Routine postoperative care
Provided by Royal College of Obstetricians and Gynaecologists
About the course
This course is part of the RCOG Core Knowledge series.
A successful surgical procedure consists of 3 essential steps: the preoperative assessment and patient’s preoperative preparation, the surgery itself and the postoperative period. They are all equally important.The postoperative care contributes greatly to the success of an operation; it has changed dramatically in the last decade.
Example:
Previously
It was routine for women to remain in hospital on bed rest for up to two weeks following a hysterectomy.
Today
There are units where day-case laparoscopic hysterectomies are routinely performed.
These changes have been driven by a number of factors.
1. An improved understanding of the response to the surgical stress:
- changes in water and electrolyte balance
- blood clotting
- a metabolic, digestive and excretory systems response to pain
- the psychological response to the trauma of surgery.
2. An understanding of the dangers of a prolonged hospital stay increased risk of:
- infections
- thromboembolic complications.
3. Economic considerations.
4. Efficient and robust systems to allow sufficient flexibility for an individually tailored approach to patients.
This course explores the evidence surrounding some of the major components to postoperative care, while not considering the treatment of pre-or postoperative complications as this is covered in other Core Knowledge courses.
When you have completed this course, you will be able to:
- summarise modern, evidence based practice in managing gynaecological patients in the postoperative period
- recognise risk assessment for common postoperative complications encountered in gynaecological practice
- identify current strategies for preventing postoperative complications
- discuss the modern practice of enhanced recovery after surgery in gynaecological practice
- use tools developed for clinical practice (e.g. preventing postoperative thromboembolism and sepsis).
Dr Felicia Elena Buruiana MRCOG (2019, 2022)
Dr Buruiana is a Subspecialty Trainee in Gynaecological Oncology, at PanBirmingham Gynaecological Cancer Centre, Sandwell and West Birmingham Hospitals NHS Trust.
The content of this course relates to the following Capabilities in Practice (CiPs) and key skills:
CiP 9: Emergency gynaecology and early pregnancy
Manages complications of treatment
Further details about each CiP can be found within the O&G Core Curriculum 2024 Definitive Document, available here .
National Institute for Health and Care Excellence. Surgical site infections: prevention and treatment. NG125. NICE; 2020.
National Institute for Health and Care Excellence. Intravenous fluid therapy in adults in hospital. CG174. NICE; 2013, updated 2017.
Torbe E, Crawford R, Norbin A, Acheson N. Enhanced recovery in gynaecology. The Obstetrician & Gynaecologist 2013;15:263–8.
Aslam N, Moran PA. Catheter use in gynaecological practice. The Obstetrician & Gynaecologist 2014;16:161–8.
National Institute for Health and Clinical Excellence. Venous thromboembolism: reducing the risk in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism. NG89. NICE; 2019.
Nelson C. Fotopoulou J, Taylor G, Glaser J, Bakkum-Gamez L.A, Meyer R et al. Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update. Gynecologic oncology 2023;173:58-67.
Product Details: Product Name Price Routine postoperative care - 12 Month Access £50.40 Login to purchase
| Product Name | Price | |
| Routine postoperative care - 12 Month Access | £50.40 | Login to purchase |
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