Gynecologists and urogynecologists recommend a wide range of postoperative restrictions following minimally invasive gynecologic or pelvic reconstructive surgery and prescribe significantly different quantities of opioids during this period, a new study found. The cross-sectional study queried respondents about the typical postoperative recommendations they provide patients after gynecologic surgery as well as their postoperative prescribing habits. Among the findings:
- There were 418 attendees from a national gynecology conference in March 2018, and 135 (32%) eligible physicians completed the survey.
- 87% of respondents were specialists in female pelvic medicine and reconstructive surgery.
- Most respondents (82‒86%) recommended specific postoperative lifting restrictions.
- Many respondents (42‒56% depending on surgical procedure) recommended that patients wait at least 2 weeks before returning to sedentary work.
- Male respondents prescribed fewer opioids to patients after vaginal hysterectomy and vaginal prolapse repair vs female respondents.
Winkelman WD, Erlinger AL, Haviland MJ, Hacker MR, Rosenblatt PL. Survey of postoperative activity guidelines after minimally invasive gynecologic and pelvic reconstructive surgery. [Published online ahead of print January 30, 2019]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000697.
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Apical Suspension at the Time of Vaginal Hysterectomy, Female Pelvic Med Reconstr Surg; ePub 2019 Feb 21; Sheyn, et al
Activity After Gynecologic & Pelvic Reconstructive Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 30; Winkelman, et al
Overactive Bladder Symptoms After POP Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 23; Johnson, et al