This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
As per enhanced recovery programme in colon surgeries, which of the following is true? 
Select and explain. 
A. Bowel preperation a day prior to surgery, B. Nil per oral from the night before surgery, C. Avoidance of perioperative fluid load, D. Opiod analgesia preferred
C: Avoidance of perioperative fluid load
Answer: C: Avoidance of perioperative fluid load 
Explanation: Enhanced recovery programmes have been shown to reduce the length of hospital stay from 10-14 days to as little as 2-3 days, by modulating the surgical stress response and reducing postoperative ileus.Key elements of an enhanced recovery programmePreadmission counsellingAvoidance of mechanical bowel preparationPreoperative carbohydrate loadingAvoidance of preoperative dehydrationNo nasogastric tubesSho, transverse incisions (or laparoscopic procedure)Sho-acting anaesthetic drugsAvoidance of perioperative fluid/salt overloadThoracic epiduralsAvoidance of opiate analgesiaMaintenance of perioperative temperaturePrevention of postoperative nausea and vomitingEarly mobilisationEarly introduction of oral fluids/diets/supplementsEarly removal of urinary cathetersContinual audit of outcomesRef: Bailey and love, page: 1266