Enhanced Recovery after Surgery (ERAS) vs Conventional Perioperative Care for Major Gynecologic Surgery in Pakistan

Objective: To evaluate the effectiveness of Enhanced Recovery after Surgery (ERAS) protocols in comparison to conventional perioperative care for major gynecologic surgery at Hayatabad Medical Complex, Peshawar, Pakistan. The primary objective was to assess differences in postoperative recovery, pain levels, and hospital stay duration between the two groups. Methodology: A retrospective analysis was conducted from June 2024 to December 2024, involving 150 patients who underwent major gynecologic surgeries, divided into two groups: ERAS (75 patients) and conventional care (75 patients). Data on patient demographics, length of stay, pain scores, recovery time, and comorbidities were collected and analyzed using statistical tests, including independent t-tests. Results: The ERAS group showed a significant reduction in length of stay, with a mean of 5.1 days compared to 8.3 days in the conventional care group (p = 0.01). Pain scores were also significantly lower in the ERAS group (4.2 vs. 6.5, p = 0.02). Recovery time was shorter in the ERAS group (12.3 days) compared to the conventional care group (17.5 days, p = 0.04). The complication rates were 8% in the ERAS group and 10% in the conventional care group, with no significant difference. Conclusion: ERAS protocols significantly improve postoperative outcomes in major gynecologic surgery by reducing hospital stays, pain, and recovery times. The results support the feasibility of implementing ERAS protocols in Pakistan, offering an effective model for optimizing surgical care in resource-limited settings.