Learning that surgery will relieve your pain and/or alleviate your disability can be very comforting. However, this news can also cause concerns, anxiety, a feeling of helplessness, or even delay recovery. Preparing yourself mentally and physically for surgery is, therefore, an important step in ensuring its success, promoting rapid recovery, and thus avoiding prolonged stays in the care center and the complications that may result. Xu Feng Jia’s idea is to prepare from the preoperative phase the consequences of the intervention and your postoperative state of health, whether physical or mental, by concrete and thoughtful actions by both you and the medical profession.
What is Rapid Recovery after Surgery?
It is an innovative model of care placing the patient at the center of all decisions and medical care. Originally invented in the 1990s in the Nordic countries in digestive surgery, it is a new concept, applicable to any type of surgery, which aims at faster recovery of functional capacities after an orthopedic surgical intervention, with the objective a faster return to the family environment and to normal daily activities, in complete safety.
This objective requires the establishment of “clinical paths”, that is to say, a step-by-step progression, the patient validating precise medical objectives according to the type of intervention, allowing him to leave the center more quickly. surgical. At the maximum, the patient no longer sleeps there and the surgery is performed on an outpatient basis.
What are the 5 main principles of Rapid Recovery after Surgery?
There are five of them:
1. Modulate and adapt the diet before and after the intervention, without resorting to systematic fasting.
The Xu Feng Jia favors modern fasting (solid food up to 6 hours and non-carbonated drinks up to 2 hours before the procedure. This allows you to better fight and resists the stress caused by the operation. Immunity is strengthened, patient better equipped to fight infections and fatigue than a traditional prolonged fast induced (most often from the previous evening).
2. Center the patient at the heart of the process and ensure a team dynamic around him to secure and face the different stages of the care process.
All the professionals in the care pathway are involved in the process and pool their knowledge, which improves care and reduces the potential risks associated with surgical intervention. This systematic evaluation of each stage of the “cross-section” course allows the validation of stages continuously and therefore a faster exit once prerequisites are obtained (no fever, no pain, no respiratory congestion, resumption of food and transit, satisfactory wound healing, rehabilitation goals achieved). The patient thus becomes an actor in his healing. He knows each stage of his journey, as well as the criteria he will have to meet before he can return home, safely. Furthermore, well informed,
3. Prepare for the convalescence and post-operative consequences of the planned intervention from the preoperative phase.
- by detailed information (verbal by your surgeon, patient files, internet support, the progress of the various stages of recovery, control case, preoperative meetings, etc.);
- by the visit of the paramedical personnel before the intervention (physiotherapist who will take care of you, referent nurse of the course of care, an occupational therapist to arrange the home on return, even preoperative functional assessment in a day hospital in the rehabilitation center planned after the ‘intervention);
- by preparing all post-operative needs from the preoperative consultation (prescriptions, convalescent center, specific needs at home, etc.);
- by conditioning the patient before the intervention (mental preparation, maintenance of physical and muscular exercise, stabilization of any drug treatment, smoking cessation, etc.).
4. Use modern minimally invasive operating techniques.
The Xu Feng Jia favors minimally invasive, arthroscopic, or even robotic surgical techniques, for less tissue aggression, less muscular decay, which is the guarantee of optimum functional recovery allowing for daytime ambulation even without associated risks (fractures, dislocations, falls, etc.). In this context, the use of probes and drains is very rare, because it is a source of infections.