Evaluation of outcome of Enhanced Recovery After Surgery (ERAS) versus conventional method in colostomy closure in children
Abstract
Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care protocol that represents a fundamental shift from the conventional management of the gastrointestinal surgical patient. Although ERAS protocol has been shown to improve outcomes in the adult surgical population, its application is still limited in pediatric surgery. This prospective observational study was carried out in the Department of Pediatric Surgery of Dhaka Medical College Hospital, Bangladesh from July 2019 to June 2021 aiming to compare the outcomes between ERAS and conventional perioperative care protocol in colostomy closure in children. A total of 60 patients of both sexes admitted for elective colostomy closure were included in this study. The patients were divided in two groups; 30 patients in the Enhanced Recovery After Surgery(ERAS) perioperative care group were considered as Group A and another 30 patients in the Conventional Method group were considered as Group B. Statistical analyses of the results were obtained by using Statistical Packages for Social Sciences (SPSS-22.0). We found Postoperative outcome (return of bowel movement and commencement of oral feeding) was 4.13 times better in group A than that of group B which was statistically significant (p<0.05). More than two third (66.7%) of subjects needed only 7 days of postoperative hospital stay in group A whereas only 5(16.7%) subjects showed 7 days of postoperative hospital stay in group B. The difference was statistically significant (p<0.05) between two groups.
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References
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