Tian-Na Cai, Shun-Gen Huang, Yang Yang, Hui-Min Mao, Wan-Liang Guo
PURPOSE: This study aimed to develop a prediction model to identify risk factors for post-operative acute pancreatitis (POAP) in children with pancreaticobiliary maljunction (PBM) by pre-operative analysis of patient variables. METHODS: Logistic regression (LR), support vector machine (SVM), and extreme gradient boosting (XGBoost) models were established using the prospectively collected databases of patients with PBM undergoing surgery which was reviewed in the period comprised between August 2015 and August 2022, at the Children's Hospital of Soochow University...
March 24, 2023: Pediatric Surgery International
Samuel E Rice-Townsend, Lauren Nicassio, Deb Glazer, Jeffrey Avansino, Megan M Durham, Jason Frischer, Casey Calkins, Rebecca M Rentea, Matthew Ralls, Megan Fuller, Richard J Wood, Michael Rollins, Justin Lee, Katelyn E Lewis, Ron W Reeder, Caitlin A Smith
PURPOSE: Fecal incontinence is a problem for many patients born with an anorectal malformation (ARM) that can impact quality of life. It is unknown if racial, ethnic, and socioeconomic disparities relate to fecal continence in these children. We sought to examine outcomes and potential disparities in care. METHODS: We performed a multicenter retrospective study of children > 3y with ARM evaluated at sites participating in the Pediatric Colorectal and Pelvic Learning Consortium (PCPLC)...
March 23, 2023: Pediatric Surgery International
Lawrence Willis, Ankush Gosain
PURPOSE: Globally, pediatric surgical association websites present patient/family education materials on an extensive list of conditions, including descriptions of the condition, signs and symptoms, diagnostic modalities, and treatment options. The purpose of this project was to assess the readability of pediatric surgical association websites' patient/family education materials. METHODS: With IRB approval, we accessed all patient/family education materials on pediatric surgical association websites from around the globe and used multiple grade-level assessments and readability assessments to determine the reading level at which the information is presented...
March 22, 2023: Pediatric Surgery International
Steven L Raymond, Marla A Sacks, Asra Hashmi, Jason O Robertson, Donald Moores, Edward P Tagge, Andrei Radulescu, Saleem Islam, Faraz A Khan
PURPOSE: Thoracoscopic and open approaches for the management of congenital lung malformations (CLM) has been debated. The aim of this study is to compare 30-day outcomes for non-emergent lobectomies in children. METHODS: The National Surgical Quality Improvement Program-Pediatric database was queried for patients undergoing CLM resection from 2013 to 2020. Outcomes were compared by operative technique in an intention-to-treat model and then propensity matched...
March 22, 2023: Pediatric Surgery International
Weibo Li, Chen Zhang, Wenli Li, Fanyue Qin, Xiang Gao, Falin Xu
BACKGROUND: Fulminant necrotizing enterocolitis (FNEC) is the most serious subtype of NEC and has a high mortality rate and a high incidence of sequelae. Onset prediction can help in the establishment of a customized treatment strategy. This study aimed to develop and evaluate a predictive nomogram for FNEC. METHODS: We conducted a retrospective observation to study the clinical data of neonates diagnosed with NEC (Bell stage ≥ IIB). Neonates were divided into the FNEC and NEC groups...
March 20, 2023: Pediatric Surgery International
Cunera M C de Beaufort, Julia C Groenveld, Tara M Mackay, K Mariam Slot, Sjoerd A de Beer, Justin R de Jong, Joost van Schuppen, Carola J McDonald, Dewi P Bakker, Elske van den Berg, Caroline F Kuijper, Ramon R Gorter
PURPOSE: First, to assess the number of spinal cord anomalies (SCA), specifically tethered spinal cord (TSC) in patients with anorectal malformations (ARM), identified with spinal cord imaging (i.e. spinal cord US and/or MRI). Second, to report outcomes after TSC treatment. METHODS: A retrospective mono-center study was performed. All ARM patients born between January 2000 and December 2021 were included. Screening for SCA consisted of spinal cord US and/or MRI...
March 19, 2023: Pediatric Surgery International
Bonnie L S Lim, Vairavan Narayanan, Shireen Anne Nah
BACKGROUND: Successful implementation of environmentally sustainable practices in the operating theatre (OT) requires stakeholder engagement. We evaluate the knowledge, attitudes, and practices of OT users in our institution towards sustainable practices in the OT. METHODS: A survey was conducted among OT users in August 2022. Respondents completed a 44-question anonymised online survey covering sustainability in (1) knowledge, (2) attitude, (3) practice, and (4) proposed changes to current practices...
March 17, 2023: Pediatric Surgery International
Bade Toker Kurtmen, Yildiz Ekemen Keles, Mustafa Agah Tekindal, Gokhan Koyluoglu, Dilek Yilmaz Ciftdogan
PURPOSE: Differentiating abdominal pain due to coronavirus disease (COVID-19)-associated multisystem inflammatory syndrome (MIS-C) in children with acute appendicitis (AA) can cause diagnostic dilemmas. This study aimed to evaluate the efficacy of a previously described scoring system and improve its diagnostic ability in differentiating between these diseases. METHODS: This study was conducted between March 2020 and January 2022. Patients who had MIS-C with gastrointestinal system (GIS) involvement and patients who underwent surgery for appendicitis were included...
March 10, 2023: Pediatric Surgery International
Nikolaos Koliakos, Dimitrios Papaconstantinou, Andrianos-Serafeim Tzortzis, Stylianos Kykalos, Anargyros Bakopoulos, Nikolaos Zavras, Dimitrios Schizas
Thoracobiliary fistula (TBF) is a rare condition, in which an atypical communication between the bronchial tree and the biliary tree is present. A comprehensive literature search was conducted on Medline, Embase and Web of Science databases for studies reporting TBF in children. Data regarding patient demographics, site of fistula presentation, preoperative diagnostic procedures needed, and treatment modalities employed were extracted for further analysis. The study pool consisted of 43 studies incorporating 48 cases of TBF...
March 8, 2023: Pediatric Surgery International
Moritz Markel, Nicole Peukert, Marco Ginzel, Rainer Haak, Steffi Mayer, Martin Lacher, Dietrich Kluth, Jan-Hendrik Gosemann
PURPOSE: There is a long history of research dealing with the embryology of the testicular descent. However, important aspects like the role of the gubernaculum and the development of the processus vaginalis peritonei are not understood. Micro-computed tomography (µCT) is an established tool for anatomical studies in rodents. Our study applied µCT imaging to visualize the testicular descent in rats and focused on the role of the gubernacular bulb and the development of the processus vaginalis peritonei...
March 8, 2023: Pediatric Surgery International
Mehmet Hanifi Okur, Bahattin Aydoğdu, Mustafa Azizoğlu, Salim Bilici, Salih Bayram, Fikret Salik
OBJECTIVE: Our goal was to compare laparoscopic portoenterostomy versus open portoenterostomy for the treatment of biliary atresia. MATERIALS AND METHODS: Using the databases EMBASE, PubMed, and Cochrane, we carried out a thorough literature search up to 2022. Studies comparing laparoscopic and open surgery for the treatment of biliary atresia were included. RESULTS: Twenty-three studies comparing laparoscopic portoenterostomy (LPE) (n = 689) and open portoenterostomy (OPE) (n = 818) were considered appropriate for meta-analysis...
March 7, 2023: Pediatric Surgery International
Mahgol Sadghian, Seyed Abdollah Mousavi, Seyed Mohammad Abedi, Mahboubeh JafariSarouei, Maedeh Gooran, Paniz Balmeh, Hamid Mohammadjafari
BACKGROUND: Ureteropelvic junction obstruction is a relatively common urologic problem in children. Most cases present with pelvicaliceal dilatation in antenatal period. Historically most UPJO cases were treated with surgical procedures, but recently many of these children have been treated by nonsurgical observational plans. We compared the outcome of children with UPJO treated in surgical and observational ways. METHODS: In a retrospective study, we assessed the medical history of patients diagnosed as UPJO, march 2011 to march 2021...
March 7, 2023: Pediatric Surgery International
Juliana Mancera, Viviana Echeverri, Ana M Castillo, Luis F Rodríguez, Ricardo Zarama, Carlos Villamil, Juan P Luengas
PURPOSE: Malignant chest wall tumors are rare in pediatrics. They require multimodal oncological treatment and local surgical control. Resections are extensive; therefore, thoracoplasty should be planned to protect intrathoracic organs, prevent herniation, future deformities, preserve ventilatory dynamics, and enable radiotherapy. METHODS: We present a case series of children with malignant chest wall tumors and our surgical experience with thoracoplasty using absorbable rib substitutes (BioBridge® ), after local surgical control...
March 4, 2023: Pediatric Surgery International
Umit Ayşe Tandircioglu, Ozlem Boybeyi Turer, Tutku Soyer, Ercan Ayaz, H Nursun Ozcan, Sule Yigit, Hasan Tolga Celik
BACKGROUND: Prostaglandin E1 (PGE1) is used in the medical treatment of ductal-dependent critical congenital heart disease (CCHD) in neonates. Apnea/bradycardia, hypotension, hypokalemia, and fever are the most important side effects of PGE1. Moreover, gastric outlet obstruction has been reported in a few case reports. A prospective study was conducted to investigate the effect of PGE1 treatment on pyloric wall thickness in newborns with congenital heart diseases. METHODS: A total of 22 newborns with ductal-dependent CCHD having PGE1 infusion longer than a week were included in this study...
March 1, 2023: Pediatric Surgery International
YiWei Fang, ZhenWu Li, HongCheng Song, Ning Sun, WeiPing Zhang
PURPOSE: To summarize the experience of nephron-sparing surgery (NSS) for bilateral Wilms tumors (BWT) in children. METHODS: This study included children with BWT admitted to our hospital between January 2008 and June 2022. The details of the treatments and outcomes were analyzed. RESULTS: In all, 70 patients (39 males and 31 females) were enrolled, including 66 patients with synchronous tumors and 4 patients with metachronous tumors. The median age at diagnosis was 13 (3-75) months...
March 1, 2023: Pediatric Surgery International
Jack P Vernamonti, Dimitra M Lotakis, Heather Hartman, Danielle Dougherty, Marcus D Jarboe
INTRODUCTION: Neonatal abdominal reoperation is difficult and can be complicated by abdominal adhesions. Identifying patients who could safely undergo early reoperation would save TPN and central line days, decrease associated infection and liver injury, and NICU and hospital length of stay. We sought to determine if ultrasound (US) could accurately assess the location and severity of adhesions in neonates as an objective dynamic marker capable of informing reoperation timing. METHODS: After IRB approval, we conducted a prospective observational study including neonates undergoing abdominal operations...
March 1, 2023: Pediatric Surgery International
Nipun Wickramasekara, Jenosha Ignatius, Ananda Lamahewage
PURPOSE: Outcome data after Kasai portoenterostomy (KPE) reported worldwide show considerable regional and institutional variation. It is not known whether the same standards of outcomes reported in western world can be replicated in resource-poor countries. METHODS: We reviewed 79 patients of which 43 had completed a 2-year minimum follow-up. Two cohorts were based on age at KPE. The median age at surgery was 60 days. RESULTS: Clearance of jaundice (COJ) at 3 months was 20...
February 28, 2023: Pediatric Surgery International
Fengming Ji, Chengchuang Wu, Ye Li, Chenghao Zhanghuang, Jinrong Li, Li Li, Zhen Yang, Bing Yan
OBJECTIVE: To analyze the efficacy of multidisciplinary treatment for Wilms tumor (WT) in Kunming Children's Hospital, and investigate the risk factors affecting the prognosis of WT. METHODS: The clinic-pathological data were collected and analyzed in patients with unilateral WT treated in Kunming Children's Hospital from January 2017 to July 2021. Research subjects were selected according to inclusion criteria and exclusion criteria. The risk factors and independent risk factors that affect the prognosis of patients with WT were determined by Kaplan-Meier survival analysis and Cox proportional hazards model, respectively...
February 27, 2023: Pediatric Surgery International
V Dotlacil, T Lerchova, S Coufal, B Kucerova, J Schwarz, O Hradsky, R Skaba, M Rygl
PURPOSE: Ileocecal resection (ICR) is the most frequently performed surgery in paediatric Crohn's disease (CD) patients. The aim of the study was to compare laparoscopic-assisted and open ICR. METHODS: Retrospective review of consecutive CD patients undergoing ICR between March 2014 and December 2021 was performed. The patients were divided into open (OG) and laparoscopic (LG) groups. Compared parameters included patients' demographics, clinical characteristics, surgery, duration of hospitalisation and follow-up...
February 27, 2023: Pediatric Surgery International
Jayadatta Pawar, Palanivelu Chinnusamy, S Soundappan, Anand Vijai
PURPOSE: There is a paucity of data regarding the comparison of robotic and laparoscopic hepaticojejunostomy (HJ) for the treatment of paediatric choledochal cysts. Thus, our primary objective was a comparison of early complications namely post-operative bleeding, anastomotic leak, intestinal obstruction and the need for reoperation in both techniques. Our secondary objectives included a comparison of the mean time for surgery and HJ, conversion of procedure to open, intraoperative blood loss, late complications like cholangitis, stricture and post-operative outcomes like time to start oral feeds and length of post-operative stay...
February 26, 2023: Pediatric Surgery International
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.