

    Fast track protocols in bariatric surgery allow for early patient discharge, with most patients going home on postoperative day one. This approach does not appear to increase complications or readmissions.

    Area of Science:

    • Surgical Innovation
    • Patient Outcomes
    • Bariatric Surgery Protocols

    Context:

    • Limited data exists on fast track protocols in bariatric surgery.
    • Evaluating the safety and efficacy of accelerated recovery pathways is crucial.

    Purpose:

    • To assess the outcomes of bariatric surgery performed using a fast track protocol.
    • To determine if early discharge impacts postoperative morbidity and readmission rates.

    Summary:

    • An observational study included 422 patients undergoing bariatric surgery via a fast track protocol.
    • Mean length of stay was 1.3 days, with 83% discharged on postoperative day one.
    • Life-threatening complications occurred in 0.7%, readmission rate was 4.7%, and reoperation rate was 3.3%.

    Impact:

    • Early discharge following bariatric surgery is feasible and safe.
    • Fast track protocols can be implemented without compromising patient safety or increasing adverse events.
    • Significant weight reduction of 31% was observed within one year post-surgery.
    Abstract

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