Updated guidelines on the perioperative management of advanced ovarian cancer patients undergoing debulking surgery were published on August 18, 2021 by the European Society of Gynaecological Oncology (ESGO) in the International Journal of Gynecological Cancer.
The ESGO guidelines provide recommendations on the following topics:
Timing of surgery in relation to therapy with targeted and antihormonal agents
Preoperative bowel preparation, skin antisepsis, and hair removal
Surgical safety checklists, patient positioning, and use of retractors
Prevention and management of upper abdominal complications
Prevention and management of infective and urologic complications
Management of bowel-related morbidity, prophylactic stoma formation, and stoma reversal
Antibiotic/microbiologic management and post-splenectomy management
Postoperative pain management
Perioperative thromboprophylaxis (pharmacologic and mechanical) and management of postoperative thromboembolic events
Wound considerations and complications
Prehabilitation, enhanced recovery, and postoperative ileus prevention
Postoperative physiotherapy and mobilization
Frailty scores/management of the fragile patient
Psycho-oncologic and social support
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Cite this: Advanced Ovarian Cancer Clinical Practice Guidelines (ESGO, 2021) - Medscape - Sep 03, 2021.