The Contribution of Accelerated Recovery (mERAS) Approach to Postoperative Recovery in Pediatric Laparoscopic Surgery Cases

Emel Yürük

Status: Not yet enrolling

Conditions: mERAS Intervention; The Patient Must be Between 4 and 12 Years Old; The ASA (American Society of Anesthesiologists) Score

Treatments: Other: mERAS Protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT07375511

ÇUKUROVA ÜNİVERSTY

Details and patient eligibility

About

Pediatric laparoscopic surgery is a gold standard across all ages, offering benefits like smaller incisions, faster recovery, and better cosmetic outcomes. However, because children require more precise hemodynamic and respiratory management than adults, specialized perioperative care is essential. This study aims to evaluate the impact of a multidisciplinary Enhanced Recovery After Surgery (ERAS) approach on children aged 4-12, specifically measuring its effect on postoperative pain, nausea, thirst, fear levels, and the overall recovery process.

Enrollment: 60 estimated patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• The patient must be between 4 and 12 years old,
• The ASA (American Society of Anesthesiologists) score must be 1 or 2,
• The parent(s) must be cognitively competent to give consent. Exclusion Criteria
• The child/parents must refuse to participate in the study,
• The presence of comorbidities that interfere with mobilization or oral feeding (which impairs the pain score),
• Chronic pain syndrome or regular opioid use,
• Previous major surgery in the same area (which may affect healing and pain experience).

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

mERAS Protocol Patient Group

Experimental group

Description:

mERAS Protocol Patient Group

Treatment:

Other: mERAS Protocol

Patient Group Receiving Standard Care

No Intervention group

Description:

Preoperative Period: Within the scope of standard care, comprehensive education is not provided to patients and their families; only informed relatives are consulted to obtain surgical consent. During this period, patients' comorbidities are evaluated, and necessary medical treatments are applied. However, nutritional risk screening, which is emphasized in the literature, especially in pediatric surgery, is not routinely performed. While prophylactic antibiotic administration is aimed at, there is no standardized protocol for nausea-vomiting and pain management; treatment is carried out at the physician's discretion. Routine bowel preparation in accordance with current guidelines is not performed.