Fast track colorectal surgery programs encompass perioperative techniques that aim to reduce complications, cost, pain, and hospital length of stay.
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Fast-track colorectal protocols may reduce complications and LOS; leaves open standardized RCTs to confirm components and generalizability.
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.
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Counihan et al. (2009) studied this question.
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