Application of operation room optimization process with multidisciplinary collaborative management in myomectomy

Abstract

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