Background : Enhanced recovery after surgery (ERAS) programme is designed to reduce perioperative and intraoperative stress responses, and to support the recovery of organ function aiming to help patients getting better sooner after surgery.There is paucity in literature regading successful application of Enhanced recovery after surgery  (ERAS) protocol in India. Material and Methods : 100 patients underwent abdominal colorectal surgery. Fifty patients underwent enhanced recovery after surgery protocol while other half were observed under conventional protocol. Time for 1st flatus , 1st defecation , time to tolerance of diet , time to normal routine  ,Hospital stay , complications , readmission within 30 days and hospital cost were compared as study outcome variables. Result : Patients underwent ERAS protocol were found  to have statistically significant shorter time for 1st flatus , 1st defecation , time to tolerance of diet , time to normal routine  and hospital stay  than compared to conventional group(p<0.001). The readmission after 30 days and complications were also non significantly lesser than conventional group. Hospital cost was significantly minimizes using ERAS protocol.

Background: Suction drains are routinely used after modified radical mastectomy and are an important factor contributing to increased hospital stay as the patients are often discharged only after their removal. Amongst various factors that influence the amount of postoperative drainage, the negative suction pressure applied to the drain has been reported to be of great significance. While a high negative suction pressure is expected to drain the collection and reduce the dead space promptly, it may also prevent the leaking lymphatics from closing and lead to increased drainage from the wound. Against this background a prospective randomized clinical study was conducted to compare the amount and duration of drainage between a half negative suction and full vacuum suction drainage in patients following modified radical mastectomy. The associated postoperative morbidity was also compared between the two groups. Methods: 40 FNAC (fine needle aspiration cytology) proven cases of locally advanced breast cancer were randomized. (Using randomly ordered sealed envelops, which were opened immediately before the closure of the wound) in to 20 patients with full vacuum suction (pressure = 700 g/m2) and 35 cases in to half vacuum suction drainage (pressure = 350 g/m2) groups.