GynecologyGynecology2079-56962079-5831Consilium Medicum28445Research ArticleFast track: surgical protocols of accelerated rehabilitation in gynecologyPuchkovK Vpuchkovkv@mail.ruKorennayaV V-PodzolkovaN M-I.P.Pavlov Ryazan State Medical University of the Ministry of Health of the Russian FederationSwiss University ClinicCenter for Clinical and Experimental SurgeryRussian Medical Academy for Postgraduate Education of the Ministry of Health of the Russian Federation15062015173404509042020Copyright © 2015, Consilium Medicum2015Fast track (FT) surgery - a comprehensive treatment program, including training in the preoperative phase, the use of minimally invasive techniques of surgical intervention and active management of the postoperative period, in order to reduce the timing of hospital treatment, the time rehabilitation and patients as quickly as possible to return to normal life.For the first time the principles of FT programs were formulated in the late twentieth century. Henrik Kehlet and initially introduced in cardiac surgery, coloproctology and oncology, but gradually began to gain recognition in other surgical areas.Own experience of FT-protocols in gynecologic patients has shown that they can improve during the early postoperative period, no adverse effects on long - term outcomes and readmission rates, can significantly reduce the time of recovery after the operation and increase the satisfaction of patients of the treatment.fast trackpostoperative careпослеоперационная реабилитацияfast track surgerу[Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 1997; 78: 606-17.][Lassen K, Soop M, Nygren J et al. Consensus review of optimal perioperative care in colorectal surgery: enhanced Recovery after Surgery (ERAS) Group recommendations. Archives of Surgery 2009; 144 (10): 961-9.][Varadhan K, Neal K, Dejong C.H.C et al. 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