[Major surgery in two days of hospitalization]. / La chirurgie majeure en deux jours d'hospitalisation.

ABSTRACT

A reduction to 2 days the length of stay after a major surgery is possible by enhancing patient empowerment and decreasing morbidity. A rapid patient's empowerment is obtained by the use of means that reduce the impact of the surgical stress and facilitate the recovery. The decrease in postoperative morbidity is obtained by improving the perioperative quality of care. All of these means are gathered in enhanced recovery programs that are clinical pathways designed by a multidisciplinary and multiprofessional team. Regular audits are mandatory for the sustainability of these programs. Organization of a network between hospital and out-of-hospital caregivers is important in order to secure the patient's return home.