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Updated: Dec 30, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
[Enhanced recovery after surgery-a concept, also in pediatrics]
B Haid1,2, L Lusuardi3, J Oswald4
1Abteilung für Kinderurologie, Ordensklinikum Linz, Krankenhaus der Barmherzigen Schwestern, Seilerstätte 4, 4010, Linz, Österreich. bernhard.haid@ordensklinikum.at.
Insights
Enhanced recovery after surgery (ERAS) protocols show promise in pediatric urology, with studies indicating safety and benefits for children. However, a universal guideline for pediatric ERAS is still needed.
Area of Science:
- Pediatric Urology
- Surgical Recovery Protocols
Background:
- Enhanced Recovery After Surgery (ERAS) protocols are standard in adult urology.
- Limited data exists on ERAS implementation in pediatric urologic surgery.
Purpose of the Study:
- To review the current evidence on ERAS protocols in pediatric urologic surgery.
- To assess the safety and efficacy of ERAS in pediatric patients.
Main Methods:
- Review of existing literature and small case series on pediatric ERAS protocols.
- Analysis of reported outcomes and complication rates.
Main Results:
- Individual ERAS components have demonstrated benefits in children.
- Recent small series suggest ERAS protocols are safe and effective in pediatric urology.
- No significant increase in complications was observed in pediatric patients.
Conclusions:
- ERAS protocols show potential for improving outcomes in pediatric urologic surgery.
- Further research and a consensus guideline are needed for widespread pediatric ERAS adoption.
Abstract:
Enhanced recovery after surgery (ERAS) protocols are widely established in adult urology, especially for cystectomies and procedures involving the (small) bowel. However, data concerning pediatric surgery and pediatric urologic surgery are scarce. Individual items of ERAS protocols have been well-studied and significant benefits have also been shown for children without increased risk of complications. In a number of small series the safety and efficacy of implementing ERAS protocols have been reported recently. A broad consensus and a guideline for a common pediatric ERAS protocol is not yet available.
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