Preoperative Optimisation and Conditioning of Expectations

  • John T. Jenkins
  • Jennie L. Burch
Part of the Enhanced Recovery book series (ER)


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.


Enhance Recovery After Surgery Anaerobic Threshold Intravenous Iron Functional Capacity Evaluation Subjective Global Assessment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • John T. Jenkins
    • 1
  • Jennie L. Burch
    • 2
  1. 1.Department of SurgerySt. Mark’s HospitalLondon, MiddlesexUK
  2. 2.Department of SurgerySt. Mark’s HospitalHarrow, MiddlesexUK

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