Table 1.
The ERAS protocol versus the traditional non-ERAS protocol.
ERAS Protocol | Non-ERAS Protocol | |
---|---|---|
Preoperative management | ||
Counseling | Education and illustration | Informed consent |
Nutrition evaluation | Proper assessment | No requirement |
Fasting | Fasting 6 h, water 2 h | Fasting 12 h, water 4 h |
Sedative preanesthetic | No | Yes, if required |
Intraoperative management | ||
Antibiotic prophylaxis | Yes | No requirement |
Surgical approach | Minimally invasive | No requirement |
Abdominal drainage tubes | Only if necessary | Routinely used |
Pain | Comprehensive analgesic regimen | NSAIDs |
Maintenance of normothermia | Always | No requirement |
Postoperative management | ||
Diet | Day 1 | After recanalization |
Removal of urinary catheter | Day 1 | No requirement |
Removal of wound drainage | Day 2 | Day 2–3 |
Nausea and vomiting prophylaxis | 5-HT receptor antagonist | No requirement |
Mobilization | Day 1 | No requirement |
ERAS, enhanced recovery after surgery; NSAID, nonsteroidal anti-inflammatory drugs.