Ileostomy - Stoma
Conditions
Keywords
ERAS
Brief summary
This study compares the Enhanced Recovery After Surgery (ERAS) protocol to traditional postoperative care in pediatric patients undergoing elective ileostomy reversal. The ERAS protocol uses a standardized approach to minimize surgical stress, lower complication rates, and improve recovery times. Participants are randomly assigned to either the ERAS protocol group or the traditional care group. The main goal of this study is to measure and compare the average length of post-operative hospital stay between the two groups. Additional outcomes evaluated include post-procedure pain scores, time to bladder catheter removal, duration of intravenous fluids, time to start oral feeding, and time to mobilization.
Interventions
Enhanced Recovery After Surgery multimodal protocol involving early oral feeding, early catheter removal, early mobilization, and multimodal pain control Recovery after surgery
Standard postoperative care protocol with conventional fasting, standard intravenous fluids, and routine pain management
Sponsors
Study design
Eligibility
Inclusion criteria
Pediatric patients undergoing elective ileostomy reversal. Patients who previously had stoma formation for conditions such as Hirschsprung disease, necrotizing enterocolitis (NEC), or anorectal malformation (ARM). Written informed consent obtained from parent/guardian.
Exclusion criteria
Emergency ileostomy reversal surgeries. Presence of severe systemic comorbidities or severe sepsis prior to surgery. Refusal to give consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of Postoperative Hospital stay | From date of surgery up to 30 days | total duration of hospital stay recorded in days from the completion of surgery until discharge |
| Length of postoperative Hospital Stay | date of surgery up to 30 days | total duration of hospital stay recorded in days from the completion of surgery until discharge |