Minimally invasive surgery applications and nursing care in gyneco-oncology

Yıl 2024, Cilt: 24 Sayı: 2, 84 - 95, 30.08.2024

Begüm Kırık , Zübeyde Ekşi

Öz

Minimally invasive surgery has become the preferred method in most surgical procedures today, as it reduces pain experiences in the postoperative period, allows rapid return to daily activities, and consequently reduces hospital stay and general health care costs. It is also a preferred approach in the early stage treatment of gynecological cancers. It is important for gynecology nurses to understand the pre- and post-operative care of minimally invasive surgery patients, to use evidence-based practices and transfer them to the clinic, to make patient and surgical method-specific diagnosis, risk assessment, to evaluate care results, and to plan nursing care in line with the evaluation outputs. In this review, minimally invasive methods frequently used in the treatment of gynecological cancers and pre- and post-operative nursing care were examined according to the latest literature.

Anahtar Kelimeler

Minimally Invasive Surgery, Gynecology, Oncology, Nursing Care

Jineko-onkolojide minimal i̇nvaziv cerrahi uygulamaları ve hemşirelik bakımı

Öz

Minimal invaziv cerrahi, post op dönemdeki ağrı deneyimleri azaltması, günlük aktivitelere hızlı bir şekilde geri dönmeye izin vermesi ve sonucunda hastanede kalış ve genel sağlık bakım maliyetlerini azaltması yönünden günümüzde çoğu cerrahi işlemde tercih edilen bir yöntem haline gelmiştir. Ayrıca jinekolojik kanserlerin erken evre tedavisinde de tercih edilen bir yaklaşımdır. Jinekoloji hemşirelerinin, minimal invaziv cerrahi hastalarının ameliyat öncesi ve sonrası bakımını anlaması, kanıta dayalı uygulamaları kullanması ve kliniğe aktarması, hastaya ve cerrahi yönteme özgü tanılama, risk değerlendirmesi yapması, bakım sonuçlarını değerlendirmesi, değerlendirme çıktıları doğrultusunda hemşirelik bakımını planlaması önemlidir. Bu derlemede, jinekolojik kanserlerin tedavisinde sıklıkla kullanılan minimal invaziv yöntemlerin ve ameliyat öncesi ve sonrası hemşirelik bakımı son literatüre göre incelenmesi amacıyla yapılmıştır.

Anahtar Kelimeler

Minimal Invaziv Cerrahi, Jinekoloji, Onkoloji, Hemşirelik Bakımı

Kaynakça

• Buckley L, Robertson S, Wilson T, Sharpless J, Bolton S. The Role of the Specialist Nurse in Gynaecological Cancer. Curr Oncol Rep. 2018;20(10):1-6. doi:10.1007/s11912-018-0734-6
• The Global Cancer Observatory. International Agency for Research on Cancer.; 2021.
• T.C. Sağlık Bakanlığı. (2021). Türki̇ye kanser i̇stati̇sti̇kleri̇ 2017.
• Liu C, Pan LK. Advances in minimally invasive surgery and clinical measurement. Comput Assist Surg. 2019;24(sup1):1-4. doi:10.1080/24699322.2018.1560103
• Mayo Clinic. Minimally invasive surgery. Published 2021. https://www.mayoclinic.org/tests-procedures/minimally-invasive-surgery/about/pac-20384771#:~:text=In minimally invasive surgery%2C doctors,hospital stay and fewer complications.
• Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: En-hanced Recovery after Surgery (ERAS) Society recommendations - 2019 update. Int J Gynecol Cancer. 2019;29(4):651-668. doi:10.1136/ijgc-2019-000356
• Ferrari F, Forte S, Sbalzer N, et al. Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study. Am J Obstet Gynecol. 2020;223(4):543.e1-543.e14. doi:10.1016/j.ajog.2020.07.003
• McMurray R, Lawrence T, Afors K. Minimal access in gynaecological surgery: training the minimally invasive gynaecological surgeon. Obstet Gynaecol Reprod Med. 2022;32(7):135-140. doi:10.1016/j.ogrm.2022.04.007
• Gallotta V, Conte C, Giudice MT, et al. Secondary Laparoscopic Cytoreduction in Recurrent Ovarian Cancer: A Large, Single-Institution Experience. J Minim Invasive Gynecol. 2018;25(4):644-650. doi:10.1016/j.jmig.2017.10.024
• Fagotti A, Costantini B, Gallotta V, et al. Minimally Invasive Secondary Cytoreduction Plus HIPEC Versus Open Surgery Plus HIPEC in Isolated Relapse From Ovarian Cancer: A Retrospective Cohort Study on Perioperative Outcomes. J Minim Invasive Gynecol. 2015;22(3):428-432. doi:10.1016/j.jmig.2014.11.008
• Vitale SG, Laganà AS, Caruso S, et al. Comparison of three biopsy forceps for hysteroscopic endometrial bi-opsy in postmenopausal patients (HYGREB-1): A multicenter, single-blind randomized clinical trial. Int J Gy-necol Obstet. 2021;155(3):425-432. doi:10.1002/ijgo.13669
• Laganà AS, Garzon S, D’Alterio MN, et al. Mini-Laparoscopy or Single-Site Robotic Surgery in Gynecology? Let’s Think out of the Box. J Investig Surg. 2022;35(2):440-441. doi:10.1080/08941939.2020.1857480
• Chung H, Jang TK, Nam SH, Kwon SH, Shin SJ, Cho CH. Robotic single-site staging operation for early-stage endometrial cancer: Initial experience at a single institution. Obstet Gynecol Sci. 2019;62(3):149-156. doi:10.5468/ogs.2019.62.3.149
• Kurt G, Loerzel VW, Tavasci K, et al. Patient care needs before and after robotic surgery for gynecologic cases in comparison to laparotomy. Gynecol Oncol. 2017;145(2017):201. doi:10.1016/j.ygyno.2017.03.462
• Mills KA, Lopez H, Sun L, et al. Type II endometrial cancers with minimal, non-invasive residual disease on final pathology: What should we do next? Gynecol Oncol Reports. 2019;29(May 2019):20-24. doi:10.1016/j.gore.2019.05.007
• McDonald ME, Ramirez PT, Munsell MF, et al. Physician pain and discomfort during minimally invasive gyne-cologic cancer surgery. Gynecol Oncol. 2014;134(2):243-247. doi:10.1016/j.ygyno.2014.05.019
• Chang HK, Shim SH, Lee M, et al. Informed consent forms for gynecologic cancer surgery: recommendations from the Korean Society of Gynecologic Oncology. Obstet Gynecol Sci. 2022;65(2):105-112. doi:10.5468/ogs.22900
• Işık G, Atan Ünsal Ş. Jinekolojik/Onkolojide Cerrahi Sonrası İyileşmenin Hızlandırılması Protokolü. Türkiye Klin. 2021;(September):63-71.
• Pelizzo G, Nakib G, Calcaterra V. Pediatric and adolescent gynecology: Treatment perspectives in minimally invasive surgery. Pediatr Rep. 2019;11(4):64-71. doi:10.4081/pr.2019.8029
• Djokovic D, Gupta J, Thomas V, et al. Principles of safe laparoscopic entry. Eur J Obstet Gynecol Reprod Biol. 2016;201:179-188. doi:10.1016/j.ejogrb.2016.03.040
• la Chapelle CF, Swank HA, Wessels ME, Mol BWJ, Rubinstein SM, Jansen FW. Trocar types in laparoscopy. Cochrane Database Syst Rev. 2015;2015(12). doi:10.1002/14651858.CD009814.pub2
• Vilos GA, Ternamian A, Laberge PY, et al. Guideline No. 412: Laparoscopic Entry for Gynaecological Surgery. J Obstet Gynaecol Canada. 2021;43(3):376-389.e1. doi:10.1016/j.jogc.2020.12.012
• Juhasz-Böss I, Runnebaum I. Stellenwert der Laparoskopie beim Endometriumkarzinom. Onkologe. 2012;18(10):883-888. doi:10.1007/s00761-012-2292-0
• Tinelli R, Litta P, Meir Y, et al. Advantages of laparoscopy versus laparotomy in extremely obese women (BMI>35) with early-stage endometrial cancer: A multicenter study. Anticancer Res. 2014;34(5):2497-2502.
• O’Hanlan KA, Emeney PL, Frank MI, Milanfar LC, Sten MS, Uthman KF. Total laparoscopic hysterectomy: Ma-king it safe and successful for obese patients. J Soc Laparoendosc Surg. 2021;25(2). doi:10.4293/JSLS.2020.00087
• Olav I, ed. Minimally Invasive Gynecological Surgery. Springer International Publishing; 2015. doi:10.1007/978-3-662-44059-9
• Berek J, Hacker. NF. Laparoscopy. In: Berek and Hacker’s Gynecologic Oncology. Wolters Kluwer Health; 2020.
• ACOG. Laparoscopy. Published 2021. https://www.acog.org/womens-health/faqs/laparoscopy
• Demirayak G, Kılık T, Çetinkaya FN, et al. Laparoskopik Histerektomi Deneyimlerimiz. Okmeydanı Tıp Derg. 2016;32(3):198-203. doi:10.5222/otd.2016.1067
• Clair KH, Tewari KS. Robotic surgery for gynecologic cancers: indications, techniques and controversies. J Obs-tet Gynaecol Res. 2020;46(6):828-843. doi:10.1111/jog.14228
• Mack MJ. Minimally invasive and robotic surgery. Jama. 2001;285(5):568-572. doi:10.1001/jama.285.5.568
• Schlappe BA, Mario M. L. Robotic Surgery. In: Principles of Gynecologic Oncology Surgery. Elsevier; 2019:364-380.
• Gehrig PA, Cantrell LA, Shafer A, Abaid LN, Mendivil A, Boggess JF. What is the optimal minimally invasive surgical procedure for endometrial cancer staging in the obese and morbidly obese woman? Gynecol Oncol. 2008;111(1):41-45. doi:10.1016/j.ygyno.2008.06.030
• Mattson J, Bender D. Minimally Invasive Robotic Surgery for Gynecologic Cancers: A Review. Clin Obstet Gy-necol. 2020;63(1):24-29. doi:10.1001/jamaoncol.2020.1617
• Ghomi A. Robotics in practice: New angles on safer positioning. Contemp Ob Gyn. 2012;57(10):26-37.
• Jara RD, Guerrón AD, Portenier D. Complications of Robotic Surgery. Surg Clin North Am. 2020;100(2):461-468. doi:10.1016/j.suc.2019.12.008
• Joshi GP, Abdelmalak BB, Weigel WA, et al. 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration - A Modular Update of the 2017 American Society of Anesthes. Anesthesiology. 2023;138(2):132-151. doi:10.1097/ALN.0000000000004381
• Apfelbaum JL. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-393.
• Aronsohn J, Sikachi R. Anesthetic Considerations for Laparoscopic Surgery. In: Atlas of Laparoscopic and Ro-botic Urologic Surgery. Vol 4. Fourth Edi. Elsevier Inc.; 2023:89-94. doi:10.1089/end.1992.6.89
• Kathopoulis N, Chatzipapas I, Valsamidis D, et al. Mechanical bowel preparation before gynecologic laparos-copic procedures: Is it time to abandon this practice? J Obstet Gynaecol Res. 2021;47(4):1487-1496. doi:10.1111/jog.14674
• Suresh R, Alam A, Karkossa Z. Using Peer Support to Strengthen Mental Health During the COVID-19 Pande-mic: A Review. Front Psychiatry. 2021;12(July). doi:10.3389/fpsyt.2021.714181
• World Laparoscopy Hospital. Postoperative care. https://www.laparoscopyhospital.com/postoperative-care.html
• RCOG. Recovering Well: Information for You after a Laparoscopy.; 2015. https://www.rcog.org.uk/media/qxtf3uxb/laparoscopy-recovering-well-patient-information-leaflet.pdf
• Altinel M, Akinci S. Ürolojik Laparoskopik Cerrahide Postoperatif Bakım. Türk Üroloji Semin Urol Semin. 2010;1(5):147-152. doi:10.5152/tus.2010.19
• Acar K, Aygin D. Laparaskopik Cerrahi Sonrası Ağrı ve Hemşirelik Bakımı. Online Türk Sağlık Bilim Derg. 2016;1(2):17-22.
• Radosa JC, Radosa MP, Mavrova R, et al. Five minutes of extended assisted ventilation with an open umbili-cal trocar valve significantly reduces postoperative abdominal and shoulder pain in patients undergoing lapa-roscopic hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2013;171(1):122-127. doi:10.1016/j.ejogrb.2013.08.014
• Acar C, Toktas C. Laparoskopik Cerrahinin Temel Fizyolojik Etkileri. Türk Üroloji Semin Urol Semin. 2010;1(5):119-125. doi:10.5152/tus.2010.15
• Chou R, Gordon DB, De Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice gui-deline from the American pain society, the American society of regional anesthesia and pain medicine, and the American society of anesthesiologists’ committee on regional anesthesia, executive commi. J Pain. 2016;17(2):131-157. doi:10.1016/j.jpain.2015.12.008
• Prospect. Laparoskopi̇k Hi̇sterektomi̇ Özet Öneri̇ler.; 2020. esraeurope.org/prospect
• Newton-Wellesley Hospital. Post-Operative Instructions Laparoscopy. https://www.nwh.org/media/file/postoplaparoscopy.pdf
• Kılıç M, Öztunç G. Ağrı Kontrolünde Kullanılan Yöntemler ve Hemşirenin Rolü. Fırat Sağlık Hizmetleri Derg. 2012;7(21).
• Çankaya A, Saritaş S. Effect of Classic Foot Massage on Vital Signs, Pain, and Nausea/Vomiting Symptoms after Laparoscopic Cholecystectomy. Surg Laparosc Endosc Percutaneous Tech. 2018;28(6):359-365. http://www.embase.com/search/cord&from=export&id=L624425247%0Ahttp://dx.doi.org/10.1097/SLE.0000000000000586
• Nelson G, Fotopoulou C, Taylor J, et al. Enhanced recovery after surgery (ERAS®) society guidelines for gyne-cologic oncology: Addressing implementation challenges - 2023 update. Gynecol Oncol. 2023;173:58-67. doi:10.1016/j.ygyno.2023.04.009
• RCOG. Catheter Care RCN Guidance for Health Care Professionals.; 2021.
• Sürme Y. Günübirlik Laparaskopik Kolesistektomide Bakım. Sağlık Bilim Derg. 2020;29:217-221. doi:https://doi.org/10.34108/eujhs.714573 Sürme Y SAĞLIK
• ERAS Türkiye. ERAS protokolünün temel öğeleri. https://eras.org.tr/page.php?id=10&saglikCalisani=true
• Lubawski J, Saclarides TJ. Postoperative ileus: Strategies for reduction. Ther Clin Risk Manag. 2008;4(5):913-917. doi:10.2147/tcrm.s2390
• Hasler-Gehrer S, Linecker M, Keerl A, et al. Does Coffee Intake Reduce Postoperative Ileus after Laparosco-pic Elective Colorectal Surgery? A Prospective, Randomized Controlled Study: The Coffee Study. Dis Colon Rectum. 2019;62(8):997-1004. doi:10.1097/DCR.0000000000001405
• NSW Goverment. Fact Sheet : Gynaecological Oncology Unit Post-Operative Discharge from Hospital after Laparoscopy ( Keyhole Surgery).; 2022. womensnewbornhealth.com.au
• Queensland. Information Post-Women ’ s Surgery : Laparoscopy.; 2019. https://metronorth.health.qld.gov.au/rbwh/wp-content/uploads/sites/2/2017/06/Laparoscopy-gynaecology-patient-information.pdf
• NHS. Discharge Advice Following Diagnostic and Operative Laparoscopy. https://www.nbt.nhs.uk/sites/default/files/attachments/Discharge advice following diagnostic and operati-ve laparoscopy_NBT002805.pdf
• Glasser MH. A Practical Manual of Hysteroscopy and Endometrial Ablation Techniques: A Clinical Cookbook. Vol 12.; 2005. doi:10.1016/j.jmig.2004.12.010
• ACOG. Hysteroscopy. https://www.acog.org/womens-health/faqs/hysteroscopy
• Mencaglia L, Cavalcanti L, Alvarez Arias A. Manual of Hysteroscopy – Diagnostic, Operative and Offi Ce Hys-teroscopy. Tuttlingen; 2018. doi:10.5005/jp/books/18028
• Berek JS, Kraus L, Professor L, Falcone T, Jean Uy-Kroh M, Bradley LD. Operative Techniques in Gynecologic Surgery. Vol 1. Wolters Kluwer Health; 2018.
• Bradley L, Falcone T. HYSTEROSCOPY: OFFICE EVALUATION AND MANAGEMENT OF THE UTERINE CAVITY. Mosby; 2009.
• Römer T. Indications for diagnostic hysteroscopy. In: Diagnostic Hysteroscopy : A Practical Guide. De Gruyter, Inc.; 2012. doi:10.1515/9783110224986.3
• Erian MMS, McLaren GR, Erian AM. Advanced hysteroscopic surgery: Quality assurance in teaching hospi-tals. J Soc Laparoendosc Surg. 2017;21(2). doi:10.4293/JSLS.2016.00107
• Oroomiechiha M. The Role of Nurse in Diagnostic and Operative Hysteroscopy. iMedPub. 2020;6(3:22):6-8. doi:10.36648/2471-8165.6.3.101
• RCOG. Outpatient Hysteroscopy. Vol 21.; 2018. https://www.rcog.org.uk/for-the-public/browse-all-patient-information-leaflets/outpatient-hysteroscopy/
• Tinelli A, Pacheco Alonso L, Haimovich S, eds. Atlas of Hysteroscopy.; 2020. doi:10.1007/978-3-030-29466-3
• NHS. Recovery Hysteroscopy. https://www.nhs.uk/conditions/hysteroscopy/recovery/