Enhanced recovery protocol in early recovery of patients undergoing abdominal surgery

Abstract

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.