This study evaluated the impact of an optimized operating room process incorporating multidisciplinary team management on outcomes of laparoscopic myomectomy. A total of 1,000 patients were enrolled, with 500 undergoing standard perioperative care (control group) and 500 receiving multidisciplinary team-based interventions (observation group). The multidisciplinary team management included preoperative assessment, psychological counseling, and rehabilitation planning; intraoperative coordinated positioning, dual venous access, and temperature control; and postoperative safe transfer, individualized wound care, and nutrition support. Both groups underwent standardized laparoscopic myomectomy. Outcomes assessed included self-care ability, psychological status, ambulation time, comfort level, length of stay, complications, quality of life, and patient satisfaction. Postoperatively, the observation group showed significantly higher self-care ability scale scores, reduced anxiety and depression levels, earlier ambulation, improved comfort, shorter hospital stays, fewer complications, higher Short Form-36 scores, and greater care satisfaction. These benefits were sustained at a 3-month follow-up. The multidisciplinary team-based perioperative management significantly enhances recovery, psychological well-being, and patient satisfaction in myomectomy, supporting its broader clinical application.
Xu et al. (Tue,) studied this question.