Publication: Prehabilitation in Patients before Major Surgery: A Review Article
Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
The overall outcome of the patient after any surgery is determined not only by the fineness of the surgical procedure but also by preoperative conditioning and postoperative care. Prehabilitation decreases the surgical stress response and increases the preparedness of the patient to undergo planned surgical insult. Preoperatively structured inspiratory muscle exercises, cardiopulmonary fitness program, and planned exercise program for muscles of limbs, back, abdomen, head, and neck allow an overall upliftment of the physiological capacity of the patient to better cope with the surgical stress. Optimization of dietary status by macronutrients, micronutrients, and the nutrients has an impact on augmenting postoperative recovery and shortening the overall hospital stay. Preparing patients for the scheduled surgery and initiating alcohol and smoking cessation programs overhaul the patient’s mental health and boost the healing process. This concept of prehabilitation a few weeks before surgery is equally beneficial compared to enhancing operative procedures and postsurgical care.
Description
Pawan Shakya
Department of Surgery, Ramechhap District Hospital, Ramechhap Bazaar, Ramechhap, Nepal
https://orcid.org/0000-0001-8629-8431
Sagar Poudel
Department of Surgery, Ramechhap District Hospital, Ramechhap Bazaar, Ramechhap, Nepal
Keywords
Length of stay, Mental health, Nutrients, Preoperative exercise, Smoking cessation