Abdominal wall procedures: the beneifts of prehabilitation

• 作者: Breanna Jedrzejewski Nathan Knapp Robert Martindale
• 来源期刊: 整形与美容研究（英文版）
• 年，卷（期）: 2020,（2）
• 页码范围: 37-50
• 页数: 14页
• 语种: 英文
• DOI: 10.20517/2347-9264.2019.69

摘要

Prehabilitation for abdominal wall procedures provides an opportunity to further modify patient risk factors for surgical complications. It includes interventions that optimize nutrition, glycemic control, functional status, and utilization of the patient's microbiome pre-, intra-, and postoperatively. Through a multidisciplinary and anticipatory approach to patients' existing co-morbidities, the physiological stress of surgery may be attenuated to ultimately minimize perioperative morbidity in the elective setting. With increasing data to support the efficacy of prehabilitation in optimizing surgical outcomes and decreasing hospital length of stay, it is incumbent on the surgeon to employ these practices in elective abdominal wall reconstruction. Further research on the effects of prehabilitation interventions will help to shape and inform protocols that may be implemented beyond abdominal wall procedures in an effort to continually improve best practices in surgical care.