WOFAPS 2025 8th World Congress of Pediatric Surgery

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Poster - 217

Outcomes after Implementation of ERAS (Enhanced Recovery After Surgery) in Paediatric patients after Laparoscopic Pull through: Experience from a tertiary care centre

Ayesha Saleem, Alan Mortell
Children's Health Ireland, Dublin, Ireland

Purpose: Paediatric colorectal studies have shown enhanced recovery after surgery (ERAS) protocols can safely improve outcomes. This study sought to determine the impact of an ERAS on the outcomes of children with Hirschsprung disease who underwent laparoscopic pull through surgery.

Methods: A single-institution, retrospective cohort study of children who underwent laparoscopic pull through procedure between 2010 and 2024 was performed. Differences in outcomes between pre-ERAS and ERAS cohorts were tested. Patients who were receiving total parental nutrition were excluded from the analysis.

Results: There were 60 patients included: 26 prior to ERAS implementation and 34 after. Mean age was 7.70 ± 3.31 months. Patients who underwent ERAS had shorter mean time (hours) to oral intake, mean days until regular diet, reduced post-operative opioid volume, and shorter median length of stay (p < 0.05).

Conclusion: Implementation of an ERAS protocol resulted in faster recovery, quicker time to oral intake. Hence, Paediatric ERAS pathways should be incorporated into the care of Paediatric patients undergoing colorectal surgery.

Keywords: Hirschsprung's disease, ERAS, Colorectal surgery

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