17,831 results match your criteria Journal of Pediatric Surgery[Journal]


Early start of clean intermittent catheterization versus expectant management in children with spina bifida.

J Pediatr Surg 2018 Nov 5. Epub 2018 Nov 5.

Department of Paediatric Urology, Royal Belfast Hospital for Sick Children, Northern Ireland.

Purpose: We instituted early clean intermittent catheterization (CIC) in 1997 for all newborn infants with spina bifida (SB). We compared this group to a historical group managed expectantly to see if early catheterization was associated with a reduction in renal scar rate as determined by DMSA scanning.

Methods: Data were studied retrospectively on all infants with SB over a recent 13-year period who were treated with early universal CIC in a regional pediatric urology department. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.096DOI Listing
November 2018

Response to Letter to Editor.

J Pediatr Surg 2018 Nov 23. Epub 2018 Nov 23.

Section of Pediatric Surgery, Yale School of Medicine, New Haven, CT. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2018.11.003DOI Listing
November 2018

Gangrenous appendicitis: No longer complicated.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Nationwide Children's Hospital, Department of Pediatric Surgery, 700 Children's Drive, Columbus, OH, 43205; The Ohio State University College of Medicine, 370 W 9th Ave, Columbus, OH, 43210. Electronic address:

Background: Appendicitis presents on a spectrum ranging from inflammation to gangrene to perforation. Studies suggest that gangrenous appendicitis has lower postoperative infection rates relative to perforated cases. We hypothesized that gangrenous appendicitis could be successfully treated as simple appendicitis, reducing length of stay (LOS) and antibiotic usage without increasing postoperative infections. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.064DOI Listing
November 2018

Esophageal atresia, Europe, and the future: BAPS Journal of Pediatric Surgery Lecture.

Authors:
Benno Ure

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Pediatric Surgery, Hannover Medical School, Carl-Neuberg-Straße 130625, Hannover, Germany. Electronic address:

Europe has changed remarkably over the past decades and so have concepts and outcomes of esophageal atresia repair. In this article, both the efforts to create a united Europe and the achievements in dealing with esophageal atresia from the 1950s on are outlined. Furthermore, this paper deals with the future of pediatric surgery and is focused on two aspects: the "Fourth Industrial Revolution" which builds on the digital revolution, artificial intelligence and robotics, and its potential impact on pediatric surgery and the life of patients. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.071DOI Listing
November 2018

Optimal timing for inguinal hernia repair in premature infants: a systematic review and meta-analysis.

J Pediatr Surg 2018 Nov 14. Epub 2018 Nov 14.

Faculty of Medicine, University of Ottawa, 451 Smyth Rd, Ottawa, ON, Canada, K1H 8M5; Department of Pediatric Surgery, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, Canada, K1H 8L1. Electronic address:

Background: The optimal timing of repair for inguinal hernia in premature infants remains a controversial topic. Our objective was to assess the clinical effects of inguinal hernia repair done before or after neonatal intensive care unit (NICU) discharge.

Methods: MEDLINE, Embase, CINAHL, and CENTRAL were searched in July 2018. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183076
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http://dx.doi.org/10.1016/j.jpedsurg.2018.11.002DOI Listing
November 2018
1 Read

Characterizing Bariatric Surgery Utilization and Complication Rates in the Adolescent Population.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Pediatric Surgery, Montefiore Medical Center; Albert Einstein College of Medicine, Bronx, NY. Electronic address:

Introduction: Bariatric surgery is an increasingly common treatment of morbid obesity in the United States and has demonstrated effective weight loss and improvement of comorbidities. We used the National Surgical Quality Improvement Program (NSQIP) data to characterize bariatric surgery utilization and complication rates in the adolescent population.

Methods: Demographics, surgical procedures, comorbidities, and 30-day outcomes of 2625 adolescents ages 18-21 who underwent bariatric surgery were analyzed from NSQIP data-bank from 2005 to 2015. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.089DOI Listing
November 2018

High density placental mesenchymal stromal cells provide neuronal preservation and improve motor function following in utero treatment of ovine myelomeningocele.

J Pediatr Surg 2018 Oct 4. Epub 2018 Oct 4.

Department of Surgery, University of California Davis, Sacramento, CA, USA.

Purpose: The purpose of this study was to determine whether seeding density of placental mesenchymal stromal cells (PMSCs) on extracellular matrix (ECM) during in utero repair of myelomeningocele (MMC) affects motor function and neuronal preservation in the ovine model.

Methods: MMC defects were surgically created in 33 fetuses and repaired following randomization into four treatment groups: ECM only (n = 10), PMSC-ECM (42 K cells/cm) (n = 8), PMSC-ECM (167 K cells/cm) (n = 7), or PMSC-ECM (250-300 K cells/cm) (n = 8). Motor function was evaluated using the Sheep Locomotor Rating Scale (SLR). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183065
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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.032DOI Listing
October 2018
2 Reads

Development of pediatric minimally invasive surgery in mainland China.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, PR China. Electronic address:

Pediatric laparoscopic surgery has developed rapidly in the past 20 years in mainland China with the help of international collaborative training programs. High-volume laparoscopic workload has enabled Chinese pediatric surgeons to innovate and gain experience within a short span of time. We feel that outcomes are comparable or even in some cases superior to that of open surgery. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.077DOI Listing
November 2018

Bilateral orchidopexies: synchronous or metachronous? Survey of BAPS and BAPU members and single-centre comparison.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Surgery, Bristol Royal Hospital for Children, Bristol, UK.

Background/aim: Approximately 20% of undescended testes (UDT) are bilateral. It is unclear whether bilateral orchidopexy (BO) should be undertaken synchronously (SBO) or metachronously (MBO). Our aim was to investigate current UK practice and the complications of SBO vs MBO. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.088DOI Listing
November 2018

Current epidemiology and antenatal presentation of posterior urethral valves: Outcome of BAPS CASS National Audit.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Urology, Birmingham Children's Hospital, UK. Electronic address:

Aim: Posterior urethral valves (PUVs) are the most common cause of congenital bladder outlet obstruction (BOO) in boys and end-stage renal failure (ESRF) in childhood. In the 1980s, 1 in 4000 boys had PUV. Presentation was 1/3 antenatal/neonatally, 1/3 postnatal, 1/3 late (>1 year). Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.091DOI Listing
November 2018

The postnatal management of boys in a national cohort of bladder outlet obstruction.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Urology, Birmingham Children's Hospital, UK. Electronic address:

Aim: The most common cause of congenital bladder outlet obstruction (BOO) is posterior urethral valves (PUV). Initial treatment requires decompression, but transurethral incision (TUI) or primary diversion is all described. There is no randomized control trial to guide management. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.087DOI Listing
November 2018

Prospective evaluation of a clinical response directed pathway for complicated appendicitis.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, UK. Electronic address:

Aim: Despite evidence to suggest shorter durations of antibiotics are safe in complicated appendicitis, the practice has not been widely adopted in the UK. Our aim was to determine whether a clinical pathway that tailors antibiotics to clinical condition was safe and effective.

Methods: A new post-operative pathway (NewPath) was devised that reduced mandatory intravenous antibiotics for complicated appendicitis (perforated or gangrenous) from 5 to 3 days post-operatively, provided the child was apyrexial for >12 h and tolerating oral diet. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.082DOI Listing
November 2018

Liver histopathology in patients with hepatic masses and the Abernethy malformation.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Division of Transplant Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, IL, USA. Electronic address:

Background/purpose: The Abernethy malformation (AM) is a congenital venous malformation in which the splanchnic venous return bypasses the liver and drains directly into the systemic circulation. This deprives the liver of hepatotrophic growth factors and allows metabolic products of digestion to enter the systemic veins without the benefit of passing through the liver. The histologic features of liver biopsies in children with an AM were reviewed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.083DOI Listing
November 2018

A Canadian national survey: understanding the differences in management of cryptorchidism among pediatric surgeons and pediatric urologists.

J Pediatr Surg 2018 Oct 29. Epub 2018 Oct 29.

Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.

Background: This investigation aims to assess the variability in practice patterns regarding management of children with cryptorchidism (UDT) among pediatric urologists (U) and pediatric surgeons (S) practicing in Canada.

Methods: All active members of Pediatric Urologists of Canada (PUC) and Canadian Association of Pediatric Surgery (CAPS) were invited to participate in an online multiple-choice type questionnaire with clinical scenarios in management of UDT. Responses were compared between U and S using Fisher's exact test. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.053DOI Listing
October 2018

Major complications of jejunal feeding in children.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, UK. Electronic address:

Aim Of The Study: The aim of the study was to identify major gastrointestinal complications associated with direct jejunal feeding. We hypothesized that jejunal feeding may cause life-threatening surgical complications in a minority of patients.

Methods: All patients undergoing jejunal feeding between 1/2008 and 1/2018 at a pediatric surgical unit were identified retrospectively. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.078DOI Listing
November 2018

Tailored Management of Airway Abnormalities in Children with Congenital Single Functional Lung.

J Pediatr Surg 2018 Oct 30. Epub 2018 Oct 30.

Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, London, UK. Electronic address:

Objectives: Pediatric patients born with single functional lung can be associated with symptomatic airway abnormalities. Management of such patients is not only technically demanding but is also ethically challenging. This study reports our experience of managing symptomatic airway abnormalities in pediatric patients with congenital single functional lung. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.057DOI Listing
October 2018

Suture fistula revisited for long gap esophageal atresia.

J Pediatr Surg 2018 Nov 11. Epub 2018 Nov 11.

Division of Pediatric Surgery, Department of Surgery, Boonshoft School of Medicine, Dayton Children's Hospital, Dayton, OH. Electronic address:

Background: Long gap esophageal atresia presents a challenge to pediatric surgeons due to the variability in surgical management when primary anastomosis is not feasible. Mechanical traction procedures enhance tissue growth that allows early anastomosis, before delayed primary closure (DPC) would be attempted to allow for rapid oral feeding, or when operative discoveries require flexibility of the surgical plan. The Suture Fistula procedure, first published by Alan Shafer and Tirone David in 1974, is a simple, effective, but underutilized single-stage procedure which results in spontaneous fistulization of approximated, non-anastomosed esophageal segments using tension sutures. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.100DOI Listing
November 2018

Meeting the challenges of reconstructive urology - Where are we now?

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Urology, Great Ormond Street Hospital for Children, Great Ormond Street, London, UK. Electronic address:

This is based on the 2018 Storz Urology Lecture at the BAPS Conference and is a personal review of three reconstructive paediatric urological conditions: hypospadias, congenital adrenal hyperplasia, and bladder exstrophy from the perspective of changing expectations and outcomes. LEVEL OF EVIDENCE: V (Expert Opinion). Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.070DOI Listing
November 2018

The conus medullaris ratio: A new way to identify tethered cord on MRI.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Radiology.

Purpose: Approximately 25% of patients with anorectal malformation have tethered cord. The traditional way of determining conus medullaris level on magnetic resonance imaging (MRI) relies on counting vertebrae, which may be challenging due to vertebral numeric variation, segmentation anomalies, as well as transitional vertebral body anatomy. The purpose of this study was to utilize more reliable anatomic landmarks (foramen magnum, conus termination, and the upper limit of the iliac crest) to establish a consistent ratio that may differentiate patients with normal and low-lying conus. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183074
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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.081DOI Listing
November 2018
4 Reads

Not all neonates with oesophageal atresia and tracheoesophageal fistula are a surgical emergency.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Surgery, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK. Electronic address:

Aim: Infants with oesophageal atresia and distal tracheoesophageal fistula (OA-TOF) occasionally require endotracheal intubation prior to definitive surgery. This creates the risk of preferential ventilation of the fistula leading to gastric distention and subsequent perforation. We aimed to reassess the risk of preoperative positive-pressure ventilation and update recommendations for emergency surgery in this cohort. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.074DOI Listing
November 2018
1 Read

Transamniotic stem cell therapy (TRASCET) in a rabbit model of spina bifida.

J Pediatr Surg 2018 Nov 5. Epub 2018 Nov 5.

Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA. Electronic address:

Purpose: Transamniotic stem cell therapy (TRASCET) with select mesenchymal stem cells (MSCs) has been shown to induce partial or complete skin coverage of spina bifida in rodents. Clinical translation of this emerging therapy hinges on its efficacy in larger animal models. We sought to study TRASCET in a model requiring intra-amniotic injections 60 times larger than those performed in the rat. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.086DOI Listing
November 2018
1 Read

Aortopexy for tracheomalacia via a suprasternal incision.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Surgery, Evelina London Children's Hospital, Lambeth, London, UK. Electronic address:

Aim: Tracheomalacia is flaccidity of the tracheal wall leading to tracheal collapse, particularly on expiration. When severe it can warrant surgical intervention. Aortopexy is one surgical option and has been described using a variety of approaches. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.073DOI Listing
November 2018
2 Reads

Five-year native liver survival analysis in biliary atresia from a single large Chinese center: The death/liver transplantation hazard change and the importance of rapid early clearance of jaundice.

J Pediatr Surg 2018 Oct 30. Epub 2018 Oct 30.

General Surgery Department of Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 100045, 56# Nanlishi Road, Beijing, China. Electronic address:

Purpose: This study aimed to analyze the change of death/liver transplantation hazard and biochemical indexes over time after Kasai procedure (KP) based on a retrospective biliary atresia (BA) cohort, and to evaluate the predictive value of early jaundice clearance rate to 5-year native liver survival (NLS).

Methods: A retrospective cohort with follow-up results of 139 BA patients from January 2009 to December 2012 was established, and the pre- and postoperative data were collected. NLS rates were estimated with Kaplan-Meier curves, and any differences between groups were tested by log-rank test. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.09.025DOI Listing
October 2018
1 Read

The role of the ureteric bud in the development of the ovine fetal kidney.

J Pediatr Surg 2018 Dec 1;53(12):2502-2506. Epub 2018 Sep 1.

Division of Pediatric Surgery, St. Marianna University School of Medicine, Kawasaki, Japan. Electronic address:

Background: The kidney develops from an intimate interaction between the ureteric bud and the metanephric mass. We attempted to differentially stain the derivatives of the ureteric bud and the metanephric mass in ovine fetuses.

Methods: After appropriate approval, 47 fetal lambs' kidneys at 50 (4), 60 (6), 70 (5), 80 (4), 100 (10), 110 (8), 145 (10) days' gestation (term is 140-145 days) were obtained. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.008DOI Listing
December 2018

Is excision of testicular nubbin necessary in vanishing testis syndrome?

J Pediatr Surg 2018 Dec 2;53(12):2495-2497. Epub 2018 Sep 2.

Department of Paediatric Surgery, John Hunter Children's Hospital, Newcastle, Australia; University of Newcastle, Priority Research Centre GrowUpWell, Newcastle, Australia. Electronic address:

Background/purpose: Vanishing Testes Syndrome (VTS) is one of the most common causes of impalpable testes in children. The role of removal of testicular nubbins owing to malignant potential in VTS is unclear. We sought to evaluate whether testicular nubbins need to be excised owing to this potential. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183051
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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.011DOI Listing
December 2018
5 Reads

Nonoperative management of giant omphalocele leading to early fascial closure.

J Pediatr Surg 2018 Dec 2;53(12):2404-2408. Epub 2018 Sep 2.

Sunrise Children's Hospital, Las Vegas, NV.

Purpose: We describe our series of giant omphalocele patients treated with a serial taping method for gradual reduction of the abdominal contents and early fascial closure.

Methods: Between 2010 and 2017 we cared for ten newborns with giant omphaloceles. The average gestational age was 35. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.018DOI Listing
December 2018
2 Reads

Report of PAPS meeting.

Authors:
Eric R Scaife

J Pediatr Surg 2018 Dec 6;53(12):2373. Epub 2018 Sep 6.

Division of Pediatric Surgery, University of Utah School of Medicine, 100 North Mario Capecchi Drive, Suite 2600, Salt Lake City, UT 84113-1103.. Electronic address:

This is a report of the Pacific Association of Pediatric Surgeons Fifty-First Scientific Meeting held in Sapporo, Japan, from May 13to May 17, 2018. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.020DOI Listing
December 2018

No increased risk of attention deficit hyperactivity disorders in patients with Hirschsprung disease.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Purpose: Hirschsprung disease (HSCR) has previously been associated with increased need of special education services despite normal intelligence. The aim of this study was to assess the risk of attention deficit hyperactivity disorders (ADHD) in individuals with HSCR in a population-based cohort.

Methods: This was a nationwide, population-based cohort study. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.067DOI Listing
November 2018

Combined management of perianal rhabdomyosarcoma with chemotherapy, radical surgery, and irradiation: A series of three consecutive children.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Children's Hospital, Section of Pediatric Surgery, University of Helsinki, Finland.

Background And Aim: We describe a series of three successive patients with perianal rhabdomyosarcoma (PRMS) from 2014 to 2017 managed with combined chemotherapy, radical surgery, and radiotherapy.

Methods: Ethical consent was obtained. Data including tumor presentation, treatment, and survival was collected from hospital reports. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.090DOI Listing
November 2018
1 Read

Urethral length in female infants and its relevance in the repair of cloaca.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH.

Aim Of The Study: The goals of urinary reconstruction in urogenital sinus and cloacal repair include: (1) positioning of the bladder neck above the urogenital diaphragm to maximize future urinary continence, and (2) creating a visible urethra that can be catheterized if needed. A recent algorithm in cloacal reconstruction proposed a urethral length of 1.5 cm as the key determinant in deciding whether to perform a total urogenital mobilization or a urogenital separation, the hypothesis being that a 1. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.094DOI Listing
November 2018
1 Read

Outpatient management of intussusception: a systematic review and meta-analysis.

J Pediatr Surg 2018 Oct 22. Epub 2018 Oct 22.

Division of Pediatric Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

Background: Variability in management of intussusception after enema reduction exists. Historically, inpatient observation was recommended; however, there is a lack of evidence-based guidelines for this practice.

Methods: A systematic review and meta-analysis evaluating outcomes between inpatient (IP) and outpatient (OP) management after enema reduction was performed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.09.019DOI Listing
October 2018

Routine postnatal chest x-ray and intensive care admission are unnecessary for a majority of infants with congenital lung malformations.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Yale School of Medicine, 330 Cedar Street, New Haven, CT. Electronic address:

Background: Postnatal evaluation of prenatally identified congenital lung malformations (CLMs) often includes a chest x-ray (CXR) and neonatal intensive care unit (NICU) admission for observation. With current efforts aimed at prioritizing value and resource utilization, we sought to assess the utility of this practice in infants with known CLMs. We hypothesized that CXR and NICU admission are overused and could be deferred in the majority of cases. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.063DOI Listing
November 2018

Global Surgery Symposium.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Surgery, Oxford University Hospitals, Oxford, UK and University of Oxford, Oxford, UK.

This article describes the Global Surgery Symposium held within the 65th British Association of Paediatric Surgeons (BAPS) Annual Congress in 2018. Global surgery is a rapidly expanding and developing field and is of particular importance in paediatrics since children account for up to 50% of the population in low- and middle-income countries (LMICs). It is estimated that up to a third of childhood deaths in LMICs are the result of a surgical condition, and congenital anomalies have risen to become the 5th leading cause of death in children less than 5-years of age globally. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.076DOI Listing
November 2018

Laryngeal stenosis in children: Types, grades and treatment strategies.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Pediatric Surgery Division, Hospital Universitario 12 de Octubre, Avda. De Córdoba s/n, Madrid 28041, Spain.

Introduction: Laryngeal stenosis is infrequent in children and usually secondary to endotracheal intubation. The aims of this study were to review the outcomes of the distinct endoscopic and surgical procedures and to suggest a technical modification for one of them.

Methods: Retrospective review of patients with the diagnosis of laryngeal stenosis treated in an academic tertiary care institution between 2000 and 2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.09.027DOI Listing
November 2018

Volume and function of the operated kidney after nephron-sparing surgery for unilateral renal tumor.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Pediatric Surgery Unit, Sapienza University of Rome, Rome, Italy. Electronic address:

Aim: We sought to assess the magnitude of functional decline and the natural history of the operated kidney residual function after zero-ischemia nephron-sparing surgery (Z-NSS) in children with unilateral renal tumor (URT).

Patients And Methods: 50 children were treated for URT at our surgical unit between 1992 and 2016. Of these 12 who underwent Z-NSS were available for the current analysis. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.095DOI Listing
November 2018
1 Read

Anterior mediastinal masses - A multidisciplinary pathway for safe diagnostic procedures.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Surgery, St Georges Hospital NHS Trust, London, UK. Electronic address:

Objective: The objective of this study was to report our multidisciplinary diagnostic approach for patients with anterior mediastinal masses (AMM).

Methods: A retrospective review of patients with AMM at a tertiary pediatric surgical oncology centre (January 2011-December 2016) was performed. We analyzed data on clinical presentation, mode of tissue diagnosis, anesthetic techniques, and complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183074
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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.080DOI Listing
November 2018
5 Reads

Bodyweight, not age, determines oesophageal length and breaking strength in rats.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Surgery, Universitätsmedizin Mainz der Johannes Gutenberg-Universität, Langenbeckstraße 1, D-55131 Mainz, Germany. Electronic address:

Background/purpose: Delayed primary repair is still the method of choice in the management of long-gap oesophageal atresia in many centres, but the timing of anastomoses varies. Some assume the infant's bodyweight to be an important factor, whereas others prefer age. We therefore aimed to clarify whether age or bodyweight determined oesophageal length in a rodent model. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.085DOI Listing
November 2018

Closer location of the tracheoesophageal fistula to the carina in newborns with esophageal atresia and VACTERL association.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of pediatric surgery, Karolinska University Hospital, Stockholm, Sweden.

Background: VACTERL is a complicated syndrome with an unknown etiology where many studies have failed to identify the cause. In esophageal atresia (EA) roughly 10%-23% also have concurrent anomalies that align with VACTERL disorder. The aim of this study is to investigate if there is a difference regarding localization of the tracheoesophageal fistula between patients with VACTERL and non-VACTERL patients. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.062DOI Listing
November 2018
1 Read

Summary of the LXV Congress British Association of Paediatric Surgeons (BAPS) at Liverpool, UK, July 2018.

Authors:
Mark Davenport

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Kings College Hospital, London, UK. Electronic address:

This is a review of the 65th British Association of Paediatric Surgeons (BAPS) held jointly with the British Association of Endoscopic Surgeons (BAPES) during July 2018 in Liverpool, UK. The congress issue contains manuscripts prepared from papers and posters presented during the open sessions and transcripts based on invited lectures. LEVEL OF EVIDENCE: V. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.072DOI Listing
November 2018

Laparoscopic appendectomy - Outcomes of senior trainees operating without supervision versus experienced pediatric surgeons.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Division of General, Thoracic and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Electronic address:

Aim Of The Study: Pediatric surgery trainees at our program are allowed to perform unsupervised laparoscopic appendectomies during their last year of training to promote independent operative decision-making skills. We reviewed the outcomes of laparoscopic appendectomies done by senior trainees without supervision and compared them to experienced pediatric surgeons.

Methods: We reviewed 500 laparoscopic appendectomies performed without supervision by the last 10 pediatric surgery trainees during their last year of training (first 50 cases of each trainee). Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.092DOI Listing
November 2018
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Analysis of pediatric gunshot wounds in Houston, Texas: A social perspective.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Division of Pediatric Neurosurgery, Departments of Pediatric Surgery and Neurosurgery, McGovern Medical School/University of Texas Health Science Center at Houston and Mischer Neuroscience Institute, Houston, Texas, USA. Electronic address:

Background: This study sought to determine the role of social factors in pediatric gunshot wounds (GSW).

Methods: We identified medical records of victims aged 0-15 years who presented to our Level 1 pediatric trauma center from 2001 to 2016.

Results: Three hundred fifty-eight children were treated between 2001 and 2016. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.061DOI Listing
November 2018

Predictors of complications following retroperitoneoscopic total and partial nephrectomy.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

The Royal Hospital for Children, Glasgow, Scotland. Electronic address:

Introduction: Recent reports in the literature suggest an increased risk of complications with retroperitoneal as opposed to transperitoneal approach to partial nephrectomy (PN) and total nephrectomy (TN). We are a large unit performing predominantly retroperitoneoscopic PN and TN. We aim to review our outcomes and perform analysis to elucidate the predictors of complications following the retroperitoneal approach for extirpative kidney surgery. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.097DOI Listing
November 2018
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Biliary atresia: 20-40-year follow-up with native liver in an Italian centre.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Surgery, "Spedali Civili" Children's Hospital, 25123, Brescia, Italy; Department of Clinical and Experimental Sciences, University of Brescia, 25123, Brescia, Italy.

Introduction: Biliary atresia (BA) represents the leading indication for liver transplantation in childhood. Only few studies reported the outcome of patients who survived more than 20 years on their native liver, and up to date there are no Italian data available. We reported our 40-year single centre experience with long-term follow-up of BA patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183071
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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.060DOI Listing
November 2018
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Gallbladder varices in a pediatric patient after roux-en-Y gastric bypass.

J Pediatr Surg 2018 Dec 25;53(12):2511-2513. Epub 2018 Aug 25.

Department of Pediatric Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.

This is a case with associated radiologic images for a pediatric patient who developed portomesenteric and splenic vein thrombosis (PMSVT) after Roux-en-Y gastric bypass with subsequent development of portal cavernoma and gallbladder varices (GBV). This case highlights both the importance of post-operative prophylactic anti-coagulation after gastric bypass and detailed imaging following a diagnosis of PMSVT. This case is relevant for pediatric surgeons as they are performing this operation more frequently with the increase in pediatric obesity. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183049
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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.005DOI Listing
December 2018
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Response to letter to Editor.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

University of Michigan, Department of Surgery, 2110 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109.

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.069DOI Listing
November 2018

Recent trends in the prevalence of Helicobacter Pylori in symptomatic children: A 12-year retrospective study in a tertiary centre.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China. Electronic address:

Objective: Helicobacter pylori infection is common among Asians. However, evidence in the recent years has demonstrated a decrease in the prevalence of H. pylori infection among children and adults worldwide. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.079DOI Listing
November 2018
2 Reads

The Cambridge experience with buried bumpers.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Surgery, Addenbrookes Hospital, Hills Road, Cambridge CB2 0QQ, UK. Electronic address:

Aim: Buried Bumper (BB) is a complication of percutaneous endoscopic gastrostomy (PEG) that leads to tube dysfunction and major morbidity. Although many techniques have been described to manage BB, none are universally adopted, and laparotomy remains the mainstay. We introduce a novel endoscopic technique in paediatric surgery that avoids laparotomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183074
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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.084DOI Listing
November 2018
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Imaging of the intrahepatic portal vein in children with extrahepatic portal vein thrombosis - Comparison of magnetic resonance imaging and retrograde portography.

J Pediatr Surg 2018 Oct 30. Epub 2018 Oct 30.

Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45122 Essen, Germany. Electronic address:

Purpose: Extrahepatic portal vein thrombosis (EPVT) is one major cause of portal hypertension in children. Surgical reinstallation of portal venous flow can be achieved in patients with patent intrahepatic portal venous system/Rex recess. Our study aimed to compare the ability of magnetic resonance imaging (MRI) and retrograde portography (RP) to assess patency of the intrahepatic portal venous system in children with EPVT. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.049DOI Listing
October 2018

Stem cells for babies and their surgeons: the future is now.

J Pediatr Surg 2018 Oct 5. Epub 2018 Oct 5.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90027, USA. Electronic address:

Pediatric surgeons are ideal allies for the translation of basic science including stem cell therapies. In the spirit of Robert E. Gross, of applying creative solutions to pediatric problems with technical expertise, we describe the impending cellular therapies that may be derived from stem and progenitor cells. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.027DOI Listing
October 2018

Ileal-pouch anal anastomosis in pediatric NSQIP: Does a laparoscopic approach reduce complications and length of stay?

J Pediatr Surg 2018 Oct 5. Epub 2018 Oct 5.

Department of Surgery, Mayo Clinic, Rochester, MN; The Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.

Purpose: The purpose of this study was to determine if a laparoscopic approach reduces complications and length of stay (LOS) after total proctocolectomy with ileal pouch-anal anastomosis (TPC-IPAA) in pediatric patients using a multicenter prospective database.

Methods: The American College of Surgeons National Surgical Quality Improvement Project Pediatric database from 2012 to 2015 was used to identify patients with a diagnosis of chronic ulcerative colitis (CUC) or familial adenomatous polyposis (FAP) undergoing TPC-IPAA. Major complications, minor complications, and prolonged LOS were compared based on laparoscopic versus open approach. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.005DOI Listing
October 2018