Exploring the Impact of Enhanced Recovery After Surgery (ERAS) Protocols on Surgical Outcomes:
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Abstract
Background: traditional perioperative care frequently entails procedures like prolonged fasting, limited movement, and the use of opioids, which result in longer stays at the medical institution.
Objective: The purpose of this study was to look at how an ERAS procedure affected patients undergoing general surgery's ability to recover after surgery..
Study design: A Randomized controlled trial
Place and duration of study:Department Of General Surgery Lady Reading Hospital Peshawar From 1stMay 2019To 1stSeptember 2019
Methodology:The participants in this study were 150 adult patients who underwent elective general surgery at Lady Reading Hospital for General Surgery in Peshawar, Pakistan, between March 1 and July 1, 2020. People were assigned at random to either the ERAS/study group (Group B) or the management group (Group A). Age and sex were matched between the two groups. While Group B experienced the ERAS approach, which included early mobilization, oral feeding, pain management, and preoperative optimization, Group A got standard perioperative care.
Results: With similar gender distributions, the study included 76 patients in the ERAS group and 74 patients in the management group. The ERAS group showed considerably shorter stays in medical facilities (6.2 days vs. 12.2 days, p<0.005), quicker healing of the colon (22.6 hours vs. 38.4 hours, p<0.002), and a lower incidence of postoperative complications (15.8% vs. 28.6%, p<0.002) as compared to the management group.
Conclusion: Compared to traditional perioperative care, the use of an ERAS method for elective general surgery resulted in reduced postoperative complications and better postoperative recovery.