Comparing Enhanced Recovery After Surgery and Traditional Care for Colostomy Reversal in Children Aged 2 to 13

What this Trial Is About

This trial focuses on children aged 2 to 13 years undergoing colostomy reversal surgery. It aims to determine whether an Enhanced Recovery After Surgery ERAS protocol helps children recover faster and reduces their hospital stay compared to traditional care. The study addresses a gap in pediatric surgical care, especially in South Asia, by assessing if ERAS can improve recovery without added complications. Participants are randomly assigned to one of two care strategies before and after their surgery. The ERAS group will experience shorter fasting times, no mechanical bowel cleansing, early pain control using non-opioid methods, and early feeding after surgery. The traditional care group will follow the usual longer bowel preparation, overnight fasting, opioid pain medications, nasogastric tube placement, and delayed food intake. Experienced pediatric surgeons will perform all surgeries. Children will be closely monitored daily after surgery until they can eat a solid meal without vomiting, which marks when they can leave the hospital. Assessments include vital signs, abdominal exams, blood tests, and feeding tolerance. The main measure of success is the length of hospital stay from surgery until discharge. Data will be analyzed to compare outcomes between the two care approaches, considering factors like age and diagnosis.

Pediatric Colostomy Reversal: Traditional Care vs. Enhanced Recovery After Surgery