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01-02-2013 | Review Article

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

Authors: Miles Murphy, Cedric Olivera, Thomas Wheeler II, Elizabeth Casiano, Nazema Siddiqui, Rajiv Gala, Tondalaya Gamble, Ethan M. Balk, Vivian W. Sung

Published in: International Urogynecology Journal | Issue 2/2013

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.

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Title: Postoperative management and restrictions for female pelvic surgery: a systematic review
Authors: Miles Murphy
Cedric Olivera
Thomas Wheeler II
Elizabeth Casiano
Nazema Siddiqui
Rajiv Gala
Tondalaya Gamble
Ethan M. Balk
Vivian W. Sung
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1898-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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