Our Summary

This research paper discusses a new guideline for minimally invasive surgery (MIS), which is a type of surgery where small cuts are made instead of large incisions. This type of surgery can be complex and sometimes risky, so the guideline offers advice for nurses who assist during these procedures. The guideline gives recommendations on how to make the operating room safe for MIS, how to use certain tools and technology, like gases and fluids to make space in the body, computer-assisted navigation, and robotic devices. It also talks about how to use magnetic resonance imaging (MRI) during surgery. The paper includes a specific example of how a nurse would care for a patient getting a hysteroscopy, a procedure to examine the uterus. Nurses who help with MIS should read and use this guideline in their work.

FAQs

  1. What is the new guideline for minimally invasive surgery about?
  2. What recommendations does the guideline provide for ensuring safety during minimally invasive surgery?
  3. How does the guideline suggest nurses should care for a patient getting a hysteroscopy?

Doctor’s Tip

A doctor might tell a patient that minimally invasive surgery typically results in smaller incisions, less pain, shorter recovery time, and lower risk of complications compared to traditional open surgery. Patients should follow their surgeon’s pre and post-operative instructions carefully to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for minimally invasive surgery include those who:

  • Have conditions that can be treated with minimally invasive techniques, such as gallbladder disease, hernias, uterine fibroids, and certain types of cancer.
  • Prefer a less invasive approach to surgery and want to minimize scarring, pain, and recovery time.
  • Have a lower risk of complications compared to traditional open surgery, such as those who are younger, healthier, and have fewer comorbidities.
  • Have smaller or less complex tumors or conditions that can be easily accessed and treated using minimally invasive techniques.
  • Have been deemed suitable candidates for MIS by their healthcare provider after a thorough evaluation and discussion of the risks and benefits.

Overall, minimally invasive surgery is often recommended for patients who can benefit from a less invasive approach and have a lower risk of complications. It is important for healthcare providers to carefully evaluate each patient’s individual circumstances to determine if MIS is the most appropriate treatment option.

Timeline

Before Minimally Invasive Surgery:

  • Patient meets with their healthcare provider to discuss treatment options and decide on minimally invasive surgery as the best option.
  • Patient undergoes preoperative testing and preparation, which may include blood tests, imaging studies, and other diagnostic procedures.
  • Patient is instructed on preoperative instructions, such as fasting before surgery and avoiding certain medications.
  • Patient arrives at the hospital or surgical center on the day of surgery and goes through the check-in process.
  • Patient is taken to the operating room, where they are prepped for surgery, which may include anesthesia administration.

After Minimally Invasive Surgery:

  • Patient is monitored closely in the recovery room to ensure they are stable and recovering well from surgery.
  • Patient may experience some pain and discomfort, which will be managed with medication.
  • Patient is encouraged to start moving around and walking to prevent complications like blood clots.
  • Patient is discharged home with instructions on postoperative care, such as wound care, activity restrictions, and follow-up appointments.
  • Patient follows up with their healthcare provider for postoperative visits to monitor their recovery and address any concerns or complications.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with minimally invasive surgery?
  2. How long is the recovery time compared to traditional surgery?
  3. Will I have less scarring with minimally invasive surgery?
  4. How experienced are you in performing minimally invasive procedures?
  5. What type of anesthesia will be used during the procedure?
  6. Are there any specific pre-operative instructions I need to follow for minimally invasive surgery?
  7. How long will the surgery take and what is the expected outcome?
  8. What are the success rates for minimally invasive surgery compared to traditional surgery?
  9. Will I need any follow-up appointments or additional treatments after the procedure?
  10. Are there any lifestyle changes I need to make post-surgery for optimal recovery?

Reference

Authors: Speth J. Journal: AORN J. 2023 Oct;118(4):250-257. doi: 10.1002/aorn.14001. PMID: 37750798