Minimally Invasive Gynecologic Surgery (MIGS)
Carbohydrate drink
- You will consume clear liquids, then Ensure 1 hour before arrival time.
Health Assessment
- Includes baseline blood pressure and ideal body weight assessments.
Pre-Procedural Counseling
- Please complete this pre-operative questionnaire if you haven’t already.
- A nurse will talk to you about the ERAS program and provide you a handout for reference.
- Expectations in regards to goals of care, same day discharge and pain management will be discussed.
- Pain psychology video intervention, to educate on practical pain coping skills.
- Discussion will include basic exercise and nutrition information.
Pain Management
- Pain will be addressed using oral medications that target several different pain receptors.
Management of Nausea
- Patients will be assessed for nausea risk factors and treated appropriately.
Antibiotic Prophylaxis
- Will be given within 1 hour of incision.
Tailored Anesthesia Care
- Evidence-based, best practice recommendations will be used throughout the surgery to ensure individualized blood pressure management, prevention of blood clots, careful IV fluid administration, and medication administration.
Warming Device
- Patients will have an air warming device applied to the upper body to keep them warm during surgery.
Postoperative Pain Management
- Pain will be addressed using oral medications that target several different pain receptors. The patient will also be discharged with an appropriate pain management regimen.
Foley Catheter
- The foley catheter should be removed on the same day as surgery. Patients must urinate a certain amount prior to discharge.
Post Discharge Follow up
- The patient will receive a phone call from a nurse on post operative day 1 or 2.
- The patient will be scheduled for a clinic visit 4 weeks after their procedure.
- A pain psychologist referral is available to those who are interested.
- Please complete this post-operative questionnaire if you haven’t already.
- Diaphragmatic Breathing
- Patient Workbook (En Español)
- Pain Coping Skills Video (En Español)
- See Patient Education Series for General ERAS Education!