Postoperative management and restrictions for female pelvic surgery: a systematic review

Murphy, Miles, Olivera, Cedric, Wheeler, Thomas, II, Casiano, Elizabeth, Siddiqui, Nazema, Gala, Rajiv, Gamble, Tondalaya, Balk, Ethan M. and Sung, Vivian W. (2013) Postoperative management and restrictions for female pelvic surgery: a systematic review. International Urogynecology Journal, 24 2: 185-193. doi:10.1007/s00192-012-1898-5


Author Murphy, Miles
Olivera, Cedric
Wheeler, Thomas, II
Casiano, Elizabeth
Siddiqui, Nazema
Gala, Rajiv
Gamble, Tondalaya
Balk, Ethan M.
Sung, Vivian W.
Title Postoperative management and restrictions for female pelvic surgery: a systematic review
Journal name International Urogynecology Journal   Check publisher's open access policy
ISSN 0937-3462
1433-3023
Publication date 2013-02-01
Year available 2012
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1007/s00192-012-1898-5
Open Access Status Not yet assessed
Volume 24
Issue 2
Start page 185
End page 193
Total pages 9
Place of publication London, United Kingdom
Publisher Springer U K
Language eng
Formatted abstract
Introduction and hypothesis: We sought to systematically review the literature regarding the effect of postoperative restrictions on clinical outcomes after pelvic surgery.

Methods: English-language articles were identified by a MEDLINE and Cochrane Central Register of Controlled Trials search from inception to July 2010. We used key words describing various gynecologic surgical procedures and postoperative activities, including mobility, lifting, work, coitus, and exercise. Randomized and nonrandomized studies comparing interventions with outcomes of interest were included.

Results: The literature search yielded of 3,491 articles; 115 full-text articles were reviewed, and 38 met eligibility criteria and are reported and analyzed here. Our analysis revealed that expedited discharge protocols and early postoperative feeding and catheter removal result in shorter hospital stay without negative health outcomes. However, there are limited data to guide many other aspects of postoperative care, particularly regarding exercise and resumption of sexual activity after surgery.

Conclusions: There is good evidence to support early postoperative feeding and catheter removal after pelvic surgery. There are limited data to guide many other aspects of postoperative care.
Keyword Management
Postoperative
Restrictions
Systematic review
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
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