Comparison of Post-operative Outcomes Between ERAS Protocol and Non-ERAS Local Regimen in Patients Undergoing Thyroidectomy

Patients undergoing thyroidectomy in hospital setup will be compared by applying ERAS protocol to one group and non ERAS local regimen to other group. Then comparison will be made in terms of length of hospital stay in days and time for ambulation in hours. Results will be compared showing which protocol is better and cost effective.

Inclusion Criteria: 1. Patients aged 18-60 years. 2. Patients scheduled for elective subtotal, near-total, or total thyroidectomy. 3. Patients with ASA physical status I-III. 4. Patients with acceptable preoperative haematological, hepatic, and renal function and thyroid function adequately controlled for elective surgery. 5. Patients willing to complete the planned four-week follow-up. 6. Patients providing voluntary written informed consent for participation in the study. Exclusion Criteria: 1. Patients undergoing thyroid lobectomy with or without isthmusectomy. 2. Patients undergoing emergency thyroid surgery. 3. Patients with ASA physical status greater than III. 4. Pregnant patients. 5. Patients with type I or type II diabetes mellitus. 6. Patients unwilling to participate in the study or withdrawing consent before random allocation.