Our experience with ERAS program in children with Hirschsprung disease.
Introduction The ERAS program has only recently been applied to children, with the main obstacle being the complexity of pediatric surgeries. Children have their own unique phys- iological response to surgery, including being more vul- nerable to dehydration and hypothermia, having a lower toleranc...
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Pediatric Anesthesia and Critical Care Journal
2025-02-01
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| Series: | Pediatric Anesthesia and Critical Care Journal (PACCJ) |
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| Online Access: | http://www.anestesiarianimazione.com/PACCJ%202025/Our%20experience%20with%20ERAS%20program%20in%20children%20with%20%20Hirschsprung%20disease%20.pdf |
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| author | K. B. Musayeva E. M. Nasibova |
| author_facet | K. B. Musayeva E. M. Nasibova |
| author_sort | K. B. Musayeva |
| collection | DOAJ |
| description | Introduction
The ERAS program has only recently been applied to children, with the main obstacle being the complexity of pediatric surgeries. Children have their own unique phys- iological response to surgery, including being more vul- nerable to dehydration and hypothermia, having a lower tolerance for intraoperative blood loss, and an increased risk of anesthesia complications. However, the use of ERAS has been limited in the pediatric population due to a clear lack of evidence. We have used components of ERAS in our pediatric patients undergoing surgery for Hirschsprung disease.
Purpose of the study: To evaluate the safety and efficacy of accelerated surgery (ERAS) combined with laparos- copy in the treatment of Hirschsprung disease in children.
Materials and Methods
The study was conducted on 76 children with Hirsch- sprung's disease who underwent elective surgery with bowel pull-down in the period from 2011 to 2024 in the surgical clinic and in the bases of the AMU. The patients were divided into two groups: the ERAS program com- bined with laparoscopy (study group, n=38) and the lap- aroscopic surgery with conventional perioperative man- agement (control group, n=38). Postoperative bowel function recovery, hospital stay, hospital costs, compli- cations were compared, and postoperative recovery was monitored for four weeks.
Results
There were no significant differences in intraoperative blood loss and operative time between the ERAS group and the control group (both P>0.05). Recovery of bowel movements occurred earlier in the ERAS group, but the difference was not statistically significant (P=0.062). Hospital stay was shorter [(5,77±0,8) days versus (14,2±2,8) days], and hospitalization costs were signifi- cantly lower in the study group than in the control group.
Conclusion
1. The ERAS protocol is applicable to pediatric Hirsch- sprung disease surgeries with shorter hospital stay and fewer complications, especially in the form of SSI. We recommend using the maximum number of components based on our experience to obtain opti- mal results.
2. Accelerated surgery combined with laparoscopy in the treatment of Hirschsprung's disease in children is safe and effective. |
| format | Article |
| id | doaj-art-5aa4674a86b14e77bb24a5b463416561 |
| institution | OA Journals |
| issn | 2281-8421 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Pediatric Anesthesia and Critical Care Journal |
| record_format | Article |
| series | Pediatric Anesthesia and Critical Care Journal (PACCJ) |
| spelling | doaj-art-5aa4674a86b14e77bb24a5b4634165612025-08-20T02:12:59ZengPediatric Anesthesia and Critical Care JournalPediatric Anesthesia and Critical Care Journal (PACCJ)2281-84212025-02-011311610.14587/paccj.2025.1Our experience with ERAS program in children with Hirschsprung disease.K. B. Musayeva0E. M. Nasibova1Azerbaijan Medical University, Baku, AzerbaijanAzerbaijan Medical University, Baku, AzerbaijanIntroduction The ERAS program has only recently been applied to children, with the main obstacle being the complexity of pediatric surgeries. Children have their own unique phys- iological response to surgery, including being more vul- nerable to dehydration and hypothermia, having a lower tolerance for intraoperative blood loss, and an increased risk of anesthesia complications. However, the use of ERAS has been limited in the pediatric population due to a clear lack of evidence. We have used components of ERAS in our pediatric patients undergoing surgery for Hirschsprung disease. Purpose of the study: To evaluate the safety and efficacy of accelerated surgery (ERAS) combined with laparos- copy in the treatment of Hirschsprung disease in children. Materials and Methods The study was conducted on 76 children with Hirsch- sprung's disease who underwent elective surgery with bowel pull-down in the period from 2011 to 2024 in the surgical clinic and in the bases of the AMU. The patients were divided into two groups: the ERAS program com- bined with laparoscopy (study group, n=38) and the lap- aroscopic surgery with conventional perioperative man- agement (control group, n=38). Postoperative bowel function recovery, hospital stay, hospital costs, compli- cations were compared, and postoperative recovery was monitored for four weeks. Results There were no significant differences in intraoperative blood loss and operative time between the ERAS group and the control group (both P>0.05). Recovery of bowel movements occurred earlier in the ERAS group, but the difference was not statistically significant (P=0.062). Hospital stay was shorter [(5,77±0,8) days versus (14,2±2,8) days], and hospitalization costs were signifi- cantly lower in the study group than in the control group. Conclusion 1. The ERAS protocol is applicable to pediatric Hirsch- sprung disease surgeries with shorter hospital stay and fewer complications, especially in the form of SSI. We recommend using the maximum number of components based on our experience to obtain opti- mal results. 2. Accelerated surgery combined with laparoscopy in the treatment of Hirschsprung's disease in children is safe and effective.http://www.anestesiarianimazione.com/PACCJ%202025/Our%20experience%20with%20ERAS%20program%20in%20children%20with%20%20Hirschsprung%20disease%20.pdferashirschsprung disease |
| spellingShingle | K. B. Musayeva E. M. Nasibova Our experience with ERAS program in children with Hirschsprung disease. Pediatric Anesthesia and Critical Care Journal (PACCJ) eras hirschsprung disease |
| title | Our experience with ERAS program in children with Hirschsprung disease. |
| title_full | Our experience with ERAS program in children with Hirschsprung disease. |
| title_fullStr | Our experience with ERAS program in children with Hirschsprung disease. |
| title_full_unstemmed | Our experience with ERAS program in children with Hirschsprung disease. |
| title_short | Our experience with ERAS program in children with Hirschsprung disease. |
| title_sort | our experience with eras program in children with hirschsprung disease |
| topic | eras hirschsprung disease |
| url | http://www.anestesiarianimazione.com/PACCJ%202025/Our%20experience%20with%20ERAS%20program%20in%20children%20with%20%20Hirschsprung%20disease%20.pdf |
| work_keys_str_mv | AT kbmusayeva ourexperiencewitherasprograminchildrenwithhirschsprungdisease AT emnasibova ourexperiencewitherasprograminchildrenwithhirschsprungdisease |