Physical fitness and general health have an influence on morbidity and mortality for the period before, during and after major surgery.
With preoperative training measures, physiological reserves can be achieved and the functional capacity can be increased. As a result, the body is better able to cope with the increased stress during surgery, thereby reducing the risk of complications.
Pre-surgery:
Supervised preoperative training increases the functional capacity of patients. It is therefore undisputed that the acute decline in functional capacity resulting from the operation is less pronounced, allowing faster and more complete recovery (Chart 1). The re-achievement of one’s own independence after surgery is better ensured!
Chart 1: Recovery from major surgery (A) may be influenced by preoperative functional capacity, either slowed and incomplete (B) or accelerated and complete (C), even in individuals with complicated recovery (D). (Tew et al., 2018)
References:
Tew, G. A., Ayyash, R., Durrand, J., & Danjoux, G. R. (2018). Clinical guideline and recommendations on pre-operative exercise training in patients awaiting major non-cardiac surgery. Anaesthesia, 73(6), 750–768. https://doi.org/10.1111/anae.14177
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