ArticleFrontiers in surgery2026
ERAS-based sequential olive oil-lactulose protocol in day-case laparoscopic inguinal hernia repair: a prospective comparison.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate the effect of a sequential olive oil-lactulose approach within an enhanced recovery after surgery (ERAS) pathway on perioperative bowel management and postoperative recovery in patients undergoing day-case laparoscopic inguinal hernia repair. Methods: A total of 204 patients who underwent day-case laparoscopic inguinal hernia repair between June 2024 and June 2025 were divided into two groups according to bowel-preparation regimen: a study group ( Results: The study group showed a significantly higher bowel-preparation compliance and tolerance than the control group (100% vs. 95.1%; 96.1% vs. 68.6%; Conclusions: Within the ERAS pathway, the sequential approach of olive oil and lactulose significantly improved bowel preparation compliance and tolerance in patients undergoing daytime laparoscopic inguinal hernia repair. This approach accelerated gastrointestinal function recovery, shortened hospital stays, reduced complication rates, alleviated postoperative pain, and enhanced patient satisfaction.
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