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Clin Colon Rectal Surg 2009; 22(1): 060-072
DOI: 10.1055/s-0029-1202888
© Thieme Medical Publishers

Fast Track Colorectal Surgery

Timothy C. Counihan1 , 2 , Joanne Favuzza1
  • 1Department of Surgery, Berkshire Medical Center, Pittsfield, Massachusetts
  • 2University of Massachusetts Medical School, Worcester, Massachusetts
Further Information

Publication History

Publication Date:
09 March 2009 (online)

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ABSTRACT

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.

KEYWORDS

Fast track - recovery - pain reduction

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Timothy C CounihanM.D. 

Department of Surgery, Berkshire Medical Center

725 North St., Pittsfield, MA 01201

Email: tcounihan@bhs1.org

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