Results of using the Components of the FAST TRACK SurgeryProtocol in Planned Non-Obstetric Surgical Interventions DuringPregnancy

Abstract

Purpose: Evaluates the results of the use of components of the FAST TRACK surgery protocol in elective non-obstetric surgical interventions during pregnancy.

Material and Methods: Planned surgical treatment was performed on 457 pregnant women in the second and third trimesters with primary symptomatic chronic venous disease (PSCP) C2S-4s, Er, As, p, Rg (according to the CEAP 2002 basis classification) using elements of the FAST TRACK surgery protocol.

Results: A multidisciplinary approach to management before and after surgery using the components of the FAST TRACK surgery protocol was used in all patients. They were hospitalized in a specialized obstetric hospital on the day of surgery. All patients underwent perinatal psychotherapeutic preparation of the pregnant woman and fetus for surgery. Planned surgical interventions of the CHIVA type were performed under local anesthesia by a vascular surgeon - the so-called “mono-technologist” or “obstetric vascular surgeon” in the 11-111th trimesters of pregnancy - optimal timing. Due to these factors, 97.2% of operated patients received a positive clinical effect with a 100% absence of complications from the fetus and mother in all operated patients. Treatment did not lead to premature birth, complications of pregnancy. The postoperative period is comfortable. All children were born on time and in satisfactory condition.

Conclusion: A multidisciplinary approach to the management of pregnant women with primary symptomatic chronic venous disease before and after surgery using the components of the FAST TRACK surgery protocol contributes to a comfortable, safe bearing of pregnancy, safety of childbirth and the postpartum period in 100% of operated patients. There was a need for medical support in the postoperative and postpartum periods, in addition to the use of elastic knitwear of compression class 2 (stockings or knee-highs) during physical exertion. In 2.4% of operated patients, postoperative complications from postoperative wounds were noted, which did not require additional treatment, did not affect the development of the child, the course of pregnancy