WOFAPS 2025 8th World Congress of Pediatric Surgery

Samir Hasan, Ülgen Çeltik, Orkan Ergün

Ege University Faculty of Medicine Hospital, Department of Pediatric Surgery, İzmir, Turkey

Purpose:

Portosystemic shunt surgeries have been performed in our department to treat portal hypertension since 2006. Since 2016, we have implemented postoperative Enhanced Recovery After Surgery (ERAS) protocols for these patients. This study aimed to evaluate the outcomes of patients who underwent surgery for portal hypertension and were managed with the ERAS protocol.

Methods:

A retrospective study was conducted from 2006 to 2024, dividing the patients into two distinct periods: 2006–2016 and 2016–2024. Demographics, the surgical procedures, time to start oral feeding, the day IV fluid support was discontinued, the time to start mobilization, the duration of ICU stay, the length of hospital stay were examined. Statistical analyses were conducted using IBM SPSS Statistics 27.

Results:

A total of 103 patients (M/F: 50/53) were included in the study, with a mean age at the time of surgery of 8.4 ± 5 years. The variables are summarized in Table 1. As shown in the table, patients treated after 2016 had significantly shorter times for the initiation of the first meal, ICU stay, and overall hospital stay. Postoperative complication rates were similar between the two groups. Notably, despite the implementation of ERAS protocols, no related postoperative complications were observed.

Conclusion:

Patients undergoing portal hypertension surgery managed with the ERAS protocol showed significant improvements in various postoperative outcomes. These findings suggest that the ERAS protocol positively impacts the recovery process and contributes to faster patient recovery.