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Efficacy of Enhanced Recovery after Surgery (ERAS) Protocols in Pediatric Colorectal Surgery: A Randomized Controlled
Kavita Tirkey1, Ankita1, Nishant G Xess1
1Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Insights
Enhanced recovery after surgery (ERAS) protocols significantly improve outcomes for pediatric colorectal surgery patients. Implementing ERAS pathways accelerates feeding, ambulation, and reduces hospital stays and complications.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Enhanced Recovery After Surgery (ERAS) Protocols
Background:
- Enhanced Recovery After Surgery (ERAS) protocols are established for adults but understudied in pediatric colorectal surgery.
- Optimizing perioperative outcomes in pediatric surgical patients is crucial for recovery.
Purpose of the Study:
- To evaluate the effectiveness of ERAS protocols in pediatric colorectal surgery.
- To compare ERAS protocols against conventional care for key recovery metrics.
Main Methods:
- A single-blind, randomized controlled trial involving 120 pediatric patients undergoing elective colorectal surgery.
- Patients were allocated to either an ERAS group (n=60) or a conventional care group (n=60).
- Key outcomes measured included time to first feeding, ambulation, length of hospital stay, pain scores, and complication rates.
Main Results:
- The ERAS group demonstrated significantly earlier feeding initiation (1.3 vs. 2.8 days) and faster ambulation (1.8 vs. 3.2 days).
- ERAS patients experienced a shorter hospital stay (4.9 vs. 7.6 days) and reported lower postoperative pain scores.
- Complication rates were significantly reduced in the ERAS group (10% vs. 23.3%).
Conclusions:
- ERAS protocols significantly enhance perioperative outcomes in pediatric colorectal surgery.
- Integrating ERAS protocols into standard care can lead to improved patient recovery and reduced morbidity.
Background:
Enhanced recovery after surgery (ERAS) protocols have been widely adopted in adult surgical populations to optimize perioperative outcomes. However, their application and effectiveness in pediatric colorectal surgery remain underexplored.
Materials And Methods:
This single-blind, randomized controlled trial included 120 pediatric patients undergoing elective colorectal surgery at two tertiary hospitals in India. Patients were randomized into ERAS (n = 60) and conventional care (n = 60) groups. Outcomes included time to first feeding, time to ambulation, length of hospital stay, pain scores, and complication rates.
Results:
The ERAS group showed significantly earlier initiation of feeding (1.3 vs. 2.8 days, P < 0.001), faster ambulation (1.8 vs. 3.2 days, P < 0.001), shorter hospital stay (4.9 vs. 7.6 days, P < 0.001), and lower postoperative pain scores. Complication rates were also lower in the ERAS group (10% vs. 23.3%, P = 0.045).
Conclusion:
ERAS protocols significantly improve perioperative outcomes in pediatric colorectal surgery. Their integration into standard care can enhance recovery and reduce morbidity.
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