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The development of fast-track principles in gynecological surgery
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Anesthesiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Intensive Care in Linköping.
2013 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 92, no 1, 17-27 p.Article, review/survey (Refereed) Published
Abstract [en]

Fast-track is a multimodal strategy aimed at reducing the physiological burden of surgery to achieve an enhanced postoperative recovery. The strategy combines unimodal evidence-based interventions in the areas of preoperative preparation, anesthesia, surgical factors and postoperative care. The advantages of fast-track most likely extend to gynecology, although so far have scarcely been reported. This review summarizes current evidence concerning use of fast-track in general and in gynecological surgery. The main findings of this review are that there are benefits within elective gynecological surgery, but studies of quality of life, patient satisfaction and health economics in elective surgery are needed. Studies of fast-track within the field of non-elective gynecological surgery are lacking. Widespread education is needed to improve the rate of implementation of fast-track. Close involvement of the entire surgical team is imperative to ensure a structured perioperative care aiming for enhanced postoperative recovery.

Place, publisher, year, edition, pages
Informa Healthcare / Wiley-Blackwell , 2013. Vol. 92, no 1, 17-27 p.
Keyword [en]
anesthesia, enhanced recovery, fast-track, gynecology, postoperative care, preoperative preparation, surgery
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-89752DOI: 10.1111/j.1600-0412.2012.01525.xISI: 000313714500004OAI: oai:DiVA.org:liu-89752DiVA: diva2:609746
Note

Funding Agencies|County Council of Ostergotland||Linkoping University||

Available from: 2013-03-07 Created: 2013-03-05 Last updated: 2017-12-06

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Borendal Wodlin, NinnieNilsson, Lena

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Borendal Wodlin, NinnieNilsson, Lena
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Department of Clinical and Experimental MedicineFaculty of Health SciencesAnesthesiologyDepartment of Anaesthesiology and Intensive Care in Linköping
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Acta Obstetricia et Gynecologica Scandinavica
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