Akademik Veri Yönetim Sistemi
25 th EUPSA CONGRESS, Bologna, İtalya, 12 - 16 Haziran 2024, ss.270-271
Aim of the study: The widespread implementation of ERAS (Enhanced Recovery After Surgery) protocols in adult patients has led to the establishment of standard approaches in many surgeries. Unfortunately, there is a lack of sufficient research in this area in pediatric surgery. The aim of this study is to present the preliminary results of the ERAS protocol in pediatric patients undergoing laparoscopic appendectomy. Patients and Methods: The study included 21 patients who underwent laparoscopic appendectomy. Patients were subjected to a fasting period of 6 hours for solid and 2 hours for liquid food before surgery. Preoperative, intraoperative, and postoperative data of the patients were evaluated. Main results: Of the patients, 7 were female and 14 were male. The average age was 9.6 years (range 3-16); body weights were 36.2 kg (range 13-66). Three of the patients had perforated appendicitis, and 18 had acute appendicitis. Oral intake was initiated 2 hours post-surgery, and patients were transitioned to normal diet after 5.1 hours. The first mobilization occurred after 1.9 hours, and patients were freely mobile after 5.4 hours. The average postoperative VAS (Visual Analogue Scale) score was 5.8, and apart from 10 mg/kg paracetamol every 6 hours, no additional analgesics were needed. The children were discharged after an average of 31.6 hours. One patient re-consulted due to discharge at the surgical site, which healed with antibiotic local care. Conclusions: The ERAS protocol can be successfully applied in laparoscopic appendectomies in children.