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Enhanced recovery after surgery (ERAS) protocols in inguinal hernia surgery: current state of the problem. Review

A. V. Trots, O. V. Perekhrestenko · General Surgery · 2026

Inguinal hernia remains one of the most common surgical conditions worldwide. Despite substantial advances, including the development of minimally invasive hernia repair techniques, issues related to functional treatment outcomes are still relevant, particularly the intensity of early postoperative pain, time to return to usual physical activity, quality of life, and the risk of chronic postoperative inguinal pain (CPIP). In this context, Enhanced Recovery After Surgery (ERAS), also known as accelerated postoperative recovery, represents a promising model for standardizing perioperative management in patients with inguinal hernias. Objective – of this review was to summarize current data on the application of ERAS principles in inguinal hernia surgery, with an emphasis on preoperative, intraoperative, and postoperative components, and their potential impact on pain, functional recovery, length of hospital stay, complication rates, and patient-reported outcomes. The review examines the role of preoperative patient education, risk stratification, correction of comorbidities, rationalization of preoperative fasting, prevention of postoperative nausea and vomiting, selection of the sur

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