Our Summary

This research paper presents the first-ever guideline dedicated to improving and standardizing the care given to women before, during and after minimally invasive gynecological surgeries. This guideline was created by a team of expert gynecological surgeons from the US and Canada, and it builds on previous recommendations for surgical care in gynecology. It offers more detailed advice for managing conditions such as anemia, high blood sugar, and sleep apnea before surgery. It also takes into account new warnings about certain painkillers from the Food and Drug Administration. The guideline also addresses important procedures in minimally invasive surgery, like same-day discharge, and discusses controversial topics like blood clot prevention. The goal of these guidelines is to improve the quality and safety of healthcare for women.

FAQs

  1. What is the purpose of the new guideline for minimally invasive gynecological surgeries?
  2. What conditions does the guideline recommend managing before surgery?
  3. How does the guideline address the issue of same-day discharge and blood clot prevention in minimally invasive surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about minimally invasive surgery is to follow all pre-operative instructions provided by your healthcare team. This may include guidelines on fasting before surgery, stopping certain medications, and avoiding alcohol or smoking. Following these instructions can help reduce the risk of complications during and after surgery. Additionally, make sure to communicate any concerns or questions you have with your healthcare team to ensure you have a successful surgery and recovery.

Suitable For

Patients who are typically recommended for minimally invasive surgery include those with gynecological conditions such as fibroids, endometriosis, ovarian cysts, abnormal uterine bleeding, and pelvic organ prolapse. Other patients who may benefit from minimally invasive surgery are those with certain types of cancer, such as cervical or endometrial cancer. Additionally, patients who have chronic conditions such as diabetes or high blood pressure may also be good candidates for minimally invasive surgery, as it often results in shorter hospital stays, less pain, and quicker recovery times compared to traditional open surgery.

Timeline

Before minimally invasive surgery:

  1. Consultation with a gynecological surgeon to discuss the procedure and determine if minimally invasive surgery is the best option.
  2. Pre-operative testing, such as blood work and imaging studies, to assess the patient’s health status.
  3. Pre-operative instructions, such as fasting and medication adjustments, to prepare for surgery.
  4. Anesthesia consultation to discuss the type of anesthesia that will be used during the procedure.

After minimally invasive surgery:

  1. Recovery in the post-anesthesia care unit (PACU) to monitor vital signs and manage pain.
  2. Transfer to a hospital room or recovery area for further monitoring and recovery.
  3. Instructions for post-operative care, including pain management, wound care, and activity restrictions.
  4. Follow-up appointments with the surgeon to monitor healing and address any concerns or complications.
  5. Gradual return to normal activities and daily routines as advised by the surgeon.
  6. Long-term follow-up to ensure the success of the surgery and address any lingering issues or complications.

What to Ask Your Doctor

  1. What are the potential benefits of minimally invasive surgery compared to traditional open surgery?

  2. What are the potential risks or complications associated with minimally invasive surgery?

  3. How experienced is the surgical team in performing minimally invasive procedures?

  4. What is the success rate of minimally invasive surgery for my specific condition?

  5. What is the expected recovery time and post-operative care for minimally invasive surgery?

  6. Will I require any special preparation or tests before undergoing minimally invasive surgery?

  7. How will pain management be handled during and after the surgery?

  8. Will I be able to go home the same day as the surgery, or will I need to stay overnight in the hospital?

  9. What follow-up appointments or care will be needed after the surgery?

  10. Are there any alternative treatment options to consider before proceeding with minimally invasive surgery?

Reference

Authors: Stone R, Carey E, Fader AN, Fitzgerald J, Hammons L, Nensi A, Park AJ, Ricci S, Rosenfield R, Scheib S, Weston E. Journal: J Minim Invasive Gynecol. 2021 Feb;28(2):179-203. doi: 10.1016/j.jmig.2020.08.006. Epub 2020 Aug 20. PMID: 32827721