Evidence map›Paper›PMID 41625896›Full record

ArticleCureus2025

A Prospective Comparative Study of Enhanced Recovery After Surgery (ERAS) Versus Conventional Protocols in Emergency Laparoscopic Appendectomies.

Revathy Nair Es, Hemanth S Ghalige, Arunkumar Tukaram, Dhanush P, Nandhini Priya

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Revathy Nair EsSurgery, Employees State Insurance Corporation Medical College and Post Graduate Institute of Medical Sciences and Research (ESIC MC and PGIMSR), Bengaluru, IND.
Hemanth S GhaligeSurgery, Employees State Insurance Corporation Medical College and Post Graduate Institute of Medical Sciences and Research (ESIC MC and PGIMSR), Bengaluru, IND.
Arunkumar TukaramSurgery, Employees State Insurance Corporation Medical College and Post Graduate Institute of Medical Sciences and Research (ESIC MC and PGIMSR), Bengaluru, IND.
Dhanush PSurgery, Employees State Insurance Corporation Medical College and Post Graduate Institute of Medical Sciences and Research (ESIC MC and PGIMSR), Bengaluru, IND.
Nandhini PriyaSurgery, Employees State Insurance Corporation Medical College and Post Graduate Institute of Medical Sciences and Research (ESIC MC and PGIMSR), Bengaluru, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Acute appendicitis is among the most common causes of acute abdominal pain requiring surgical intervention. Laparoscopic appendectomy has become the standard of care due to its advantages in terms of reduced postoperative pain, shorter hospital stay, and early return to activity. However, optimizing perioperative recovery in emergency surgical settings remains a challenge. Enhanced Recovery After Surgery (ERAS) protocols, initially developed for elective colorectal surgeries, offer a multimodal approach to improving surgical outcomes and reducing recovery time. Recent studies have shown that ERAS can be safely and effectively adapted for emergency procedures as well. Objectives This study was undertaken to evaluate the effectiveness of the ERAS protocol compared to conventional perioperative care in patients undergoing emergency laparoscopic appendectomy by comparing the length of hospital stay, return to routine activities, postoperative pain (Visual Analog Scale {VAS} score), and perioperative complications between the two groups. Methods A prospective comparative study was conducted on 62 patients undergoing emergency laparoscopic appendectomy. The patients were divided into two groups: 31 received conventional postoperative care, and 31 followed ERAS protocols. The primary outcomes analyzed were the duration of hospital stay, time to return to normal activity, and postoperative pain (VAS). Results The patients in the ERAS group had significantly reduced hospital stay (1.87 ± 0.51 versus 3.16 ± 0.45 days, p < 0.001), earlier return to normal activity (3.43 ± 0.50 versus 3.97 ± 0.80 days, p = 0.003), and lower VAS scores (2.53 ± 0.51 versus 3.29 ± 0.46, p < 0.001). No complications were observed in either group. Conclusion The ERAS protocol is a safe and effective perioperative strategy in emergency laparoscopic appendectomy. Its implementation leads to significantly improved postoperative outcomes and can be considered for broader use in acute surgical care.

Indexed as

acute appendicitisemergency laparoscopic appendectomyenhanced recovery after surgery (eras)length of hospital stayvisual analog scale (vas)

Identifiers

PMID41625896
PMCPMC12859155

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.