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Table 1 Main differences between the protocols

From: New surgical realities: implementation of an enhanced recovery after surgery protocol for gynecological laparoscopy—a prospective study

ERAS (n30)

Traditional protocol (n60)

Pre-surgical optimization

No pre-surgical optimization

Carbohydrate-rich diet the day before surgery

Normal diet

6-h fast for solids and 2-h fast for clear liquid

8 h fast for solids and liquids

Maintain euvolemia during surgery

No euvolemia during surgery

Active heating during surgery

No active heating during surgery

Laparoscopic port infiltration

No laparoscopic port infiltration

Restrictive fluid therapy after surgery.

Prolonged fluid therapy

Tolerance 6 h after surgery

Tolerance 1 day after surgery

Avoiding the use of opiates

Opiates are allowed

Removal of bladder catheter 12–24 h after surgery

Removal of bladder catheter 24–48 h after surgery

Active mobilization 1st day PO

Active mobilization 2nd day PO