Langenbeck's Archives of Surgery

, Volume 396, Issue 5, pp 585–590 | Cite as

Fast-track surgery—an update on physiological care principles to enhance recovery

  • Henrik KehletEmail author
Review Article



The concept of fast-track surgery (enhanced recovery programs) has been evolved and been documented to be successful by decreasing length of stay, morbidity and convalescence across procedures.

Future strategies

However, there are several possibilities for further improvement of most of the components of fast-track surgery, where surgical stress, fluid and pain management are key factors. There is an urgent need for better design of studies, especially in minimal invasive surgery to achieve maximal outcome effects when integrated into the fast-track methodology.


Fast-track surgery Enhanced recovery programs Perioperative care 


Conflicts of interest



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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Section for Surgical PathophysiologyRigshospitalet Copenhagen UniversityCopenhagenDenmark

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