Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Acta Obstet Gynecol Scand. 2013 Jan;92(1):17-27. doi: 10.1111/j.1600-0412.2012.01525.x. Epub 2012 Nov 1.
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.
快速康复是一种多模式策略，旨在减轻手术的生理负担，实现更好的术后恢复。该策略结合了术前准备、麻醉、手术因素和术后护理等方面的单一模式循证干预。快速康复的优势很可能扩展到妇科领域，尽管迄今为止几乎没有相关报道。本文综述了快速康复在普通外科和妇科手术中的应用。主要发现是，快速康复在择期妇科手术中有益，但需要进一步研究其对生活质量、患者满意度和择期手术卫生经济学的影响。在非择期妇科手术领域，快速康复的研究尚缺乏。需要广泛的教育来提高快速康复的实施率。整个外科团队的密切参与对于确保结构化的围手术期护理以促进术后恢复至关重要。
