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Postoperative Recovery and Rehabilitation

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Principles and Practice of Geriatric Surgery

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. Department of Surgery, Jewish General Hospital, McGill University, Montreal, Canada

    Simon Bergman

  2. Lady Davis Institute for Medical Research, Montreal, Canada

    Simon Bergman

  3. Department of Surgery, McGill University, Montreal, Canada

    Laura M. Drudi

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  1. Simon Bergman
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  2. Laura M. Drudi
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Correspondence to Simon Bergman .

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Editors and Affiliations

  1. VA Connecticut Health Care System, Yale University School of Medicine, West Haven, CT, USA

    Ronnie A. Rosenthal

  2. SUNY Downstate School of Public Health, National Capital Region Johns Hopkins Medicine, Bethesda, MD, USA

    Michael E. Zenilman

  3. Center for Geriatric Surgery, Sinai Hospital of Baltimore, Baltimore, MD, USA

    Mark R. Katlic

Section Editor information

  1. UCSF Medical Center, San Francisco, CA, USA

    Emily Finlayson

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Bergman, S., Drudi, L.M. (2019). Postoperative Recovery and Rehabilitation. In: Rosenthal, R., Zenilman, M., Katlic, M. (eds) Principles and Practice of Geriatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20317-1_30-1

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  • DOI: https://doi.org/10.1007/978-3-319-20317-1_30-1

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