["Fast-track surgery": Perioperative management].
The multimodal therapeutic concept of fast-track surgery is directed against the pathophysiologic functional changes following elective surgery. This concept has been proven to reduce postoperative morbidity and convalescence. This benefit is based on an interdisciplinary approach by surgeons, anaesthesiologists, nurses, and physiotherapy staff to optimise perioperative care in order to decrease surgically-induced stress. Fast-track surgery after elective colorectal surgery has been shown to reduce the rate of postoperative complications and shorten hospital stay significantly. A prerequisite for successfully implementing this concept is the willingness of the participating surgeons to abandon conventional traditions. In addition to abdominal procedures, the basic concept of fast-track surgery has been successfully instituted in other surgical fields, such as urology.
Pantelis
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Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinikum, Rheinische Friedrich-Wilhelms-Universität, Sigmund-Freud-Strasse 25, 53105, Bonn.
Wolff
M
M
Overhaus
M
M
Hirner
A
A
Kalff
J C
JC
D000005:Abdomen / Q000601:surgery; D000222:Adaptation, Physiological / Q000502:physiology; D015360:Analgesia, Epidural; D003108:Colonic Diseases / Q000601:surgery*; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000503:physiopathology / Q000517:prevention & control; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology / Q000517:prevention & control*; D011300:Preoperative Care / Q000379:methods; D012002:Rectal Diseases / Q000503:physiopathology / Q000601:surgery*; D012307:Risk Factors