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

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

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.

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).