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World Journal of Surgery

, Volume 36, Issue 10, pp 2473–2480 | Cite as

Fast-Track for the Modern Colorectal Department

  • Rishabh Sehgal
  • Arnold Hill
  • Joseph Deasy
  • Deborah A. McNamara
  • Ronan A. Cahill
Article

Abstract

In recent years, fast-track or enhanced recovery after surgery (ERAS) colorectal pathways have been utilized to achieve faster recovery and discharge from hospital with swift resumption of normal activities of daily living without an increase in complications or readmissions. Despite the large body of evidence available, however, adoption of the fast-track methodology in current surgical practice has been slow and sporadic. As outlined by a recent Cochrane review, practice uptake has mostly focused on individual component uptake. Therefore, instead of repeating what already has been established in the literature pertaining to colorectal fast-track surgery, the aim of this article is to interrogate the evidence concerning the individual components of ERAS pathways as they relate to a contemporary surgical department to determine the most relevant critical components for patients undergoing colorectal surgery in modern surgical practice.

Keywords

Rectus Sheath Fluid Regimen Enhance Recovery Program Epidural Procedure Esophageal Doppler Monitoring 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Rishabh Sehgal
    • 1
  • Arnold Hill
    • 3
  • Joseph Deasy
    • 2
  • Deborah A. McNamara
    • 2
  • Ronan A. Cahill
    • 2
  1. 1.Royal College of Surgeons in IrelandDublin 2Ireland
  2. 2.Department of Colorectal SurgeryBeaumont HospitalDublin 9Ireland
  3. 3.Department of SurgeryBeaumont HospitalDublin 9Ireland

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