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Related Experiment Video

Updated: Jul 8, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
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Is enhanced recovery after surgery essential?

Alev Esercan1, İsmail Demir1, Mustafa Aksar1

  • 1Obstetrics and Gynecology, Sanlıurfa Education and Research Hospital, Sanlıurfa, Turkey.

The Journal of Obstetrics and Gynaecology Research
|December 20, 2023
PubMed
Summary

Enhanced recovery after surgery (ERAS) in cesarean sections may not require all postoperative steps. Adding metoclopramide alone significantly reduced pain scores, suggesting a simplified ERAS protocol is effective for cesarean recovery.

Keywords:
ERASVAS scorecesarean sectionmobilizationpain

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Recovery Protocols
  • Pain Management

Background:

  • Enhanced Recovery After Surgery (ERAS) protocols aim to improve patient recovery post-surgery.
  • ERAS is increasingly applied to cesarean sections due to the need for rapid patient convalescence.
  • Limited literature exists on ERAS effectiveness specifically for cesarean sections regarding pain and complications.

Purpose of the Study:

  • To evaluate the impact of a simplified ERAS protocol on cesarean section outcomes.
  • To compare postoperative pain scores and complications in patients undergoing cesarean sections with varying ERAS components.

Main Methods:

  • A prospective study involving four groups of cesarean section patients.
  • Group 1 received metoclopramide, enema, and routine opioids.
  • Groups 2 and 3 received subsets of these interventions, with Group 3 receiving only metoclopramide.
  • Group 4 received no interventions.
  • Postoperative pain was assessed using the Visual Analog Scale (VAS).

Main Results:

  • No significant differences were observed between groups in terms of age, parity, or birth weight.
  • Discharge time and complication rates did not differ across the groups.
  • The group receiving only metoclopramide (Group 3) demonstrated significantly lower VAS pain scores compared to other groups (p < 0.001).

Conclusions:

  • A comprehensive ERAS protocol may not be essential for cesarean sections.
  • Postoperative administration of metoclopramide alone appears sufficient to manage pain effectively.
  • Further randomized trials are recommended to validate these findings and explore other criteria for pain management in cesarean recovery.