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Number №1, 2023 - page 10-17

Enchanted recovery. Preoperative preparation and prehabilitation DOI: 10.29188/2222-8543-2023-16-1-10-17

For citation:

Vorobev V.A., Beloborodov V.A., Tukhiev A.R. Enchanted recovery. Preoperative preparation and prehabilitation. Experimental and Clinical Urology 2023;16(1):10-17; https://doi.org/10.29188/2222-8543-2023-16-1-10-17

V.A. Vorobev, V.A. Beloborodov, A.R. Tukhiev
Information about authors:
  • Vorobev V.A. – PhD, associate professor of the Department of General Surgery, Irkutsk State Medical University, Ministry of Health of the Russian Federation; Irkutsk, Russia; RSCI AuthorID 1003854; https://orcid.org/0000-0003-3285-5559
  • Beloborodov V.A. – Dr. Sci., Professor, Head of the Department of General Surgery, Irkutsk State Medical University, Ministry of Health of the Russian Federation; Irkutsk, Russia; RSCI AuthorID 272235; https://orcid.org/0000-0002-3299-1924
  • Tukhiev A.R. – post-graduate student of the Department of General Surgery, Irkutsk State Medical University, Ministry of Health of the Russian Federation; Irkutsk, Russia; RSCI AuthorID 1166007; https://orcid.org/0000-0003-1525-3425
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Fast Track surgery (FTS), as well as ERAS (enhanced recovery after surgery/rapid recovery after surgery programs) or ERP (enhanced recovery program, in russian) is a multimodal and multidisciplinary treatment strategy designed to reduce the duration of disability and improve the quality of medical care. This program includes preparation at the preoperative stage, the use of minimally invasive techniques for performing surgical intervention and active management of the postoperative period to reduce the duration of inpatient treatment, rehabilitation time and the fastest possible return of patients to normal life. In the context of this review, the features of preparation and prehabilitation at the preoperative stage of the enhanced recovery program are considered. The main elements of the strategy are reviewed: correction of eating disorders, carbohydrate loading, preoperative education and problems of multidisciplinary interaction, sarcopenia, lifestyle changes, pharmacogenomics, correction of anemia and preoperative bowels preparation. Prehabilitation and preoperative preparation together help make the patient for surgery and subsequent recovery. The main elements of training are patient and staff training, multidisciplinary interaction, correction of concomitant somatic disorders and diseases, nutrition optimization and lifestyle changes.

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enhanced recovery аfter surgery; rapid recovery after surgery programs; fast track surgery; FTS; ERAS; enchanted recovery; prehabilitation; preoperative preparation

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