Fast Track Surgery

Fast Track Surgery is an original approach to accompanying the patient on the entire path of surgery, starting with preparation for discharge home. This is a program that includes the stages of preoperative preparation, performing surgical intervention, and managing the postoperative period, the purpose of which is to reduce the period of stay in the hospital and the material costs of treatment. It was first proposed in the 90s of the last century by H. Kehlet and was successfully used in cardiosurgical practice among patients who underwent X-ray surgical stenting coronary arteries and aortocoronary shunting. Later, the program was successfully used in orthopedics, gynecology and oncology.

What does this mean for the patient?

1. Guarantee of faster rehabilitation. When using old methods of surgery, the body naturally recovered much longer due to the prolonged lying position and delayed nutrition.
2. No bowel washing (cleansing enema) is currently not recommended in most situations except when the operation is performed within the lumen of the rectum. In this case, special "soft" laxatives are used. A high cleansing enema is not only unpleasant for the patient, but can also cause a shift in the composition of electrolytes (potassium, sodium, calcium, chloride) in the body, which has an adverse effect on subsequent recovery, and is also one of the factors of impaired cardiac activity and the functioning of the body's coagulation system the patient.
3. Previously, patients were not allowed to eat and drink in the evening before the operation day. As a result, patients during and after the operation had to infuse more fluid than was required for the normal functioning of the organs. According to the new method, patients can and should drink clear liquids at least 4-6 hours before the operation.
4. Previously, patients were forbidden to eat normal food for a maximum of five days after the operation. Now, a few hours after the operation, patients receive a little liquid and light food, such as yogurt or liquid food. The new approach is based on the results of modern research, which showed that the intestine, thanks to the autonomous nervous system, functions around the clock, in almost any state of the body, therefore, when the main substrate of its work disappears from the intestine, it does not "rest", but "paralyzes"; A "paralyzed" intestine that does not perform its function "rests" worse, and thus has a bad effect on the recovery of the body as a whole.
5. Early mobilization (getting up in bed, standing, walking). With the support of the staff, they take a few steps, and immediately after that they are seated in a chair for a long time. Then, on the next day, work begins on a targeted intensive recovery program.