Abstract

Background: Enhanced Recovery After Surgery (ERAS) protocols represent a multidisciplinary, evidence-based approach to perioperative care aimed at improving patient outcomes, reducing surgical stress, and shortening hospital stays. Their application in elective colorectal surgery has shown promising results globally, yet implementation challenges and outcome variability persist.

Objective: This study aimed to evaluate the clinical impact of ERAS protocol implementation in patients undergoing elective colorectal surgery, focusing on postoperative recovery, complication rates, and length of hospital stay.

Methods: A prospective observational study was conducted involving patients scheduled for elective colorectal resections. The ERAS protocol included preoperative counseling, limited fasting, carbohydrate loading, standardized anesthesia, early ambulation, and early oral feeding. Outcomes were compared with a historical cohort managed with conventional care. Primary endpoints were length of hospital stay and postoperative complications; secondary outcomes included time to first bowel movement, readmission rates, and patient satisfaction.

Results: Implementation of the ERAS protocol led to a significant reduction in mean hospital stay (5.2 vs. 8.4 days; p < 0.01). Patients in the ERAS group experienced fewer postoperative complications (18% vs. 30%), earlier return of bowel function, and higher satisfaction scores. No significant differences were observed in readmission rates between the groups. Compliance with key protocol elements was over 85%.

Conclusion: ERAS protocol implementation in elective colorectal surgery is both feasible and effective. It significantly improves recovery metrics, reduces complication rates, and enhances patient satisfaction without increasing readmission risk. Widespread adoption and adherence to ERAS principles can lead to better clinical outcomes and more efficient healthcare utilization in colorectal surgical practice.

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Data Sharing Statement

Funding