Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
DOI:
https://doi.org/10.32635/2176-9745.RBC.2023v69n3.4391Keywords:
postoperative care, physical therapists, surgical oncologyAbstract
Due to the increase of the global cancer incidence, the number of patients admitted for cancer surgery has risen as well. Strategies to optimize postoperative recovery (fast-track surgery) are recommended, and physiotherapists play a key role in health teams caring for surgical patients. Post-operative recovery optimization protocols such as Enhanced Recovery After Surgery (ERAS) and the ACERTO Project (acceleration of total post-operative recovery) include pre-, peri- and post-operative management, with the following elements: information and pre-habilitation, abbreviation of fasting and early reintroduction of food, adequate prophylaxis and correct management of symptoms, reduction of fluids and non-colon preparation, minimally invasive procedures, and early mobilization. For individuals with cancer, the acceleration of the physical and functional recovery after surgery is essential to enable the patient to undergo adjuvant therapies within the recommended therapeutic window. These protocols address the major role physiotherapists play, especially in post-surgery pre-habilitation and early mobilization.
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