{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T01:21:32Z","timestamp":1790299292022,"version":"4.1.0"},"reference-count":118,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Over the past decade, the Enhanced Recovery After Surgery (ERAS) program has demonstrated its effectiveness and efficiency in improving postoperative care and enhancing recovery across various surgical fields. Preliminary results of ERAS protocol implementation in craniosynostosis surgery are presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>An ERAS protocol was developed and implemented for cranial pediatric neurosurgery, focusing on craniosynostosis repair. The study incorporated a pre-ERAS group consisting of a consecutive series of patients who underwent craniosynostosis repair surgery prior to the implementation of the ERAS protocol; the results were compared with a consecutive group of patients who had been prospectively collected since the introduction of the ERAS for craniosynostosis protocol. The safety, feasibility, and efficiency of the ERAS protocol in pediatric neurosurgery was evaluated, through the collection of clinical data from the pre-, intra-, and postoperative phase. Surgery-related complications were evaluated according to the Clavien-Dindo classification. Costs of the stays were obtained using a microcosting approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 35 pre-ERAS patients and 10 ERAS patients were included. Scaphocephaly was the most common pathology in both groups. The overall compliance with the pre-, intra-, and postoperative criteria significantly increased\u2014from 35.5%, 64.4%, and 54.7%, respectively, in each phase to 94%, 90%, and 84% (p &lt; 0.001). The authors noticed a reduction in the average opioid dose used per patient in the ERAS group (p = 0.004), and they observed a trend toward a decreased mean length of stay from 5.2 days in the pre-ERAS group to 4.6 days in the ERAS group, without an increase of the rate of readmission within 30 days of surgery. The rate of complications decreased but this difference was not statistically significant. The hospital costs lowered significantly: from 21,958 Confederatio Helvetica Francs (CHF) in the pre-ERAS group to 18,936 CHF in the ERAS group (p = 0.02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The ERAS protocol represents a safe and cost-effective tool for the perioperative management of craniosynostosis. It showed its positive impact on the analgesia provided and on the reduction of in-hospital costs for these patients. ERAS protocols may thus be interesting options in the pediatric neurosurgical field.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2023.9.focus23540","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T04:37:03Z","timestamp":1701491823000},"page":"E14","source":"Crossref","is-referenced-by-count":12,"title":["The Enhanced Recovery After Surgery protocol for the surgical management of craniosynostosis: Lausanne experience"],"prefix":"10.3171","volume":"55","author":[{"given":"Amani","family":"Belouaer","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital and University of Lausanne, Switzerland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Cossu","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital and University of Lausanne, Switzerland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soulayma","family":"Al-Tayyari","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital and University of Lausanne, Switzerland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adela","family":"Bubenikova","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catalina","family":"Caliman","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital and University of Lausanne, Switzerland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Agri","sequence":"additional","affiliation":[{"name":"Department of Administration and Finance, Lausanne University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria-Helena","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Intensive and Intermediate Care Units, Women-Mother-Child Department, Lausanne University Hospital and University of Lausanne; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivianne","family":"Chanez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Intensive and Intermediate Care Units, Women-Mother-Child Department, Lausanne University Hospital and University of Lausanne; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann","family":"Boegli","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pediatric Unit, Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Mury","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pediatric Unit, Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy Thomas","family":"Daniel","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital and University of Lausanne, Switzerland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Messerer","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Service of Neurosurgery, Lausanne University Hospital and University of Lausanne, Switzerland;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"6","key":"b1","series-title":"World J Surg","first-page":"1531","article-title":"Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials","volume":"38","author":"Greco M","year":"2014","unstructured":"Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. World J Surg. 2014;38(6):1531\u20131541."},{"issue":"9","key":"b2","series-title":"J Laparoendosc Adv Surg Tech A","first-page":"860","article-title":"The history of Enhanced Recovery After Surgery and the ERAS Society","volume":"27","author":"Ljungqvist O","year":"2017","unstructured":"Ljungqvist O, Young-Fadok T, Demartines N. The history of Enhanced Recovery After Surgery and the ERAS Society. J Laparoendosc Adv Surg Tech A. 2017;27(9):860\u2013862."},{"issue":"6","key":"b3","series-title":"Ann Surg","first-page":"1153","article-title":"The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry","volume":"261","year":"2015","unstructured":"ERAS Compliance Group. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Ann Surg. 2015;261(6):1153\u20131159."},{"issue":"3","key":"b4","series-title":"Clin Nutr","first-page":"466","article-title":"Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection","volume":"24","author":"Fearon KC","year":"2005","unstructured":"Fearon KC, Ljungqvist O, Von Meyenfeldt M,  Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. 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Transplantation. 2022;106(3):552\u2013561."},{"issue":"6","key":"b9","series-title":"Clin Nutr","first-page":"879","article-title":"Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations","volume":"32","author":"Cerantola Y","year":"2013","unstructured":"Cerantola Y, Valerio M, Persson B,  Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations. Clin Nutr. 2013;32(6):879\u2013887."},{"issue":"5","key":"b10","series-title":"Spine J","first-page":"729","article-title":"Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations","volume":"21","author":"Debono B","year":"2021","unstructured":"Debono B, Wainwright TW, Wang MY,  Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations. Spine J. 2021;21(5):729\u2013752."},{"issue":"3","key":"b11","series-title":"JAMA Otolaryngol Head Neck Surg","first-page":"292","article-title":"Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction: a consensus review and recommendations from the Enhanced Recovery After Surgery Society","volume":"143","author":"Dort JC","year":"2017","unstructured":"Dort JC, Farwell DG, Findlay M,  Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction: a consensus review and recommendations from the Enhanced Recovery After Surgery Society. JAMA Otolaryngol Head Neck Surg. 2017;143(3):292\u2013303."},{"issue":"8","key":"b12","series-title":"JAMA Surg","first-page":"755","article-title":"Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society Recommendations","volume":"154","author":"Engelman DT","year":"2019","unstructured":"Engelman DT, Ben Ali W, Williams JB,  Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society Recommendations. JAMA Surg. 2019;154(8):755\u2013766."},{"issue":"3","key":"b13","series-title":"World J Surg","first-page":"659","article-title":"Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations: 2018","volume":"43","author":"Gustafsson UO","year":"2019","unstructured":"Gustafsson UO, Scott MJ, Hubner M,  Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations: 2018. World J Surg. 2019;43(3):659\u2013695."},{"issue":"12","key":"b14","series-title":"Eur J Surg Oncol","first-page":"2292","article-title":"Guidelines for perioperative care in cytoreductive surgery (CRS) with or without hyperthermic intraperitoneal chemotherapy (HIPEC): Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations\u2014Part I: Preoperative and intraoperative management","volume":"46","author":"H\u00fcbner M","year":"2020","unstructured":"H\u00fcbner M, Kusamura S, Villeneuve L,  Guidelines for perioperative care in cytoreductive surgery (CRS) with or without hyperthermic intraperitoneal chemotherapy (HIPEC): Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations\u2014Part I: Preoperative and intraoperative management. Eur J Surg Oncol. 2020;46(12):2292\u20132310."},{"issue":"1","key":"b15","series-title":"World J Surg","first-page":"11","article-title":"Guidelines for perioperative care for liver surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations 2022","volume":"47","author":"Joliat GR","year":"2023","unstructured":"Joliat GR, Kobayashi K, Hasegawa K,  Guidelines for perioperative care for liver surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations 2022. World J Surg. 2023;47(1):11\u201334."},{"issue":"2","key":"b16","series-title":"World J Surg","first-page":"299","article-title":"Guidelines for perioperative care in esophagectomy: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations","volume":"43","author":"Low DE","year":"2019","unstructured":"Low DE, Allum W, De Manzoni G,  Guidelines for perioperative care in esophagectomy: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations. World J Surg. 2019;43(2):299\u2013330."},{"issue":"6","key":"b17","series-title":"J Vasc Surg","first-page":"1796","article-title":"Perioperative care in open aortic vascular surgery: a consensus statement by the Enhanced Recovery After Surgery (ERAS) Society and Society for Vascular Surgery","volume":"75","author":"McGinigle KL","year":"2022","unstructured":"McGinigle KL, Spangler EL, Pichel AC,  Perioperative care in open aortic vascular surgery: a consensus statement by the Enhanced Recovery After Surgery (ERAS) Society and Society for Vascular Surgery. 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World J Surg. 2020;44(7):2056\u20132084."},{"issue":"10","key":"b20","series-title":"Br J Surg","first-page":"1209","article-title":"Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations","volume":"101","author":"Mortensen K","year":"2014","unstructured":"Mortensen K, Nilsson M, Slim K,  Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations. Br J Surg. 2014;101(10):1209\u20131229."},{"issue":"4","key":"b21","series-title":"Int J Gynecol Cancer","first-page":"651","article-title":"Guidelines for perioperative care in gynecologic\/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations\u20142019 update","volume":"29","author":"Nelson G","year":"2019","unstructured":"Nelson G, Bakkum-Gamez J, Kalogera E,  Guidelines for perioperative care in gynecologic\/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations\u20142019 update. 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World J Surg. 2016;40(9):2065\u20132083."},{"issue":"1","key":"b28","series-title":"Acta Orthop","first-page":"3","article-title":"Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations","volume":"91","author":"Wainwright TW","year":"2020","unstructured":"Wainwright TW, Gill M, McDonald DA,  Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations. 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