Nursing care of gynaecological patients in hospital

2021 ◽  
pp. 357-394
Author(s):  
Jenny Chrimes
Keyword(s):  
Laparoscopic Surgery ◽  
Nursing Care ◽  
Surgical Procedures ◽  
Enhanced Recovery ◽  
Psychological Impact ◽  
Hospital Setting ◽  
Wound Infections ◽  
Gynaecological Surgery ◽  
Operative Care ◽  
Admissions Process

This chapter looks at the care of the gynaecological patient within the hospital setting. It starts with pre-operative care, principles of enhanced recovery, the admissions process, post-operative complications and wound infections. The psychological impact of patients in gynaecological settings, the practical care of the patient, and long-stay and outpatient advice is given. It then covers the diagnosis, operative and post-operative care of hysterscopy, laparoscopic surgery, and major gynaecological surgery. Finally, different types of hysterectomy, their indications, and post-operative care are explained, and the chapter concludes with other surgical procedures.

Effect of enhanced recovery after surgery management combined with nano-antibacterial dressing during perioperative nursing practice on rehabilitation of patients with gynecological tumor

2021 ◽  
Vol 11 (7) ◽  
pp. 1064-1070
Author(s):  
Hongping Wang ◽  
Lili Chen ◽  
Peiyang Chen ◽  
Wanwan Huang ◽  
Jianping Wang
Keyword(s):  
Nursing Care ◽  
Health Knowledge ◽  
Enhanced Recovery ◽  
Silver Content ◽  
Enhanced Recovery After Surgery ◽  
Gynecological Cancer ◽  
Self Care ◽  
Perioperative Period ◽  
Regular Group ◽  
Nano Silver

The nano-silver antibacterial dressing is processed and formed after being expanded and cut by medical degreased gauze and nano-silver solution. The nano-silver content is 0.4%–1.0% of the dressing mass (the nano-silver content per square meter of the dressing is 0.28–0.7 g). Nano silver plays an auxiliary role in reducing wound infections. This study is the first to report the rehabilitative effect of enhanced recovery after surgery (ERAS) management combined with nano antibacterial dressing in the perioperative period of gynecological cancer. The times until first exhaust, first defecation, ambulation, and the duration of hospitalization of the ERAS group were shorter than in the regular group. The VAS scores at 6 and 12 h after operation in the ERAS group were lower than those in the regular group. The levels of self-responsibility, self-concept, self-care skills, and health knowledge in the ERAS group were higher than those in the regular group. The total incidence of complications in the ERAS group was 9.09%, which was lower than that in the regular group (23.64%). The level of satisfaction with nursing care in the ERAS group was 98.18%, which was higher than that in the regular group (83.64%). The findings confirmed that ERAS combined with nano antibacterial dressing can promote the rehabilitation of patients, relieve pain, strengthen the self-care ability of patients, reduce the occurrence of complications, and improve satisfaction with nursing care.

scholarly journals Early Recovery after Caeserean Section What is Possible in Our Setup to Travel the Less Trodden Path: A Review

2021 ◽  
pp. 188-194
Author(s):  
Pratibha Deshmukh ◽  
Priyanka Deshmukh ◽  
Parag Sable ◽  
Vivek Chakole
Keyword(s):  
Caesarean Section ◽  
Colorectal Surgery ◽  
Surgical Procedures ◽  
Consensus Statement ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Developed Countries ◽  
Early Recovery ◽  
Obstetric Anaesthesia

Enhanced recovery after surgery is a concept put forward by Henrik Kehlet in 1997 for colorectal surgery & presented a protocol. Since then, it is adopted for various surgical procedures in many developed countries. Obstetricians & obstetric anaesthesiologists are also following the same line. In 2020 Society for obstetric anaesthesia & perinatology (SOAP) USA published a consensus statement on “early recovery after caesarean section”, presenting the pathways. Is it possible to adopt it fully in our country? Do we need to modify here & there? We are trying to find out the answers.

scholarly journals MODERN TRENDS TO LAPAROSCOPIC SURGERY IN GYNECOLOGY

2010 ◽  
Vol 1 (3) ◽  
pp. 98-102
Author(s):  
S A Levakov ◽  
A G Kedrova ◽  
N S Wanke
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Procedures ◽  
Endoscopic Sinus Surgery ◽  
Surgical Procedure ◽  
Sinus Surgery ◽  
Surgical Tool ◽  
Gynecologic Laparoscopy

Gynecologic laparoscopy has evolved from a limited surgical procedure used only for diagnosis and tubal ligations to a major surgical tool used to treat a multitude of gynecologic indications. Today, laparoscopy is one of the most common surgical procedures performed by gynecologists. The review presents the main trends of development of modern surgery in gynecology with the author's personal views on the key contentious issues of endoscopic sinus surgery.

THE PIERRE ROBIN SYNDROME

PEDIATRICS ◽  
1965 ◽  
Vol 36 (3) ◽  
pp. 336-341 ◽  
Author(s):  
Wallace M. Dennison
Keyword(s):  
Nursing Care ◽  
Surgical Procedures ◽  
Tube Feeding ◽  
In Utero ◽  
Skilled Nursing ◽  
Pierre Robin Syndrome ◽  
Limited Experience ◽  
Pierre Robin

The whole object of the medical and nursing care of infants with the Pierre Robin syndrome is to keep them alive and thriving in their perilous passage through the early months of life until the failure of mandibular development in utero is subsequently rectified by nature. From my limited experience of this condition I suggest that surgery has little to offer in the treatment of the Pierre Robin syndrome. Cap suspension, tube feeding, and skilled nursing are more important than any surgical procedures.

Epistaxis in people with hereditary haemorrhagic telangiectasia: surgical management and psychological impact

2021 ◽  
pp. 1-10
Author(s):  
HA Crouch-Smith ◽  
KJ Fenn ◽  
SP Williams
Keyword(s):  
Emergency Management ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Psychological Impact ◽  
Psychological Effect ◽  
Hereditary Haemorrhagic Telangiectasia

From the emergency management of acute epistaxis to the surgical procedures for chronic epistaxis, this article covers the options available to control the archetypal symptom of hereditary haemorrhagic telangiectasia while exploring the psychological effect such a disease has on the patient.

Clinical anatomy of the pelvis and the reproductive organs

2020 ◽  
pp. 44-54
Author(s):  
Thomas Ind
Keyword(s):  
Surgical Procedures ◽  
Reproductive Organs ◽  
Surgical Skills ◽  
Human Anatomy ◽  
Clinical Anatomy ◽  
Gynaecological Surgery ◽  
Complete Understanding ◽  
Anatomical Structures ◽  
Surgical Practice

Proficient surgery requires good basic surgical skills and an understanding of the relevant anatomy. The time when a surgeon watched an operation, performed the same procedure, and then taught it has elapsed. Routine formulaic surgical procedures have become outdated and modern surgical practice is focused on individual patients and their specific needs. The main focus of surgery is now dedicated to the competent obtainment of skills and a complete understanding of human anatomy and its variations. This chapter focuses on the main anatomical structures encountered during gynaecological surgery. The anatomy of the pelvis in relation to the fetal skull is also covered.

715 Early Ambulation for Enhanced Recovery After Burn Surgery: A Systematic Review and Meta-analysis

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S189-S189
Author(s):  
Tomer Lagziel ◽  
Margarita Ramos ◽  
Kevin M Klifto ◽  
Stella Steal ◽  
Julie Caffrey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Statistical Significance ◽  
Burn Patients ◽  
Early Ambulation ◽  
Lengths Of Stay ◽  
Operative Care ◽  
Burn Surgery ◽  
Operative Recovery

Abstract Introduction Accurate models are a fundamental prognostic tool for risk stratification, therapy guidance, resource allocation, and comparative effectiveness research. Enhanced recovery after surgery protocols are developed to increase early post-operative recovery rates in surgical patients. Due to the unique nature of burn injuries and post-operative care, there is a need to develop a protocol unique to burn surgery, enhanced recovery after burn surgery. Methods The PubMed, Embase, Cochrane, and Web of Science databases were systematically searched. Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) and Cochrane guidelines were strictly followed throughout the study. Search terms were utilized to capture the relevant studies relating to early ambulation of adult burn patients (>18 years of age) and their post-surgical outcomes such as graft take, time to discharge, pain levels, VTEs, and length-of-stay. Results Thirteen of 888 studies retrieved from the search query were eligible for systematic review and meta-analysis. Patients with delayed ambulation, after 5 or more days were found to have increased pain levels at rest (p=0.02) and when ambulating (p=0.08). One study found an increased infection rate in late ambulatory patients (p=0.22). Most results from studies did not have significant data that was relevant to our extraction. For example, only one study assessed pain levels and only three studies notes zero venous thromboembolisms (without statistical significance). Conclusions Limited evidence exists relating to thromboembolic events and time-to-ambulation in post-operative burn patients. There are no significant differences in the number of events between early and late ambulation groups. Early ambulation should be included as part of the ERABS protocol for lower risks of hospital-acquired infections due to shorter lengths-of-stay. Decreased associated pain levels could lead to decreased risk for opioid dependence. Due to limited literature references, these conclusions are immature and more studies should be performed in order to develop more accurate and effective protocols. Applicability of Research to Practice Burn surgery recovery patients are unique. Therefore, specialized protocols must be developed to enhance their post-operative care.

scholarly journals Analgesia for enhanced recovery after surgery in laparoscopic surgery

2019 ◽  
Vol 2 ◽  
pp. 25-25
Author(s):  
Soumen Sen ◽  
Ben Morrison ◽  
Katy O’Rourke ◽  
Chris Jones
Keyword(s):  
Laparoscopic Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery
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