{"id":2697,"date":"2016-03-22T15:30:00","date_gmt":"2016-03-22T19:30:00","guid":{"rendered":"https:\/\/med-anesthesiology.sites.unc.edu\/enhancedrecovery\/for-patients\/gyn\/"},"modified":"2017-10-27T13:38:26","modified_gmt":"2017-10-27T17:38:26","slug":"gyn","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/anesthesiology\/enhancedrecovery\/for-patients\/gyn\/","title":{"rendered":"Minimally Invasive Gynecology"},"content":{"rendered":"

<\/p>\n

<\/p>\n

<\/p>\n

\n

\n
\n
Team <\/a><\/div>\n
\n
Minimally Invasive Gynecology Team<\/a><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
MIGS Website<\/a><\/div>\n
Minimally Invasive Gynecology Surgery Website<\/a><\/div>\n<\/p><\/div>\n
\n
Before Surgery<\/a><\/div>\n
\n
Carbohydrate drink<\/span>
\u2022 Patient will consume clear liquids including Gatorade 2 hours before arrival time<\/span><\/span><\/div>\n
Health Assessment
\u2022 Includes baseline blood pressure and ideal body weight assessments. <\/span><\/div>\n
Pre-Procedural Counseling
\u2022 A nurse will talk to you about the ERAS program and provide you a handout for reference.
\u2022 Expectations in regards to goals of care, same day discharge and pain management will be discussed.
\u2022 A pain psychologist will contact the patient by phone prior to surgery to discuss practical pain coping skills<\/span>.
\u2022 Discussion will include basic exercise and nutrition information.<\/div>\n
Pain Management
\u2022P<\/span>ain will be addressed using oral medications that target several different pain receptors. <\/span><\/div>\n
Bowel Prep
\u2022 NO bowel preparation will be required prior to your procedure. <\/div>\n
Management of Nausea
\u2022 Patients will be assessed for nausea risk factors and treated appropriately.<\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
During Surgery<\/a><\/div>\n
\n
Antibiotic Prophylaxis
\u2022 Will be given within 1 hour of incision.<\/div>\n
Tailored Anesthesia Care<\/span>
\u2022 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.<\/span><\/div>\n
Warming Device
\u2022 Patients will have an air warming device applied to the upper body to keep them warm during surgery.<\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
After Surgery<\/a><\/div>\n
\n
Postoperative Pain Management<\/span>
\u2022 Pain will be addressed using oral medications that target several different pain receptors. The patient will also be discharged on an appropriate pain management regimen. <\/span><\/div>\n
Foley Catheter
\u2022 The foley catheter should be removed on the same day as surgery. Patients must urinate a certain amount prior to discharge.<\/div>\n
Post Discharge Follow up:
\u2022 The patient will receive a phone call from a nurse on post operative 1 or 2.
\u2022 The patient will be scheduled for a clinic visit 4 weeks after their procedure.
\u2022 A pain psychologist will call those patients who participated preoperatively. <\/span><\/span><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
Educational Materials<\/a><\/div>\n
\n