Murphy Miles, Olivera Cedric, Wheeler Thomas, Casiano Elizabeth, Siddiqui Nazema, Gala Rajiv, Gamble Tondalaya, Balk Ethan M, Sung Vivian W
Institute for Female Pelvic Medicine and Reconstructive Surgery, 1010 Horsham Road - Suite 101, North Wales, PA 19454, USA.
Int Urogynecol J. 2013 Feb;24(2):185-93. doi: 10.1007/s00192-012-1898-5. Epub 2012 Aug 8.
We sought to systematically review the literature regarding the effect of postoperative restrictions on clinical outcomes after pelvic surgery.
English-language articles were identified by a MEDLINE and Cochrane Central Register of Controlled Trials search from inception to July 2010. We used key words describing various gynecologic surgical procedures and postoperative activities, including mobility, lifting, work, coitus, and exercise. Randomized and nonrandomized studies comparing interventions with outcomes of interest were included.
The literature search yielded of 3,491 articles; 115 full-text articles were reviewed, and 38 met eligibility criteria and are reported and analyzed here. Our analysis revealed that expedited discharge protocols and early postoperative feeding and catheter removal result in shorter hospital stay without negative health outcomes. However, there are limited data to guide many other aspects of postoperative care, particularly regarding exercise and resumption of sexual activity after surgery.
There is good evidence to support early postoperative feeding and catheter removal after pelvic surgery. There are limited data to guide many other aspects of postoperative care.
我们试图系统回顾有关盆腔手术后术后限制对临床结局影响的文献。
通过检索MEDLINE和Cochrane对照试验中心注册库，查找自数据库建立至2010年7月的英文文章。我们使用了描述各种妇科手术操作及术后活动的关键词，包括活动能力、提举重物、工作、性交和锻炼。纳入比较干预措施与感兴趣结局的随机和非随机研究。
文献检索得到3491篇文章；审阅了115篇全文文章，38篇符合纳入标准，在此进行报告和分析。我们的分析显示，加速出院方案以及术后早期进食和拔除导尿管可缩短住院时间，且无不良健康结局。然而，指导术后护理许多其他方面的数据有限，尤其是关于术后锻炼和恢复性生活方面。
有充分证据支持盆腔手术后早期进食和拔除导尿管。指导术后护理许多其他方面的数据有限。
