Activity restriction after minimally invasive gynecologic surgery

PURPOSE OF REVIEW: Postoperative activity restrictions following minimally invasive gynecologic surgery are often made based on surgeon experience and departmental status-quo rather than concrete evidence. Despite increased use of peri-operative pathways such as enhanced recovery after surgery and the rise of innovative surgical techniques, restrictions on postoperative activity remain highly variable across providers and common guidelines for postoperative recovery are likely too conservative. RECENT FINDINGS: Studies have shown that liberal return to activity postoperatively does not compromise outcomes and may aid in a faster recovery. Additionally, the increase in abdominal pressure that occurs during commonly restricted activities is comparable to everyday activities that cannot be restricted. SUMMARY: The objective of this article is to review the evidence that is currently available on postoperative activity restriction and help restructure the way patients are counseled after minimally invasive gynecologic surgery.