Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy

Selda Rızalar1, Ayfer Özbaş

  • 1Selda Rızalar, PhD, is Assistant Professor, Department of Surgical Nursing, Health Science Faculty, Medipol University, I·stanbul, Turkey. Ayfer Özbaş, PhD, is Associate Professor, Department of Surgical Nursing, Istanbul University Florence Nightingale Nursing Faculty, Abide-i Hurriyet cad. 34381 Şişli, Istanbul, Turkey.

Insights

Early postoperative feeding accelerates recovery in children after appendectomy. This approach significantly reduces hospital stays and improves patient comfort by managing hunger, thirst, and pain more effectively.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Appendectomy is a common surgical procedure in children.
  • Postoperative recovery protocols can influence patient outcomes and hospital stay duration.

Purpose of the Study:

  • To evaluate the impact of early postoperative feeding on recovery parameters in pediatric appendectomy patients.
  • To compare outcomes between early feeding and routine care groups.

Main Methods:

  • A multicenter, randomized controlled study involving 92 pediatric patients undergoing appendectomy.
  • Patients were assigned to either an early feeding (intervention) or routine care (control) group.
  • Data collected included time to first flatus/stool, hospital stay length, and patient-reported hunger, thirst, nausea, and pain using the Visual Analogue Scale.

Main Results:

  • Early feeding significantly reduced the time to first flatus and stool passage.
  • Patients in the early feeding group experienced a shorter hospital stay.
  • Significant improvements were observed in hunger, thirst, and pain levels at specific postoperative intervals (36 and 48 hours) in the early feeding group.

Conclusions:

  • Early postoperative feeding is a beneficial strategy for enhancing recovery after pediatric appendectomy.
  • Implementing early feeding protocols can lead to faster gastrointestinal function recovery and reduced hospital length of stay.
  • Early feeding positively impacts pediatric patients' comfort by alleviating postoperative hunger, thirst, and pain.

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