Application of fast track protocols in laparoscopic colorectal surgery has been assessed in oncological cases with contrasting results. This study was to assess the feasibility and advantages in a group of young women suffering from bowel endometriosis.
Over one year, 227 women were recruited for this prospective randomized study on fast track protocol for laparoscopic surgery for bowel endometriosis. Patients were allocated to a perioperative fast-track or conventional care in a 1:3 ratio and clinical outcomes and costs were evaluated.
Clinical outcomes and re-admissions within thirty days were homogenous between the two groups. Direct and indirect costs were significantly lower in the fast track group (p < 0.5).
A fast track protocol for laparoscopic surgery for bowel endometriosis can be applied in referral centers providing a direct impact on clinical management and a definite economic advantage.