Applications Of Enhanced Recovery After Surgery In Perioperation Of Pelvic Organ Prolapse

Objective: To monitor the application of the accelerated recovery after surgery ERAS concept in the perioperative period of gynecological pelvic organ prolapse according to the expert consensus on accelerated recovery surgery.The purpose of this study was to examine the effectiveness of ERAS in the perioperative period of gynecologic pelvic organ prolapse and its impact on postoperative recovery.Methods: A total of 100 patients who underwent pelvic floor organ prolapse surgery at the First Affiliated Hospital of Wannan Medical College between November2020 and November 2022 were randomly divided into the test study group and the control group.The test study group received the ERAS method(50 patients)and the control group received conventional treatment(50 patients).In both groups,statistical analysis was performed on preoperative subjective comfort,postoperative ventilation time,postoperative hospital stay,postoperative complications like urinary retention,bloating,diarrhea,nausea,and vomiting,lower limb venous thrombosis,preoperative and postoperative quality of life score 6 months,diarrhea,as well as postoperative pain scores.Results: The general conditions(age,BMI,number of deliveries,operation time,and procedure)were not statistically different between the two groups(P>0.05).Thirst,hunger,anxiety and VAS levels were all lower in the ERAS group 30 minutes prior to surgery than in the control group,with the difference being statistically significant(P<0.05),3 hours before to surgery,the VAS scores for thirst,hunger,and anxiety were lower in the ERAS group than in the control group(P>0.05),and these VAS scores were also lower in the ERAS group than in the control group.Urinary tract infections,nausea,and vomiting were less common in the ERAS group than in the control group(P<0.05).The incidence of postoperative problems like urinary retention following catheter removal,lower limb venous thrombosis,diarrhea,and abdominal distension was not statistically different between the two groups(P>0.05).The ERAS group had considerably reduced pain scores after 2 hours,6 hours,and 12 hours postoperatively compared to the control group,and the difference was statistically significant(P<0.05).PFDI-20 and PFIQ-7 scores in ERAS group were lower than those in control group,and PISQ-31 scores were higher than those in control group,with statistical significance(P<0.05).Conclusion: The use of ERAS management techniques during the recovery period of pelvic floor surgery for pelvic organ prolapse significantly enhanced patients’ preoperative subjective comfort,decreased the likelihood of postoperative complications(such as urinary tract infections and nausea),enhanced patients’ quality of life,decreased postoperative hospital stays(such as vomiting),enhanced patient satisfaction,decreased postoperative pain,and accelerated recovery.