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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2023, Vol. 16 ›› Issue (04): 252-256. doi: 10.3877/cma.j.issn.1674-6899.2023.04.012

• Review • Previous Articles    

Research progress of pre-rehabilitation

Xuemin Jia, Haiyuan Liu()   

  1. National Clinical Research Center for Obstetric & Gynecologic Diseases Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2023-06-20 Online:2023-08-30 Published:2023-10-31
  • Contact: Haiyuan Liu

Abstract:

In 1997, Danish doctor Kehlet H proposed the concept of Enhanced Recovery After Surgery, which aims to reduce postoperative complications, shorten hospital days, and improve patients′ negative emotions by optimizing perioperative measures, further accelerating the postoperative recovery speed of patients. ERAS optimization measures involve preoperative, intraoperative, and postoperative. However, preoperative evaluation, management, and optimization of patients′ physical, nutritional, and psychological aspects are often overlooked by us. Clinicians usually pay more attention to the disease and the surgery itself. At the same time, For some patients, it is necessary to evaluate and intervene in their physical and mental health while waiting for surgery outside the hospital. With the proposal of the bio-medical-social psychological model, " prerehabilitation" has received attention from medical staff [1,2]. The measures proposed by ERAS are the details of the implementation of "prerehabilitation" measures and the standardization of ERAS preoperative preparation. This article reviews the current research status of prerehabilitation and explores the future development of prerehabilitation gynecology.

Key words: Enhanced recovery after surgery, ERAS, Prehabilitation

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