325ENHANCING OUTCOMES IN EMERGENCY ABDOMINAL SURGERIES THROUGH ERAS PROTOCOLS: A COHORT ANALYSISEnhanced Recovery After Surgery (ERAS) protocols are evidence-based approaches designed to improve postoperative outcomes by minimizing complications and expediting recovery. While widely adopted in elective surgeries, their application in emergency gastrointestinal surgeries remains underexplored. This study evaluates the feasibility and impact of ERAS protocols in a cohort of patients undergoing emergency abdominal surgeries, focusing on key elements such as minimally invasive techniques, intraoperative fluid management, and postoperative compliance. The study included patients who underwent emergency procedures, with exclusions for elective surgeries, septic shock, or multiorgan failure. Data were collected using ERAS-specific forms to record comorbidities, diagnoses, and postoperative outcomes. The findings revealed that minimally invasive techniques significantly improved recovery times, with laparoscopic procedures reducing morbidity and hospital stays compared to open surgeries. Effective fluid management emerged as a critical factor, with excessive intraoperative fluids delaying mobilization and oral feeding. Additionally, preoperative hyperglycemia was associated with higher morbidity and slower recovery, emphasizing the importance of glycemic control. ERAS protocols demonstrated significant benefits, including reduced complications, expedited mobilization, and earlier resumption of oral nutrition. Despite challenges in emergency settings, the study highlights the potential of ERAS protocols to enhance recovery outcomes and underscores the need for their broader implementation in emergency gastrointestinal surgeriesRaushan@gmail.comResearch1322023ERAS Protocols, Emergency Abdominal Surgery, Postoperative Outcomes, Cohort StudyDr. Raushan Kumar,Dr. Pankaj KumarAssistant Professor, Department of General Surgery, IQ City Medical College Mohunbagan Ave, Durgapur, West Bengal 713206 India,Assistant Professor, Department of General Surgery, Gouri Devi Institute of Medical Science and Hospital, Rajbandh, West Bengal, India.