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Implementation of enhanced recovery after surgery (ERAS) protocols for paediatric laparoscopic surgery: a

Shreya Shah1, Rashmi Ramachandran2, Vishesh Jain3

  • 1Department of Anaesthesiology, Pain Medicine and Critical care, All India Institute of Medical Sciences, Teaching block, Room no. 5011, New Delhi, 110029, India. shreyabs@hotmail.com.

Pediatric Surgery International
|May 4, 2026
PubMed

Insights

Implementing Enhanced Recovery After Surgery (ERAS) protocols in pediatric surgery is safe and feasible. This study shows high compliance and reduced hospital stays, overcoming barriers with multidisciplinary commitment for accelerated recovery.

Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Enhanced Recovery Protocols

Background:

  • Enhanced Recovery After Surgery (ERAS) protocols show benefits in adults but are underutilized in pediatric surgery.
  • Barriers and necessary modifications for ERAS in pediatrics require detailed investigation.

Purpose of the Study:

  • To assess the practicality and safety of ERAS in pediatric laparoscopic surgery.
  • To identify and address context-specific implementation barriers in a tertiary care setting.

Main Methods:

  • Prospective, single-arm, preliminary study of 136 children (aged 2-14 years) undergoing laparoscopy.
  • Perioperative ERAS elements were implemented, with outcomes including protocol compliance, length of stay, and 30-day complications analyzed.
  • Implementation challenges were systematically recorded.

Main Results:

  • High overall protocol compliance (82.5% ± 12.4%) was achieved.
  • Strong adherence to ERAS components correlated significantly with shorter length of hospital stay (LOS).
  • No direct complications or readmissions were attributed to ERAS; key challenges included infrastructure, parental anxiety, and stakeholder motivation.

Conclusions:

  • Pediatric ERAS implementation is safe and feasible in tertiary healthcare settings.
  • Multidisciplinary commitment is crucial for overcoming logistic and cultural barriers.
  • Successful implementation leads to accelerated convalescence in pediatric surgical patients.
Abstract

Keywords:
ChallengesEnhanced recovery after surgeryLaparoscopyOutcome assessmentPaediatrics

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