Modern considerations in perioperative care in gynaecology

Q3 Medicine

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-01-01 DOI:10.1016/j.ogrm.2024.10.001

Ee Thong Lim, Nikolaos Tsampras

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Abstract

Modern lifestyle has led to an increased number of surgical patients having comorbidities, often related to increased perioperative morbidity and mortality. Early recognition of risk factors and optimization of the patients can improve outcomes. The continuous trend of minimal access procedures in gynaecology and the application of enhanced recovery programmes have improved clinical and cost effectiveness. Following the COVID-19 pandemic, surgical waiting lists in Gynaecology have grown to levels not seen in a decade. Day case surgery has been promoted to reduce the pressure on hospitals and improve the patient experience. National and global organizations, as the National Institute for Health and Care Excellence (NICE), the World Health Organization (WHO), the Centre for the Perioperative Care (CPOC) and the Enhanced Recovery after Surgery Society (ERAS), are producing guidance, promoting knowledge, understanding and research regarding optimal perioperative care. In this review we summarize the current evidence and discuss its applications in modern gynaecology practice.

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妇科围手术期护理的现代思考

现代生活方式导致手术患者的合并症数量增加，通常与围手术期发病率和死亡率增加有关。早期识别危险因素和优化患者可以改善结果。妇科手术次数最少的持续趋势和加强康复方案的应用提高了临床效益和成本效益。在2019冠状病毒病大流行之后，妇科手术等候名单已增至十年来从未见过的水平。日间手术已被推广，以减轻医院的压力，改善患者的体验。国家和全球组织，如国家健康和护理卓越研究所（NICE）、世界卫生组织（WHO）、围手术期护理中心（CPOC）和术后增强恢复学会（ERAS），正在制定指导方针，促进关于最佳围手术期护理的知识、理解和研究。在这篇综述中，我们总结了目前的证据，并讨论其在现代妇科实践中的应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics, Gynaecology and Reproductive Medicine Medicine-Obstetrics and Gynecology

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.