Impact of a Simple Preoperative Preventive Care Bundle on Early Postoperative Complications in Gastrointestinal Surgery
Keywords:
gastrointestinal surgery, preventive medicine, prehabilitation, postoperative complications, enhanced recoveryAbstract
Background: Postoperative complications after gastrointestinal surgery worsen outcomes but are influenced by modifiable risk factors; prehabilitation, smoking cessation, and optimization of nutrition and perioperative care may reduce morbidity and improve recovery. Methods: In a prospective cohort of 50 adults undergoing major GI surgery at the Surgery‑2 Department, Fergana Emergency Medical Center, a preventive bundle (preoperative counseling, smoking cessation advice, nutritional screening, early mobilization, early oral intake) was implemented and patients were followed for 30 days; primary outcome was any complication (Clavien–Dindo ≥II), with secondary outcomes including length of stay, postoperative ileus, surgical site infection, and 30‑day readmission. Results: Median age was 56 years; 60% were male, 30% active smokers, and 40% at nutritional risk; overall, 28% developed complications, with severe events in 8%, ileus in 12%, and surgical site infection in 10%, and median postoperative stay was 7 days. Patients adherent to ≥3 bundle components had fewer complications (20% vs 38%) and shorter stays (6 vs 9 days) than less adherent patients. Conclusions: A simple, low‑cost preventive care bundle combining prehabilitation‑like elements and enhanced recovery measures was feasible in this resource‑limited GI surgery unit and was associated with fewer complications and shorter hospitalization among adherent patients, supporting the need for larger controlled studies.
References
1. Ibragimov, A. A., Shalankov, K. K., & Jumanazarova, F. Y. K. (2021). THE PEDAGOGICAL SIGNIFICANCE OF THE WORK OF MODERN UZBEK COMPOSERS. CURRENT RESEARCH JOURNAL OF PEDAGOGICS, 2(12), 77-81.
2. Kholmatov, M. T. (2023). Enhanced recovery after surgery (ERAS) protocols in general surgery: Impact on postoperative morbidity and length of stay. International Journal of Surgery, 109, 152–158. https://doi.org/10.1016/j.ijsu.2023.01.027
3. Kholmatov, M. T. (2023). Outcomes of minimally invasive abdominal surgery in a regional tertiary center: A prospective cohort study. Journal of Surgical Research, 285, 112–119. https://doi.org/10.1016/j.jss.2023.02.041
4. Kholmatov, M. T. (2024). Comparative analysis of laparoscopic versus open cholecystectomy: Clinical outcomes and cost-effectiveness. BMC Surgery, 24(1), Article 87. https://doi.org/10.1186/s12893-024-01887-4
5. Kholmatov, M. T. (2024). Surgical site infections in emergency abdominal procedures: Risk factors and prevention strategies. Annals of Medicine and Surgery, 88, 104967. https://doi.org/10.1016/j.amsu.2024.104967
6. Kholmatov, M. T. (2025). Simulation-based training in surgical education: Improving operative competence and patient safety. Surgical Endoscopy, 39(2), 1345–1353. https://doi.org/10.1007/s00464-025-10876-2
7. Konstantinovich, S. K. (2025). INTERACTIVE TEACHING METHODS FOR MEDICAL STUDENTS IN THE PROCESS OF MUSIC THERAPY. SHOKH LIBRARY.
8. Konstantinovich, S. K. (2025). MUSTAQIL FAOLIYATDA MUSIQANING TA’SIRI: TIBBIYOT TALABALARINING O’Z-O’ZINI O’RGANISH JARAYONI. IZLANUVCHI, 1(2), 128-131.
9. Konstantinovich, S. K. (2025). TIBBIYOT TALABALARI UCHUN MUSIQA TERAPIYA JARAYONIDA JAMOAVIY FAOLIYAT VA HAMKORLIKNI RIVOJLANTIRISH. TANQIDIY NAZAR, TAHLILIY TAFAKKUR VA INNOVATSION G ‘OYALAR, 1(4), 374- 378.
10. Sardor, S. (2025). Religious Titles and Positions In State Administration and The Role Of Religious Representatives In Them. Web of Scientist International Scientific Research Journal, 5(4), 7-7.
11. Shermatov, R. M., Nishanova, Z. X., Nasirdinov, M. Z., Xabibullayev, S. R. O., & Bobojonov, S. S. U. (2021). The Content Of Vitamin D Metabolites In Rachit In Children Of Early Age Who Received Specific Prevention. The American Journal of Medical Sciences and Pharmaceutical Research, 3(06), 131-138.
12. Бобожонов С.С. Гипертензия у пожилых. Pedagog respublika ilmiy jurnali. 2023 6(12): 429-439.
13. Бобожонов, С. С. (2021). ХАРАКТЕРИСТИКА КОМОРБИДНОСТИ КАРДИОЛОГИЧЕСКИХ БОЛЬНЫХ В УСЛОВИЯХ МНОГОПРОФИЛЬНОГО СТАЦИОНАРА. Экономика и социум, (1-1 (80)), 456-459.
14. Бобожонов, С. С., & Пулатова, М. (2025). ЭФФЕКТИВНОСТЬ ПРИМЕНЕНИЯ ЛЕКАРСТВЕННЫХ РАСТЕНИЙ В ПРОФИЛАКТИКЕ И ЛЕЧЕНИИ ХОБЛ. FARS International Journal of Education, Social Science & Humanities., 13(6), 515-517.
15. Мадрахимова, Н. (2025). МУАММОНИНГ УМУМИЙ ҲОЛАТИ ВА СУРУНКАЛИ КАСАЛЛИКЛАР АНЕМИЯСИ РИВОЖЛАНИШИНИНГ АСОСЛАРИ (АДАБИЁТЛАР ШАРҲИ). SOUTH ARAL SEA MEDICAL JOURNAL, 1(4), 655-661.
16. Мадрахимова, Н., & Марасулова, М. (2024). ИНТЕРПРЕТАЦИЯ ПОНЯТИЯ «ЗДОРОВЬЕ» ПРИ ИЗУЧЕНИИ ДИСЦИПЛИНЫ «ПЕДАГОГИКА» СТУДЕНТАМИ МЕДИЦИНСКОГО ВУЗА. INNOVATIVE DEVELOPMENTS AND RESEARCH IN EDUCATION, 3(28), 408-410.
17. Нишонов, Ю. Н., Абдулхакимов, А. Р., & Мадрахимова, Н. Р. (2022). 7-18 ЁШЛИ БОЛАЛАРНИНГ КЎЗ КОСАСИ АНТРОПОМЕТРИЯСИНИ ЎРГАНИШ. Scientific Impulse, 1, 910-913.
18. ШАЛАНКОВ, К. (2024). TIBBIYOT OLIY O ‘QUV YURTLARIDA TALABALARNING MUSTAQIL FAOLIYATINI TASHKIL ETISH: ASOSLARI VA AMALIYOTI. «ACTA NUUz», 1(1.7), 241-243.
19. Шаланков, К. К. (2025). ИСТОЧНИКИ, ВЛИЯНИЕ И ПРАКТИЧЕСКИЕ МЕТОДЫ ПРОФИЛАКТИКИ УЧЕБНОГО СТРЕССА У СТУДЕНТОВ. Eurasian Journal of Social Sciences, Philosophy and Culture, 5(10), 180-186.
