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"Fast-track"-rehabilitation in surgery, a multimodal concept
C Langelotz1, C Spies, J M Müller
1Department of General-, Visceral-, Vascular- and Thoracic Surgery, Universitätsmedizin Berlin-Charité, Campus Mitte, Schumannstr 20/21, 10117 Berlin, Germany.
Acta Chirurgica Belgica
|January 28, 2006
Summary
Enhanced recovery after surgery (ERAS) programs significantly reduce general medical complications following abdominal surgery. These programs accelerate patient recovery and improve outcomes by combining pre- and intraoperative measures.
Area of Science:
- Surgical outcomes
- Patient recovery protocols
Background:
- Postoperative local surgical complications and mortality have decreased.
- General medical complications after abdominal surgery remain frequent, affecting 20-60% of patients.
Purpose of the Study:
- To evaluate the effectiveness of "Fast-track" surgery, also known as enhanced recovery after surgery (ERAS) programs.
- To highlight the potential of ERAS to reduce general postoperative complications.
Main Methods:
- Implementing a combination of pre- and intraoperative measures.
- Primarily validated in elective colonic surgery but applicable to all surgical settings.
Main Results:
- ERAS programs accelerate postoperative convalescence.
- ERAS programs markedly reduce the rate of general medical complications.
Conclusions:
- Enhanced recovery after surgery (ERAS) is an effective strategy for improving patient outcomes.
- ERAS protocols can be broadly applied across various surgical disciplines to enhance recovery and minimize complications.