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Preoperative Optimisation and Conditioning of Expectations

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Manual of Fast Track Recovery for Colorectal Surgery

Part of the book series: Enhanced Recovery ((ER))

Abstract

Enhanced recovery aims to reduce the systemic response to surgical stress and in doing so improve the quality and rapidity of a patient’s recovery. It is a structured evidence-based process that encompasses the perioperative period of care and produces considerable reduction in postoperative complication rates and length of hospital stay [1–4]. The majority of patients undergoing elective colon and rectal surgery are suitable for this process. This chapter focuses on colorectal surgery but the principles are transferrable to many other surgical specialities. The chapter aims to cater to the needs of the multidisciplinary team, and a more detailed scientific explanation of some of the aspects covered in this chapter will be available from other sources. We explore the rationale for the preoperative optimisation and conditioning of expectations and describe how the multidisciplinary team can achieve this and how general practitioners can participate in the process.

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Author information

Authors and Affiliations

  1. Department of Surgery, St. Mark’s Hospital, London, Middlesex, UK

    John T. Jenkins

  2. Department of Surgery, St. Mark’s Hospital, Harrow, Middlesex, UK

    Jennie L. Burch

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  1. John T. Jenkins
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  2. Jennie L. Burch
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Editors and Affiliations

  1. Yeovil District Hospital NHS Foundation, Yeovil, BA21 4AT, United Kingdom

    Nader Francis

  2. St Mark's Hospital, Watford Road, Harrow, HA1 3UJ, United Kingdom

    Robin H. Kennedy

  3. Department of Surgery, Örebro University Hospital, Örebro, 701 85, Sweden

    Olle Ljungqvist

  4. University College of London, Centre for Anaesthesia, WC1E 6, United Kingdom

    Monty G. Mythen

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Jenkins, J.T., Burch, J.L. (2012). Preoperative Optimisation and Conditioning of Expectations. In: Francis, N., Kennedy, R., Ljungqvist, O., Mythen, M. (eds) Manual of Fast Track Recovery for Colorectal Surgery. Enhanced Recovery. Springer, London. https://doi.org/10.1007/978-0-85729-953-6_2

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  • DOI: https://doi.org/10.1007/978-0-85729-953-6_2

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