Combining prehabilitation with enhanced recovery programs in gynecological surgery.

Claire Falandry, Raffaele Fauvet, Pascal Alfonsi, Arthur Foulon, Célia Texier, Nicolas Bourdel, Thérèse Simonet, Henri Azaïs, Eric Lambaudie

Journal: Journal of gynecology obstetrics and human reproduction 2022;51(5):102376

PMID: 35398373

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Abstract

Prehabilitation is a multimodal approach to preoperative care based on physical exercise, dietary/nutritional interventions, smoking and alcohol cessation, and psychological care. The goal is to reduce stress and apprehension, encourage general well-being, and thus optimize the patient's state of health before surgery. Prehabilitation encompasses all the actions undertaken between the diagnosis of the disease and the initiation of surgery to reduce the morbidity attributable to the latter. Although there are few literature data on prehabilitation in gynecological surgery, the management of moderate-to-severe undernutrition prior to gynecological oncology surgery reduces the risk of postoperative complications and increases the overall survival rate.

Address: Unité de Médecine Onco-gériatrique, Hôpital Lyon Sud, 165 Chemin du Grand Revoyet, F-69495 Pierre-Bénite, France.; Service de Gynécologie et d'Obstétrique, CHU Caen, 1 avenue de la côte de Nacre, F-14000 Caen, France; Université Caen Normandie, Esplanade de la Paix, CS 14032, F-14032 Caen, France; Unité INSERM ANTICIPE, Centre François Baclesse, 3 Ave du Général Harris, BP 5026, F-14076 Caen, France. Electronic address: [email protected].; Service d'anesthésie, Université Paris Descartes, Groupe Hospitalier Paris Saint-Joseph, 185 rue Raymond Losserand, F-75674 Paris cedex 14, France.; Centre de Gynécologie et d'Obstétrique, Université Picardie Jules Verne, CHU Amiens Picardie, 1 rue du Professeur Christian Cabrol, F-80054 Amiens, France.; Service de Chirurgie Gynécologique, CHU of Clermont Ferrand, 1 Place Lucie Aubrac, F-63 003 Clermont Ferrand, France.; CHU Caen, Département d'Anesthésie et de Réanimation,CHU Caen, Avenue de la Côte de Nacre, Caen, F-14033, France.; AP-HP, Hôpital Européen Georges-Pompidou,Département de chirurgie gynécologique et oncologique, F-75015 Paris, France.; Service de Chirurgie gynécologique, Institut Paoli-Calmette, 232 Boulevard de Sainte-Marguerite, F-13009 Marseille, France.

DOI: 10.1016/j.jogoh.2022.102376

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MeSH Terms: Female, Genital Neoplasms, Female, Gynecologic Surgical Procedures, Humans, Postoperative Complications, Preoperative Care, Preoperative Exercise