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„Enhanced recovery after surgery“ – ein Konzept auch im Kindesalter

Enhanced recovery after surgery—a concept, also in pediatrics

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Zusammenfassung

Während „Enhanced recovery after surgery“(ERAS)-Protokolle in der Erwachsenenurologie, insbesondere bei Zystektomien oder Eingriffen mit (Dünn)darmanastomosen fest etabliert sind, gibt es für das pädiatrische Patientengut insgesamt und kinderurologische Eingriffe im Besonderen erst seit jüngster Zeit diesbezügliche Daten. Die einzelnen Charakteristika solcher Protokolle sind gut untersucht und es zeigten sich auch für Kinder signifikante Vorteile ohne erhöhtes Komplikationsrisiko. In mehreren kleinen Studien konnte die Sicherheit und Effizienz von ERAS-Protokollen gezeigt werden, ein Konsensus über ein spezifisch pädiatrisches ERAS-Protokoll für kinderurolgische Eingriffe existiert jedoch noch nicht.

Abstract

Enhanced recovery after surgery (ERAS) protocols are widely established in adult urology, especially for cystectomies and procedures involving the (small) bowel. However, data concerning pediatric surgery and pediatric urologic surgery are scarce. Individual items of ERAS protocols have been well-studied and significant benefits have also been shown for children without increased risk of complications. In a number of small series the safety and efficacy of implementing ERAS protocols have been reported recently. A broad consensus and a guideline for a common pediatric ERAS protocol is not yet available.

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Authors and Affiliations

  1. Abteilung für Kinderurologie, Ordensklinikum Linz, Krankenhaus der Barmherzigen Schwestern, Seilerstätte 4, 4010, Linz, Österreich

    B. Haid FEAPU, FEBU & J. Oswald

  2. Klinik und Poliklinik für Urologie, Klinikum der LMU München, München, Deutschland

    B. Haid FEAPU, FEBU

  3. Universitätsklinik für Urologie und Andrologie, Uniklinikum der PMU Salzburg, Salzburg, Österreich

    L. Lusuardi

Authors
  1. B. Haid FEAPU, FEBU
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  2. L. Lusuardi
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  3. J. Oswald
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Correspondence to B. Haid FEAPU, FEBU.

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Interessenkonflikt

B. Haid, L. Lusuardi und J. Oswald geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Haid, B., Lusuardi, L. & Oswald, J. „Enhanced recovery after surgery“ – ein Konzept auch im Kindesalter. Urologe 59, 294–299 (2020). https://doi.org/10.1007/s00120-020-01114-y

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