The application of the concept of fast track in surgical treatment of patients with colorectal cancer complicated by acute obstruction

The study involved 89 patients with acute colon obstruction of tumor genesis, included in the main and control groups (45 and 44 people, respectively). Treatment of patients in the main group in the pre-operative period included: patient information and psychological training, prevention of postoperative pain, nausea and vomiting, thromboembolic and infectious complications. Intraoperative activities included: local anaesthesia of the skin along the line of laparotomy access, decompression of the colon and small (under indications) intestine, the small intestine lavage, temporary installation of a polyurethane catheter for early enteral feeding, embryology oriented surgery and D3-lymphadenectomy, rectus sheath catheterization to carry out rectus sheath block, drainage in the lesser pelvis. During the postoperative period, early mobilization, early removal of the urinary catheter and drainage were performed after the patient was transferred from the intensive care unit...