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May 2006 · Vol. 18, No. 5

LETTERS

Hysterectomy approach isn’t the only key to rapid recovery

Fast Track

“65% of our patients are discharged home on postop day 1, and 87% by postop day 2”

I appreciated Dr. Barbieri’s February editorial on minimally invasive hysterectomy. I’d like to tell you about steps taken at my institution.

Dr. Henrick Kehlet, a colorectal surgeon from Denmark, has developed a technique for colon resection using regional (epidural) anesthesia and early ambulation and nutrition.1 At his hospital in Copenhagen, patients begin consuming liquids the day of surgery and begin a regular diet the next day. They leave the hospital 2 to 3 days after the colectomy.

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