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Optimizing Outcomes in Urological Surgery: Postoperative Care

机译：优化泌尿外科手术的结果：术后护理

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Introduction: Understanding best practices in perioperative care is critical for quality of care for our urology patients. We compiled a single, concise resource that provides recommendations for optimizing postoperative outcomes in patients undergoing urological surgery.Methods: Optimal postoperative care includes minimizing complications, optimizing recovery and improving patient outcomes. The assembled White Paper multidisciplinary writing team included experts in a number of different areas (urologists, nurses, anesthesiologists) to address a comprehensive set of topics that urological providers face when caring for postoperative patients. This article provides a summary of key elements to optimize postoperative care in adult urological surgery, including in-hospital considerations, transition/discharge, and followup and surveillance.Results: In-hospital postoperative considerations include checklists, handoffs for safe transitions from the anesthesia to surgical team, level of care planning and enhanced recovery after surgery (ERAS?). Embedded in ERAS are postoperative nutrition, mobilization, wound care, judicious use of catheters and drains, and postoperative medications and transfusions. As the patient transitions to the outpatient setting, the urologist must provide clear and readable postoperative education, which includes medication management and coordinated followup with primary care providers and home health as needed. Finally, followup visits should be carefully considered using innovative methods such as telehealth and patient reported outcomes to elevate postoperative and long-term care.Conclusions: This article summarizes postoperative factors that may impact surgical outcomes in urology. By understanding and applying best practices for postoperative care, urologists can optimize the quality of care for their patients.
机译：导言：了解围手术期护理的最佳实践对我们泌尿科患者的护理质量至关重要。我们汇编了一份简明的资源，为优化接受泌尿外科手术的患者的术后结果提供了建议。方法：最佳术后护理包括尽量减少并发症、优化恢复和改善患者预后。汇集的白皮书多学科写作团队包括多个不同领域的专家（泌尿科医生、护士、麻醉师），以解决泌尿科医生在护理术后患者时面临的一整套问题。本文总结了优化成人泌尿外科术后护理的关键要素，包括住院考虑、转院/出院、随访和监测。结果：医院术后考虑因素包括检查表、从麻醉到手术团队安全过渡的交接、护理计划水平和术后恢复增强（ERA？）。ERA包括术后营养、动员、伤口护理、明智地使用导管和引流管，以及术后药物和输血。当患者转入门诊时，泌尿科医生必须提供清晰易读的术后教育，其中包括药物管理，以及根据需要与初级保健提供者和家庭健康进行协调的随访。最后，应仔细考虑使用创新方法进行随访，如远程医疗和患者报告结果，以提高术后和长期护理水平。结论：本文总结了可能影响泌尿外科手术结果的术后因素。通过了解和应用术后护理的最佳实践，泌尿科医生可以优化患者的护理质量。

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