Seyfried Steffen, Reißfelder Christoph, Hardt Julia
Chirurgische Klinik, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland.
Chirurgie (Heidelb). 2025 Jun;96(6):464-469. doi: 10.1007/s00104-025-02295-y. Epub 2025 May 6.
Prehabilitation is becoming increasingly more important as an integral component of perioperative management. It improves the functional reserves before surgical interventions and reduces postoperative complications. While specialized centers have successfully implemented prehabilitation programs, the comprehensive implementation especially in rural areas remains challenging. Organizational, infrastructural and financial barriers exacerbate the adaptation outside university facilities; however, hybrid and digital approaches offer promising solutions for decentralized care. A sustainable integration into the healthcare system requires interdisciplinary collaboration, political support and adapted reimbursement structures.
术前康复作为围手术期管理的一个组成部分，正变得越来越重要。它能改善手术干预前的功能储备，并减少术后并发症。虽然专业中心已成功实施术前康复计划，但全面实施，尤其是在农村地区，仍然具有挑战性。组织、基础设施和资金方面的障碍加剧了大学设施以外地区的适应难度；然而，混合和数字方法为分散式护理提供了有前景的解决方案。可持续融入医疗保健系统需要跨学科合作、政策支持和适应性报销结构。
