Introduction: Fast-track (FT) surgery can be defined as a coordinated perioperative approach aimed at reducing surgical stress and facilitating postoperative recovery. The objective of this review was to examine the literature on the procedure-specific application of FT surgery. Discussion: The concept of FT rehabilitation has been applied mainly in colorectal surgery, but positive data have appeared also in other areas such as orthopedic, hepatopancreaticobiliary, urological, upper gastrointestinal, gynecological, thoracic, vascular, endocrine, breast, and pediatric surgeries. There is very little experience with comprehensive FT programs in cardiac surgery or trauma. Quantitative analysis from randomized trials and cohort studies suggest that FT is effective in reducing hospital stay without increased adverse events. Other benefits of the FT approach include a reduction in complications, ileus, fatigue, pain, and hospital expenses. However, despite clear benefits of FT care, implementation in daily practice has been slow. Further efforts must be undertaken to secure implementation in routine clinical practice. Standardized FT protocols should be provided on a procedure-specific basis. © 2012 Springer-Verlag Berlin Heidelberg.

Ansari, D., Gianotti, L., Schröder, J., Andersson, R. (2013). Fast-track surgery: Procedure-specific aspects and future direction. LANGENBECK'S ARCHIVES OF SURGERY, 398(1), 29-37 [10.1007/s00423-012-1006-9].

Fast-track surgery: Procedure-specific aspects and future direction

GIANOTTI, LUCA VITTORIO
Secondo
;
2013

Abstract

Introduction: Fast-track (FT) surgery can be defined as a coordinated perioperative approach aimed at reducing surgical stress and facilitating postoperative recovery. The objective of this review was to examine the literature on the procedure-specific application of FT surgery. Discussion: The concept of FT rehabilitation has been applied mainly in colorectal surgery, but positive data have appeared also in other areas such as orthopedic, hepatopancreaticobiliary, urological, upper gastrointestinal, gynecological, thoracic, vascular, endocrine, breast, and pediatric surgeries. There is very little experience with comprehensive FT programs in cardiac surgery or trauma. Quantitative analysis from randomized trials and cohort studies suggest that FT is effective in reducing hospital stay without increased adverse events. Other benefits of the FT approach include a reduction in complications, ileus, fatigue, pain, and hospital expenses. However, despite clear benefits of FT care, implementation in daily practice has been slow. Further efforts must be undertaken to secure implementation in routine clinical practice. Standardized FT protocols should be provided on a procedure-specific basis. © 2012 Springer-Verlag Berlin Heidelberg.
Articolo in rivista - Articolo scientifico
Enhanced recovery after surgery; ERAS; Evidence-based medicine; Fast-track surgery; Implementation; Perioperative care; Cohort Studies; Cost Savings; Evidence-Based Medicine; Germany; Hospital Costs; Humans; Length of Stay; Minimally Invasive Surgical Procedures; Perioperative Care; Postoperative Complications; Randomized Controlled Trials as Topic; Surgery
English
2013
398
1
29
37
none
Ansari, D., Gianotti, L., Schröder, J., Andersson, R. (2013). Fast-track surgery: Procedure-specific aspects and future direction. LANGENBECK'S ARCHIVES OF SURGERY, 398(1), 29-37 [10.1007/s00423-012-1006-9].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/56802
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