Fast-track surgery in India.

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dc.contributor.authorNANAVATI, ADITYA J
dc.contributor.authorNAGRAL, SANJAY
dc.contributor.authorPRABHAKAR, SUBRAMANIAM
dc.date.accessioned2015-02-27T06:45:15Z
dc.date.available2015-02-27T06:45:15Z
dc.date.issued2014-03
dc.description.abstractFast-track surgery or ‘enhanced recovery after surgery’ or ‘multimodal rehabilitation after surgery’ is a form of protocolbased perioperative care programme. It is an amalgamation of evidence-based practices that have been proven to improve patient outcome independently and exert a synergistic effect when applied together. The philosophy is to treat the patient’s pathology with minimal disturbance to the physiology. Several surgical subspecialties have now adopted such protocols with good results. The role of fast-track surgery in colorectal procedures has been well demonstrated. Its application to other major abdominal surgical procedures is not as well defined but there are encouraging results in the few studies conducted. There has been resistance to several aspects of this programme among gastrointestinal and general surgeons. There is little data from India in the available literature on the application of fast-tracking in gastrointestinal surgery. In a country such as India the existing healthcare structure stands to gain the most by widespread adoption of fast-track methods. Early discharge, early ambulation, earlier return to work and increased hospital efficiency are some of the benefits. The cost gains derived from this programme stand to benefit the patient, doctor and government as well. The practice and implementation of fast-track surgery involves a multidisciplinary team approach. It requires policy formation at an institutional level and interdepartmental coordination. More research is required in areas like implementation of such protocols across India to derive the maximum benefit from them.en_US
dc.identifier.citationNANAVATI ADITYA J, NAGRAL SANJAY, PRABHAKAR SUBRAMANIAM. Fast-track surgery in India. National Medical Journal of India. 2014 Mar-Apr ; 27 (2): 79-83.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/156428
dc.language.isoenen_US
dc.source.urihttps://nmji.in/archives/Volume-27/Issue-2/04-27-2-RA.pdfen_US
dc.subject.meshDigestive System Surgical Procedures --methods
dc.subject.meshEarly Ambulation
dc.subject.meshGastrointestinal Diseases --surgery
dc.subject.meshHumans
dc.subject.meshIndia
dc.subject.meshLength of Stay
dc.subject.meshOutcome and Process Assessment (Health Care)
dc.subject.meshPerioperative Care --methods
dc.subject.meshRecovery of Function
dc.subject.meshTime Factors
dc.titleFast-track surgery in India.en_US
dc.typeArticleen_US
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