Perioperative care in gynecologic oncology

Christina L. Kushnir, Teresa P. Díaz-Montes

Research output: Contribution to journalReview article

Abstract

Purpose of Review: To review perioperative care in gynecologic oncology with special emphasis on areas of controversy. Recent Findings: Major gynecologic surgery still represents the cornerstone of management among women diagnosed with gynecologic malignancies. The implementation of clinical guidelines can significantly impact perioperative morbidity and mortality. Preoperative evaluation and preparation allows the surgeon to identify patient risks and develop risk factor modification strategies decreasing delays in preparation and cost and improving patient safety. Preoperative areas of controversy include preoperative testing and evaluation, use of mechanical bowel preparation, prophylactic antibiotics, and use of anticoagulants, and the timing of postoperative feeding. Summary: In healthy women undergoing gynecologic cancer surgery preoperative evaluation requirements will be minimal. For women with extensive comorbid conditions a more detailed evaluation will be required to decrease perioperative morbidity and mortality. Mechanical bowel preparations should not be required preoperatively. Preoperative administration of antibiotics and anticoagulants should be provided to all patients undergoing major gynecologic cancer surgery.

Original languageEnglish (US)
Pages (from-to)23-28
Number of pages6
JournalCurrent Opinion in Obstetrics and Gynecology
Volume25
Issue number1
DOIs
StatePublished - Feb 1 2013

Keywords

  • antibiotic prophylaxis
  • deep venous thrombosis prophylaxis
  • gynecologic cancer surgery
  • mechanical bowel preparation
  • perioperative care

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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