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Streamlining Postoperative Void Trials: A Study Comparing Standard Backfill Versus Backfill in the Operating Room.

A Rebecca Meekins¹, Cindy L Amundsen, Alison C Weidner

¹From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC.

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|December 28, 2020

Summary

A new bladder backfill void trial (VT) in the operating room (OR) significantly reduced postoperative care unit (PACU) time for urogynecologic surgery patients. This streamlined approach enhances recovery protocols without increasing catheterization rates.

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Area of Science:

Urogynecology
Surgical innovation
Patient recovery

Background:

The standard void trial (VT) post-urogynecologic surgery is lengthy.
Optimizing postoperative care unit (PACU) stay is crucial for enhanced recovery after surgery (ERAS) protocols.

Purpose of the Study:

To evaluate a novel intraoperative bladder backfill void trial (OR backfill VT) protocol.
To determine if the OR backfill VT reduces PACU stay and postoperative catheterization rates compared to standard VT.

Main Methods:

Retrospective cohort study of 225 women undergoing urogynecologic surgery.
Comparison of outcomes between patients receiving OR backfill VT and standard VT.
Statistical analysis using t-tests, chi-squared tests, and linear regression for PACU time.

Main Results:

The OR backfill VT group experienced a statistically significant 23-minute reduction in PACU time after adjusting for confounders (P=0.009).
No significant difference in void trial failure rates (24.3% vs 18.4%, P=0.28) or postoperative catheterization incidence between groups.
Demographics and surgical procedures were comparable between the two groups.

Conclusions:

Intraoperative bladder backfill void trial (VT) is an effective method to shorten PACU stay in urogynecologic surgery.
This protocol streamlines PACU processes without compromising patient safety or increasing the need for postoperative catheterization.
The OR backfill VT supports the goals of ERAS protocols by improving efficiency in postoperative care.