‘Beyond The Operating Room; Strengthening Surgical Systems Through Mental Health Integration In Gynecological Surgeries.’

Background/Objective: Gynecological patients often experience psychological distress due to conditions like endometriosis, fibroids, infertility, and pelvic organ prolapse. Preoperative anxiety and postoperative depression, particularly after procedures such as hysterectomy, can adversely impact surgical outcomes. Despite these recognized mental health challenges, psychological care is insufficiently integrated into gynecological surgical pathways in many healthcare systems. This study examines the critical role of mental health in gynecological surgical care and the necessity for transdisciplinary approaches that incorporate psychological support to enhance surgical systems. Methods: A literature review analyzed peer-reviewed articles, review papers, and case studies sourced from PubMed, Google Scholar, and Scopus. Keywords included combinations of "mental health," "gynecological surgery," and "transdisciplinary care." Studies focusing on psychological interventions, patient outcomes, and interdisciplinary approaches were included. Key themes were identified and synthesized to assess current practices and opportunities for system-level integration. Results: The study underscores the significance of mental health interventions in improving patient care during gynecological surgeries. Psychological nursing strategies, such as preoperative counseling, stress-reduction exercises, and integrated support from healthcare teams and families, are pivotal. Additionally, therapies like reminiscence therapy have garnered attention for their effectiveness in supporting mental health and postoperative recovery among gynecological patients. Conclusion: The findings emphasize the necessity of psychological interventions for women undergoing both conservative and non-conservative gynecological surgeries. Evidence indicates that patients receiving psychological rehabilitation and support exhibit better postoperative outcomes compared to those who do not. Therefore, integrating psychological interventions as a standard component is essential for improved patient management and for developing a more robust surgical system.