Read by QxMD icon Read

Journal of Pediatric Surgery

Elizabeth J Renaud, Stig Sømme, Saleem Islam, Danielle B Cameron, Robert L Gates, Regan F Williams, Tim Jancelewicz, Tolulope A Oyetunji, Julia Grabowski, Karen A Diefenbach, Robert Baird, Meghan A Arnold, Dave R Lal, Julia Shelton, Yigit S Guner, Ankush Gosain, Akemi L Kawaguchi, Robert L Ricca, Adam B Goldin, Roshni Dasgupta
BACKGROUND: The treatment of ovarian masses in pediatric patients should balance appropriate surgical management with the preservation of future reproductive capability. Preoperative estimation of malignant potential is essential to planning an optimal surgical strategy. METHODS: The American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee drafted three consensus-based questions regarding the evaluation and treatment of ovarian masses in pediatric patients...
September 6, 2018: Journal of Pediatric Surgery
Toshihiko Watanabe, Michinobu Ohno, Kazunori Tahara, Kotaro Tomonaga, Yasushi Fuchimoto, Akihiro Fujino, Tomoro Hishiki, Keiko Tsukamoto, Yushi Ito, Rika Sugibayashi, Seiji Wada, Haruhiko Sago, Masataka Higuchi, Kazuteru Kawasaki, Takako Yoshioka, Yutaka Kanamori
BACKGROUND/PURPOSE: Differences in clinical features between congenital pulmonary airway malformation (CPAM) and bronchial atresia (BA) have not yet been clearly described. METHODS: We retrospectively reviewed 112 patients with a pathological diagnosis of CPAM or BA. The clinical parameters were statistically analyzed between these diseases. RESULTS: Seventy-one patients received prenatal diagnosis and 41 received postnatal diagnosis. The percentage of prenatal diagnosis was significantly higher in CPAM patients (84% vs 50%, p < 0...
September 1, 2018: Journal of Pediatric Surgery
Suolin Li, Xuelai Liu, Kenneth K Y Wong, Lin Liu, Yingchao Li
BACKGROUND: Laparoscopic percutaneous extraperitoneal closure (LPEC) with variable devices seems to be one of the most simple and reliable methods. We described our modifications of single-port laparoscopic herniorrhaphy using an inner two-hooked cannula device with preperitoneal hydrodissection. PATIENTS AND METHODS: 1568 children with 2114 inguinal hernias were treated by single-port LPEC. Under laparoscopic visualization, the two-hooked cannula device carrying a silk suture was inserted at the point of the internal ring and could be readily kept in an identical path...
September 1, 2018: Journal of Pediatric Surgery
Yuenshan Sammi Wong, Yuk Him Tam, Kristine Kit Yi Pang, Ho Chung Yau
BACKGROUND: Evidence-based guidelines on evaluation of boys with proximal hypospadias for the possibility of a disorder of sex development (DSD) have yet to be developed. We aimed to investigate the incidence and diagnoses of DSD in patients with proximal hypospadias. METHODS: We retrospectively reviewed the records of consecutive boys who underwent proximal hypospadias repairs from 2006 to Sept 2017. Data collected included scrotal anomaly, testes position/palpability, micropenis, DSD investigations, and surgical techniques...
September 1, 2018: Journal of Pediatric Surgery
Tatjana Stadil, Antti Koivusalo, Mikko Pakarinen, Audun Mikkelsen, Ragnhild Emblem, Jan F Svensson, Henrik Ehrén, Linus Jönsson, Jakob Bäckstrand, Helene Engstrand Lilja, Felipe Donoso, Jørgen Mogens Thorup, Thorstein Sæter, Lars Rasmussen, Rikke Neess Pedersen, Pernilla Stenström, Einar Arnbjörnsson, Kristján Óskarsson, Niels Qvist
BACKGROUND: Several surgical procedures have been described in the reconstruction of long-gap esophageal atresia (LGEA). We reviewed the surgical methods used in children with LGEA in the Nordic countries over a 15-year period and the postoperative complications within the first postoperative year. METHODS: Retrospective multicenter medical record review of all children born with Gross type A or B esophageal atresia between 01/01/2000 and 12/31/2014 reconstructed within their first year of life...
September 1, 2018: Journal of Pediatric Surgery
Melania Matcovici, Farhan Tareen, Brendan R O'Connor, John Gillick
AIM: The objective of this study was to investigate the optimal approach for the treatment of hydroceles in adolescents. MATERIALS AND METHODS: A retrospective chart review of all adolescents (10-16 years old) diagnosed with a de-novo hydrocele in 2 tertiary care institutions over a 10 year period (2007-2016) was performed comparing the inguinal and trans-scrotal (Jaboulay) approaches. RESULTS: Fifty-three boys with a mean age of 13.4 years (range 10-16 years) were diagnosed with hydrocele...
August 30, 2018: Journal of Pediatric Surgery
Lukas Wisgrill, Anja Weinhandl, Lukas Unterasinger, Gabriele Amann, Rudolf Oehler, Martin L Metzelder, Angelika Berger, Thomas M Benkoe
BACKGROUND: Symptoms at suspicion of necrotizing enterocolitis (NEC) are often nonspecific and several biomarkers have been evaluated for their discriminative power to both diagnose and predict the course from NEC suspicion to complicated disease requiring surgical intervention. Thus, we aimed to assess the utility of interleukin-6 (IL-6) to predict surgical intervention in infants suffering from NEC and, furthermore, to discriminate infants with starting NEC or late-onset sepsis (LOS)...
August 23, 2018: Journal of Pediatric Surgery
Dave R Lal, Samir K Gadepalli, Cynthia D Downard, Peter C Minneci, Michelle Knezevich, Thomas H Chelius, Cooper T Rapp, Deborah Billmire, Steven Bruch, R Carland Burns, Katherine J Deans, Mary E Fallat, Jason D Fraser, Julia Grabowski, Ferdynand Hebel, Michael A Helmrath, Ronald B Hirschl, Rashmi Kabre, Jonathan Kohler, Matthew P Landman, Charles M Leys, Grace Z Mak, Daniel J Ostlie, Jessica Raque, Beth Rymeski, Jacqueline M Saito, Shawn D St Peter, Daniel von Allmen, Brad W Warner, Thomas T Sato
PURPOSE: Right sided aortic arch (RAA) is a rare anatomic finding in infants with esophageal atresia with or without tracheoesophageal fistula (EA/TEF). In the presence of RAA, significant controversy exists regarding optimal side for thoracotomy in repair of the EA/TEF. The purpose of this study was to characterize the incidence, demographics, surgical approach, and outcomes of patients with RAA and EA/TEF. METHODS: A multi-institutional, IRB approved, retrospective cohort study of infants with EA/TEF treated at 11 children's hospitals in the United States over a 5-year period (2009 to 2014) was performed...
August 21, 2018: Journal of Pediatric Surgery
Catherine A Richards
Failure of antireflux surgery is common in children with neurodisability, with a high incidence of persistent or recurrent symptoms, including retching. Anatomical disruption of the wrap is a frequent finding, but what forces underlie this disruption? This article reviews the forces generated during potential wrap-stressing episodes, putting them into the clinical context of wrap failure. Historically, wrap failure has been attributed to pressures arising from a reduction in gastric capacity or compliance, with advocates for an additional, gastric emptying procedure, at the time of fundoplication...
August 21, 2018: Journal of Pediatric Surgery
Cecilia Monteilh, Rose Calixte, Sathyraprasad Burjonrappa
OBJECTIVE: This meta-analysis seeks to discern the optimal management strategy in neonatal testicular torsion (NTT). METHODS: Reviewed all English-language articles published between 2005 and 2015 in Medline/Pubmed that had a defined diagnosis of NTT within the first thirty days of life, and discussed specific surgical and nonsurgical management. Exclusion criteria were non-English literature, case reports, case studies, and failure to clearly describe the management of NTT...
August 8, 2018: Journal of Pediatric Surgery
Peter Kayima, David Kitya, Maria Punchak, Geoffrey A Anderson, Martin Situma
BACKGROUND/PURPOSE: Anorectal malformation (ARM) is a common condition. Owing to scarcity of pediatric surgery services in Uganda, however, relatively little is known about this condition. METHODS: This was a retrospective review of medical records of all patients admitted to Mbarara Regional Referral Hospital (MRRH) from January 2014 to May 2016. MRRH serves 3-8 million people in southwest Uganda. We also enrolled patients prospectively from June 2016 to December 2016...
August 4, 2018: Journal of Pediatric Surgery
Kristiina Karila, Annaleena Anttila, Tarja Iber, Mikko Pakarinen, Antti Koivusalo
BACKGROUND: Necrotizing enterocolitis (NEC) and spontaneous intestinal perforation (SIP) are the most common abdominal surgical conditions in preemies. Associated mortality remains high and long periods of parenteral nutrition (PN) may be required. We assessed the developments in the outcomes of surgically treated NEC and SIP in the two largest Finnish neonatal intensive care units (NICU). METHODS: Retrospective observational study based on hospital records during 1986-2014...
August 3, 2018: Journal of Pediatric Surgery
Mustafa Onur Oztan, Fatma Demet Arslan, Sule Oztan, Gulden Diniz, Gokhan Koyluoglu
BACKGROUND: Caustic esophageal burn is still an important health problem in pediatric surgery. Although there are a number of experimental and clinical studies to increase the recovery of the esophagus and reduce the stenosis rate, there is no consensus on the treatment protocol. Platelet-rich plasma (PRP) is an autologous blood product, which has positive effects on wound healing, reepithelization and scar prevention. The aim of our study was to investigate the effects of PRP on stricture formation and oxidative status after caustic esophageal injury in rats...
August 1, 2018: Journal of Pediatric Surgery
Carolyne Ghobrial, Mohamed Rabea, Nabil Mohsen, Ayman Eskander
BACKGROUND/PURPOSE: Gastric antral vascular ectasia (GAVE) can cause recurrent bleeding and chronic anemia in children with portal hypertension (PHT). We aimed to evaluate the efficacy of EBL in comparison to argon plasma coagulation (APC) in children with PHT, bleeding from GAVE. METHODS: This prospective comparative study included 40 children with PHT who presented with nonvariceal GIT bleeding from GAVE. Patients were divided into 2 groups, each including 20 cases: one group was managed with APC and the other with EBL...
July 27, 2018: Journal of Pediatric Surgery
George Vaos, Anastasia Dimopoulou, Eleana Gkioka, Nick Zavras
PURPOSE: This study carried out a meta-analysis to compare immediate surgery (IS) with conservative treatment (CT) of complicated acute appendicitis (CAA) in children. METHODS: Systematic literature research was performed for relevant studies published from 1969 to date. Trials of IS compared with CT were included. Outcomes of interest were postoperative morbidity and length of hospital stay (LOS). RESULTS: Fifteen trials were studied (1.243 patients)...
July 27, 2018: Journal of Pediatric Surgery
Qi Dong, Guoxin Li, Jingqing Dong
PURPOSE: To explore the risk factors for the development of postoperative recurrent Hirschsprung associated enterocolitis (HAEC). METHODS: A retrospective review of patients treated with standard procedures for Hirschsprung disease (HSCR) over the period of Jan. 2010 to Dec. 2016 was performed. Included 133 patients were divided into three groups: 1) recurrent HAEC group if a patient suffered ≥3 episodes of enterocolitis; 2) HAEC group if a patient suffered 1-2 episodes of enterocolitis; and 3) control group if a patient had no enterocolitis...
July 27, 2018: Journal of Pediatric Surgery
Paul Stephen Cullis, Emily Mullan, Allan Jackson, Gregor Walker
BACKGROUND: Between 20% and 50% neonates with bilious vomiting are diagnosed with surgical pathology. Distinguishing neonates requiring surgery remains challenging. Our aim was to conduct an audit of term neonates with bilious vomiting referred for assessment to identify characteristics of this cohort and management. Secondary aims were to identify factors predictive of surgical pathology. METHODS: Infants <28 days referred for bilious vomiting from 2011 to 2015 were identified through cross-referencing multiple patient databases...
July 26, 2018: Journal of Pediatric Surgery
Zafar Nazir, Muhammad Arif Mateen Khan, Javaria Qamar
BACKGROUND: Congenital Prepubic Sinus (CPS) is an uncommon urogenital anomaly characterized by a blind tract between the skin over the pubis to anterior of the urinary bladder, Urethra or umbilicus. We report four such cases to emphasize varied clinical presentation and embryological conundrum. METHODS: Following Ethical Review Committee (ERC) approval, medical records of pediatric patients (<16 years) presenting with CPS (identified through operating room records and Hospital Information Management System (HIMS) between 1994 and 2018 were reviewed for demographics, clinical presentation, investigations including histopathology, management and outcome...
July 25, 2018: Journal of Pediatric Surgery
Eileen M Duggan, Samuel Nurko, Charles J Smithers, Leonel Rodriguez, Victor L Fox, Steven J Fishman
BACKGROUND/PURPOSE: Achalasia is an extremely rare disease in children (0.1 per 100,000 individuals). Standard treatments for this include pneumatic dilation and esophagomyotomy. Minimally invasive esophagomyotomies have increasingly been used owing to improved postoperative pain and length of stay. We describe our experience with thoracoscopic esophagomyotomy in this population. METHODS: This is a retrospective cohort study of all patients at our institution who underwent thoracoscopic esophagomyotomy for achalasia from 1995 to 2016...
July 24, 2018: Journal of Pediatric Surgery
Stephen Stonelake, Oliver Gee, David McArthur, Ingo Jester
BACKGROUND/PURPOSE: To review our early experience of laparoscopic ProTack™ rectopexy (LPR) in the management of full thickness rectal prolapse (FTRP) in children. METHODS: Prospective case series of patients undergoing LPR between 2013 and 2017. Full laparoscopic mobilization of the rectum was performed from the sacral promontory to the pelvic floor. 'Wings' of the lateral mesorectal peritoneum left attached to the rectum are then fixed to the sacral promontory using ProTack™...
July 24, 2018: Journal of Pediatric Surgery
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"