Skip to main content

Abstract

Surgical prehabilitation is an emerging concept which derives from the realization that despite innovations in perisurgical care and technology some aspects of postoperative outcome have not significantly changed. This is probably due to other factors such as patients’ health and functional status, which are modifiable. As the population gets older and surgical mortality decreases, patients are increasingly concerned with quality of life, community reintegration, and cognitive well-being. Innovative comprehensive preoperative risk evaluation and implementation of multidisciplinary prehabilitation programs need to be further developed and tested, particularly directed to patients at risk. The integrated role of physical exercise, adequate nutrition, and psychosocial balance, together with medical and pharmacological optimization, deserves to receive more attention.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. 2009 ACCF/AHA focused update on perioperative beta blockade—2009 writing group to review new evidence and update the 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. Circulation. 2009;120: 2123–51.

    Google Scholar 

  2. Robinson TN, Wallace JI, Wu DS, et al. Accumulated frailty characteristics predict postoperative discharge institutionalization in the geriatric patient. J Am Coll Surg. 2011;213:37–42.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Carli F, Zavorsky G. Optimizing functional exercise capacity in the elderly surgical population. Curr Opin Clin Nutr Metab Care. 2005;8:23–32.

    Article  PubMed  Google Scholar 

  4. Silver JK, Baima J. Cancer prehabilitation. Am J Phys Med Rehabil. 2013;92:715–27.

    Article  PubMed  Google Scholar 

  5. Gillis C, Li C, Lee L, Awasthi R, Augustin B, Gamsa A, Liberman AS, Stein B, Charlebois P, Feldman L, Carli F. Prehabilitation vs rehabilitation, a randomized control trial in patients undergoing colorectal resection for cancer. Anesthesiology. 2014;121(5):937–47.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Robinson, T.N., Carli, F., Scheede-Bergdahl, C. (2015). Medical Optimization and Prehabilitation. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-20364-5_3

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20363-8

  • Online ISBN: 978-3-319-20364-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics