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Protocol for fast postoperative improvement (FPOI) in gastrointestinal surgery
César Ramírez-Cáceres1,2, Estrella Uzcátegui-Paz1, Ricardo Lozano-Hernández3
1Servicio de Cirugía General, Instituto Autónomo Hospital Universitario de Los Andes. Mérida, Venezuela.
The Rapid Postoperative Improvement Protocol (RAMPO) significantly improves patient outcomes in elective gastrointestinal surgery. This protocol leads to faster hospital discharge and higher patient satisfaction compared to traditional methods.
Area of Science:
- Surgical Innovation
- Patient Recovery Protocols
- Gastrointestinal Surgery
Background:
- Multimodal perioperative protocols are essential for optimizing patient recovery and reducing hospital stays.
- Traditional approaches often involve lengthy recovery periods.
Purpose of the Study:
- To identify pathologies and interventions in elective gastrointestinal surgery.
- To evaluate the effectiveness of the Rapid Postoperative Improvement Protocol (RAMPO).
Main Methods:
- A comparative study involving 122 patients undergoing elective gastrointestinal surgery.
- 61 patients received the RAMPO protocol, while 61 received traditional care (Control group).
Main Results:
- The RAMPO group showed better metabolic control (lower postoperative glycemia) and significantly shorter hospital stays (5.49 vs. 14.11 days).
- Patients on the RAMPO protocol reported higher satisfaction (91.80% vs. 19.67%) with no increase in morbidity or mortality.
Conclusions:
- The RAMPO protocol is a safe and effective alternative to traditional management for elective gastrointestinal surgery.
- RAMPO facilitates faster hospital discharge, improves patient evolution, and enhances satisfaction.
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