Withdrawal: Implementation of specially designed enhanced recovery after surgery protocols versus conventional protocol in total pelvic floor reconstructive surgery.

Abstract

To evaluate outcomes of perioperative recovery indices and the application value of specially designed enhanced recovery after surgery (ERAS) protocols in total pelvic floor reconstructive surgery. Data of 300 womenwith stage III or IV pelvic organ prolapse undergoing total pelvic floor reconstructive surgerybetweenMarch 2013 and August 2016 at a single institute were studied retrospectively. Women were divided intotwo groupsaccording tobeforeorafter implementation of ERASprotocols.The ERAS group received ERAS protocols (149 cases) andthe pre-ERAS group received conventional treatment (151 cases).Indices of postoperative recoveryand incidence of complications were statistically analyzed. The ERAS group versus the pre-ERAS group differ in first flatus time (37.75±9.26vs.41.92±13.19 h), hospitalization days (4.98±1.25vs.6.93±1.24 days), cost of hospitalization (47 132.93±7297.02vs.49 069.54±6340.25 CNY),and first mobilization out of bed time(29.19±8.05 vs.49.86±9.87 h). The differences were statistically significant.Compared with the pre-ERAS group,fewer patientsin the ERASgroup had pain and urinary retention after surgery. ERAS protocols for the perioperative period of total pelvic floor reconstructive surgery is safe, economical, and reliable, and has a great role in promoting the standardized treatment of pelvic organ prolapse.