Piero Alberti, Jola Bytyci, Jessy Jindal, Michael Stephanou, Lucy Thompson, Yedidiah Tilahun, Yuxin Ying, Annabel Killen, Emery Manirambona, Alliance Niyukuri, Kokila Lakhoo, Kathryn Ford
BACKGROUND: Literature on paediatric surgical conditions in low- and middle-income countries (LMICs) remains limited. As a common emergency, timely treatment of testicular torsion acts as a benchmark of adequate emergency service delivery in paediatric surgery. This scoping study aims to synthesise all existing literature on paediatric testicular torsion in LMICs. METHODS: A database search was conducted by the OxPLORE global paediatric surgery research group to identify studies containing the terms 'testicular torsion' or 'acute scrotum' originating from LMICs...
May 2, 2024: Pediatric Surgery International
Shrilakshmi Aithal, Arvind Sinha, Manish Pathak, Kirtikumar Rathod, Avinash Jadhav, Rahul Saxena, Shubhalaxmi Nayak, S Bhaskar
INTRODUCTION: Spinal dysraphism is the most frequent cause of neurogenic bladder. Urodynamic study (UDS) is an important component of the follow-up of a child with neurogenic bladder. However, it suffers from a lack of widespread availability and is further hampered by technical difficulties and difficulty in its interpretation in children. A neurogenic bladder often appears vertically elongated; only limited and sparse literature is available regarding objectively defining the bladder shape and the urodynamic parameters in the cohort...
April 29, 2024: Pediatric Surgery International
Yigang Qian, Wei Zhang, Weili Wang, Zhiwei Li, Yi Shao, Shunliang Gao, Jian Wu, Jun Yu, Min Zhang, Yan Shen, Xueli Bai, Tingbo Liang
PURPOSE: The incidence of post-transplant poral vein stenosis (PVS) is higher in pediatric liver transplantation, probably resulting from various portal vein (PV) reconstruction methods or other factors. METHODS: 332 patients less than 12 years old when receiving liver transplantation (LT) were enrolled in this research. Portal vein reconstruction methods include anastomosis to the left side of the recipient PV trunk (type 1, n = 170), to the recipient left and right PV branch patch (type 2, n = 79), using vein graft interposition (type 3, n = 32), or end-to-end PV anastomosis (type 4, n = 50)...
April 26, 2024: Pediatric Surgery International
Omar Nasher, Nigel J Hall, Rajnikant Mehta, Yousef El-Gohary, Marian Knight
PURPOSE: This study aims to evaluate different surgical approaches to long-gap esophageal atresia (LGEA) with or without tracheoesophageal fistula (TEF) is unclear. METHODS: A systematic literature review was done comparing gastric transposition versus esophageal lengthening with delayed primary anastomosis in infants with LGEA+/-TEF. The primary outcome was time to full oral feeds. Secondary outcomes were time to full enteric feeds, need for further surgery, growth, mortality, and postoperative adverse events...
April 24, 2024: Pediatric Surgery International
Atsuro Takimoto, Shigehisa Fumino, Masafumi Iguchi, Shohei Takayama, Kiyokazu Kim, Shigeyoshi Aoi, Shigeru Ono
BACKGROUND: Long-term urinary outcomes after anorectal malformation (ARM) repair are affected by surgical approach and sacral anomalies. This study aimed to compare laparoscopic-assisted anorectoplasty (LAARP) and posterior sagittal anorectoplasty (PSARP) in terms of urinary complications. METHODS: Between 2001 and 2022, 45 patients were treated with LAARP or PSARP. The rectourethral fistula and inflow angle between the fistula and rectum was confirmed by preoperative colonography...
April 20, 2024: Pediatric Surgery International
Oktay Ulusoy, Mustafa Olguner
No abstract text is available yet for this article.
April 18, 2024: Pediatric Surgery International
Simonetta Costa, Irma Capolupo, Luca Bonadies, Michele Quercia, Maria Pasqua Betta, Sara Gombos, Costanza Tognon, Giacomo Cavallaro, Stefania Sgrò, Roberta Pastorino, Denise Pires Marafon, Andrea Dotta, Giovanni Vento
PURPOSE: Few guidelines exist for the perioperative management (PM) of neonates with surgical conditions (SC). This study examined the current neonatal PM in Italy. METHODS: We invited 51 neonatal intensive care units with pediatric surgery in their institution to participate in a web-based survey. The themes included (1) the involvement of the neonatologist during the PM; (2) the spread of bedside surgery (BS); (3) the critical issues concerning the neonatal PM in operating rooms (OR) and the actions aimed at improving the PM...
April 16, 2024: Pediatric Surgery International
Shuai Shang, Ao Li, Chao Liang, Cuncun Shen, Yingchao Li, Lintao Liu, Na Geng, Weili Xu, Suolin Li
PURPOSE: Variability in necrosis patterns and operative techniques in surgical necrotizing enterocolitis (NEC) necessitates a standardized classification system for consistent assessment and comparison. This study introduces a novel intraoperative reporting system for surgical NEC, focusing on reliability and reproducibility. METHODS: Analyzing surgical NEC cases from January 2018 to June 2023 at two tertiary neonatal and pediatric surgery units, a new classification system incorporating anatomical details and intestinal involvement extent was developed...
April 15, 2024: Pediatric Surgery International
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
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