Academic Journal
Activity restriction after minimally invasive gynecologic surgery.
| Τίτλος: | Activity restriction after minimally invasive gynecologic surgery. |
|---|---|
| Συγγραφείς: | Ali A; Department of Obstetrics, Gynecology and Reproductive Medicine, Stony Brook Medicine, Stony Brook, New York, USA., Miller TA, Waters C, Kim S, Lian X |
| Πηγή: | Current opinion in obstetrics & gynecology [Curr Opin Obstet Gynecol] 2026 Aug 01; Vol. 38 (4), pp. 286-290. Date of Electronic Publication: 2026 Jun 23. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: England NLM ID: 9007264 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-656X (Electronic) Linking ISSN: 1040872X NLM ISO Abbreviation: Curr Opin Obstet Gynecol Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Lippincott Williams & Wilkins Original Publication: Philadelphia, PA : Current Science, c1989- |
| Ιατρικοί όροι (MeSH): | Gynecologic Surgical Procedures*/rehabilitation , Gynecologic Surgical Procedures*/adverse effects , Gynecologic Surgical Procedures*/methods , Minimally Invasive Surgical Procedures*/rehabilitation , Minimally Invasive Surgical Procedures*/adverse effects, Humans ; Female |
| Περίληψη: | Purpose of Review: Postoperative activity restrictions following minimally invasive gynecologic surgery are often made based on surgeon experience and departmental status-quo rather than concrete evidence. Despite increased use of peri-operative pathways such as enhanced recovery after surgery and the rise of innovative surgical techniques, restrictions on postoperative activity remain highly variable across providers and common guidelines for postoperative recovery are likely too conservative. Recent Findings: Studies have shown that liberal return to activity postoperatively does not compromise outcomes and may aid in a faster recovery. Additionally, the increase in abdominal pressure that occurs during commonly restricted activities is comparable to everyday activities that cannot be restricted. Summary: The objective of this article is to review the evidence that is currently available on postoperative activity restriction and help restructure the way patients are counseled after minimally invasive gynecologic surgery. (Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved.) |
| References: | Mueller MG, Kenton K. Activity restrictions after gynecologic surgery. Obstet Gynecol 2024; 143:378–382. Mithany RH, Daniel N, Shahid MH, et al. Revolutionizing surgical care: the power of enhanced recovery after surgery (ERAS). Cureus 2023; 15:e48795. Nygaard IE, Hamad NM, Shaw JM. Activity restrictions after gynecologic surgery: is there evidence? Int Urogynecol J 2013; 24:719–724. Weir LF, Nygaard IE, Wilken J, et al. Postoperative activity restrictions: any evidence? Obstet Gynecol 2006; 107(2 Pt 1):305–309. Winkelman WD, Erlinger AL, Haviland MJ, et al. Survey of postoperative activity guidelines after minimally invasive gynecologic and pelvic reconstructive surgery. Female Pelvic Med Reconstr Surg 2020; 26:731–736. Tazreean R, Nelson G, Twomey R. Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. J Comp Eff Res 2022; 11:121–129. O’Shea M, Siddiqui NY, Truong T, et al. Standard restrictions vs expedited activity after pelvic organ prolapse surgery: a randomized clinical trial. JAMA Surg 2023; 158:797–805. Loor MM, Shah P, Olavarria OA, et al. Postoperative work and activity restrictions after abdominal surgery: a systematic review. Ann Surg 2021; 274:290–297. Schaaf S, Schwab R, Güsgen C, et al. Recommendations on postoperative activities after abdominal operations and incisional hernia repair – a national and international survey. Front Surg 2021; 8:713138. Nezhat C, Kennedy Burns M, Wood M, et al. Vaginal cuff dehiscence and evisceration: a review. Obstet Gynecol 2018; 132:972–985. Ługowski F, Włodarczyk Z, Owczarek A, et al. Port-site hernia following laparoscopic gynecological surgery: a systematic review and meta-analysis. Acta Obstet Gynecol Scand 2026 [Epub ahead of print]. Minig L, Trimble EL, Sarsotti C, et al. Building the evidence base for postoperative and postpartum advice. Obstet Gynecol 2009; 114:892–900. Iqbal A, Haider M, Stadlhuber RJ, et al. A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting. Surg Endosc 2008; 22:2571–2575. Mueller MG, Lewicky-Gaupp C, Collins SA, et al. Activity restriction recommendations and outcomes after reconstructive pelvic surgery: a randomized controlled trial. Obstet Gynecol 2017; 129:608–614. Arunachalam D, Heit MH. Impact of postoperative instructions on physical activity following pelvic reconstructive surgery: a randomized controlled trial. Int Urogynecol J 2020; 31:1337–1345. Onerup A, Li Y, Afshari K, et al. Long-term results of a short-term home-based pre- and postoperative exercise intervention on physical recovery after colorectal cancer surgery (PHYSSURG-C): a randomized clinical trial. Colorectal Dis 2024; 26:545–553. Telang S, Hoveidaei AH, Mayfield CK, et al. Are activity restrictions necessary after total hip arthroplasty: a systematic review. Arthroplast Today 2024; 30:101576. Physical activity and exercise during pregnancy and the postpartum period: ACOG Committee Opinion, Number 804. Obstet Gynecol 2020; 135:e178–ee88. Engel O, Haikin Herzberger E, Yagur Y, et al. Walking to a better future? Postoperative ambulation after cesarean delivery and complications: A prospective study. Int J Gynaecol Obstet 2022; 157:391–396. Jorgensen EM, Li A, Modest AM, et al. Incidence of venous thromboembolism after different modes of gynecologic surgery. Obstet Gynecol 2018; 132:1275–1284. Fischer CP, Knapp L, Cohen ME, et al. Association of enhanced recovery pathway compliance with patient outcomes. JAMA Surg 2021; 156:982–984. Turan A, Khanna AK, Brooker J, et al. Association between mobilization and composite postoperative complications following major elective surgery. JAMA Surg 2023; 158:825–830. Taylor JS, Iniesta MD, Zorrilla-Vaca A, et al. Rate of venous thromboembolism on an enhanced recovery program after gynecologic surgery. Am J Obstet Gynecol 2023; 229:140.e1–140.e7. |
| Contributed Indexing: | Keywords: activity restriction; minimally invasive gynecologic surgery |
| Entry Date(s): | Date Created: 20260507 Date Completed: 20260623 Latest Revision: 20260623 |
| Update Code: | 20260624 |
| DOI: | 10.1097/GCO.0000000000001112 |
| PMID: | 42095689 |
| Βάση Δεδομένων: | MEDLINE |
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