ERAS Protocol: What Is Enhanced Recovery After Surgery?

ERAS (Enhanced Recovery After Surgery) is a care model first defined for colorectal surgery in the early 2000s and later extended to bariatric, biliary, hernia, gynaecological and orthopaedic surgery. Its aim is to reduce complications, shorten hospital stay and speed up recovery.

Core ERAS elements

• Patient education and clear expectations before surgery
• Short fasting times (typically clear liquids up to 2h, solids up to 6h before)
• Timely cessation of smoking and alcohol
• Intra-operative normothermia and balanced fluids
• Preference for minimally invasive techniques where appropriate
• Multimodal, opioid-sparing pain management
• Early return to oral intake (usually within 24 hours)
• Early mobilisation (when possible, on the day of surgery)
• Avoiding unnecessary urinary catheters and drains

Which operations use it?

The ERAS Society has published evidence-based guidelines for colorectal, bariatric, liver, pancreatic, gastric, gynaecological and urological surgery among others. In general surgery, similar principles apply to gallbladder and hernia operations.

The patient's role — yes, very important

• Stopping smoking and heavy alcohol before surgery
• Optimising nutrition (protein, vitamins)
• Continuing light physical activity ('prehabilitation')
• Sharing pain scores and trying to mobilise early after surgery
• Following breathing exercises and the recommended diet

Implementation in Antalya

• Individual pre-operative information and expectation setting
• Laparoscopic / minimally invasive technique when appropriate
• A multimodal pain plan and early mobilisation
• Sharing the post-operative diet and discharge plan in advance

This content is for general information only. For personal diagnosis and treatment decisions please consult your doctor. For emergencies, contact the nearest medical facility.