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Journal of Pediatric Surgery

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https://read.qxmd.com/read/30736956/a-novel-streamlined-trauma-response-team-training-improves-imaging-efficiency-for-pediatric-blunt-abdominal-trauma-patients
#1
Benjamin K Nti, Megan Laniewicz, Tracy Skaggs, Keith Cross, Mary E Fallat, Annie Rominger
BACKGROUND/PURPOSE: The morbidity and mortality of children with traumatic injuries are directly related to the time to definitive management of their injuries. Imaging studies are used in the trauma evaluation to determine the injury type and severity. The goal of this project is to determine if a formal streamlined trauma response improves efficiency in pediatric blunt trauma by evaluating time to acquisition of imaging studies and definitive management. METHODS: This study is a chart review of patients <18 years who presented to a pediatric trauma center following blunt trauma requiring trauma team activation...
January 23, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30732933/the-effectiveness-of-transoral-marsupialization-for-lingual-thyroglossal-duct-cysts-twelve-successfully-treated-cases-at-a-single-institution
#2
Toshio Harumatsu, Goki Uchida, Takumi Fujimura, Mototoshi Kato, Hirofumi Tomita, Shigeki Ishioka, Akihiro Shimotakahara, Naoki Shimojima, Satoshi Ieiri, Seiichi Hirobe
PURPOSE: Lingual thyroglossal duct cysts (L-TGDCs) are rare and sometimes lethal owing to their association with asphyxia. We aimed to analyze our single institutional experience with L-TGDCs. METHODS: Twelve L-TGDC cases treated at our institution between January 2010 and December 2017 were investigated. RESULTS: The male/female ratio was 6/6. The age at the diagnosis was 2 ± 1.4 months (7 days to 6 months), and 3 patients were diagnosed in the neonatal period...
January 23, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30732932/measuring-the-impact-of-surgical-intervention-on-pediatric-pectus-excavatum-using-white-light-scanning
#3
Elissa Port, Ferdynand Hebal, Catherine J Hunter, Fizan Abdullah, Bryan Malas, Marleta Reynolds
BACKGROUND: Objective preoperative assessment of pectus excavatum (PE) deformity in patients is limited to preoperative measurement of severity using computed tomography (CT) or magnetic resonance imaging (MRI). Postoperative assessment is currently subjective as postoperative CT scans are not recommended in light of radiation exposure and high cost to families. White Light Scanning (WLS) is a novel 3D imaging modality that offers an alternative that is a quick, nonionizing, inexpensive, and safe strategy for measurement both pre- and postsurgery...
January 23, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30717983/pedicled-jejunal-interposition-for-long-gap-esophageal-atresia
#4
Esther Platt, Janet McNally, Eleri Cusick
BACKGROUND/PURPOSE: Long gap esophageal atresia (LGEA) represents 10% of all esophageal atresias but can be complex to manage. Jejunal interposition (JI) has been recommended as the operative management of choice when esophageal ends cannot be opposed. We report our experience using the pedicled jejunal interposition technique with comparison to patients undergoing primary repair of LGEA. METHODS: This was a retrospective analysis of all patients managed for LGEA at our unit between 2003 and 2017 with comparison between pedicled jejunal interposition and primary repair...
January 16, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30717984/letter-to-the-editor
#5
LETTER
Suk Bae Moon
No abstract text is available yet for this article.
January 15, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30755326/surgical-management-of-pulmonary-aspergillosis-in-pediatric-population
#6
S AlShanafey, N AlMoosa, Bin Hussain, H AlHindi
INTRODUCTION: Aspergillosis is an invasive infection that affects mainly immunocompromised patients, and the lung is the most common site of infection. We reviewed our experience with the surgical management of pulmonary aspergillosis (PA) in pediatric population at a tertiary care institution. METHODS: A retrospective chart review was conducted for pediatric patients (<16 years) who were managed for PA over the period from January 2001 to December 2016. Demographic, clinical, and outcome data were retrieved, and descriptive data were generated...
January 11, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30711260/reply-to-letter-to-the-editor
#7
LETTER
V Raveenthiran
No abstract text is available yet for this article.
January 10, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30700386/diagnostic-ultrasound-guided-cutting-needle-biopsies-in-neuroblastoma-a-safe-and-efficient-procedure
#8
Kleopatra Georgantzi, Erik Sköldenberg, Eva Tiensuu Janson, Åke Jakobson, Rolf Christofferson
BACKGROUND: Neuroblastoma (NB) is the most common extracranial solid tumor of childhood and accounts for 15% of deaths in pediatric oncology. Apart from the clinical stage at diagnosis, molecular factors are important for the characterization of the tumor and for decision on adequate treatment. Pretreatment diagnosis and molecular profiling are based on analysis of a tumor sample, obtained either by fine needle aspiration cytology (FNAC), cutting needle biopsy or open surgical biopsy...
January 4, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30691879/c23-an-oligopeptide-derived-from-cold-inducible-rna-binding-protein-suppresses-inflammation-and-reduces-lung-injury-in-neonatal-sepsis
#9
Naomi-Liza Denning, Weng-Lang Yang, Laura Hansen, Jose Prince, Ping Wang
INTRODUCTION: Neonatal sepsis remains a leading cause of infant mortality. Cold-inducible RNA binding protein (CIRP) is an inflammatory mediator that induces TNF-α production in macrophages. C23 is a CIRP-derived peptide that blocks CIRP from binding its receptor. We therefore hypothesized that treatment with C23 reduces systemic inflammation and protects the lungs in neonatal sepsis. METHODS: Sepsis was induced in C56BL/6 mouse pups (5-7 days) by intraperitoneal injection of adult cecal slurry (0...
January 4, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30739749/postnatal-germ-cell-development-during-first-18-months-of-life-in-testes-from-boys-with-non-syndromic-cryptorchidism-and-complete-or-partial-androgen-insensitivity-syndrome
#10
Ruili Li, Damian Azzollini, Ruidong Shen, Jorgen Thorup, Erick Clasen-Linde, Dina Cortes, John M Hutson
INTRODUCTION: Neonatal testicular germ cells/gonocytes, transform into stem cells for spermatogenesis during 'minipuberty', driving change in timing of surgery. This study examined gonocyte transformation in cryptorchid testes in children ≤18 months of age with unilateral, bilateral undescended testes (UDT), complete or partial androgen insensitivity syndrome (CAIS, PAIS) [3,4]. MATERIAL AND METHODS: Testicular biopsies were taken from patients with unilateral or bilateral UDT, PAIS or CAIS, aged 10 days-18 months...
January 3, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30686516/association-analysis-of-nox5-polymorphisms-with-hirschsprung-disease
#11
Joong-Gon Shin, Jung Yeon Seo, Jeong-Meen Seo, Dae-Yeon Kim, Jung-Tak Oh, Kwi-Won Park, Hyun-Young Kim, Jeong-Hyun Kim, Hyoung Doo Shin
BACKGROUND/PURPOSE: Hirschsprung disease (HSCR) is a developmental disease characterized by the absence of ganglion cells in the intestinal region. NADPH oxidase5 (NOX5) has been identified as one of the possible candidate genes for risk of Hirschsprung disease in our recent genome wide association study (GWAS). In this study, we performed a replication study to analyze the association of NOX5 polymorphisms with HSCR risk and conducted an extended analysis to investigate further associations for sub-groups and haplotypes...
January 3, 2019: Journal of Pediatric Surgery
https://read.qxmd.com/read/30686521/need-for-urodynamic-evaluation-as-a-regular-follow-up-tool-in-assessment-of-long-term-urological-outcomes-in-patients-with-sacrococcygeal-teratoma
#12
Kashish Khanna, Sandeep Agarwala, Sameer Bakhshi, M Srinivas, Manisha Jana, K Devasenathipathy, Minu Bajpai, Veereshwar Bhatnagar
AIM: To assess the long-term urologic outcomes in follow-up of patients of sacrococcygeal teratoma (SCT) using urodynamic study (UDS) in addition to clinical and radiologic evaluation. METHODS: A prospective study of clinical, radiological and urodynamic evaluation in patients with SCT who underwent resection between January 2002-June 2015 and were followed up till January 2016 was conducted. RESULTS: Total 57 patients, 42 (73.7%) females and 15 (26...
December 29, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30683447/anorectal-malformations-and-perineal-hemangiomas-the-arm-net-consortium-experience
#13
Inbal Samuk, Carlos Gine, Ivo de Blaauw, Anna Morandi, Pernilla Stenstrom, Stefano Giuliani, Gabriele Lisi, Paola Midrio
AIM: Perineal hemangiomas rarely occur in patients with anorectal malformations (ARMs), but they can pose a significant challenge and warrant special attention. Surgical incision of posterior sagittal anorectoplasty (PSARP) may involve the hemangioma site resulting in hemorrhage, damage to blood supply, leading to complications and adversely affecting outcome. The aim of this study was to review the experience of the ARM-Net Consortium in the management of perineal hemangioma associated with ARM and evaluate treatment strategies...
December 29, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30717985/low-and-decreased-prevalence-of-congenital-abdominal-wall-defect-in-taiwan
#14
Ming-Chun Chen, Jian-Han Chen, Yun Chen, Ya-Hui Tsai, Cheng-Hung Lee
PURPOSE: This study aims to identify the prevalence of Congenital abdominal wall defects (AWD), hospital outcomes, and related congenital abnormalities in Taiwan by using the National Health Insurance Research Database (NHIRD). MATERIALS AND METHODS: From 1998 through 2013, all pediatric patients with AWD were collected via ICD-9-CM diagnostic code 756.7x ("congenital anomalies of abdominal wall") or procedure codes (54.71, 54.72 for Gastroschisis repair (GS-repair); 54...
December 28, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30686520/postoperative-course-following-complex-major-pediatric-urologic-surgery-a-single-surgeon-experience
#15
Aaron Wallace, Maria Veronica Rodriguez, Mohan S Gundeti
BACKGROUND/PURPOSE: Payers have established unplanned returns as quality measures tied to reimbursement. We sought to identify patient characteristics and surgical factors associated with unplanned returns and postoperative complications following intraabdominal pediatric urologic procedures. Only one study has emergency room visits in pediatric urology, but included only limited case complexity. METHODS: We retrospectively reviewed electronic medical records of all pediatric patients who underwent urological surgery from 2007 to 2016 by a single surgeon...
December 28, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30686518/progressive-reduction-of-hospital-length-of-stay-following-minimally-invasive-repair-of-pectus-excavatum-a-retrospective-comparison-of-three-analgesia-modalities-the-role-of-addressing-patient-anxiety-and-reframing-patient-expectations
#16
Marc G Schlatter, Long V Nguyen, Maria Tecos, Elle L Kalbfell, Omar Gonzalez-Vega, Tedi Vlahu
PURPOSE: Management of postoperative pain is a significant challenge following the Nuss procedure. Epidurals, PCAs, and newer analgesia modalities have been used elsewhere without demonstrating consistent improvement in the reported length of hospital stays (LOS). We reviewed a large single surgeon experience identifying three different methods of analgesia used over time to highlight marked improvement in patient LOS. METHODS: IRB approval was obtained and patient clinical information was retrospectively reviewed from 2001 to 2017...
December 28, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30685199/the-impact-of-pathological-criteria-on-pediatric-negative-appendectomy-rate
#17
Caroline Maloney, Morris C Edelman, Alexandra C Bolognese, Aaron M Lipskar, Barrie S Rich
INTRODUCTION: Negative appendectomy rate (NAR) is a quality metric used in the surgical management of appendicitis. The rates of negative appendectomy (NA) in children range anywhere from 1% to 40% in the literature. Many reports do not provide clear pathological definitions for either appendicitis or NA on which they base their calculation of NAR. We reviewed our experience with pediatric appendectomy and the pathological spectrum encompassed within our definition of a NA and examined how the pathologic definition impacts our hospital's NAR...
December 28, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30679012/a-critique-of-raveenthiran-s-reply-to-letter-to-the-editor-tracing-the-origins-of-circumcision
#18
LETTER
Stephen Moreton
No abstract text is available yet for this article.
December 28, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30660384/intracuff-pressure-during-one-lung-ventilation-in-infants-and-children
#19
Shabana Z Shafy, Mohammed Hakim, Mineto Kamata, Dmitry Tumin, Senthil G Krishna, Aymen Naguib, Joseph D Tobias
OBJECTIVE: We prospectively evaluated intracuff pressure (IP) during one-lung ventilation (OLV) to characterize potential risk associated with overinflation of the cuff used for OLV. DESIGN: Prospective observational study over a 2-year period, in infants and children undergoing thoracic surgery. The IPs of the tracheal and bronchial balloon were measured using a manometer and compared to a previously recommended threshold of 30 cmH2O. Data were compared by the device type used to achieve OLV...
December 28, 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/30686519/diagnostic-and-prognostic-utility-of-sf1-igf2-and-p57-immunoexpression-in-pediatric-adrenal-cortical-tumors
#20
Vinay Anand Guntiboina, Moumita Sengupta, Nelofar Islam, Shibsankar Barman, Somak Krishna Biswas, Uttara Chatterjee, Prafulla Kumar Mishra, Paromita Roy, Mamata Guha Mallick, Chhanda Datta
BACKGROUND: Adrenocortical tumors (ACT) are uncommon in the pediatric age group. Using the standard Weiss criteria in pediatric tumors leads to overdiagnosis. This has led to the development of newer systems such as Weineke criteria. Ki67 labeling index aids in differentiating adenomas from carcinomas. We aim to evaluate the diagnostic and prognostic role of Ki67 labeling index, along with immunoexpression of steroidogenic factor-1, insulin like growth factor 2 and p57, in pediatric ACTs diagnosed using Weineke criteria...
December 27, 2018: Journal of Pediatric Surgery
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