Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Activity After Gynecologic & Pelvic Reconstructive Surgery

Female Pelvic Med Reconstr Surg; ePub 2019 Jan 30; Winkelman, et al

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.

Citation:

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.

This Week's Must Reads

Must Reads in Pelvic Floor Dysfunction

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

POP and UI Knowledge in Bariatric Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 11; Paka, et al

Prevalence of Hydronephrosis in Pelvic Organ Prolapse, Female Pelvic Med Reconst Surg; ePub 2019 Jan 4; Siddique, et al