BackTable OBGYN

Ep. 54 Reevaluating Activity Guidelines After Surgery with Dr. Maggie Mueller and Dr. Kim Kenton


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In this episode of the BackTable OBGYN podcast, Drs. Kimberly (Kim) Kenton and Margaret (Maggie) Mueller discuss advancements in patient recovery guidelines, particularly after gynecologic surgeries.


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SYNPOSIS


The discussion first covers the evolution of post-operative care protocols, emphasizing the lack of evidence behind traditional post-op restrictions and highlighting recent studies that suggest liberal post-operative activities might lead to better recovery outcomes without compromising surgical results. Additionally, the episode touches on the impact of minimally invasive surgical techniques, such as single port surgeries, on patient recovery times and hospital system efficiencies. Finally, the conversation delves into the shift towards team-based care, where nurses and nurse practitioners actively participate in pre-op counseling, educating patients, and enhancing the overall healthcare team’s efficiency. The overarching theme is the crucial role of evidence-based practice in improving patient care and recovery in obstetrics and gynecology.


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TIMESTAMPS


00:00 - Introduction

02:57 - Exploring Postoperative Restrictions in Gynecologic Surgery

20:56 - Adapting Postoperative Visits

26:02 - Recovery Times, Hospital Stays, and the Impact on Patients and Healthcare

35:58 - Team-Based Care and Communication Strategies

44:38 - Surgical Techniques and Recovery Insights


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RESOURCES


Mueller MG, Kenton K. Activity Restrictions After Gynecologic Surgery. Obstet Gynecol. 2024 Mar 01; 143(3):378-382. PMID: 38207325; PMCID: PMC10863662.

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