title: [Fast track in gynecological surgery].
abstract: The concept of fast track surgery (FT) is a multimodal strategy aiming to decrease postoperative pains and chirurgical stress-induced organ dysfunction. The key elements of this program are: information and preoperative education, perioperative hydric balance, optimized analgesia, early oral nutrition and early mobilization of the patients. A multidisciplinary teamwork is essential. FT program is applicable in open surgery and in laparoscopy and has proven its effectiveness in colorectal surgery. Using this strategy in gynecological surgery, which resembles it in many points, will prove its effectiveness and facilitate its wider implementation.
authors.affiliation: Service de gynécologie, Département de gynécologie-obstétrique, HUG, Genève 14. philippe.brossard@hcuge.ch
authors.forename: Philippe
authors.initials: P
authors.lastname: Brossard
authors.forename: César
authors.initials: C
authors.lastname: Jaton
authors.forename: Patrick
authors.initials: P
authors.lastname: Petignat
authors.forename: Benno
authors.initials: B
authors.lastname: Rehberg-Klug
mesh_terms: D000762:Anesthesia Recovery Period; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D019990:Perioperative Care / Q000379:methods*