Recommendations on the use of prehabilitation, i.e. comprehensive preparation of the patient for surgery

• Authors: Tomasz Banasiewicz , Jarosław Kobiela , Jarosław Cwaliński , Piotr Spychalski , Patrycja Przybylska , Karolina Kornacka , Dagmara Bogdanowska-Charkiewicz , Magdalena Leyk-Kolańczak , Maciej Borejsza-Wysocki , Dominika Batycka-Stachnik , Rafał Drwiła , Beata Barańska , Tomasz Bartkowiak , Maria Brzegowy , Piotr Czyżewski , Jolanta Dynarska , Adam Dziki , Łukasz Dziki , Michał Jankowski , Piotr Kaczmarczyk , Aleksandra Kapała , Krzysztof Karaś , Wojciech Kielan , Stanisław Kłęk , Beata Bianka Kotoro , Tomasz Kotwicki , Łukasz Krokowicz , Barbara Kuczyńska , Marek Kunecki , Krzysztof Kusza , Magdalena Łasińska-Kowara , Waldemar Machała , Piotr Major , Dorota Mańkowska-Wierzbicka , Przemysław Matras , Konrad Matysiak , Natalia Mogiłko , Wioleta Nowak , Sebastian Opaliński , Michał Pędziwiatr , Piotr Richter , Jerzy Sieńko , Jacek Sobocki , Zoran Stojcev , Ewa Stachowska , Beata Stepanow , Marek Szczepkowski , Wiesław Tarnowski , Przemysław Zarzeczny , Marek Zawadzki , Michał Zembala , Wojciech Zegarski , Krzysztof Zieniewicz , Anna Zmarzły , Zuzanna Żaczek , Grzegorz Wallner

Abstracts

EN

Prehabilitation is a comprehensive preparation of a patient for primarily surgical treatments. Its aim is to improve the patient's general condition so as to reduce the risk of complications and ensure the fastest possible recovery to full health. The basic components of prehabilitation include: improvement of nutritional status, appropriate exercises to improve functioning, psychological support, and help in eliminating addictions. Other important aspects of prehabilitation are: increasing hemoglobin levels in patients with anemia, achieving good glycemic control in patients with diabetes, treatment or stabilization of any concurrent disorders, or specialist treatment associated with a specific procedure (endoprostheses, ostomy procedure). This article organizes and outlines the indications for prehabilitation, its scope, duration, and the method to conduct it. Experts of various specialties related to prehabilitation agree that it should be an element of surgery preparation whenever possible, especially in patients with co-existing medical conditions who have been qualified for major procedures. Prehabilitation should be carried out by interdisciplinary teams, including family physicians and various specialists in the treatment of comorbidities. Prehabilitation requires urgent systemic and reimbursement solutions.

Keywords

EN

diabetes; malnutrition; nutrition; ostomy; perioperative care; physical therapy; prehabilitation; preoperative anemia; prevention of complications; psychological support; surgery; telemedicine

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2023
• Volume: 95
• Issue: 4
• Pages: 61-91

Dates

published

2023

Contributors

author

Tomasz Banasiewicz

author

Jarosław Kobiela

author

Jarosław Cwaliński

author

Piotr Spychalski

author

Patrycja Przybylska

author

Karolina Kornacka

author

Dagmara Bogdanowska-Charkiewicz

author

Magdalena Leyk-Kolańczak

author

Maciej Borejsza-Wysocki

author

Dominika Batycka-Stachnik

author

Rafał Drwiła

author

Beata Barańska

author

Tomasz Bartkowiak

author

Maria Brzegowy

author

Piotr Czyżewski

author

Jolanta Dynarska

author

Adam Dziki

author

Łukasz Dziki

author

Michał Jankowski

author

Piotr Kaczmarczyk

author

Aleksandra Kapała

author

Krzysztof Karaś

author

Wojciech Kielan

author

Stanisław Kłęk

author

Beata Bianka Kotoro

author

Tomasz Kotwicki

author

Łukasz Krokowicz

author

Barbara Kuczyńska

author

Marek Kunecki

author

Krzysztof Kusza

author

Magdalena Łasińska-Kowara

author

Waldemar Machała

author

Piotr Major

author

Dorota Mańkowska-Wierzbicka

author

Przemysław Matras

author

Konrad Matysiak

author

Natalia Mogiłko

author

Wioleta Nowak

author

Sebastian Opaliński

author

Michał Pędziwiatr

author

Piotr Richter

author

Jerzy Sieńko

author

Jacek Sobocki

author

Zoran Stojcev

author

Ewa Stachowska

author

Beata Stepanow

author

Marek Szczepkowski

author

Wiesław Tarnowski

author

Przemysław Zarzeczny

author

Marek Zawadzki

author

Michał Zembala

author

Wojciech Zegarski

author

Krzysztof Zieniewicz

author

Anna Zmarzły

author

Zuzanna Żaczek

author

Grzegorz Wallner

Identifiers

DOI

10.5604/01.3001.0053.8854

Biblioteka Nauki

58661506