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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

By
Ishita Das ,
Sophie Strong ,
Gabriele Centini  and
Karolina Afors
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
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
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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].

Keywords

preoperative carepostoperative caregynaecologicalrisk assessmentmanagement
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 1 - 5
Publisher: Cambridge University Press
Print publication year: 2021

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References

Croissant, K, Shafi, M. Preoperative and postoperative care in gynaecology. Obstet Gynaecol Reprod Med 2009;19:68–74.CrossRefGoogle Scholar
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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;113:1180–1189.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;13:507–512.Google Scholar

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