Vulvar postoperative care, gestalt or evidence based medicine? A comprehensive systematic review

Altman, Alon D.; Robinson, Christine

doi:10.1016/j.ygyno.2017.02.013

Cited by 2 publications

(3 citation statements)

References 65 publications

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“…Postoperative drains after systematic inguinofemoral lymph node (IFLN) dissection are used routinely and often left in situ until producing <20 to 50 mL per 24 hours, 85e89 with some recommendations to leave the drains in place at least 5 to 7 days postoperatively. 73,90,91 This is thought to decrease lymphocyst formation by allowing the overlying skin flaps to adhere to the underlying connective tissue. 85 Separate vulvar drainage has been abandoned by most.…”

Section: Postoperative Drains and Adjuvant Therapiesmentioning

confidence: 99%

“…Routine postoperative vulvar care for radical vulvar excisions often consists of irrigation and perineal drying with either a hair dryer or vulvar blower or fan. 73,80 However, no studies have been identified showing efficacy for this practice.…”

Section: Novel Postoperative Therapiesmentioning

confidence: 99%

“…The authors showed a decreased rate of wound dehiscence and a reduced hospital stay from 37 to 18 days. 73…”

Section: Novel Postoperative Therapiesmentioning

confidence: 99%

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Guidelines for vulvar and vaginal surgery: Enhanced Recovery After Surgery Society recommendations

Altman

Robert

Armbrust

et al. 2020

American Journal of Obstetrics and Gynecology

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This is the first collaborative Enhanced Recovery After Surgery Society guideline for optimal perioperative care for vulvar and vaginal surgeries. An Embase and PubMed database search of publications was performed. Studies on each topic within the Enhanced Recovery After Surgery vulvar and vaginal outline were selected, with emphasis on meta-analyses, randomized controlled trials, and prospective cohort studies. All studies were reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation system. All recommendations on the Enhanced Recovery After Surgery topics are based on the best available evidence. The level of evidence for each item is presented.

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Section: Postoperative Drains and Adjuvant Therapiesmentioning

confidence: 99%

Section: Novel Postoperative Therapiesmentioning

confidence: 99%