Thyroidectomy-specific Enhanced Recovery After Surgery (ERAS) Protocol

A Comprehensive Enhanced Recovery After Surgery (ERAS) Protocol for Thyroidectomy

Thyroidectomy is generally considered a low-to-moderate risk operation; however, postoperative pain, nausea/vomiting, and prolonged hospital stays remain common issues. Enhanced Recovery After Surgery (ERAS) pathways aim to optimize perioperative care and accelerate recovery. This study evaluates the effectiveness and safety of a standardized ERAS pathway in patients undergoing elective thyroidectomy. The prospective ERAS cohort is compared with a historical control group receiving conventional care to assess the impact on the length of hospital stay, postoperative pain, opioid consumption, and complication rates.

Inclusion Criteria:

• Patients aged 18-75 years
• ASA physical status I-III.
• Scheduled for elective thyroidectomy for benign or malignant disease.

Exclusion Criteria:

• Re-operative thyroid surgery
• Concomitant neck dissection
• Inability to comply with the ERAS pathway