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Antegrade Continence Enema Alone for the Management of Functional Constipation and Segmental Colonic Dysmotility (ACE-FC): A Pediatric Colorectal and Pelvic Learning Consortium Study Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-03-11 Hira Ahmad, Caitlin Smith, Amanda Witte, Katelyn Lewis, Ron William Reeder, Jose Garza, Sarah Zobell, Kathleen Hoff, Megan Durham, Casey Calkins, Michael D. Rollins, Lusine Ambartsumyan, Rebecca Maria Rentea, Desale Yacob, Carlo Di Lorenzo, Marc A. Levitt, Richard J. Wood
Purpose The purpose of the study was to determine if antegrade continence enema (ACE) alone is an effective treatment for patients with severe functional constipation and segmental colonic dysmotility. Methods A retrospective study of patients with functional constipation and segmental colonic dysmotility who underwent ACE as their initial means of management. Data was collected from six participating
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Near-Infrared Fluorescence Imaging with Intravenous Indocyanine Green Method in Segmentectomy for Infants with Congenital Pulmonary Airway Malformation Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-03-07 Jin-Xi Huang, Qiang Chen, Song-ming Hong, Jun-Jie Hong, Hua Cao
Background Video-assisted thoracoscopic surgery is a commonly used procedure for treating congenital pulmonary airway malformation (CPAM) in infants, particularly when performing segmentectomy for segmental lesions. An innovative technique employing near-infrared fluorescence (NIRF) imaging with intravenous indocyanine green (ICG) has been utilized to delineate the intersegmental demarcation during
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The Diagnostics and Management of Bronchopulmonary Sequestration: An International Survey among Specialized Caregivers Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-03-06 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
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Artificial Intelligence in the Diagnosis and Management of Appendicitis in Pediatric Departments: A Systematic Review Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-29 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
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Treatment of Anorectal Malformations in German Hospitals: Analysis of National Hospital Discharge Data from 2016 to 2021 Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-29 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)
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Bridging the Gap: A Systematic Review on Reporting Baseline Characteristics, Process, and Outcome Parameters in Rectosigmoid Hirschsprung's Disease Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-22 Daniel Rossi, Anna Löf Granström, Nadine M. Teunissen, René M.H. Wijnen, Tomas Wester, Cornelius E.J. Sloots
The variation in standardized, well-defined parameters in Hirschsprung's disease (HSCR) research hinders overarching comparisons and complicates evaluations of care quality across healthcare settings. This review addresses the significant variability observed in these parameters as reported in recent publications. The goal is to compile a list of commonly described baseline characteristics, process
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Intercostal Nerve Cryoablation or Epidural Analgesia for Multimodal Pain Management after the Nuss Procedure: A Cohort Study Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-16 Hendrik van Braak, Sjoerd A. de Beer, Justin R. de Jong, Markus F. Stevens, Gijsbert Musters, Sander Zwaveling, Matthijs W. N. 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
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Social Determinants of Health Are Associated with Failed Bowel Management for Children with Anorectal Malformations Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-12
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, institutional review board (IRB) approved, retrospective review was performed in children
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Anatomical Variations of the External Genitalia in Posterior Cloaca: Clinical Consequences of Misdiagnosis—A Systematic Review of the Literature and the ARM-Net Consortium Experience Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-12
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 (PCs). If a careful physical examination is not performed, patients may be misdiagnosed with ambiguous genitalia (AG), leading to subsequent unnecessary testing, surgeries
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Benchmarks for Pediatric Surgical Registries: Recommendations for the Assessment and Grading of Complications Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-06 Omid Madadi-Sanjani, Benno M. Ure
Procedure-related registries in general surgical practice offer a platform for prospective trials, the pooling of data, and detailed outcome analysis. Recommendations by the Idea, Development, Exploration, Assessment, and Long-term follow-up (IDEAL) collaboration and Outcome4Medicine have further improved the uniform reporting of complications and adverse events. In the pediatric surgical network,
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Image-Guided Transrectal Drainage of Pelvic Abscesses in Children Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-02-06 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
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A Narrative Review of Patient-Reported Outcome Measures and Their Application in Recent Pediatric Surgical Research: Advancing Knowledge and Offering New Perspectives to the Field Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-25 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
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The Timing of Surgery for Congenital Diaphragmatic Hernia in Infants, on or after Weaning from Extracorporeal Membrane Oxygenation: A Meta-Analysis Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-23 Minhua Lin, Jiachi Liao, Le Li
Objectives 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 CDH
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Evaluation of Tubularized Incised Plate Urethroplasty with Spongioplasty–Dartosoraphy Reinforcement in Pediatric Hypospadias: A Randomized Controlled Study Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-23
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
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The French Experience with a Population-Based Esophageal Atresia Registry (RENATO) Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-22 Rony Sfeir, Madeleine Aumar, Dyuti Sharma, Julien Labreuche, Luc Dauchet, Frederic Gottrand
This paper presented a national register for esophageal atresia (EA) started in January 2008. We report our experience about the conception of this database and its coordination. Data management and data quality are also detailed. In 2023, more than 2,500 patients with EA are included. Prevalence of EA in France was calculated at 1.8/10,000 live birth. Main clinical results are listed with scientific
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Thoracoscopic Stage Internal Traction Repair Reduces Time to Achieve Esophageal Continuity in Long Gap Esophageal Atresia Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-22 Dominika Borselle, Joseph Davidson, Stavros Loukogeorgakis, Paolo De Coppi, Dariusz Patkowski
Objective Management of long gap esophageal 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 in center A and 24 patients in center
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Moving toward the Development and Effective Implementation of High-Quality Guidelines in Pediatric Surgery: A Review of the Literature Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-19 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
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The CDH Study Group: Past, Present, and Future Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-19 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
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The Development of the International Intestinal Failure Registry and an Overview of its Results Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2024-01-19
Pediatric intestinal failure (IF) is a rare disease that represents an evolving field in pediatric gastroenterology and surgery. With only a limited number of multicenter collaborations, much of the research in pediatric IF is often confined to single-center reports with small sample sizes. This has resulted in challenges in data interpretation and left many knowledge gaps unanswered. Over the past
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Selection of Quality Indicators to Evaluate Quality of Care for Patients with Esophageal Atresia Using a Delphi Method Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-12-12 Nadine M. Teunissen, Julia Brendel, L.W Ernest van Heurn, Benno Ure, Rene Wijnen, Simon Eaton, on behalf of the EPSA|ERNICA Registry Group, the EA Quality of Care Initiative
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
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Long-Term Functional Outcomes and Multidisciplinary Management after Ileorectal Duhamel Pull-Through for Total Colonic Aganglionosis—20-Year Experience in a Tertiary Surgical Center Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-12-12 Kailas Bhandarkar, Paolo De Coppi, Kate Cross, Simon Blackburn, Joe Curry
Introduction Management of patients with total colonic aganglionosis (TCA) is challenging for pediatric surgeons. The purpose of this study was to review our institution's 20-year experience regarding long-term outcomes and multidisciplinary team management of these patients after an ileorectal Duhamel pull-through procedure. Materials and Methods Retrospective review was conducted for all patients
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Development Methodology, Availability, and Implementation of Core Outcome Sets in Pediatric Surgery Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-28
Core outcome sets (COSs) provide a mechanism to guide researchers and clinicians when deciding which outcomes to report in research related to a specific clinical condition or intervention. The intention behind creating a COS for a specific condition is to improve the reporting of important and meaningful outcomes, thus enhancing the relevance of research. Additionally, a COS helps facilitate comparison
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Perioperative Histologically Controlled Fistula Resection in Patients with Imperforate Anus and Perineal Fistula Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-28 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
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Point of Care Ultrasound in Pediatric Surgery across the European Region—European Pediatric Surgery Association Endorsed Survey Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-28 Judith Lindert, Udo Rolle, Gerlin Naidoo
Introduction Our purpose was to assess the state of training, clinical practice, and barriers to use point-of-care ultrasound (POCUS) in pediatric surgery in Europe. Methods An electronic survey was disseminated among European pediatric surgeons utilizing the European Pediatric Surgery Association network and other existing networks. Results There were 186 respondents from 27 European countries and
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The Irish Experience with Sacrococcygeal Teratomas: Are Type IV Lesions More Common than We Think? Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-28 Gavin Alan Kane, Alan Mortell, John Gillick, Sri Paran Thambipillai, Salvatore Cascio
Introduction Sacrococcygeal teratomas (SCTs) are rare tumors occurring in approximately 1 in 35,000 to 40,000 live births. The Altman classification is used to describe SCTs. There are four types, with type 1 predominantly external through to type IV which is a presacral, completely internal mass. As far as the authors are aware, this is the first study to focus on type IV SCT lesions. Materials and
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Dynamic Imaging Grade of Swallowing Toxicity in Children with Esophageal Atresia Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-28
Introduction The Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) scale was developed to evaluate the safety, efficiency, and overall pharyngeal swallowing performance in patients with dysphagia (DIGESTs, DIGESTe, and DIGESTt, respectively). Although various types of swallowing dysfunction are encountered in children with esophageal atresia (EA), oropharyngeal dysphagia poses risk for aspiration
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European Paediatric Surgeons' Association Survey on the Adherence to EAU/ESPU Guidelines in the Management of Undescended Testes Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-28 Ophelia Aubert, Hind Zaidan, Hanna Garnier, Amulya K. Saxena, Salvatore Cascio
Introduction The aim of this study was to assess the adherence to the European Association of Urology (EAU)/European Society for Pediatric Urology (ESPU) 2016 guidelines in the management of undescended testes (UDT). Materials and Methods An online questionnaire was sent in 2023 to members of the European Paediatric Surgeons' Association (EUPSA). Results Among 157 members, 46 and 44% perform orchidopexy
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Preliminary Experience with Continuous Submucosal Anastomosis in Small-Diameter Hepaticojejunostomy during Single-Port Laparoscopic Choledochal Cyst Surgery in Children Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-07 Yingming Tang, Jie Zhang, Miao Luo, Fei Li, Huang Huang, Zhou Zhou, Xia Fan, Zhijie Qin, Guoqing He, Yize Zhuang
Purpose Hepaticojejunostomy anastomosis (HJA) is the most challenging aspect in single-port laparoscopic choledochal cystectomy and Roux-en-Y hepaticojejunostomy (SPCH) in children, especially in small-diameter anastomoses (diameters less than 5 mm), which are more susceptible to anastomotic stricture. We developed the continuous submucosal technique for HJA (CS-HJA) to lessen postoperative complications
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Unlocking the Power of Data: Standardized Data Collection in Pediatric Surgery. Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-11-08 Nadine M Teunissen,Rene Wijnen
N/A.
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Risk Factors for Dehiscence of Operative Incisions in Newborns after Laparotomy Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-10-10 Tina B. S. Miholjcic, Olivier Baud, Pouya Iranmanesh, Barbara E. Wildhaber
Background Surgical wound dehiscence (SWD) in neonates is a life-threatening complication. The aim was to define risk factors of postoperative incision dehiscence in this population. Methods Data of 144 patients from 2010 to 2020 were analyzed retrospectively. All full-term newborns or preterm newborns up to 42 weeks of amenorrhea (adjusted) who had a laparotomy within 30 days were included. Descriptive
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Peroral Endoscopic Myotomy in Pediatric Patients with Achalasia up to 12 Years of Age: A Pilot Study in a Single-Center Experience in Japan Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-29
Introduction Peroral endoscopic myotomy (POEM) is a minimally invasive endoscopic procedure for achalasia; its indication has expanded from adults to children. We aimed to evaluate the postoperative efficacy and antireflex status of POEM in young children with achalasia aged 12 years or younger. Patients and Methods Pediatric patients with achalasia aged 18 years or younger who underwent POEM in our
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Impact of BCL-2 Expression on Course of Disease in Neuroblastoma Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-29 Jakob Muehling, Alexandra Fröba-Pohl, Oliver J. Muensterer, Dietrich von Schweinitz, Roland Kappler
Objective The antiapoptotic BCL-2 protein has implications for maturation and differentiation of neural tissue and acts as a strong modulator of carcinogenesis in different tumors. Recent research focuses not only on its benefit as a prognostic factor, but also as a potential therapeutic target. The role of BCL-2 in neuroblastoma, the most common extracranial solid tumor in childhood, remains controversial
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Lymphatic Malformations in Parkes Weber's Syndrome: Retrospective Review of 16 Cases in a Vascular Anomalies Center Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-29 Julio César Moreno Alfonso, Irune Méndez-Maestro, Aniol Coll i Prat, Lara Rodríguez-Laguna, Victor Martínez-Glez, Paloma Triana, Juan Carlos López-Gutiérrez
Introduction Parkes Weber's syndrome (PWS) is a rare genetic disorder characterized by overgrowth and vascular malformations, primarily affecting the extremities. While PWS is known to be associated with arteriovenous and capillary malformations, the potential involvement of lymphatic malformations (LMs) has not been previously reported. The objective of this study is to investigate the presence of
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Internet Health Resources on Nocturnal Enuresis: A Readability, Quality, and Accuracy Analysis Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-29
Introduction Nocturnal enuresis is a common yet quality-of-life-limiting pediatric condition. There is an increasing trend for parents to obtain information on the disease's nature and treatment options via the internet. However, the quality of health-related information on the internet varies greatly and is largely uncontrolled and unregulated. With this study, a readability, quality, and accuracy
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Age as an Exclusion Criterion for Nonoperative Management in Simple Acute Appendicitis in Children Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-29 Gal Becker, Audelia Eshel Fuhrer, Keren Kremer, Annabella Hochschild, Haguy Kammar, Igor Sukhotnik
Objective Nonoperative management (NOM) for simple acute appendicitis (SAA) is an acceptable mode of treatment in healthy children. Previous studies of NOM routinely excluded young children (< 5 years); however, the effect of age on NOM failure has not been directly assessed. Efficiency of NOM in young adults is questionable. Therefore, adolescents may also be at greater risk of NOM failure. Our aim
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Esophageal Atresia and Gastric Ectopic Pancreas: Is There a Real Association? Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-29 Patricia Barila Lompe, Carlos Gine, Ana Laín, Laura Garcia-Martinez, Maria Diaz Hervas, Manuel López
Objective Heterotopic pancreas (HP) is a condition in which there is well-differentiated pancreatic tissue that lacks any anatomic or vascular contact with the pancreatic gland. It normally arises from the stomach but can be found in other locations. Although it is usually asymptomatic, obstructive symptoms, bleeding, or malignant degeneration can occur. The incidence is very low, but it is significantly
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Parental Presence during Induction of Anesthesia and Emergence Delirium Influence the Incidence of Postoperative Maladaptive Behavioral Changes Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-08
Objective Surgical intervention in pediatric patients can cause variable degrees of psychological stress with potential consequences in the perioperative period and even in the long term, after hospital discharge in the form of behavioral changes days and months later. The aim of our study was to determine which preoperative preparation strategy reduces postoperative maladaptive behavioral changes
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Maternal and Neonatal Outcomes After Ex-Utero Intrapartum Treatment for Congenital Diaphragmatic Hernia: A Case Series Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-08 Angel Chimenea, Marta Domínguez-Moreno, María Barrera-Talavera, Lutgardo García-Díaz, Guillermo Antiñolo
Introduction Despite advances in neonatal intensive care, fetuses with congenital diaphragmatic hernia (CDH) remain to have a poor prognosis. Exclusive postnatal treatment is inadequate in patients with moderate CDH (observed than expected lung-to-head ratio [O/E LHR] 26–45%) and can lead to respiratory failure at birth, requiring extracorporeal membrane oxygenation in 75% of cases. An ex-utero intrapartum
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Respiratory and Musculoskeletal Long-Term Outcomes after Surgical Resection of Congenital Cystic Adenomatoid Malformation of the Lung in Newborns, Infants, and Toddlers Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-08 Matteo Busti, Angelo Zarfati, Laura Valfre, Andrea Conforti, Pietro Bagolan
Introduction The long-term outcomes of children who underwent surgery for congenital cystic adenomatoid malformation of the lung (CCAML) are not well documented, particularly regarding orthopaedic and respiratory follow-up (FU). The aim of this study was to assess the long-term pulmonary and orthopaedic outcomes of surgically treated CCAML in newborns, infants, and toddlers. Materials and Methods Retrospective
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Vocal Cord Paralysis after Repair of Esophageal Atresia Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-09-05
Objective Etiology of vocal cord paralysis (VCP) and laryngeal dysfunction may be congenital or surgical trauma of recurrent and superior laryngeal nerves. We assessed the incidence, risk factors, and morbidity of VCP after repair of esophageal atresia (EA). Methods Medical records of 201 EA patients from 2000 to 2022 were reviewed for this retrospective study. Postrepair vocal cord examination (VCE)
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A Randomized Controlled Trial of Cryoanalgesia for Pain Management following Pectus Excavatum Repair: A Single-Center, Single-Blind, Parallel Design Study Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-31 Gong Min Rim, Hee Kyung Kim, Jung Min Koo, Hyung Joo Park
Introduction Conventional postoperative pain management, with an intravenous patient-controlled approach or thoracic epidural analgesia, has proved suboptimal following a minimally invasive repair of pectus excavatum. Considering its postulated mechanism of action, we encouraged cryoanalgesia as an effective method for postrepair pain management and a possibly superior alternative. Methods A randomized
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Trends in Management of Fetuses with Suspected Lower Urinary Tract Obstruction (LUTO): A High-Risk Fetal and Pediatric Center Experience in a Universal-Access-to-Care System Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-22 Juliane Richter, Fabian Doktor, Hayley Good, Lauren Erdman, Jin K. Kim, Joana Dos Santos, Natasha Brownrigg, Michael Chua, Armando J. Lorenzo, Mandy Rickard, Tim Van Mieghem, Shiri Shinar
Introduction Neonates with lower urinary tract obstruction (LUTO) experience high morbidity and mortality associated with the development of chronic kidney disease. The prenatal detection rate for LUTO is less than 50%, with late or missed diagnosis leading to delayed management and long-term sequelae in the remainder. We aimed to explore the trends in prenatal detection and management at a high-risk
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Application of jejunal turnover and bowel plication technique in neonatal high intestinal atresia: a retrospective study. Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-17 Yu Zhao,Zhibo Zhang,Pengjun Su
INTRODUCTION To evaluate the outcomes of jejunal turnover and bowel plication (JTBP) in high jejunal atresia of neonates. MATERIALS AND METHODS The clinical data of neonates met the criteria were retrospectively analyzed from January 2012 to December 2021.The neonates were divided into the JTBP group and control group according to the surgical procedure.Demographics, postoperative morphology of the
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Neonatal Intestinal Segmental Volvulus: What Are the Differences with Midgut Volvulus? Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-11 Maria Casalino, Maria Enrica Miscia, Giuseppe Lauriti, Estelle Gauda, Augusto Zani, Elke Zani-Ruttenstock
Objective Intestinal volvulus in the neonate is a surgical emergency caused by either midgut volvulus (MV) with intestinal malrotation or less commonly, by segmental volvulus (SV) without intestinal malrotation. The aim of our study was to investigate if MV and SV can be differentiated by clinical course, intraoperative findings, and postoperative outcomes. Methods Using a defined search strategy,
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The Role of Indocyanine Green in Pediatric Gastrointestinal Surgery: Systematic Review Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-09 Carlos Delgado-Miguel, Juan Camps, Francisco Hernandez Oliveros
The use of near-infrared fluorescence imaging with indocyanine green (ICG) is actually considered as a very useful tool in decision-making strategy during challenging surgical procedures with a growing evidence in the literature. Our aim is to perform a systematic review focusing on ICG applications in gastrointestinal surgery. We conducted a systematic review with narrative synthesis in conformity
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European Paediatric Surgeons' Association Consensus Statement on the Management of Neonatal Ovarian Simple Cysts Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-09 Amulya K. Saxena, Annika Mutanen, Ramon Gorter, Andrea Conforti, Pietro Bagolan, Paolo De Coppi, Tutku Soyer, the European Paediatric Surgeons' Association
Introduction Neonatal ovarian simple cyst management from the pediatric surgical aspect is unclear on cyst size, follow-up, and preferred surgical approach. Therefore, this topic was selected for the 2022 Consensus Session meeting of the European Paediatric Surgeons' Association (EUPSA). Methods The literature was reviewed on a predefined set of questions relating to the management of the neonatal
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Esophageal Atresia Associated with Congenital Duodenal Obstruction: Turkish Esophageal Atresia Registry (TEAR) Evaluation Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-09 Çiğdem Ulukaya Durakbaşa, Tutku Soyer, Hüseyin İlhan, Mustafa Onur Oztan, Osman Uzunlu, Binali Firinci, Rahşan Özcan, Akgun Oral, Ilhan Ciftci, Esra Ozcakir, Ibrahim Akkoyun, Doğuş Güney, Onder Ozden, Cengiz Gul, Coskun Ozcan, Ayse Parlak, Emrah Aydın
Introduction Coexistent congenital duodenal obstruction and esophageal atresia (EA) is known to have significant morbidity and mortality. Management strategies are not well-defined for this association. The data from the Turkish EA registry is evaluated. Materials and Methods A database search was done for the years 2015 to 2022. Results Among 857 EA patients, 31 (3.6%) had congenital duodenal obstruction
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Long-Term Recurrence Rates and Patient Satisfaction after Repair of Pectus Excavatum Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-09 Nelimar Cruz-Centeno, James A. Fraser, Shai Stewart, Derek R. Marlor, Tolulope A. Oyetunji, Shawn D. St Peter
Background Pectus excavatum deformities are usually repaired with a minimally invasive approach in which a metal bar is used to correct the chest wall abnormality. We aimed to evaluate long-term outcomes and patient satisfaction after surgical correction. Methods Patients who underwent pectus excavatum repair and subsequent bar removal at a single tertiary care center from January 2000 to December
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Can We Do Anything Else before Removing a Button Battery from the Esophagus?—Hyaluronic Acid Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-08-09 I. Bada-Bosch, M.D. Blanco Verdú, J.A. Cerdá, M. Fanjul, J. Ordoñez, M.M. Tolín Hernani, C. Miranda Cid, C. Sánchez Sánchez, J.C. De Agustín
Objective This article tests the protective effect of a commercially available mixture of hyaluronic acid, chondroitin sulfate, and poloxamer 407 on the damage caused by the exposure of esophageal mucosa to button batteries in an animal model. Methods Experimental study. Sixty porcine esophageal samples were distributed in three groups: control (CG), exposure (EG), and exposure-protection (EPG). In
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Outcomes of Pediatric Endoscopic Pilonidal Sinus Treatment: A Systematic Review Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-07-26 Anastasia Mentessidou, Petros Mirilas, Veniza Maravilla, Georgina Malakounides
Treatment of pilonidal sinus disease with conventional excision techniques is associated with recurrence up to 20 to 30% (primary closure) or with prolonged healing that might last months (closure by secondary intention). Endoscopic pilonidal sinus treatment (EPSiT) is gaining increasing popularity. This systematic review aims to summarize and evaluate the reported outcomes of pediatric EPSiT (PEPSiT)
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Pigtail Catheter versus Large Bore Chest Tube for the Management of Spontaneous Pneumothorax in Children: A Retrospective Study Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-07-26 Tal Weiss, Yael Dreznik, Dragan Kravarusic
Introduction Pigtail catheter (PGC) insertion due to spontaneous pneumothorax (SPT) in the pediatric population has increased markedly in the last years. However, only few studies examined its efficacy in terms of length of hospitalization, rate of complications, and especially pain management comparing to large bore catheter (LBC) insertion. We sought to compare analgetic drug consumption, efficacy
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A History of Umbilical Vein Catheterization Does Not Preclude Children from a Successful Meso-Rex Bypass Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-07-24 Caroline P. Lemoine, Stephanie Yang, Katherine A. Brandt, Sydney Carra, Riccardo A. Superina
Introduction Umbilical vein catheterization (UVC) can cause portal venous thrombosis, leading to the development of extrahepatic portal venous obstruction (EHPVO) and portal hypertension (PHT). The feasibility of the Meso-Rex bypass (MRB) for the treatment of EHPVO in patients with a history of UVC has been questioned. We compared the feasibility of performing an MRB in patients with or without a history
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Posterior Tracheopexy for Tracheomalacia: A Study of Clinical and Radiological Consequences on Esophagus Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-07-20 Michele Torre, Serena Reali, Francesca Rizzo, Vittorio Guerriero, Federico Palo, Serena Arrigo, Oliviero Sacco, Girolamo Mattioli
Introduction Posterior tracheopexy (PT) directly addresses the posterior trachealis membrane intrusion in severe tracheomalacia. During PT, the esophagus is mobilized and membranous trachea is sutured to the prevertebral fascia. Although dysphagia has been reported as a possible complication of PT, in the literature there are no data investigating postoperative esophageal anatomy and digestive symptoms
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Effect of Prolonging the Duration of Stenting on Urethral Stricture in Proximal Hypospadias with Severe Curvature Repair: A Prospective Cohort Study Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-06-19
Introduction The aim of this study was to evaluate whether prolonged stenting reduces the risk of urethral stricture after proximal hypospadias (PH) with severe curvature (SC) repair. Materials and Methods We prospectively studied a cohort of patients with PH with SC repair who underwent urethral plate transection and urethroplasty between January 2010 and December 2020. According to the duration of
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A Systematic Review and Meta-Analysis of Comparing Drainage Alone versus Drainage with Primary Fistula Treatment for the Perianal Abscess in Children Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-06-01 Yanting Sun, Shuang Hao, Xi Zhang, Hongtao Liang, Yibo Yao, Jingen Lu, Chen Wang
This systematic review and meta-analysis of nonrandomized studies (NRSs) aimed to evaluate the clinical efficacy and safety of two types of surgical interventions (respectively drainage alone and drainage with primary fistula treatment) for perianal abscesses (PAs) in children. Studies from 1992 to July 2022 were searched in 10 electronic databases. All relevant NRSs with available data which compared
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Are Low Weight or Cardiopathy Contraindications for Thoracoscopic Repair of Esophageal Atresia with Tracheoesophageal Fistula? Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-05-19 Carlos Cadaval, José Andrés Molino, Gabriela Guillén, Sergio López Fernández, Carmen López Hierro, Marta Martos Rodríguez, Haider Ali Khan, Elena Vilardell, Eva Andreu, César W. Ruiz, Manuel López
Background Thoracoscopic repair of esophageal atresia (EA) with tracheoesophageal fistula (TEF) is becoming an increasingly widespread technique; there is still controversy about its indication in certain patients. Our objective is to analyze if potential risk factors such as major congenital heart disease (CHD) or low birth weight (LBW) are a limitation to this approach. Methods Retrospective study
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Early-Onset Pectus Excavatum Is More Likely to Be Part of a Genetic Variation Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-05-19 Ryan Billar, Stijn Heyman, Sarina Kant, René Wijnen, Frank Sleutels, Serwet Demirdas, J. Marco Schnater
Background Potential underlying genetic variations of pectus excavatum (PE) are quite rare. Only one-fifth of PE cases are identified in the first decade of life and thus are of congenital origin. The objective of this study is to test if early-onset PE is more likely to be part of genetic variations than PE that becomes apparent during puberty or adolescence. Materials and Methods Children younger
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Biopsy Diagnosis of Hirschsprung's Disease Using a Single Excisional Biopsy Based on the Anorectal Line Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-05-16 Masahiro Takeda, Takanori Ochi, Hiroyuki Koga, Koichi Tsuboi, Atsushi Arakawa, Geoffrey J. Lane, Atsuyuki Yamataka
Introduction A biopsy protocol for diagnosing Hirschsprung's disease (HD) in children using the anorectal line (ARL). Materials and Methods The ARL was adopted for diagnosing HD in 2016 using two excisional submucosal rectal biopsies performed at different levels, sequentially; the first just above the ARL and the second, further proximal (2-ARL). Currently, only the first-level biopsy is performed
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Impact of Presence, Level, and Closure of a Stoma on Growth in Young Children: A Retrospective Cohort Study Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-05-16 Laurens Donald Eeftinck Schattenkerk, Irene Vogel, Justin R. de Jong, Pieter J. Tanis, Ramon Gorter, Merit Tabbers, L. W. Ernest van Heurn, Gijsbert Musters, Joep P. M. Derikx
Introduction A stoma will cause nutrients loss which could result in impaired growth. Impaired growth can negatively impact long-term development. This study aims to evaluate: (1) the effect of stomas on growth comparing small bowel stoma versus colostomy and (2) if early closure (within 6 weeks), proximal small bowel stoma (within 50 cm of Treitz), major small bowel resection (≥ 30 cm), or adequate
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Impact of the COVID-19 Pandemic on Pediatric Surgical Scientific Formats: An ERNICA Survey on Challenges and Future Directions Eur. J. Pediatric Surg. (IF 1.8) Pub Date : 2023-05-16 Ophelia Aubert, Jan-Hendrik Gosemann, René Wijnen, Martin Lacher, Benno Ure, Omid Madadi-Sanjani
Introduction The aims of this survey were to assess the experiences of the transition from in-person to virtual meetings among European pediatric surgeons since the beginning of the coronavirus disease 2019 (COVID-19) pandemic and to identify preferences for future formats. Materials and Methods An online questionnaire was circulated among members of the European Reference Network for rare Inherited