Fast track: хирургические протоколы ускоренной реабилитации в гинекологии

Автор(и)

  • K. V. Puchkov ГБОУ ВПО Рязанский государственный медицинский университет имени академика И.П. Павлова Минздрава России Швейцарская университетская клиника, г. Москва, Россия Центр клинической и экспериментальной хирургии, г. Москва, Россия, Russian Federation
  • V. V. Korennaya ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России, г. Москва, Russian Federation
  • N. M. Podzolkova ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России, г. Москва, Russian Federation

DOI:

https://doi.org/10.15574/128959

Ключові слова:

fast track, послеоперационная реабилитация

Анотація

Fast track (FT)-хирургия (от англ. fast track – быстрый путь) – программы комплексного лечения, включающие подготовку на предоперационном этапе, использование минимально инвазивных техник выполнения оперативного вмешательства и активное ведение послеоперационного периода с целью уменьшения сроков стационарного лечения, времени реабилитации и максимально быстрого возвращения пациентов к обычной жизни. Впервые принципы программ FT были сформулированы в конце ХХ в. Henrik Kehlet и изначально внедрены в кардиохирургии, колопроктологии и онкологии, но постепенно стали завоевывать признание и в других хирургических направлениях. Собственный опыт применения FT-протоколов у гинекологических больных показал, что они позволяют улучшить течение раннего послеоперационного периода, не оказывают негативного влияния на отдаленные исходы и частоту повторных госпитализаций, позволяют значительно сократить сроки восстановления после операции и повысить удовлетворенность пациенток проведенным лечением.

Посилання

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