Prehabilitation in elective surgical interventions – what must the general and abdominal surgeon know

Abstract Objectives For years, many efforts have been invested to prepare patients, in particular, those with reduced physical and psychic status, much better provide finally achieve outocme if there is time available several beneficial measures. Methods Therefore, the objective was illustrate concept various single elements of a complex prehabilitation based on (i) selective references from medical literature (ii) own clinical experiences practice general abdominal surgery. Results Prehabiliation can be considered solution improve preoperative status for patients disadvantageous almost all types surgery other operative and/or interventional procedures. It targeted process individual functionality organ function before planned (elective) surgical intervention; P. comprises basically nutritional, psychological measures; focusses especially onto elderly, frail malnourished overall aim significantly final outcome characterized by shorter length stay, lower complication rate mortality as well cost efficiency; important cancer surgery, which effects particularly implemented; programs “Standard Operating Protocols“ (SOP) may help establish materialize its aspects enhanced recovery after (ERAS). There still further potential reliably utilize options measures listed above. Conclusions an indispensable aspect today’s preparation elective needs become obligatory part interventions, contribute ERAS as, addtion, developed accomplished.