Thyroidectomy-specific Enhanced Recovery After Surgery (ERAS) Protocol

Assiut University

Status: Completed

Conditions: Thyroid Diseases; Thyroid Neoplasms; Goiter

Treatments: Procedure: Enhanced Recovery After Surgery protocol; Procedure: Conventional perioperative care

Study type: Observational

Funder types: Other

Identifiers

NCT07575243

M.I.Omar-ERAS26

Details and patient eligibility

About

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.

Enrollment: 143 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

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

Trial design

143 participants in 2 patient groups

ERAS group

Description:

A prospective cohort undergoing elective thyroidectomy under an ERAS protocol.

Treatment:

Procedure: Enhanced Recovery After Surgery protocol

Control group

Description:

A historical control cohort undergoing thyroidectomy under conventional care during the 12 months preceding ERAS implementation

Treatment:

Procedure: Conventional perioperative care