Enhanced Recovery After Surgery

In gynaecological oncology surgery, ERAS produced a 1.6-day reduction in length of stay, a 32% decrease in complication rates, a 20% reduction in readmission rates, and an average cost saving of US$2,129 per patient. Of the 26 ERAS measures studied, seven cost-reducing measures were found to shorten hospital stays and eliminate unnecessary consumables without compromising postoperative recovery speed. A shared definition may improve guideline development, implementation consistency, readiness assessment, goal-setting, and physiotherapy resource allocation. A 2020 survey across 62 countries found that only 37% of hospitals had implemented ERAS, with particularly low adoption in Asia (19%) and Africa (10%). Few randomized controlled trials have isolated the independent effect of ambulation. Early mobilisation is often part of broader postoperative interventions, making its independent contribution difficult to separate. ERAS was first proposed in 1997 by Danish physician Kehlet H. as a multidisciplinary, evidence-based approach to perioperative management. ERAS core measures include eliminating routine preoperative bowel preparation, VTE risk assessment, IV anaesthesia with subcutan…