[Accelerated course after operation for ovarian cancer].


INTRODUCTION 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. METHOD 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. CONCLUSION 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.

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@article{Marx2006AcceleratedCA, title={[Accelerated course after operation for ovarian cancer].}, author={Charlotte Iben Marx and Tina Rasmussen and Dorthe Hjort Jakobsen and Christian Ottosen and Lene Lundvall and Bent S. Ottesen and Torben Callesen and Henrik Kehlet}, journal={Ugeskrift for laeger}, year={2006}, volume={168 15}, pages={1533-6} }