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Postoperative Recovery and Rehabilitation

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Abstract

Surgical recovery is a concept which has traditionally been poorly defined and poorly measured. The expectations of elderly patients with regards to their postoperative outcomes, including what they consider a success, may be very different when compared to the expectations of their younger counterparts or of their surgeons. In this chapter, the authors review the impact of surgery on a patient’s functional status, on how they report their symptoms, and how they perceive their health and their quality of life. Important risk factors for a prolonged recovery, such as complications, malnutrition, and frailty, are described. Finally, strategies for optimizing recovery are discussed, starting with the preoperative period (comprehensive geriatric assessment, pre-habilitation), followed with hospitalization (enhanced recovery pathways, multidisciplinary intervention teams and programs), and finally with rehabilitation in the postoperative period.

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Authors and Affiliations

  1. 1.Department of SurgeryJewish General Hospital, McGill UniversityMontrealCanada
  2. 2.Lady Davis Institute for Medical ResearchMontrealCanada
  3. 3.Department of SurgeryMcGill UniversityMontrealCanada

Section editors and affiliations

  • Emily Finlayson
    • 1
  1. 1.UCSF Medical CenterSan FranciscoUSA

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