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Post-operative Care in Gynaecological Oncology

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Abstract

Good post-operative care is an essential part of patient management, and a critical part in ensuring the best outcome for each individual. It is important identify patients at risk of becoming unwell, recognise clinical deterioration early and intervene in a timely manner. The progressive nature of cancer is often accompanied by physiological derangement, massive fluid shifts and poor nutrition, which can make post-operative care challenging and difficult. This chapter will concentrate on the post-operative care of Gynaecological Oncology patients, in both the immediate period following surgery and while the patient remains in hospital.

Keywords

  • Post-operative
  • Gynaecological oncology
  • Cardiovascular
  • Respiratory
  • Renal
  • Sepsis
  • Nutrition
  • Analgesia

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  • DOI: 10.1007/978-3-030-94110-9_19
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Fig. 19.1
Fig. 19.2

Notes

  1. 1.

    The National Surgical Quality Improvement Program (NSQIP) of the American College of Surgeons provides risk-adjusted surgical outcome measures for participating hospitals that can be used for performance improvement of surgical mortality and morbidity [1].

References

  1. American College of Surgeons. ACS national surgical quality improvement program [online]. 2004. Available from https://www.facs.org/quality-programs/acs-nsqip. Accessed 27 June 2021.

  2. Royal College of Physicians. National Early Warning Score (NEWS) 2 [online]. 2017. Available from https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2. Accessed 27 June 2021.

  3. National Institute for Health and Care Excellence (NICE). Sepsis: recognition, diagnosis and early management. NICE Guideline 51. London: NICE; Updated 2017.

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  4. Adapted from Antimicrobial Clinical Guidelines, Gateshead Health NHS Foundation Trust 2021.

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  5. National Institute for Health and Care Excellence (NICE). Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition. Clinical Guideline 32. London: NICE; Updated 2017.

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  6. Malnutrition Universal Screening Tool (MUST), Gateshead Health NHS Foundation Trust 2021.

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Correspondence to Christine Ang .

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Ang, C. (2022). Post-operative Care in Gynaecological Oncology. In: Singh, K., Gupta, B. (eds) Gynecological Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-94110-9_19

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  • DOI: https://doi.org/10.1007/978-3-030-94110-9_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94109-3

  • Online ISBN: 978-3-030-94110-9

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