Enhanced Recovery after Surgery (ERAS) Versus Conventional Postoperative Care in Elective Lower Gastrointestinal Surgeries – A Randomized Controlled Trial

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Lokesh.S, Mathivannan, Rajesh Prabhu, Ravichandran, Akmal, Priyadharshini, Poornima, Soundarya, Pavithra, Mukesh Gokul, Sangeetha

Abstract

Background: The Enhanced Recovery After Surgery (ERAS) protocol has been shown to improve the quality of postoperative care by reducing surgical stress and promoting faster recovery.


Objectives: The aim of this study was to compare the effectiveness of the ERAS protocol with conventional postoperative care in patients undergoing elective lower gastrointestinal surgeries.


Methods: This hospital-based prospective randomized controlled study was conducted among patients admitted for elective lower gastrointestinal surgeries. Patients were randomly assigned to Group A (ERAS protocol) or Group B (conventional postoperative care). Both groups were monitored and compared with respect to hospital stay duration, return of bowel function, complications, early ambulation, and postoperative nausea and vomiting.


Results: A total of 56 patients participated in the study. The ERAS group experienced a slightly shorter hospital stay compared to the conventional care group, and a higher incidence of complications was observed in the conventional care group compared to the ERAS group.


Conclusion: The ERAS protocol is effective in reducing hospital stay and postoperative complications in patients undergoing lower gastrointestinal surgeries.

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