Abstract:
Objective To explore the value of ERAS (enhanced recover after surgery) in perioperative nursing of pediatric laparoscopic hiatal hernia repair and Nissen fundoplication.
Methods From January 2012 to November 2019, 42 cases of esophageal hiatal hernia were treated under laparoscopic hiatal hernia repair and Nissen fundoplication. All patients were divided into two groups for comparison and analysis, 14 cases in ERAS nursing group and 28 cases in traditional nursing group. Analysis indicators include gastrointestinal function recovery time, hospital stay, postoperative pain, etc.
Results The recovery time of bowel sounds in the ERAS group was (9.1±1.8) h, which was significantly shorter than that in the traditional group (12.4±2.1) h, (t=-3.89, P=0.000). The time of the first postoperative anal exhaust was (15.4±2.7) h, significantly shorter than the traditional group (20.7±4.1) h, (t=-3.96, P=0.000). gastric tube removal time in the ERAS group was (16.5±2.7) h, traditional group was (20.6±3.4) h, (t=-4.925, P=0.000). Postoperative feeding time in the ERAS group was (17.5±2.0) h, traditional group was (36.7±2.5) h, (t=-7.672, P=0.000); postoperative hospital stay in the ERAS group was (7.8±1.5) d, Traditional group was(8.7±2.1) d, The above indicators have no statistical difference between the two groups (t=-1.356, P=0.225). postoperative pain in the ERAS group was significantly reduced compared with the traditional care group.
Conclusion The ERAS concept is effective in the perioperative nursing of pediatric laparoscopic hiatal hernia repair and Nissen fundoplication.
Key words:
Enhanced recover after surgery,
Hernia, hiatal,
Perioperative nursing,
Nissen fundoplication
Haixia Yao, Haixia Zhou, Jie. Wang. Application of ERAS technique for pediatric laparoscopic hiatal hernia repair and Nissen fundoplication in perioperative nursing[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2020, 07(02): 124-127.