Prehabilitation, making patients fit for surgery – a new frontier in perioperative care

Author:

Molenaar Charlotte J.L.1,Papen-Botterhuis Nicole E.2,Herrle Florian3,Slooter Gerrit D.4

Affiliation:

1. Department of Surgical Oncology, Máxima MC, Veldhoven, the Netherlands

2. Department of Medical Oncology, Máxima MC, Veldhoven, the Netherlands

3. Department of Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany

4. Department of Surgical Oncology, Máxima MC, 5500MB, Veldhoven, the Netherlands, E-mail: prehab.resurge@mmc.nl

Abstract

AbstractOptimizing a patients’ condition before surgery to improve the postoperative outcome can be achieved by using prehabilitation; preoperative interventions focusing on modifiable risk factors to improve the physical, nutritional, and mental status of the patient. A multimodal, multidisciplinary approach induces a synergistic effect between the various interventions and affects the outcome postoperatively. While awaiting higher-quality evidence, the worldwide implementation of prehabilitation programs has started, resulting in a true revolution in perioperative care.

Publisher

Walter de Gruyter GmbH

Subject

Surgery

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