2023 · JOURNAL OF CLINICAL MEDICINE

Enhanced Recovery after Pelvic Organ Prolapse Surgery

Tresch, Caroline, Lallemant, Marine, Ramanah, Rajeev

Journal
JOURNAL OF CLINICAL MEDICINE
Année
2023
Volume
12
Numéro
18
Article
5911
Mois
SEP
DOI
10.3390/jcm12185911

Abstract

The objective of this study was to review on the influence of enhanced rehabilitation in pelvic organ prolapse surgery outcomes, specifically focusing on length of hospital stay, hospital costs, pain, morbidity, and patient satisfaction. Following the PRISMA model and using PubMed as a source, eight articles pertaining to prolapse surgery and two articles concerning vaginal hysterectomies were selected, all published between 2014 and 2021. These studies revealed no significant difference in terms of operating time, intra- and post-operative complications, intra-operative blood loss and post-operative pain scores before and after the introduction of the ERAS program. Only one study noted a difference in readmission rates. There was, however, a noticeable decrease in intra-operative and post-operative intravenous intakes, opioid administration, length of stay, and overall hospital costs with the adoption of ERAS. Additionally, with ERAS, patients were able to mobilize more rapidly, and overall patient satisfaction significantly improved.

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