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Related Experiment Videos

Fast track vaginal surgery.

Marianne Ottesen1, Mette Sørensen, Yvonne Rasmussen

  • 1Department of Obstetrics and Gynecology, Copenhagen University Hospital, Hvidovre, Denmark.

Acta Obstetricia Et Gynecologica Scandinavica
|April 12, 2002
PubMed
Summary

Vaginal surgery for uterine prolapse in a fast-track setting requires only 24 hours of hospitalization. This approach demonstrated excellent short-term success, patient satisfaction, and acceptability, regardless of surgical complexity.

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Area of Science:

  • Urogynecology
  • Minimally Invasive Surgery
  • Patient Recovery Protocols

Background:

  • Utero-vaginal prolapse is a common condition affecting women's quality of life.
  • Traditional postoperative care for vaginal prolapse surgery often involves prolonged hospitalization.
  • Optimizing postoperative recovery is crucial for patient well-being and healthcare resource management.

Purpose of the Study:

  • To determine the necessary postoperative hospitalization duration after vaginal surgery for utero-vaginal prolapse.
  • To establish well-defined postoperative care protocols for a fast-track setting.
  • To evaluate the safety and efficacy of a rapid recovery pathway.

Main Methods:

  • Prospective, descriptive study of 41 women undergoing vaginal prolapse surgery.

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  • Implementation of a multimodal rehabilitation model focusing on early mobilization and pain management.
  • Fast-track postoperative care with a median hospital stay of 24 hours.

    • Main Results:

    • Median postoperative hospital stay was 24 hours, with only 7.3% staying longer than 48 hours.
    • High short-term success rate (97.6%) and excellent patient satisfaction (85.4-95.1%).
    • Low complication rates, with urinary retention and tract infections being most common; no re-admissions occurred.

    Conclusions:

    • Vaginal surgery for utero-vaginal prolapse can be safely managed in a fast-track setting with a median 24-hour hospitalization.
    • The fast-track approach is effective regardless of surgical procedure complexity.
    • Excellent short-term outcomes, patient satisfaction, and acceptability support this model; long-term efficacy is under evaluation.