Journals European Journal of Pediatric ...

European Journal of Pediatric Surgery
Tutku Soyer, Luca Pio, Ramon Gorter, Leopoldo Martinez, Jens Dingemann, Federica Pederiva, Anne Dariel, Elke Zani-Ruttenstock, Mohit Kakar, Nigel J Hall
AIM: To evaluate the practice patterns of European Pediatric Surgeons Association (EUPSA) members regarding the timing of inguinal hernia (IH) repair in premature infants. METHODS: Online survey containing 29 questions distributed to EUPSA members during January 2023. RESULTS: A total of 180 responds were received.. Overall, IH repair prior to discharge was favored by 60% of respondents when there was a history of incarceration and 56% when there was not...
April 2, 2024: European Journal of Pediatric Surgery
Simon Kenny, Hany Gabra, Nigel J Hall, Helene Flageole, Bogdan Illie, Ellie Barnett, Richard Kocharian, Khalid Sharif
INTRODUCTION:  Data on the use of fibrin sealants to control intraoperative bleeding in children are scarce. Evicel Fibrin Sealant (Ethicon Inc., Raritan, New Jersey, United States) was found safe and effective in clinical trials of adults undergoing various surgery types. We evaluated the safety and efficacy of Evicel versus Surgicel Absorbable Hemostat (Ethicon Inc.) as adjunctive topical hemostats for mild/moderate raw-surface bleeding in pediatric surgery. METHODS:  A phase III randomized clinical trial was designed as required by the European Medicines Agency's Evicel Pediatric Investigation Plan: 40 pediatric subjects undergoing abdominal, retroperitoneal, pelvic, or thoracic surgery were randomized to Evicel or Surgicel, to treat intraoperative mild-to-moderate bleeding...
March 29, 2024: European Journal of Pediatric Surgery
C M Kersten, M D G Jansen, M J P Zuidweg, R M W H Wijnen, T B Krasemann, J M Schnater
BACKGROUND:  Our objective was to explore the treatment preferences for bronchopulmonary sequestration (BPS) among an international group of specialized caregivers. METHODS:  Sixty-three participants from 17 countries completed an online survey concerning the diagnostics, treatment, and follow-up. Recruitment took place among members of the Collaborative Neonatal Network for the first European Congenital Pulmonary Airway Malformation Trial Consortium and through the Association for European Pediatric and Congenital Cardiology working group database...
March 6, 2024: European Journal of Pediatric Surgery
Miriam Wilms, Ekkehart Jenetzky, Stefanie Märzheuser, Reinhard Busse, Ulrike Nimptsch
BACKGROUND:  Anorectal malformations (ARMs) are complex congenital anomalies. The corrective operation is demanding and schedulable. Based on complete national data, patterns of care have not been analyzed in Germany yet. METHODS:  All cases with ARM were analyzed (1) at the time of birth and (2) during the hospital stay for the corrective operation, based on the national hospital discharge data (DRG statistics). Patient's comorbidities, treatment characteristics, hospital structures, and the outcome of corrective operations were analyzed with respect to the hospitals' caseload...
February 29, 2024: European Journal of Pediatric Surgery
Robin Rey, Renato Gualtieri, Giorgio La Scala, Klara Posfay Barbe
INTRODUCTION:  Artificial intelligence (AI) is a growing field in medical research that could potentially help in the challenging diagnosis of acute appendicitis (AA) in children. However, usefulness of AI in clinical settings remains unclear. Our aim was to assess the accuracy of AIs in the diagnosis of AA in the pediatric population through a systematic literature review. METHODS:  PubMed, Embase, and Web of Science were searched using the following keywords: "pediatric," "artificial intelligence," "standard practices," and "appendicitis," up to September 2023...
February 29, 2024: European Journal of Pediatric Surgery
Jose Santiago, Murali Surnedi, Horacio M Padua, Raja Shaikh, Rush Chewning, Ahmad I Alomari, Gulraiz Chaudry
OBJECTIVE:  To describe our technique and share our experience with image-guided transrectal drainage (TRD) of pelvic abscesses in children. MATERIALS AND METHODS:  Retrospective review and analysis of indications for image-guided TRD and examination of procedural outcomes in pediatric patients with pelvic abscesses over 8 years. RESULTS:  A total of 69 patients (33 males and 36 females) with symptomatic pelvic abscesses underwent image-guided TRD...
February 6, 2024: European Journal of Pediatric Surgery
Olivia K C Spivack, Michaela Dellenmark-Blom, Jens Dingemann, Chantal A Ten Kate, Vuokko Wallace, Wichor M Bramer, Julia H Quitmann, Andre Rietman
INTRODUCTION:  Patient-reported outcome measures (PROMs) can be employed in both research and clinical care to enhance our understanding of outcomes that matter to patients. This narrative review aims to describe PROM use in recent pediatric surgical research, identify and describe psychometrically robust PROMs, providing an overview of those derived from pediatric patient input, and make recommendations for future research. MATERIALS AND METHODS:  A search was conducted to identify articles published from 2021 to August 2023 describing the availability and/or use of at least one valid or reliable PROM in children with conditions including anorectal malformations, biliary atresia, congenital diaphragmatic hernia, duodenal atresia, esophageal atresia, abdominal wall defects, Hirschsprung's disease, sacrococcygeal teratoma, and short bowel syndrome...
January 25, 2024: European Journal of Pediatric Surgery
Shruthi Srinivas, Maria E Knaus, Drayson Campbell, Alberta Negri Jimenez, Kristine L Griffin, Gabriella Pendola, Alessandra C Gasior, Richard J Wood, Ihab Halaweish
Introduction Children with anorectal malformations (ARMs) benefit from bowel management programs (BMPs) to manage constipation or fecal incontinence. We aimed to understand the role of social determinants of health (SDOH) in outcomes following BMPs in this population. Materials and Methods A single-institution, IRB-approved, retrospective review was performed in children with ARM who underwent BMP from 2014-2021. Clinical, surgical, and SDOH data were collected. Children were stratified as clean or not clean per Rome IV criteria at the completion of BMP...
January 23, 2024: European Journal of Pediatric Surgery
Mohammad Daboos, Mohamed Abdelmaboud, Ahmed Azab, Mohamed Abdelaziz, Hany Eldamanhory
INTRODUCTION:  The original description of tubularized incised plate urethroplasty (TIPU) was provided by Snodgrass in 1994. The results were significantly improved by several modifications. To decrease the incidence of complications, interposing a vascularized flap after tubularization of the neourethra is recommended. The extent to which the type of interposed tissue has a direct effect on the rate of complications and cosmetic outcomes after TIPU repair is considered the answer to the main hypothesis of this study...
January 23, 2024: European Journal of Pediatric Surgery
Hendrik van Braak, Sjoerd de Beer, Justin R de Jong, Markus F Stevens, Gijsbert Musters, Sander Zwaveling, Matthijs W Oomen, Wendeline Van der Made, Egbert Krug, L W Ernest van Heurn
Background Nuss procedure for pectus excavatum is a minimally invasive, but painful procedure. Recently, intercostal nerve cryoablation has been introduced as a pain management technique. Materials and methods In this cohort study, we compared the efficacy of multimodal pain management strategies in children undergoing a Nuss procedure. The effectiveness of intercostal nerve cryoablation combined with patient-controlled systemic opioid analgesia (PCA) was compared to continuous epidural analgesia (CEA) combined with PCA...
January 19, 2024: European Journal of Pediatric Surgery
Willemijn F E Irvine, Olivia K C Spivack, Erwin Ista
Applying evidence-based guidelines can enhance the quality of patient care. While robust guideline development methodology ensures credibility and validity, methodological variations can impact guideline quality. Besides methodological rigor, effective implementation is crucial for achieving improved health outcomes. This review provides an overview of recent literature pertaining to the development and implementation of guidelines in pediatric surgery. Literature was reviewed to provide an overview of sound guideline development methodologies and approaches to promote effective guideline implementation...
January 19, 2024: European Journal of Pediatric Surgery
Kylie I Holden, Ashley H Ebanks, Kevin P Lally, Matthew T Harting
The Congenital Diaphragmatic Hernia Study Group (CDHSG) is an international consortium of medical centers actively collecting and voluntarily contributing data pertaining to live born congenital diaphragmatic hernia (CDH) patients born and/or managed at their institutions. These data are aggregated to construct a comprehensive registry that participating centers can access to address specific clinical inquiries and track patient outcomes. Since its establishment in 1995, 147 centers have taken part in this initiative, including 53 centers from 17 countries outside the United States, with 95 current active centers across the globe...
January 19, 2024: European Journal of Pediatric Surgery
Nadine M Teunissen, Rene M H Wijnen
No abstract text is available yet for this article.
January 19, 2024: European Journal of Pediatric Surgery
Annika Mutanen, Benno Ure
No abstract text is available yet for this article.
February 2024: European Journal of Pediatric Surgery
Catarina Carvalho, Anna Morandi, Inbal Samuk, Carlos Gine, Ramon Gorter, Maria Jose Martinez-Urrutia, Alejandra Vilanova-Sánchez
PURPOSE: All types of cloacal malformations may be associated with anatomic variations of the external genitalia, including hypoplasia of the labia minora and enlarged clitoris; these variations could be even higher in posterior cloacas (PC). If a careful physical examination is not performed, patients may be misdiagnosed with ambiguous genitalia, leading to subsequent unnecessary testing, surgeries or even wrong gender assignment. The aim was to analyze data of patients with PC within the ARM-Net registry, focusing on the description of the genitalia, gender assignment and its consequences...
January 12, 2024: European Journal of Pediatric Surgery
Dominika Borselle, Joseph Davidson, Stavros Loukogeorgakis, Paolo De Coppi, Dariusz Patkowski
AIM OF THE STUDY: Management of long gap oesophageal atresia (LGOA) is controversial. This study aims at comparing the management of LGOA between two high-volume centers. METHODS: We included patients with LGOA (type A and B) between 2008 and 2022. Demographics, surgical methods and outcomes were collected and compared. RESULTS: The study population involved 28 patients-Centre A and 24 patients-Centre B. A surgical approach was thoracoscopic in the Centre A, only for one patient was open for final procedure...
December 28, 2023: European Journal of Pediatric Surgery
Minhua Lin, Jiachi Liao, Le Li
AIMS: We conducted a meta-analysis of trials to determine the optimal time to conduct surgery for congenital diaphragmatic hernia (CDH) in infants, on or after weaning from extracorporeal membrane oxygenation (ECMO). METHODS: We searched the PubMed, Embase, Scopus and Cochrane Library databases to identify relevant articles published prior to May 2023 in which surgery was performed to treat congenital diaphragmatic hernia in infants. Data were collected, and continuous data were represented by the mean difference (MD) and 95% confidence interval (CI)...
December 13, 2023: European Journal of Pediatric Surgery
Nadine M Teunissen, Julia Brendel, L W Ernest van Heurn, Benno Ure, Rene Wijnen, Simon Eaton
OBJECTIVE:  Survival of neonates with esophageal atresia (EA) is relatively high and stable, resulting in increased attention to optimizing care and longer-term morbidity. This study aimed to reach consensus on a quality indicator set for benchmarking EA care between hospitals, regions, or countries in a European clinical audit. METHODS:  Using an online Delphi method, a panel of EA health care professionals and patient representatives rated potential outcome, structure, and process indicators for EA care identified through systematic literature and guideline review on a nine-point Likert scale in three questionnaires...
December 12, 2023: European Journal of Pediatric Surgery
Maria Escolino, Luisa Florio, Giovanni Esposito, Ciro Esposito
This study aimed to describe the available dressings and their management in patients undergoing hypospadias repair and compare postoperative outcomes with and without dressing and between the different dressing types. A comprehensive electronic literature search of PubMed, Embase, and Cochrane Library was conducted to obtain studies, published in the period 1990 to 2021, reporting on the dressing used following hypospadias surgery. All information regarding the dressing was considered as primary endpoints, whereas surgical outcomes were assessed as secondary outcomes...
December 2023: European Journal of Pediatric Surgery
Richard Skaba, Vojtech Dotlacil, Pavla Fuccillo, Blanka Rouskova, Lucie Pos, Michal Rygl
INTRODUCTION:  Postoperative constipation (PC) in patients with imperforate anus and perineal fistula (PF) has been reported in up to 60%. Histological studies of PF revealed innervation anomalies which seem to be one of the reasons for PC. Perioperative histologically controlled fistula resection (PHCFR) allows appropriate resection of PF and pull-down normoganglionic rectum at the time of posterior sagittal anorectoplasty (PSARP). MATERIALS AND METHODS:  A total of 665 patients with anorectal malformations underwent surgery between 1991 and 2021...
November 28, 2023: European Journal of Pediatric Surgery
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