Prehabilitation for the Enhanced Recovery After Surgery Patient

J Laparoendosc Adv Surg Tech A. 2017 Sep;27(9):880-882. doi: 10.1089/lap.2017.0328. Epub 2017 Jul 28.

Abstract

Background: Prehabilitation proposes that broad health interventions at the time of decision for surgery will improve the patient's starting functional status and therefore recovery.

Methods: The impact of preoperative exercise, preoperative nutrition, smoking cessation, alcohol cessation, anemia, and psychological support were reviewed.

Results: Interventions to improve the patient's underlying health typically improve recovery, although the duration and intensity necessary for meaningful surgical recovery benefit need further study.

Conclusions: Preoperative health interventions may improve recovery in the postoperative period and patient health years later.

Keywords: enhanced recovery after surgery; exercise; nutrition; perioperative surgical home; prehabilitation; smoking.

Publication types

  • Review

MeSH terms

  • Health Promotion / methods*
  • Health Status
  • Humans
  • Postoperative Period
  • Preoperative Care / methods*
  • Recovery of Function