WOFAPS 2025 8th World Congress of Pediatric Surgery

Nabila Talat, Maliha Nadeem, Sajid Nayyar, Wajeeh Rehman, Farrukh Mehmood Star

University of child health sciences, The Childrens Hospital, Lahore

INTRODUCTION: ERAS protocols are comprehensive perioperative care plans designed to facilitate swift recovery. This study is focused on ERAS in pediatric gut anastomosis and contributes valuable insights to perioperative care, with potential implications for future practices.

MATERIAL AND METHOD: This prospective descriptive case study was conducted after approval from IRB, on 100 patients undergoing gut anastomosis. ERAS protocol was applied on all patients. Patients were observed for duration of postoperative hospital stay, wound infection and anastomosis leak. Data was analyzed using SPSS v22.0. Data were presented as mean±SD for continuous variables and frequency for categorical variables. Pearson correlation coefficients were calculated to assess the strength of linear relationships between paired numerical variables and binary logistic regression test was performed between outcome and various variables.

RESULTS: Mean age of patients calculated was 4.59±3.64 years. Mean length of hospital stay calculated was 4.63 ±2.49 days. Only 8% patients suffered from wound infection and 6% patients developed anastomosis leak after surgery. Overall ERAS Protocol was effective in 78% patients and had significant p-value for the time to establish full feed.

CONCLUSIONS: The implementation of an ERAS protocol in pediatric patients undergoing gut anastomosis demonstrates promising results in terms of reducing the length of hospital stay and potentially lowering the risk of postoperative complications.