Enhanced Recovery after Pelvic Organ Prolapse Surgery.

Fiche publication

Date publication

septembre 2023

Journal

Journal of clinical medicine

Auteurs

Membres identifiés du Cancéropôle Est :
Pr RAMANAH Rajeev

Tous les auteurs :
Tresch C, Lallemant M, Ramanah R

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/37762852

Résumé

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.