Future perspectives and research initiatives in fast-track surgery

Abstract

Fast-track surgery has evolved as a valid concept to improve post-operative outcome. Further progress may be expected based upon intensified research within perioperative pathophysiology and a multi-disciplinary collaboration between surgeons, anaesthesiologists and surgical nurses.

Implementing Fast‐Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial

“…We did not have any readmission in the study groups, probably because our length of hospital stay is longer than other published fast‐track studies (varied between 2–12 days with a mean of 4–5 days) [8, 11, 16]. Our results on readmission rate are similar to other published studies where the rate of readmission in fast‐track group was similar to conventional care groups [18, 19]; these results and the other on early refeeding, rate of complications, and length of hospital stay need to be confirmed by powered multicentric randomized trials [20]. We did have two phone calls about abdominal pain, which were managed at home and did not need hospital readmission.…”

Implementing Fast‐Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial

“…We did not have any readmission in the study groups, probably because our length of hospital stay is longer than other published fast‐track studies (varied between 2–12 days with a mean of 4–5 days) [8, 11, 16]. Our results on readmission rate are similar to other published studies where the rate of readmission in fast‐track group was similar to conventional care groups [18, 19]; these results and the other on early refeeding, rate of complications, and length of hospital stay need to be confirmed by powered multicentric randomized trials [20]. We did have two phone calls about abdominal pain, which were managed at home and did not need hospital readmission.…”

Multimodal Perioperative Rehabilitation for Colonic Surgery in the Elderly

“…The rate of readmission (total 3.5%) is low compared to that in the literature (approximately 10%) [11,19]. This is explained by the rather long time span between ''fit for discharge'' and ''actually discharged'' for the FTCII patients; very old patients were those with the longest interval (5 days), but had the lowest readmission rate (2.4%).…”

Influence of thoracic epidural analgesia on postoperative pain relief and ileus after laparoscopic colorectal resection

“…As a single intervention, TEA has been shown to be the most important factor in reducing postoperative ileus in conventional surgery [9,10]. As laparoscopic technique leads to a decrease in pain, inflammatory reaction, and postoperative ileus by itself, the question remains whether TEA is needed at all [12,13,23,24]. Morbidity from TEA has to be considered.…”

Implementing Fast‐Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial

“…We did not have any readmission in the study groups, probably because our length of hospital stay is longer than other published fast‐track studies (varied between 2–12 days with a mean of 4–5 days) [8, 11, 16]. Our results on readmission rate are similar to other published studies where the rate of readmission in fast‐track group was similar to conventional care groups [18, 19]; these results and the other on early refeeding, rate of complications, and length of hospital stay need to be confirmed by powered multicentric randomized trials [20]. We did have two phone calls about abdominal pain, which were managed at home and did not need hospital readmission.…”

Multimodal Perioperative Rehabilitation for Colonic Surgery in the Elderly

“…The rate of readmission (total 3.5%) is low compared to that in the literature (approximately 10%) [11,19]. This is explained by the rather long time span between ''fit for discharge'' and ''actually discharged'' for the FTCII patients; very old patients were those with the longest interval (5 days), but had the lowest readmission rate (2.4%).…”

Influence of thoracic epidural analgesia on postoperative pain relief and ileus after laparoscopic colorectal resection

“…As a single intervention, TEA has been shown to be the most important factor in reducing postoperative ileus in conventional surgery [9,10]. As laparoscopic technique leads to a decrease in pain, inflammatory reaction, and postoperative ileus by itself, the question remains whether TEA is needed at all [12,13,23,24]. Morbidity from TEA has to be considered.…”

Implementing Fast‐Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial

“…We did not have any readmission in the study groups, probably because our length of hospital stay is longer than other published fast‐track studies (varied between 2–12 days with a mean of 4–5 days) [8, 11, 16]. Our results on readmission rate are similar to other published studies where the rate of readmission in fast‐track group was similar to conventional care groups [18, 19]; these results and the other on early refeeding, rate of complications, and length of hospital stay need to be confirmed by powered multicentric randomized trials [20]. We did have two phone calls about abdominal pain, which were managed at home and did not need hospital readmission.…”

Multimodal Perioperative Rehabilitation for Colonic Surgery in the Elderly

“…The rate of readmission (total 3.5%) is low compared to that in the literature (approximately 10%) [11,19]. This is explained by the rather long time span between ''fit for discharge'' and ''actually discharged'' for the FTCII patients; very old patients were those with the longest interval (5 days), but had the lowest readmission rate (2.4%).…”

Influence of thoracic epidural analgesia on postoperative pain relief and ileus after laparoscopic colorectal resection

“…As a single intervention, TEA has been shown to be the most important factor in reducing postoperative ileus in conventional surgery [9,10]. As laparoscopic technique leads to a decrease in pain, inflammatory reaction, and postoperative ileus by itself, the question remains whether TEA is needed at all [12,13,23,24]. Morbidity from TEA has to be considered.…”