The Future in Standards of Care for Gynecologic Laparoscopic Surgery to Improve Training and Education

Abstract

Standards of care offer doctors and patients the confidence that an established quality, evidence-based, care is provided, and represent a tool for optimal responding to the population’s needs. It is expected that they will increasingly express a multimodal relationship with gynecologic laparoscopy. Laparoscopy is, now, a standard procedure in operative gynecology, standards are embedded in many laparoscopic procedures, standardization of the skills/competency assessment has been progressively developed, and the proof of competency in laparoscopy may become a standard of care. A continuous development of surgical education includes standard equipment (that may bring value for future advance), standardized training, testing (and performance) assessment, educational process and outcome monitoring/evaluation, patients’ care, and protection, etc. Standards of care and training have a reciprocally sustaining relationship, as training is an essential component of standards of care while care is provided at higher standards after a structured training and as credentialing/certification reunites the two. It is envisaged that through development and implementation, the European wide standards of care in laparoscopic surgery (in close harmonization with personalized medicine) would lead to effective delivery of better clinical services and provide excellent training and education.

Observation on the effect of intraoperative risk management combined with comfort nursing in gynecological laparoscopic surgery

“…Nurses must be familiar with the nursing process and strengthen risk awareness to effectively prevent occurrence of postoperative DVT. [19,20] APTT, PT, and TT are the main indicators to judge the coagulation state of the body. A long time of APTT, PT, and TT indicates that the body is in a relatively low coagulation state.…”

Observation on the effect of Intraoperative risk Management merged with comfort Nursing in Gynecological Laparoscopic surgery

“…Nurses must be familiar with the nursing process and strengthen risk awareness to effectively prevent occurrence of postoperative DVT [19,20]. APTT, PT and TT are the main indicators to judge the coagulation state of the body.…”

Umbilical Complications That Require Surgical Intervention after Gynecologic Laparoscopic Surgery

“…1 Currently, the standard procedure is to enter the first trocar from the base of the umbilicus. 2 This helps to prevent difficulties, allows for the insertion of additional trocars, and provides access for the recovery of specimens. There has not been a thorough discussion of umbilical complications resulting from laparoscopic surgery in the literature, although complications in the umbilical region that require plastic surgical treatment arise because of the difficulty of diagnosis, sluggish wound healing, and the complexity of the three-dimensional structure.…”