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The role of extracorporeal life support and timing of repair in infants with congenital diaphragmatic hernia World J. Pediatr. Surg. Pub Date : 2024-04-01 Daniel B Gehle, Logan C Meyer, Tim Jancelewicz
Extracorporeal life support (ECLS) serves as a rescue therapy for patients with congenital diaphragmatic hernia (CDH) and severe cardiopulmonary failure, and only half of these patients survive to discharge. This costly intervention has a significant complication risk and is reserved for patients with the most severe disease physiology refractory to maximal cardiopulmonary support. Some contraindications
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Long-term follow-up of patients with congenital diaphragmatic hernia World J. Pediatr. Surg. Pub Date : 2024-04-01 Nicole Cimbak, Terry L Buchmiller
Neonates with congenital diaphragmatic hernia encounter a number of surgical and medical morbidities that persist into adulthood. As mortality improves for this population, these survivors warrant specialized follow-up for their unique disease-specific morbidities. Multidisciplinary congenital diaphragmatic hernia clinics are best positioned to address these complex long-term morbidities, provide long-term
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Childhood opportunity and appropriate use of child safety restraints in motor vehicle collisions World J. Pediatr. Surg. Pub Date : 2024-04-01 Stephanie Y Chen, Iris Garcia, Shadassa Ourshalimian, Chantel Lowery, Pradip P Chaudhari, Ryan G Spurrier
Objectives Safety restraints reduce injuries from motor vehicle collisions (MVCs) but are often improperly applied or not used. The Childhood Opportunity Index (COI) reflects social determinants of health and its study in pediatric trauma is limited. We hypothesized that MVC patients from low-opportunity neighborhoods are less likely to be appropriately restrained. Methods A retrospective cross-sectional
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Post-urethroplasty complications in hypospadias repair: a systematic review and meta-analysis comparing polydioxanone and polyglactin sutures World J. Pediatr. Surg. Pub Date : 2024-03-01 Nitinkumar Borkar, Charu Tiwari, Debajyoti Mohanty, Tridip Dutta Baruah, Manoj Mohanty, C K Sinha
Background Polyglactin (PG) and polydioxanone (PDS) sutures are extensively used based on the surgeon’s preference. The development of post-reconstruction urethrocutaneous fistula (UCF) is variably attributed to the choice of suture material for urethroplasty. This meta-analysis compares complications of hypospadias repair using PG and PDS sutures. Methods The systematic review and meta-analysis were
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Role of practice standardization in outcome optimization for CDH World J. Pediatr. Surg. Pub Date : 2024-03-01 Alexandra Dimmer, Robert Baird, Pramod Puligandla
Standardization of care seeks to improve patient outcomes and healthcare delivery by reducing unwanted variations in care as well as promoting the efficient and effective use of healthcare resources. There are many types of standardization, with clinical practice guidelines (CPGs), based on a stringent assessment of evidence and expert consensus, being the hallmark of high-quality care. This article
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Clinical characteristics of postoperative necrotizing enterocolitis in patients with congenital jejunoileal atresia and its risk factors World J. Pediatr. Surg. Pub Date : 2024-03-01 Xiaofeng Xiong, Wei Lu, Fuzhong Xing, Yuan Cai, Jixin Yang, Yuhang Yuan, Jiexiong Feng, Xuyong Chen
Objective To review postoperative necrotizing enterocolitis (NEC) in patients with jejunoileal atresia (JIA) and to explore the potential risk factors related to the concurrence of NEC. Methods Patients diagnosed with JIA who received surgical treatment from January 2016 to June 2021 were enrolled. Demographics, viral infection of the fetus, transfusion within 48 hours before NEC, sepsis before JIA
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Thank you to our reviewers World J. Pediatr. Surg. Pub Date : 2024-03-01 BMJ Publishing Group Ltd
The editors would like to publicly acknowledge the people listed below who served as reviewers on the journal during 2023.Without their efforts,the quality of the journal could not be sustained. Allison Aguado Gehad Ahmed Zeynep Alp Unkar Belen Aneiros Castro Kyle J Van Arendonk Einar Arnbjornsson Jugpal S.Arneja Yatin Arora Robert Baird Adam Bajinting Quentin Ballouhey Garrett Barfoot Sylvie Beaudoin
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Safeguarding children through pediatric surgical care in war and humanitarian settings: a call to action for pediatric patients in Gaza World J. Pediatr. Surg. Pub Date : 2024-02-01 Abirami Muthumani
Pediatric surgical interventions may represent more than one-third of the surgical caseload in humanitarian settings.1 The humanitarian crisis in Gaza has taken a devastating toll on children, many of whom have suffered injuries due to indiscriminate and heavy bombardment, resulting in severe polytraumatic injuries necessitating immediate and specialized pediatric surgical intervention. The conflict
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Tubularized incised plate urethroplasty and grafted tubularized incised plate urethroplasty: systematic review, meta-analysis and trial sequential analysis World J. Pediatr. Surg. Pub Date : 2024-02-01 Nitinkumar Borkar, Charu Tiwari, Abhijit Nair, Debajyoti Mohanty, C K Sinha, Jai Kumar Mahajan
Background Hypospadias is one of the most common genital birth defects. There are around 300 various techniques available for the repair of hypospadias. This study aims to compare the reported outcomes of Tubularized incised plate urethroplasty (TIP) and Grafted TIP (GTIP) repair in children undergoing primary hypospadias repair. Methods This meta-analysisadhered to Preferred Reporting Items for Systematic
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Postoperative interictal epileptiform discharges predict seizure recurrence after antiepileptic drug withdrawal regardless of concordance with surgical site World J. Pediatr. Surg. Pub Date : 2024-02-01 Yuxin Wu, ZaiYu Zhang, Ping Liang, Lusheng Li, Bin Zou, Difei Wang, Xinyu Dong, Haotian Tang, Hanli Qiu, Xuan Zhai
Objective The study aimed to explore the association between the site of interictal epileptic discharges (IEDs) on postoperative electroencephalogram (EEG) and seizure recurrence after antiepileptic drug (AED) withdrawal. The study hypothesizes that the concordance of IED sites with surgical sites indicates incomplete resection of epileptic focus, while non-concordance of IED sites with surgical sites
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Understanding pediatric surgical needs in North Korea: a modeling analysis World J. Pediatr. Surg. Pub Date : 2024-01-01 Phillip J Hsu, Sangchul Yoon, Kee B Park
Background Sixty-five percent of children worldwide lack access to surgical care, the majority of whom live in low-income and middle-income countries (LMICs). Developing surgical infrastructure requires information on surgical need; however, this information is often limited in LMICs. North Korea (Democratic People’s Republic of Korea, DPRK) has a low amount of publicly available data. Here, we analyzed
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Characteristics and trends of pediatric firepit burns: insights for prevention and safety World J. Pediatr. Surg. Pub Date : 2024-01-01 Maria Fazal, Charbel Chidiac, Raheel Ahmad, Oussama Issa, Erica Hodgman, Alejandro V Garcia
Introduction As fire pits grow in popularity, so do the associated burn injuries. Our study examines pediatric fire pit burns characteristics to raise awareness and promote safety precautions. Methods We conducted a retrospective review of pediatric patients (≤21 years) with firepit burns at a tertiary care hospital from 2016 to 2021. Results Eighty-four patients were identified, of whom 70.2% were
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Pulmonary artery diameter ratio as a prognostic indicator of congenital diaphragmatic hernia World J. Pediatr. Surg. Pub Date : 2024-01-01 Yuichiro Miyake, Hiroyuki Koga, Shuko Nojiri, Shunsuke Yamada, Takanori Ochi, Go Miyano, Geoffrey J Lane, Atsuyuki Yamataka, Tadaharu Okazaki
Background Following on from an earlier study published in 2008 about left pulmonary artery (LPA) flow measured on serial echocardiography being strongly prognostic in left-sided congenital diaphragmatic hernia (CDH) and the ratio of LPA to right pulmonary artery (RPA) diameters being a simple and reliable indicator for commencing nitric oxide (NO) therapy, the ratio of LPA:RPA diameters (PA ratio
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Complications after pediatric percutaneous endoscopic gastrostomy: comparison of the push and pull technique World J. Pediatr. Surg. Pub Date : 2024-01-01 Mona Takalo, Tarja Iber, Reija Autio, Topi Luoto
Purpose Various complications are associated with percutaneous endoscopic gastrostomy (PEG) procedures in children. The push technique is being increasingly used, but its complications are insufficiently characterized. We aimed to assess all complications related to PEG procedures and compare the safety of the pull and push techniques. Methods Retrospective review of consecutive pediatric patients
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Complete separation of the urinary tract from proximal rectum during PSARP surgery: our experience with the noveltechnique World J. Pediatr. Surg. Pub Date : 2024-01-01 Md Samiul Hasan, Md Nazmul Islam, Refoyez Mahmud, Umama Huq, Ashrarur Rahman
Anorectal malformation (ARM) is a frequently occurring surgical condition in neonates, with a prevalence of 1 in 4000 live births.1 In boys with this anomaly, the rectum and urinary tract share a common wall for some distance, often ending up in fistulous communication. The goals of definite reconstruction are to separate the rectum from the urinary tract without injuring the urethra and mobilizing
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An unusual cause of cyanosis after intra-extra cardiac Fontan procedure: anastomotic leakage between conduit and inferior vena cava World J. Pediatr. Surg. Pub Date : 2023-11-01 Jiajun Xu, Weize Xu, Jin Yu, Shanshan Shi, Qiang Shu, Zhuo Shi
A child aged 7 years was admitted to our hospital nearly 5 years after an intra-extra cardiac Fontan operation due to aggravated cyanosis. He was diagnosed with pulmonary atresia (PA), atrial septal defect, patent ductus arteriosus (PDA) and thickened tricuspid valve with severe regurgitation 1 month after being born, which was considered PA with intact ventricular septum (IVS) with severely hypoplastic
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Risk factors for postoperative pulmonary complications in neonates: a retrospective cohort study World J. Pediatr. Surg. Pub Date : 2023-11-01 Bin Bin Cai, Dong Pi Wang
Objective Postoperative pulmonary complications (PPCs) are an important quality indicator and are associated with significantly increased mortality in infants. The objective of this study was to identify risk factors for PPCs in neonates undergoing non-cardiothoracic surgery. Methods In this retrospective study, all neonates who underwent non-cardiothoracic surgery in a children’s hospital from October
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Unique Cobb syndrome with Kaposi hemangioendothelioma/tufted angioma as dominant phenotype: a case report World J. Pediatr. Surg. Pub Date : 2023-11-01 Na Lin, Xiong Zhao
Cobb syndrome, a neurocutaneous disease that is not widely recognized, is characterized by vascular anomalies involving the skin and spinal cord at the same metamere.1 2 Cobb syndrome can be accompanied by various clinical phenotypes of vascular anomalies, of which spinal arteriovenous malformations (AVMs) are the most widely mentioned in previous studies.3–5 Due to its rarity, the clear diagnostic
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Impact of intravenous administration of nalbuphine at different time points for postoperative analgesia and sedation in adenotonsillectomized children: a prospective, randomized controlled trial World J. Pediatr. Surg. Pub Date : 2023-11-01 Hongmin Cao, Chunying Bao, Haiya Tu, Jing Gao, Jinjin Huang, Qixing Chen
Objective To compare the efficacy of intravenous administration of nalbuphine at different time points for postoperative analgesia and sedation in adenotonsillectomized children. Methods Patients with obstructive sleep apnea syndrome scheduled for adenotonsillectomy were randomly divided into group A (patients received intravenous nalbuphine 0.2 mg/kg before anesthesia induction), group B (patients
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Significance of the auditory meatus inferior wall cartilage in the surgical treatment of congenital first branchial cleft anomalies in children World J. Pediatr. Surg. Pub Date : 2023-11-01 Bo Yu, Ruiyang Zhu, Yong Fu, Bin Xu, Lulu Yu, Jing Bi
Objective To investigate the clinical significance of the inferior wall cartilage of the auditory meatus in surgical treatment of congenital first branchial cleft anomalies (CFBCAs) in children. Methods Twenty children diagnosed with CFBCAs who underwent surgery between December 2018 and June 2022 at our hospital were retrospectively analyzed and classified according to their Work lesion type. The
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Are multidisciplinary consultation meetings for prenatal diagnosis achievable in a low-income country? A descriptive cross-sectional survey in Benin World J. Pediatr. Surg. Pub Date : 2023-10-01 Monsoia Gildas Yassegoungbe, Beaudelaire Romulus Assan, Amoussou Sedjro Clotaire Romeo Houegban, Codjo Serge Metchihoungbe, Jean-Francois Lecompte, Christine Tschabu Aguemon, Sidoine Bitho Gbetey, Jean Breaud, Antoine Seraphin Gbenou
Objective The multidisciplinary antenatal diagnosis staff bring together practitioners who are involved in the management of the antenatal period at birth. This project was designed following the French experience to institute multidisciplinary consultation meetings for prenatal diagnosis (MCMPD) in Benin. Methods This is a descriptive cross-sectional study examining the knowledge, attitudes, and practices
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Efficacy of adhesive strapping on umbilical hernia in children: a systematic review and meta-analysis of cohort studies World J. Pediatr. Surg. Pub Date : 2023-10-01 Takuya Sugimoto, Kazunori Tahara, Koshi Uchida, Kazuhiko Yoshimoto
Background Although adhesive strapping (AS) for pediatric umbilical hernia (UH), which was once obsolete, has been reconsidered as a common practice in Japan, its efficacy is still unclear. This study aimed to evaluate its efficacy by reviewing related articles. Methods A comprehensive literature search of PubMed, Cochrane, Google Scholar, and Igaku Chuo Zasshi via Ichushi-Web was conducted according
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Predictors of surgical complications in boys with hypospadias: data from an internationa registry World J. Pediatr. Surg. Pub Date : 2023-10-01 Kathryn Scougall, Jillian Bryce, Federico Baronio, Rachel L Boal, Jose Roberto Castera, Sebastián Castro, Tim Cheetham, Eduardo Corrêa Costa, Feyza Darendeliler, Justin H Davies, Mirjam Dirlewanger, Gabriella Gazdagh, Evgenia Globa, Gil Guerra-Junior, Tulay Guran, Gloria Herrmann, Paul-Martin Holterhus, Ahsen Karagözlü Akgül, Renata Markosyan, Kenneth McElreavey, Marcio Lopes Miranda, Anna Nordenstrom
Background Complications are frequently reported after hypospadias repair and there is a need to understand the factors that influence their occurrence. Methods Data from boys with hypospadias born between 2000 and 2020 were obtained from the International Disorders of Sex Development (I-DSD) Registry. Logistic regressions, fisher’s exact tests and spearman’s correlation tests were performed on the
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Continuous non-invasive hemoglobin monitoring in pediatric trauma setting World J. Pediatr. Surg. Pub Date : 2023-08-01 Antonio Romanelli, Rosanna Carmela De Rosa
Trauma is the leading cause of death in pediatric patients, and hemorrhagic shock accounts for approximately 30% of deaths.1 2 Hemodynamic instability as hypotension and tachycardia, tachypnea, and alterations in mental status represent the clinical signs of suspected hemorrhage. However, the diagnosis in the pediatric population is a challenge because baseline blood pressure, heart rate, and respiratory
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Does time to theater matter in simple gastroschisis? World J. Pediatr. Surg. Pub Date : 2023-08-01 Kathryn O'Shea, Rachel Harwood, Sean O’Donnell, Colin Baillie
Objective A recent publication has suggested that expedited time to theater in gastroschisis results in higher rates of primary closure and decreases the length of stay (LOS). This study primarily aims to assess the impact of time to first management of neonates with gastroschisis on the LOS. Methods Neonates admitted between August 2013 and August 2020 with gastroschisis were included. Data were collected
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Should primary anastomosis be considered more? A retrospective analysis of anastomotic complications in young children World J. Pediatr. Surg. Pub Date : 2023-08-01 Laurens D. Eeftinck Schattenkerk, Gijsbert D. Musters, Wouter J. de Jonge, L.W. (Ernest) van Heurn, Joep PM Derikx
Objective Little is known about intestinal anastomotic leakage and stenosis in young children (≤3 years of age). The purpose of this study is to answer the following questions: (1) what is the incidence of anastomotic stenosis and leakage in infants? (2) which surgical diseases entail the highest incidence of anastomotic stenosis and leakage? (3) what are perioperative factors associated with anastomotic
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Survey on surgical treatment of neonatal necrotizing enterocolitis in China 2022 World J. Pediatr. Surg. Pub Date : 2023-08-01 Jiafang Gao, Dengming Lai, Jinfa Tou
Objective The aim of this study was to identify the state of surgical treatment of neonatal necrotizing enterocolitis (NEC) in China. Methods A total of 246 delegates (88.0% senior surgeons) completed a survey sent by the Neonatal Surgery Group of the Pediatric Surgery Branch of the Chinese Medical Association in 2022. Five centers were eliminated due to lack of experience. Results Generally, 38.2%
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Biliary complications post liver resection for pediatric liver tumors World J. Pediatr. Surg. Pub Date : 2023-07-01 Mohd Yusran Othman, Kok Hoi Teh, Zakaria Zahari
Objective To review biliary complications following liver resection for liver tumors in children and their associated risk factors. Methods Retrospectively, we reviewed children who underwent liver resection for liver tumors from 2010 to 2019. Demographic data, operative details, types of complications, interventions and outcomes were studied. Results Eighty-six out of 108 liver resections were included
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Umbilical cord sparing technique of umbilicoplasty in infants with giant omphalocele World J. Pediatr. Surg. Pub Date : 2023-07-01 Peng Wang, Jinfa Tou
Omphalocele is a congenital defect of the abdominal wall characterized by the absence of abdominal muscles, fascia, and skin.1 According to the size of the abdominal wall defect and bulge, it can be divided into small or giant omphalocele.2 Surgery to repair omphalocele includes excision of the amniotic sac, individual ligation of the umbilical vessels at the level of the peritoneum, fascial closure
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Role and significance of SIRT1 in regulating the LPS-activated pyroptosis pathway in children with congenital hydronephrosis World J. Pediatr. Surg. Pub Date : 2023-07-01 Zhan Wang, Gu Weizhong, Juan Zhou, Daxing Tang
Objective To explore the characteristics and mechanism of sirtuin 1 (SIRT1) in lipopolysaccharide (LPS)-activated pyroptosis in the renal tissue of children with congenital hydronephrosis (CHn). Methods We detected the expression characteristics and clinical significance of SIRT1 and pyroptosis pathway proteins in CHn renal tissues by immunohistochemistry. The degree of renal fibrosis was detected
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Delivery of essential pediatric congenital surgical care within Brazil’s universal health coverage system: a national survey of pediatric surgeons World J. Pediatr. Surg. Pub Date : 2023-07-01 Paul R Truche, Abbie E Naus, Fabio Botelho, Julia Ferreira, Alexis Bowder, Luke Caddell, Kathrin Zimmerman, Isabella Maria de Freitas Faria, Bellisa Caldas Lopes, Eduardo Corrêa Costa, Fernanda Lage Lima Dantas, Augusto J S A Cavalcante, Carlos A L B Carvalho, Simone Abib, David P Mooney, Nivaldo Alonso
Objective In this study, we assess the delivery of congenital pediatric surgical care under Brazil’s system of universal health coverage and evaluate differences in delivery between public and private sectors. Methods A cross-sectional national survey of pediatric surgeons in Brazil was conducted. Participants were asked which of 23 interventions identified through the Disease Control Priorities 3
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Learning from parental experience in a neonatal surgical unit: a qualitative service evaluation World J. Pediatr. Surg. Pub Date : 2023-07-01 Anna Littlejohns, Emile Crouzen, Rebecca Mernenko, Fiona Metcalfe, Waaka Moni-Nwinia, Hemma Chauhan, Bethan Johnson, Douglas McConachie, Elizabeth Lawson, Victoria Tricklebank, John G McElwaine, Gurdeep S Sagoo, Liz McKechnie, Gary Latchford, Jonathan Sutcliffe
Objectives Patient experience is directly related to health outcomes, and parental experience can be used as a proxy for this in neonatal care. This project was designed to assess parental experience of neonatal surgical care to inform future service developments and improve the care we provide. Methods This was a qualitative study using rapid qualitative analysis. The study was carried out in a large
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A deep learning-based method for pediatric congenital heart disease detection with seven standard views in echocardiography World J. Pediatr. Surg. Pub Date : 2023-06-01 Xusheng Jiang, Jin Yu, Jingjing Ye, Weijie Jia, Weize Xu, Qiang Shu
Background With the aggregation of clinical data and the evolution of computational resources, artificial intelligence-based methods have become possible to facilitate clinical diagnosis. For congenital heart disease (CHD) detection, recent deep learning-based methods tend to achieve classification with few views or even a single view. Due to the complexity of CHD, the input images for the deep learning
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Population-based prevalence study of common congenital malformations of the alimentary tract and abdominal wall in Thailand: a study using data from the National Health Security Office World J. Pediatr. Surg. Pub Date : 2023-06-01 Kulpreeya Sirichamratsakul, Wison Laochareonsuk, Komwit Surachat, Surasak Sangkhathat
Background The study aimed to estimate the prevalence of major congenital anomalies of the alimentary system and the abdominal wall in Thailand using a nationwide hospital discharge database from the National Health Security Office (2017–2020). Methods The study extracted data from records with International Classification of Diseases-10 (ICD-10) codes related to esophageal malformation (ESO), congenital
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Dual ultrasound-guided totally implantable venous access ports via the right internal jugular vein in pediatric patients with cancer: a preliminary experience in a single institution World J. Pediatr. Surg. Pub Date : 2023-06-01 Xiao Bin Deng, Liang Peng, Jun Zhang, Xiangru Kong, Zhenzhen Zhao, Shan Wang, Changchun Li, Yifei Du, Jianwu Zhou, Lifei Liu, Chao Yang
Objective To assess the efficacy and safety of dual ultrasound-guided (DUG) totally implantable venous access port (TIVAP) implantation (namely, using ultrasound-guided percutaneous puncture with transesophageal echocardiography-guided catheterization) via the right internal jugular vein (IJV) in pediatric patients with cancer. Methods Fifty-five children with cancer requiring chemotherapy underwent
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Comparison of pediatric ventriculo-peritoneal shunt infections arising in antibiotic-impregnated and standard catheters: a multicenter observational study World J. Pediatr. Surg. Pub Date : 2023-06-01 Joan Robinson, Archana Balamohan, Michelle Barton, Marie-Astrid Lefebvre, Ahmed Almadani, Dolores Freire, Alastair McAlpine, Jocelyn Srigley, Patrick Passarelli, John Bradley, Dele Davies, Gwenn Skar, Isabelle Viel-Theriault, Sarah Khan, Rupeena Purewal, Nicole LeSaux, Jennifer Bowes, Michael Hawkes
Antibiotic-impregnated ventricular shunt catheters (AIVSCs) with 0.15% clindamycin and 0.054% rifampin are commonly used to prevent ventriculo-peritoneal (VP) shunt infections. Initially approved by the United States Food and Drug Administration in 2003 (https://www.integralife.com/file/general/1561404015.pdf), they have antimicrobial activity documented for minimum 31 days (https://www.accessdata
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Digestive perianastomotic ulcerations after intestinal resection in children World J. Pediatr. Surg. Pub Date : 2023-06-01 Weicheng Zhang, Jinfa Tou
Digestive perianastomotic ulceration (DPAU) is a rare complication after intestinal resection and anastomosis occurring at or near the anastomosis site. The purpose of this review is to summarize the characteristics of DPAU, including the etiology, diagnosis and differential diagnosis, clinical manifestations, treatment, and future research. All recent literature on DPAU was searched in PubMed, Embase
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Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience World J. Pediatr. Surg. Pub Date : 2023-06-01 Sarah Rapaport, Zachary Obinna Enumah, Hilary Ngude, Daniel S Rhee, Mohamed Abbas, Amber Lekey, Peter J Winch, Joseph V Sakran, Kent A Stevens
Background There are 103 million displaced people worldwide, 41% of whom are children. Data on the provision of surgery in humanitarian settings are limited. Even scarcer is literature on pediatric surgery performed in humanitarian settings, particularly protracted humanitarian settings. Methods We reviewed patterns, procedures, and indications for pediatric surgery among children in Nyarugusu Refugee
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Cases of pediatric intra-abdominal solid organ injury induced by blunt trauma experienced over a 15-year period at two centers in Japan World J. Pediatr. Surg. Pub Date : 2023-06-01 Mayu Matsui, Koshiro Sugita, Takafumi Kawano, Nanako Nishida, Ayaka Nagano, Masakazu Murakami, Keisuke Yano, Toshio Harumatsu, Shun Onishi, Koji Yamada, Waka Yamada, Mitsuru Muto, Tatsuru Kaji, Satoshi Ieiri
Objective The present study attempts to clarify the clinical features of pediatric intra-abdominal solid organ injury at two institutions. Methods The injured organ, patient age, sex, injury grade, imaging findings, intervention, length of hospital stay, and complications were retrospectively reviewed using medical records at two centers from 2007 to 2021. Results There were 25 cases of liver injury
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Radiomic-based machine learning model for predicting the surgical risk in children with abdominal neuroblastoma World J. Pediatr. Surg. Pub Date : 2023-05-01 Xuan Jia, Jiawei Liang, Xiaohui Ma, Wenqi Wang, Can Lai
Background Preoperative imaging assessment of surgical risk is very important for the prognosis of these children. To develop and validate a radiomics-based machine learning model based on the analysis of radiomics features to predict surgical risk in children with abdominal neuroblastoma (NB). Methods A retrospective study was conducted from April 2019 to March 2021 among 74 children with abdominal
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Rare case of superior vesical fissure with hypospadias: variants of classic bladder exstrophy World J. Pediatr. Surg. Pub Date : 2023-05-01 Sudhir Singh, Jiledar Rawat, Nitin Pant
Rare variants of bladder exstrophy are pseudo-exstrophy, covered exstrophy, duplicate exstrophy, superior vesical fissure, visceral sequestration, and omphalocele, exstrophy of the cloaca, imperforate anus, and spinal defects syndrome. They comprise 10% of all cases of the exstrophy–epispadias complex.1 Here, we managed a 1-year-old male child who presented with a 2.5 cm diameter mucosal opening in
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Parents making surgical decisions for their children: a pilot study World J. Pediatr. Surg. Pub Date : 2023-05-01 Adrian Chi Heng Fung, Kenneth Kak Yuen Wong
Parents play a key role in medical decision-making for their children, who are limited by their intellectual development in understanding their own health status and treatment plans.1 These decisions are challenging as they may have a lifelong impact on patients’ physical and mental well-being, and a significant portion of parents are not satisfied with the informed consent process. Various factors
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Evaluation of the regional distribution of the pediatric surgery workforce and surgical load in Brazil World J. Pediatr. Surg. Pub Date : 2023-05-01 Joaquim Bustorff-Silva, Marcio Lopes Miranda, Amanda Rosendo, Ayla Gerk, Antonio Gonçalves Oliveira-Filho
Objective The purpose of this study is to examine the regional distribution of the pediatric surgery workforce and the expected local demand for pediatric surgical procedures in Brazil. Methods We collected data on the pediatric surgical workforce, surgical volume, Gross Domestic Product per capita, and mortality for gastrointestinal tract malformations (MGITM) across the different regions of Brazil
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Epigastric hernias in children and the use of ultrasound in its diagnosis World J. Pediatr. Surg. Pub Date : 2023-04-01 Tatjana T König, Laura S Oerters, Ljuba Spiller, Martin Schwind, Mark Born, Christina Oetzmann von Sochaczewski, Andreas C Heydweiller
Introduction There is a paucity of clinical data on pediatric epigastric hernias despite them accounting for up to 6% of all hernia repairs in children. We aimed to provide additional data to supplement those 117 cases of a recent systematic review and to further clarify the role of ultrasound in diagnosing pediatric epigastric hernia. Methods We retrospectively included all 60 patients treated for
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Congenital diaphragmatic hernia survival in an English regional ECMO center World J. Pediatr. Surg. Pub Date : 2023-04-01 Elizabeth O'Connor, Ryo Tamura, Therese Hannon, Sundeep Harigopal, Bruce Jaffray
Introduction Congenital diaphragmatic hernia (CDH) remains a cause of neonatal death. Our aims are to describe contemporary rates of survival and the variables associated with this outcome, contrasting these with our study of two decades earlier and recent reports. Materials and methods A retrospective review of all infants diagnosed in a regional center between January 2000 and December 2020 was performed
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Identifying the potential transcriptional regulatory network in Hirschsprung disease by integrated analysis of microarray datasets World J. Pediatr. Surg. Pub Date : 2023-04-01 Wenyao Xu, Hui Yu, Dian Chen, Weikang Pan, Weili Yang, Jing Miao, Wanying Jia, Baijun Zheng, Yong Liu, Xinlin Chen, Ya Gao, Donghao Tian
Objective Hirschsprung disease (HSCR) is one of the common neurocristopathies in children, which is associated with at least 20 genes and involves a complex regulatory mechanism. Transcriptional regulatory network (TRN) has been commonly reported in regulating gene expression and enteric nervous system development but remains to be investigated in HSCR. This study aimed to identify the potential TRN
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Tribute to reviewers (January 1, 2022 to December 31, 2022) World J. Pediatr. Surg. Pub Date : 2023-03-01 BMJ Publishing Group Ltd
WJPS is dependent on the "unknown" or known reviewers for their generous expenditure of the effort, valuable time, and expertise. We appreciate their support to this journal and it is their assistance that ensured the overall quality of the journal. Alireza Alam Ayse Gulsah Atasever Quentin Ballouhey Harsh Bhatt Fabio Botelho Kristin Buxton Huanxiong Chen Brian Chun Ian C. Coulter Muhammet İrfan Dönmez
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Outcomes of two-stage double-level rotational osteotomy in treating patients with congenital proximal radioulnar synostosis World J. Pediatr. Surg. Pub Date : 2023-03-01 Hu Bo, Jingfang Xu, Jianlan Lin, Weiwei Zhu, Zhefeng Zhen, Wensong Ye, Wenhao Chen
Congenital proximal radioulnar synostosis (CPRUS) is a rare anomaly which is caused by abnormal fusion of the proximal radius and ulna during development. This is due to the failure of embryological separation, resulting in the fixed position of the forearm, from mild to severe pronation.1 Mild deformity leads to slight disability because the shoulder and wrist can effectively compensate.2 Patients
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Predictors of perioperative respiratory adverse events among children with upper respiratory tract infection undergoing pediatric ambulatory ilioinguinal surgery: a prospective observational research World J. Pediatr. Surg. Pub Date : 2023-03-01 Anouar Jarraya, Manel Kammoun, Saloua Ammar, Wiem Feki, Kamel Kolsi
Objectives Anesthesia for children with an upper respiratory tract infection (URI) has an increased risk of perioperative respiratory adverse events (PRAEs) that may be predicted according to the COLDS score. The aims of this study were to evaluate the validity of the COLDS score in children undergoing ilioinguinal ambulatory surgery with mild to moderate URI and to investigate new predictors of PRAEs
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Association between high deductible health plan coverage and age at pediatric umbilical hernia repair World J. Pediatr. Surg. Pub Date : 2023-03-01 Morgan E Doty, Lindsay A Gil, Jennifer N Cooper
Background High deductible health plans (HDHPs) are associated with the avoidance of both necessary and unnecessary healthcare. Umbilical hernia repair (UHR) is a procedure that is frequently unnecessarily performed in young children, contrary to best practice guidelines. We hypothesized that children with HDHPs, as compared with other types of commercial health plans, are less likely to undergo UHR
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Effectiveness of psychosocial interventions for pediatric patients with scoliosis: a systematic review World J. Pediatr. Surg. Pub Date : 2023-03-01 Maike van Niekerk, Ann Richey, John Vorhies, Connie Wong, Kali Tileston
Background Pediatric patients affected by scoliosis have complex psychological and social care needs, and may benefit from psychosocial interventions. We therefore aimed to summarize evidence of the efficacy of psychosocial interventions for this patient population. Methods Literature was identified by searching Medline, PsycINFO, Embase, EBSCO Cumulated Index to Nursing and Allied Health Literature
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Early relaparotomy following pediatric living-donor liver transplantation: experience in an Indonesian national referral hospital World J. Pediatr. Surg. Pub Date : 2023-02-01 Tri Hening Rahayatri, Alif Rizqy Soeratman, Rusdah Binti Muhammad Amin, Dalia Benchamas Margiadi, Riana Pauline Tamba, Mureo Kasahara
Background Living donor liver transplantation (LDLT) remains the only curative treatment for children with end-stage liver disease; however, complications of the procedure are associated with indications for early relaparotomy. Several risk factors associated with early relaparotomy after liver transplantation include pediatric end-stage liver disease (PELD) score, warm ischemia time (WIT), and cold
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Complications and its risk factors of percutaneous subclavian vein catheters in pediatric patients: enhancing the outcomes of a university hospital in a low-income and middle-income country World J. Pediatr. Surg. Pub Date : 2023-02-01 Anouar Jarraya, Manel Kammoun, Ameni Chtourou, Saloua Ammar, Kamel Kolsi
Objective Assessing central venous catheter-related complications with regular feedback and investigating risk factors are mandatory to enhance outcomes. The aim of this study is to assess our experience in the management of pediatric subclavian vein catheters (SVCs) and to investigate the main risk factors for complications. Methods In this prospective observational study, we included children aged
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Prevalence and outcomes of pediatric surgical conditions at Connaught Hospital in Freetown: a retrospective study World J. Pediatr. Surg. Pub Date : 2023-02-01 Henang Kwasau, Juliana Kamanda, Aiah Lebbie, Cesia Cotache-Condor, Pamela Espinoza, Andie Grimm, Naomi Wright, Emily Smith
Background Sub-Saharan Africa experiences a disproportionate amount of pediatric surgical disease, with 80% of children lacking access to timely, affordable, and safe surgical care. This study aims to characterize the burden of disease and outcomes of pediatric surgical conditions at Connaught Hospital, the main pediatric referral hospital in Sierra Leone. Methods This retrospective and hospital-based
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Laparoscopic treatment of patent omphalomesenteric duct: a new surgical approach World J. Pediatr. Surg. Pub Date : 2023-02-01 Chanjuan Zou, Bo Li, Yong Xiao, Guang Xu, Renpeng Xia, Ming Li, Yong Feng, Chonggao Zhou
Patent omphalomesenteric duct (POMD) is formed due to the incomplete closure of the duct connecting the distal ileum and the umbilicus during the development of the vitelline duct. The morbidity of POMD is about 1:2000.1 The exposed intestinal mucosa is susceptible to injury and bleeding and can cause many complications such as soft tissue infection and sepsis (figure 1).2 The standard treatment is
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Plastic multilayered closure versus orthopedic surgeon closure after spinal instrumentation in pediatric neuromuscular scoliosis World J. Pediatr. Surg. Pub Date : 2023-02-01 Ekene U Ezeokoli, Poornima L Tamma, Neritan Borici, Ifeoma Inneh, Edward P Buchanan, Brian G Smith
Objective To compare wound complication rates between orthopedic closure (OC) and plastic multilayered closure (PMC) in patients undergoing primary posterior spinal fusion for neuromuscular scoliosis (NMS). We hypothesize that multilayered closure will be associated with better postoperative outcomes. Methods We collected data on pediatric patients diagnosed with NMS who underwent first time spinal
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Presentations, treatment and outcomes of unifocal and multifocal osseous appendicular Langerhans cell histiocytosis lesions in a pediatric population World J. Pediatr. Surg. Pub Date : 2023-02-01 Ekene U Ezeokoli, Parker Mitchell, Eva Schlehr, Neritan Borici, Nicole Montgomery
Langerhans cell histiocytosis (LCH) is a rare disease most commonly presenting in the pediatric population and characterized by neoplastic clonal proliferation of Langerhans dendritic cells with accumulation in various sites, including skeletal and visceral lesions.1 There are three levels of classification per the Histiocyte Society: single-system single-site (SS-s), single-system multiple-site (SS-m)
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Analysis and comparison of failure causes of minimally invasive surgical closure of ventricular septal defects in children World J. Pediatr. Surg. Pub Date : 2023-01-01 Jin Yu, Zhuo Shi, Jingjing Qian, Lianglong Ma, Baofu Zhang, Liyang Ying, Qiang Shu
Objectives The aims of the present study were to explore the causes of minimally invasive surgical ventricular septal defect (VSD) closure failure under transesophageal echocardiography guidance and thus to improve the success rate of surgical VSD closure. Methods From January 2015 to December 2019, 522 children with VSD underwent minimally invasive surgical closure. Nineteen procedures (3.64%) were
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Delays in care for hydrocephalus and spina bifida at a tertiary hospital in Somaliland World J. Pediatr. Surg. Pub Date : 2023-01-01 Shukri Dahir, Cesia Cotache-Condor, Andie Grimm, Mubarak Mohamed, Henry Rice, Emily Smith, Edna Adan Ismail
Background Childhood neurosurgical conditions such as hydrocephalus and spina bifida represent a significant burden of death and disability worldwide, particularly in low and middle-income countries. However, there are limited data on the disease prevalence and delays in care for pediatric neurosurgical conditions in very low-resource settings. This study aims to characterize the delays in access to
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Factors associated with mortality in congenital malformations of the gastrointestinal tract in a tertiary center in Senegal World J. Pediatr. Surg. Pub Date : 2023-01-01 Florent Tshibwid A Zeng, Papa Alassane Mbaye, Doudou Gueye, Ndèye Fatou Seck, Ibrahima Bocar Wellé, Rosalie Niang, Youssouph Diedhiou, Mbaye Fall, Ndèye Aby Ndoye, Aloïse Sagna, Oumar Ndour, Gabriel Ngom
Objective Patients with congenital malformations (CMs) of the gastrointestinal tract (GIT) have a very high mortality. However, the literature on the factors associated with mortality in these patients is scarce in sub-Saharan Africa. The aim of this study is to identify independent risk factors for mortality in patients with CMs of the GIT at our pediatric surgical department. Methods We conducted