Debasish B Banerjee, Nalini Appasawmy, Stephen Caldwell, Rachel L Wade, Anthony Owen, Nitin Patwardhan, Bala Eradi
PURPOSE: To highlight the utility of Colorectal Nurse Specialist (CNS) supervised parental administration of rectal washouts in the management of Hirschsprung's disease (HD). METHODS: Retrospective case note review of HD patients treated at a tertiary children's hospital in United Kingdom from January 2011 to December 2022. Data collected included demographics, complications, enterocolitis, obstructive symptoms and stomas. Primary pull-through (PT) is done 8-12 weeks after birth...
April 13, 2024: Pediatric Surgery International
Wei Feng, Bobin Zhang, Linxiao Fan, Aohua Song, Jinping Hou, Xiaohong Die, Wei Liu, Yi Wang, Zhenhua Guo
PURPOSE: To explore the influence of postoperative Hirschsprung-associated enterocolitis (post-HAEC) on long-term outcomes and to identify risk factors of post-HAEC. METHODS: The medical records of 304 eligible patients diagnosed with Hirschsprung's disease (HSCR) were reviewed. We analyzed the clinical characteristics of post-HAEC and its influence on long-term outcomes. Furthermore, risk factors for early and recurrent HAEC were identified separately. RESULTS: The overall incidence of post-HAEC was 29...
April 13, 2024: Pediatric Surgery International
Liliana Piro, Federica Lena, Arianna Roggero, Nicola Stagnaro, Girolamo Mattioli, Michele Torre
BACKGROUND: Sternal cleft (SC), a rare thoracic malformation, is associated with pectus excavatum (PE) in 2.6-5% of cases. It remains unclear if these conditions are congenitally linked or if SC repair triggers PE. To investigate the potential higher frequency of PE in SC cases, we conducted a retrospective study of our SC patients. METHODS: We assessed PE incidence, progression, and management in SC patients treated at our institute from 2006 to 2022. When available, we collected pre-SC repair CT scan data, calculating the Haller Index (HI) and Correction Index (CI) and compared them to a selected control group...
April 11, 2024: Pediatric Surgery International
Qionghe Liang, Changgui Lu, Peng Liu, Ming Yang, Weibing Tang, Weiwei Jiang
OBJECTIVE: Children with congenital anorectal malformation (CAM) experience challenges with defecation. This study aims to assess defecation in preschool-age children with CAM and to evaluate the correlation between pelvic floor muscle developed assessed by magnetic resonance imaging (MRI) and postoperative defecation. METHODS: We collected clinical data and MRI results from 89 male children with CAM. The bowel function scores for children with Perineal (cutaneous) fistula, Rectourethral fistula(Prostatic or Bulbar), and Rectovesical fistula were computed...
April 10, 2024: Pediatric Surgery International
Giorgia Contini, Ermelinda Mele, Andrea Celeste Barneschi, Ciro Esposito, Marco Castagnetti
OBJECTIVE: To assess the role of voiding cystourethrography (VCUG) in patients with duplex system ureterocele (DSU) undergoing endoscopic decompression (ED). MATERIALS AND METHODS: This is a retrospective study of 75 consecutive patients with DSU undergoing ED [median (range) age, 6 (1-148) months]. Patients were divided into 3 groups, 33 with a VCUG showing vesicoureteral reflux (VUR) before ED (VUR-group), 22 with a VCUG negative for VUR (No-VUR-group), and 20 who did not undergo a VCUG (No-VCUG-group)...
April 10, 2024: Pediatric Surgery International
Gabriel C Gonzalez, Alejandra M Casar Berazaluce, Todd M Jenkins, William D Hardie, Karla E Foster, Ryan A Moore, Adam W Powell, Victor F Garcia, Rebeccah L Brown
PURPOSE: The utility of pulmonary function testing (PFT) in pectus excavatum (PE) has been subject to debate. Although some evidence shows improvement from preoperative to postoperative values, the clinical significance is uncertain. A high failure-to-completion rate for operative PFT (48%) was identified in our large institutional cohort. With such a high non-completion rate, we questioned the overall utility of PFT in the preoperative assessment of PE and sought to evaluate if other measures of PE severity or cardiopulmonary function could explain this finding...
April 8, 2024: Pediatric Surgery International
Hatice Toprak, Emre Kandemir
PURPOSE: In children, circumcision is a procedure associated with perioperative pain and parental satisfaction is an important parameter in the evaluation of anesthesia procedures. Inadequate dorsal penile nerve block (DPNB) for the ventral shaft of the penis might impact parental satisfaction negatively. To evaluate this hypothesis, we compared the effects of penile ring block (RB) and dorsal penile nerve block (DPNB) on parental satisfaction. Postoperative pain, need for additional analgesia, intraoperative hemodynamic data, recovery status, side effects, and postoperative complications were evaluated as secondary outcomes between the blocks...
April 8, 2024: Pediatric Surgery International
Goeto Dantes, Courtney H Meyer, Maeghan Ciampa, Andreya Antoine, Alison Grise, Valerie L Dutreuil, Zhulin He, Randi N Smith, Deepika Koganti, Alexis D Smith
PURPOSE: Management of high-grade pediatric and adolescent liver trauma can be complex. Studies suggest that variation exists at adult (ATC) vs pediatric trauma centers (PTC); however, there is limited granular comparative data. We sought to describe and compare the management and outcomes of complex pediatric and adolescent liver trauma between a level 1 ATC and two PTCs in a large metropolitan city. METHODS: A retrospective review of pediatric and adolescent (age < 21 years) patients with American Association for the Surgery of Trauma (AAST) Grade 4 and 5 liver injuries managed at an ATC and PTCs between 2016 and 2022 was performed...
April 7, 2024: Pediatric Surgery International
Mamta Naik, Alexandria Lawrence, Allison Davidson, John Chapman, Dalya Ferguson, Allison L Speer, Essam Imseis
PURPOSE: The effect of different types of lipid emulsion may guide therapy of patients with intestinal failure (IF) to limit morbidity such as intestinal failure-associated liver disease (IFALD). METHODS: A retrospective chart review of pediatric patients with IF who received soybean oil lipid emulsion (SL) or mixed oil lipid emulsion (ML) was performed. Data over 1 year were collected. RESULTS: Forty-five patients received SL and 34 received ML...
April 6, 2024: Pediatric Surgery International
Miki Ishikawa, Hirofumi Tomita, Yoshifumi Ito, Ayano Tsukizaki, Kiyotomo Abe, Akihiro Shimotakahara, Naoki Shimojima, Seiichi Hirobe
PURPOSE: Long-gap esophageal atresia (LGEA) is still a challenge for pediatric surgery. No consensus exists as to what constitutes a long gap, and few studies have investigated the maximum gap length safely repairable by primary anastomosis. Based on surgical outcomes at a single institution, we aimed to determine the gap length in LGEA with a high risk of complications. METHODS: The medical records of 51, consecutive patients with esophageal atresia (EA) with primary repair in the early neonatal period between 2001 and 2021 were retrospectively reviewed...
April 6, 2024: Pediatric Surgery International
Yael Dreznik, Maya Paran, Artur Baazuv, Aenov Cohen, Elchanan Bruckheimer, Daria Kozlova, Shira Amar, Michael Segal, Osher Cohen, Dragan Kravarusic
INTRODUCTION: Historically, neuroblastoma has been diagnosed by surgical open biopsy (SB). In recent decades, core needle biopsy (CNB) has replaced surgical biopsy due to its safe and adequate method of obtaining tissue diagnosis. AIM: Our study aimed to assess the effectiveness of CNB in obtaining tissue diagnosis for neuroblastoma and evaluate its safety profile in terms of post-operative complications, in comparison to SB. METHODS: A retrospective cohort study, including all patients younger than 18 years who were diagnosed with neuroblastoma from 2012 until 2022 in a single tertiary medical center...
April 6, 2024: Pediatric Surgery International
V V S Chandrasekharam, Ramesh Babu, Mehul Shah
PURPOSE: Some children with hypertension (HTN) have unilateral poorly functional kidney (PFK). This provides an opportunity for the clinician to cure the HTN by removal of the PFK, thereby avoiding the problems of long-term medication. However, there is sparse data in children regarding the effect of PFK nephrectomy on curing HTN. In this review, we analysed the etiology of PFK causing HTN and the effectiveness of nephrectomy in curing HTN in children. METHODS: We searched the databases to identify papers between January 2000 to December 2020 pertaining to children with PFK and HTN who underwent nephrectomy...
April 3, 2024: Pediatric Surgery International
Harriet Beattie, Thejasvi Subramanian, Elizabeth Scudamore, Thomas Middleton, Caroline MacDonald, Richard Lindley, Govind Murthi
AIMS: Assess long-term quality of life (QoL), bowel and voiding function in anorectal malformation (ARM) paediatric patients. METHOD: Retrospective review of ARM patients between 2007 and 2020 was performed. QoL (all patients), bowel and voiding function (> 5 yo) were assessed using the paediatric quality of life inventory (PedsQL), paediatric incontinence and constipation score (PICS) and dysfunctional voiding scoring system (DVSS), respectively...
April 3, 2024: Pediatric Surgery International
Mingming Li, Chaoxiang Lu, Qi Wang, Qi Gao
OBJECTIVE: To evaluate whether infants with prenatal diagnosis of meconium peritonitis (MP) have a poorer prognosis. METHODS: A retrospective analysis of data from infants treated with surgery from January 2008 to December 2020 was conducted. The patients were divided into prenatal diagnosis group and postnatal diagnosis group based on the timing of diagnosis. The intraoperative and postoperative parameters of the two groups of patients were compared. RESULTS: A total of 71 cases of MP were included in the study, with 48 cases in the prenatal diagnosis group and 23 cases in the postnatal diagnosis group...
March 29, 2024: Pediatric Surgery International
Miriam Torsello, Luana Sicuranza, Duino Meucci, Antonio Salvati, Maria Luisa Tropiano, Sara Santarsiero, Cinzia Calabrese, Alessandra D'Onghia, Marilena Trozzi
PURPOSE: Inhalation of a foreign body is a real emergency in pediatric age and requires prompt diagnosis and treatment to reduce mortality. The objective of this study is to analyze clinical and radiological details, types, and localization of foreign bodies in patients conducted or to our hospital with suspected inhalation. METHODS: We conducted a retrospective analysis of all cases of foreign body inhalation admitted to our Pediatric Emergency Room between January 2009 and June 2022...
March 29, 2024: Pediatric Surgery International
Özlem Balcı, İbrahim Karaman, Ayşe Karaman
BACKGROUND: Despite being a common condition in puberty, only 5-10% of pubertal gynecomastia need surgical treatment. Here the authors present their experiences with infra-areolar subcutaneous mastectomy in the surgical treatment of adolescent gynecomastia. METHODS: The records of patients who underwent infra-areolar subcutaneous mastectomy for adolescent gynecomastia between January 2004 and December 2021 were reviewed retrospectively. The patients' demographic data, complaints and clinical presentation, physical examination, laboratory and radiological findings, surgical management, and postoperative follow-ups were evaluated...
March 27, 2024: Pediatric Surgery International
Prem Puri
No abstract text is available yet for this article.
March 25, 2024: Pediatric Surgery International
Daiki Kato, Hiroo Uchida, Hizuru Amano, Kazuki Yokota, Chiyoe Shirota, Takahisa Tainaka, Wataru Sumida, Satoshi Makita, Akihiro Yasui, Yousuke Gohda, Takuya Maeda, Akinari Hinoki
PURPOSE: Sandifer syndrome (SS), which combines gastroesophageal reflux (GER) and a neurological or psychiatric disorder, is an uncommon condition that often takes a long time to diagnosis. We aimed to systematically review available papers regarding SS. METHODS: After presenting our two cases of SS, we systematically reviewed articles published in MEDILINE/PubMed, Cochrane Library, and Web of Science. RESULTS: The meta-analysis included 54 reported cases and 2 of our own cases...
March 25, 2024: Pediatric Surgery International
Koichi Deguchi, Masafumi Kamiyama, Kazunori Masahata, Motonari Nomura, Miho Watanabe, Takehisa Ueno, Yuko Tazuke, Hiroomi Okuyama
PURPOSE: Congenital esophageal stenosis (CES) associated with esophageal atresia (EA) is rare, and no standard treatment has been established. We reviewed cases of EA-associated CES to assess the clinical characteristics and treatment outcomes, especially the feasibility of endoscopic dilatation. METHODS: We retrospectively examined patients with EA-associated CES. We also compared treatment outcomes of EA-associated CES with those of EA patients without CES who developed postoperative anastomotic stricture...
March 22, 2024: Pediatric Surgery International
Kanokrat Thaiwatcharamas, Watcharin Loilome, Phuc N Ho, Sinobol Chusilp, Patchareeporn Tanming, Poramate Klanrit, Jutarop Phetcharaburanin
PURPOSE: This study aims to compare the fecal metabolome in post pull-through HD with and without HAEC patients and healthy young children using nuclear magnetic resonance (NMR) spectroscopy. METHODS: Fresh fecal samples were collected from children under 5 years of age in both post-pull-through HD patients and healthy Thai children. A total of 20 fecal samples were then analyzed using NMR spectroscopy. RESULTS: Thirty-four metabolites identified among HD and healthy children younger than 5 years were compared...
March 21, 2024: Pediatric Surgery International
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