Абстрактный
Improved postoperative recovery in pediatric gastrointestinal surgery
Jack Wilson
Enhanced Recovery After Surgery (ERAS) procedures aid in the optimization of inpatient treatment and the reduction of discomfort. The purpose of this study was to investigate the safety, practicality, and clinical and social benefit of ERAS in pediatric gastrointestinal surgery. From January to September 2018, all children (n=125) who received appendectomy, pyloromyotomy, transabdominal Soave's operation, Meckel's diverticulum resection, or reduction of intussusception in our hospital were included in this study. We examined surgical outcomes in children who underwent surgery using standard perioperative protocols (control group, n=57) and those who used ERAS protocols (ERAS group, n=68). In terms of demographic or surgical data, there were no significant intergroup disparities. However, the ERAS group had considerably shorter bowel function recovery time, postoperative IV feeding time, postoperative hospital stay duration, and hospital expenses than the control group. The complication rate did not differ significantly between groups. Our findings suggest that using ERAS procedures in pediatric gastrointestinal surgery is both safe and practical. They can enhance patient comfort, decrease hospital expenditures, and speed postoperative recovery without raising the risk of surgical complications. As a result, ERAS procedures merit greater use and promotion.