[Accelerated course after operation for ovarian cancer].
BACKGROUND
Introduction of principles for postoperative multimodal rehabilitation (fast track surgery) has decreased hospital stay from about 8-10 days to 2-4 days after colonic resection. The aim of this study was to investigate the effect of a similar fast track regimen in patients operated for ovarian cancer.


METHODS
72 consecutive patients operated with a conventional perioperative treatment regimen (group 1) were compared with the initial 69 consecutive patients (group 2) with a multimodal rehabilitation regimen and the next 50 consecutive patients (group 3) where the fast track regimen was implemented as a routine.


RESULTS
Patients demographics and surgical characteristics were comparable between groups. Median postoperative hospital stay was reduced from six days in group 1, to five days in group 2, and four days in group 3 (p < 0,05). Surgical complications were similar while medical complications were reduced from 12% to 1% (p < 0,05) and readmissions from 10% to 2% (p < 0,05) with the fast track regimen.


CONCLUSIONS
Principles for postoperative multimodal rehabilitation from colonic surgery lead to faster rehabilitation, decreased risk of medical complications and hospital stay in patients operated for ovarian cancer.
Marx
Charlotte Iben
CI
H:S Rigshospitalet, Juliane Marie Centret, Gynaekologisk Klinik, Enhed for Kirurgisk Patofysiologi og Anaestesiafdelingen, København Ø. charlotte.marx@rh.hosp.dk
Rasmussen
Tina
T
Jakobsen
Dorthe Hjort
DH
Ottosen
Christian
C
Lundvall
Lene
L
Ottesen
Bent S
BS
Callesen
Torben
T
Kehlet
Henrik
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004434:Early Ambulation / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D010351:Patient Discharge; D010359:Patient Readmission; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000534:rehabilitation; D011446:Prospective Studies; D012189:Retrospective Studies