The enhanced recovery after surgery program in the surgical treatment of women with severe forms of female genital prolapse
Objective: To reduce recurrence rates in patients with severe forms of female genital prolapse (FGP), by introducing the enhanced recovery after surgery (ERAS) protocol.Seikina V.A., Zharkin N.A., Burova N.A., Prokhvatilov S.A.
Materials and methods: The ERAS protocol was applied to 72 patients aged 62.6 (8.2) years, operated on for grade II—IIIFGP according to the international Pelvic Organ Prolapse Quantification (POP-Q) classification. A comparison group consisted of 26 patients of the same age who had been treated by the traditional procedure. Postoperative quantitative and qualitative indicators were estimated. The duration of thefollow-up was 12 months.
Results: The early postoperative period was uncomplicated in both groups, however, the recovery time of urination was 24 (20;48) hours in the study group versus 48 (36;72) hours in the comparison group, and a cleansing enema was not required. The postoperative length was 2.1 bed-days shorter in the study group than in the comparison one. In the study group, 96% and 93% of the operated women were observed to have no recurrences and to be satisfied with their quality of life at 3 and 12 months after surgery.
Conclusion: The clinical introduction of the ERAS protocol could decline the number of postoperative complications by 3.3 times and reduce the length of stay in hospital, the financial costs of treatment by 10,593 rubles, and also the number of FGP recurrences by 1.7 times.
Keywords
female genital prolapse
surgical treatment
enhanced recovery after surgery
References
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Received 24.12.2021
Accepted 02.02.2022
About the Authors
Victoria A. Seikina, PhD Student of the Department of Obstetrics and Gynecology, Volgograd State Medical University, Ministry of Health of the Russian Federation,400131, Russia, Volgograd, Pavshikh Bortsov Sq., 1, +7(8442)33-45-56; obstetrician-gynecologist of the Gynecological Department, Volgograd Regional Clinical Hospital No. 1, 400081, Russia, Volgograd, Angarskaya str., 13, +7(8442)36-23-56, niakrisdn@gmail.com, https://orcid.org/0000-0002-5875-3705
Nikolai A. Zharkin, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, Volgograd State Medical University, Ministry of Health of Russia,
400131, Russia, Volgograd, Pavshikh Bortsov Sq., 1, +7(8442)33-45-56, zharkin55@mail.ru, https://orcid.org/0000-0002-8094-0427
Natalia A. Burova, Dr. Med. Sci., Associate Professor, Professor of the Department of Obstetrics and Gynecology, Volgograd State Medical University,
Ministry of Health of Russia, 400131, Russia, Volgograd, Pavshikh Bortsov Sq., 1, +7(8442)36-38-14, natalia-burova@yandex.ru
Sergey A. Prokhvatilov, Head of the Gynecological Department, Volgograd Regional Clinical Hospital No. 1,
400081, Russia, Volgograd, Angarskaya str., 13, +7(8442)36-23-55, sapokb1@gmail.com, https://orcid.org/0000-0001-7029-7776
Corresponding author: Victoria A. Seikina, niakrisdn@gmail.com
Authors’ contributions: Zharkin N.A., Burova N.A. - concept and design of the investigation; Seikina V.A., Prokhvatilov S.A., Burova N.A. - material collection and processing; Seikina V.A., Zharkin N.A. - statistical data processing and writing the text. Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: This investigation has not been sponsored.
Ethical Approval: The investigation has been approved by the local Ethics Committee of the Volgograd State Medical University, Ministry of Health of the Russian Federation.
Patient Consent for Publication: All patients provided informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Seikina V.A., Zharkin N.A., Burova N.A., Prokhvatilov S.A. The enhanced recovery after surgery program in the surgical treatment of women with severe forms of female genital prolapse. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 3: 122-128 (in Russian)
https://dx.doi.org/10.18565/aig.2022.3.122-128
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