Fast track colorectal surgery.
A "fast track" colon surgery program is the global package of perioperative care encompassing preoperative, operative, and postoperative techniques, which in aggregate result in fewer complications, a reduction in cost, less postoperative pain, a reduction in the hospital length of stay, and quicker return to work and normal activities. Results of fast track programs have shown significant advantages; however, strong evidence is forthcoming. Implementation of a fast track program requires a significant commitment and a multidisciplinary approach. Fast track principles may also be applied to anorectal surgery with good results.
Counihan
Timothy C
TC
Department of Surgery, Berkshire Medical Center, Pittsfield, MA 01201, USA. tcounihan@bhs1.org
Favuzza
Joanne
J