ENHANCED RECOVERY AFTER SURGERY(ERAS)PROTOCOLS VS. STANDARD CARE IN PATIENTS WITH PEPTIC ULCER PERFORATION

Objectives: To compare the efficacy of Enhanced recovery after surgery(ERAS) protocol vs standard care in patients with perforated peptic ulcer (PPU). Materials and Methods: This single-center, retrospective, cross-sectional study was carried out from January 2021 to 2022. Patients PPU undergoing Grahams repair were divided into ERAS group. Primary outcome duration stay. Secondary outcomes functional parameters morbidity. Results: A total 120 cases admitted our hospital, among which 60 each included group, respectively. group had a significantly early for time first flatus (1.41 2.38 p < 0.001), stool (2.65 3.78 fluid diet (2.75 6.1 solid (4.08 7.11 0.001). Duration stay shorter (6.2 8.53 There significant reduction postoperative morbidity such as nausea vomiting (RR 0.43, value = 0.005), superficial SSI 0.4, 0.005) pulmonary complications 0.45, 0.002). Result : showed better primary secondary outcomes. Conclusion: In conclusion, protocols, are feasible safe application selected without an increase rate complications.