Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-25T15:32:31.392Z Has data issue: false hasContentIssue false

Chapter 1 - Preoperative and Postoperative Care of the Gynaecological Patient

from Section 1 - Basic Sciences in Gynaecology

Published online by Cambridge University Press:  24 November 2021

Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
Get access

Summary

In order to optimize a patient for any gynaecological procedure, a plan for preoperative and postoperative care must be put in place. This ensures that an individualized approach is implemented in which patients are appropriately counselled prior to surgery regarding their specific risks; all medical issues are taken into account; and the surgery is carried out safely with all team members being aware of and able to plan for anticipated issues. In terms of postoperative management, a detailed plan with consideration of pain relief, fluid balance, mobilization and thromboprophylaxis will reduce perioperative morbidity and identify and treat any potential complications. Consideration of all the above factors is necessary to achieve a successful procedure for the patient, safe and timely discharge from the hospital and good patient satisfaction [1].

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Croissant, K, Shafi, M. Preoperative and postoperative care in gynaecology. Obstet Gynaecol Reprod Med 2009;19:6874.CrossRefGoogle Scholar
Royal College of Obstetricians and Gynaecologists. Obtaining valid consent clinical governance. Advice No. 6. January 2015.Google Scholar
Muluk, V, Cohn, SL, Whinney, C. Perioperative medication management. Up to Date, August 2018. Available at: www.uptodate.com/contents/perioperative-medication-management.Google Scholar
Douketis, JD, Lip, GYH. Perioperative management of patients receiving anticoagulants. Up to Date, September 2018.Google Scholar
ACOG. Practice Bulletin No. 104: Antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol 2009;113:11801189.CrossRefGoogle Scholar
Scottish Intercollegiate Guideline Network. Antibiotic prophylaxis in surgery. Guideline 104. 2008.Google Scholar
Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the Assessment of Acute-Illness Severity in the NHS. London: RCP, 2017.Google Scholar
World Health Organization. Traitement de la douleur cancéreuse. Geneva: World Health Organization, 1987.Google Scholar
Toscani, L, Aya, HD, Antonakaki, D, et al. What is the impact of the fluid challenge technique on diagnosis of fluid responsiveness? A systematic review and meta-analysis. Crit Care 2017;21:207.Google Scholar
Dörflinger, A, Monga, A. Voiding dysfunction. Curr Opin Obstet Gynecol 2001;13:507512.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×