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Journal of Pediatric Surgery

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https://www.readbyqxmd.com/read/29792280/resource-utilization-and-indications-for-helicopter-transport-of-head-injured-children
#1
Clay M Elswick, Deidre Wyrick, Lori A Gurien, Malik Rettiganti, Marie Gowen, Ambre' Pownall, Diaa Bahgat, R Todd Maxson, Eylem Öcal, Gregory W Albert
INTRODUCTION: Helicopter emergency medical services (HEMS) have provided benefit for severely injured patients. However, HEMS are likely overused for the transportation of both adult and pediatric trauma patients. In this study, we aim to evaluate the degree of overuse of helicopter as a mode of transport for head-injured children. In addition, we propose criteria that can be used to determine if a particular patient is suitable for air versus ground transport. MATERIALS AND METHODS: We identified patients who were transported to our facility for head injuries...
May 1, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29792282/reply-to-letter-to-the-editor
#2
LETTER
Richard J Wood, Carlos A Reck-Burneo, Marc A Levitt
No abstract text is available yet for this article.
April 30, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29784284/routine-surveillance-imaging-following-mild-traumatic-brain-injury-with-intracranial-hemorrhage-may-not-be-necessary
#3
Smruti K Patel, Yair M Gozal, Bryan M Krueger, James C Bayley, Suzanne Moody, Norberto Andaluz, Richard A Falcone, Karin S Bierbrauer
BACKGROUND: Mild traumatic brain injury (mTBI) comprises the majority of pediatric traumatic brain injury. Children with mTBI even with traumatic intracranial hemorrhage (tICH) rarely experience a clinically significant neurologic decline (CSND). The utility of routine surveillance imaging in the pediatric population also remains controversial, especially owing to concerns about the risks of radiation exposure at a young age. This study aims to identify demographic or injury-related characteristics that may facilitate recognition of children at risk of progression with mTBI...
April 27, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29784283/accounting-for-early-job-turnover-in-recent-pediatric-surgery-fellowship-graduates-an-american-pediatric-surgical-association-membership-and-credentials-committee-study
#4
Trevor D Crafts, Teresa M Bell, Andrew Srisuwananukorn, Harry Applebaum, Troy A Markel
PURPOSE: Employment opportunities for graduating pediatric surgeons vary from year to year. Significant turnover among new employees indicates fellowship graduates may be unsophisticated in choosing job opportunities which will ultimately be satisfactory for themselves and their families. The purpose of this study was to assess what career, life, and social factors contributed to the turnover rates among pediatric surgeons in their first employment position. METHODS: American Pediatric Surgical Association members who completed fellowship training between 2011 and 2016 were surveyed voluntarily...
April 27, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29778544/anatomical-alterations-following-the-psarp-procedure-correlating-mri-findings-with-continence-scores
#5
Amr Abdelhamid AbouZeid, Sherif Elhussiny Ibrahim, Shaimaa Abdelsattar Mohammad, Ahmed Bassiouny Radwan, Mohamed Eldebeiky, Ahmed Medhat Zaki
PURPOSE: To identify anatomical aberrations following PSARP procedure by using MRI, while correlating MRI findings to clinical outcome. PATIENTS AND METHODS: Between January 2014 and December 2017, we conducted our study on male patients with rectourethral fistula who underwent PSARP. Postoperative pelvic MRI studies were performed and correlated to their clinical continence scores (Rintala, and Krickenbeck classification). RESULTS: The study included 31 patients...
April 27, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29792281/the-impact-of-body-weight-on-stapled-anastomosis-in-pediatric-patients
#6
Hizuru Amano, Yujiro Tanaka, Takahisa Tainaka, Akinari Hinoki, Hiroshi Kawashima, Tomo Kakihara, Kaori Morita, Hiroo Uchida
PURPOSE: The purpose of this study is to clarify the impact of body weight on outcomes of stapled anastomosis in pediatric patients. METHODS: A total of 253 pediatric patients who underwent intestinal anastomosis were classified according to body weight (<3.5 kg: light group, ≥3.5 kg: heavy group), and clinical outcomes of stapled and hand-sewn anastomoses were compared. RESULTS: The light and heavy groups included 77 (stapled: n = 13, hand-sewn: n = 64) and 176 (stapled: n = 58, hand-sewn: n = 118) patients, respectively...
April 26, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29776738/reply-to-letter-to-the-editor
#7
LETTER
Michelle Kars, John Hagen, Caroline Maloney, Michelle Kallis, Ibrahim Abd El-Shafy, Aaron Lipskar
No abstract text is available yet for this article.
April 24, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29776737/confounding-factors-in-the-efficacy-of-rectus-sheath-block
#8
LETTER
Lucas J Castro-Alves, Mark C Kendall
No abstract text is available yet for this article.
April 21, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29778545/a-descriptive-model-for-a-multidisciplinary-unit-for-colorectal-and-pelvic-malformations
#9
Alejandra Vilanova-Sanchez, Devin R Halleran, Carlos A Reck-Burneo, Alessandra C Gasior, Laura Weaver, Meghan Fisher, Andrea Wagner, Onnalisa Nash, Kristina Booth, Kaleigh Peters, Charae Williams, Sarah Mayer Brown, Peter Lu, Molly Fuchs, Karen Diefenbach, Jeffrey R Leonard, Geri Hewitt, Kate McCracken, Carlo Di Lorenzo, Richard J Wood, Marc A Levitt
INTRODUCTION: Patients with anorectal malformations (ARM), Hirschsprung disease (HD), and colonic motility disorders often require care from specialists across a variety of fields, including colorectal surgery, urology, gynecology, and GI motility. We sought to describe the process of creating a collaborative process for the care of these complex patients. METHODS: We developed a model of a devoted center for these conditions that includes physicians, psychologists, social workers, nurses, and advanced practice nurses...
April 19, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29754877/a-novel-technique-to-measure-severity-of-pediatric-pectus-excavatum-using-white-light-scanning
#10
Ferdynand Hebal, Elissa Port, Catherine J Hunter, Bryan Malas, Jared Green, Marleta Reynolds
BACKGROUND/PURPOSE: Computed tomography (CT) derived Haller Index (HI) remains the standard for quantifying severity in patient with pectus excavatum (PE). Optical scanning described in literature reports optimistic results and new indices that correlate with HI. This study assessed the feasibility of a handheld White Light Scanner (WLS) to obtain 3D measurements and indices of PE deformity. METHODS: From April 2015-April 2017, WLS scanning was conducted by orthotists during clinical visits...
April 18, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29753524/short-bowel-mucosal-morphology-proliferation-and-inflammation-at-first-and-repeat-step-procedures
#11
Annika Mutanen, Meredith Barrett, Yongjia Feng, Jouko Lohi, Raja Rabah, Daniel H Teitelbaum, Mikko P Pakarinen
BACKGROUND: Although serial transverse enteroplasty (STEP) improves function of dilated short bowel, a significant proportion of patients require repeat surgery. To address underlying reasons for unsuccessful STEP, we compared small intestinal mucosal characteristics between initial and repeat STEP procedures in children with short bowel syndrome (SBS). METHODS: Fifteen SBS children, who underwent 13 first and 7 repeat STEP procedures with full thickness small bowel samples at median age 1...
April 17, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29773452/beneficial-effects-of-rolipram-a-phosphodiesterase-4-specific-inhibitor-on-testicular-torsion-detorsion-injury-in-rats
#12
Deniz Abat, Yıldırım Bayazıt, Arbil Açıkalın, Kenan Dağlıoğlu, Ebru Dündar Yenilmez, Adem Altunkol, Şeyda Erdoğan, Abdullah Tuli
INTRODUCTION: The aim of the study is to investigate the effect of Rolipram, a selective phosphodiesterase 4 inhibitor, on testicular torsion - detorsion injury. METHODS: Sixty young male rats were divided into five groups. In each group, the right testes of six rats were removed four hours after detorsion for biochemical analysis, and the right testes of the remaining six rats were removed 24 h after detorsion for pathological analysis. In group 1 (sham-operated) right orchiectomy was performed without torsion, and right testes were sent to the laboratory for biochemical and pathologic analyses...
April 14, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29754879/congenital-pyloric-atresia-nine-new-cases-single-center-experience-of-the-long-term-follow-up-and-the-lessons-learnt-over-a-decade
#13
Monal Kansra, V Shankar Raman, Kamal Kishore, Sanat Khanna, Bipin Puri, Abhishek Sharma
BACKGROUND: Congenital pyloric atresia (CPA) is a rare anomaly with an incidence of 1 in 100,000 live births. Depending on the type of anomaly patients can either present in the neonatal period or later in life with subtle nonspecific signs and symptoms. We present our institute's experience in handling these cases over the last decade and highlight lessons learnt. MATERIALS AND METHODS: We retrospectively reviewed records of patients diagnosed with CPA and managed at our centre between Jan 2006 to June 2016...
April 14, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29754878/extracorporeal-membrane-oxygenation-ecmo-risk-stratification-in-newborns-with-congenital-diaphragmatic-hernia-cdh
#14
Tim Jancelewicz, Mary E Brindle, Matthew T Harting, Elizabeth A Tolley, Max R Langham, Pamela A Lally, Ankush Gosain, Stephanie A Storgion, David W Kays
BACKGROUND: A means for early postnatal stratification of ECMO risk in CDH newborns could be used to comparatively assess the utilization and outcomes of ECMO use between centers. While multiple CDH mortality risk calculators are available, no validated tool exists specifically for prediction of ECMO use. The purpose of this study was to derive and validate an ECMO risk stratification model. METHODS: The study population was obtained from CDH Study Group registry for the period between 2007 and 2016...
April 14, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29753526/prenatally-versus-postnatally-diagnosed-congenital-diaphragmatic-hernia-side-stage-and-outcome
#15
Carmen Mesas Burgos, Björn Frenckner, Matias Luco, Matthew T Harting, Pamela A Lally, Kevin P Lally
AIM: To compare outcomes between prenatally and postnatally diagnosed CDH in a large multicenter database of prospectively collected data and evaluate factors associated with poorer outcome for prenatally diagnosed CDH. MATERIAL AND METHODS: We used information from the multicenter, multinational CDH Study Group database on patients born between 2007 and 2015. We compared differences between prenatally and postnatally diagnosed CDH with respect to survival, side, size, ECMO needs, associated major cardiac malformations and liver position...
April 14, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29753525/evolving-biopsy-techniques-for-the-diagnosis-of-neuroblastoma-in-children
#16
Giovanni Campagna, Eric Rosenfeld, Jennifer Foster, Sanjeev Vasudevan, Jed Nuchtern, Eugene Kim, Sarah Commander, Bindi Naik-Mathuria
BACKGROUND/PURPOSE: To compare the adequacy and safety of percutaneous core needle biopsy and surgical wedge biopsy of neuroblastoma in children. METHODS: A retrospective review of patients who underwent biopsy for intermediate- or high-risk neuroblastoma at our institution between 2011 and 2015 was performed (recent cohort). Procedure details and outcomes were collected and analyzed using descriptive statistics and Wilcoxon rank tests; P < 0.05 was considered significant...
April 14, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29776739/morgagni-hernia-repair-in-children-over-two-decades-institutional-experience-systematic-review-and-meta-analysis-of-296-patients
#17
Yew-Wei Tan, Debasish Banerjee, Kate M Cross, Paolo De Coppi, Simon C Blackburn, Clare M Rees, Stefano Giuliani, Joe I Curry, Simon Eaton
BACKGROUND/PURPOSE: Morgagni diaphragmatic hernia (MH) is rare. We report our experience based on routine patch use in MH repair to curb recurrence. A systematic review and meta-analysis were performed to study the recurrence and complications associated with minimally invasive surgery and the use of patch. METHODS: We retrospectively reviewed all cases of MH who underwent first-time repair in 2012-2017 in our institution to determine recurrence and complication rate...
April 13, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29753523/testicular-transposition-in-children-undergoing-brachytherapy-for-bladder-and-or-prostate-rhabdomyosarcoma
#18
Guenolee de Lambert, Cyrus Chargari, Véronique Minard-Colin, Christine Haie-Meder, Florent Guérin, Hélène Martelli
BACKGROUND/PURPOSE: Fertility preservation is a major goal in treatment of children with cancer. We describe a new technique of testicular transposition (TT) in patients treated with pulse-dose-rate (PDR) brachytherapy as part of the multimodal conservative treatment of bladder neck and/or prostate rhabdomyosarcoma (BP RMS). METHODS: Medical records of consecutive patients treated between September 2016 and August 2017 were studied. These patients underwent a TT performed during BP RMS surgery by the same suprapubic incision...
April 13, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29752137/american-pediatric-surgical-association-trauma-committee-position-statement-on-the-use-of-all-terrain-vehicles-by-children-and-youth-2018
#19
LETTER
Brett W Engbrecht, Reto M Baertschiger
No abstract text is available yet for this article.
April 13, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29729823/the-impact-of-racial-ethnic-disparities-on-survival-for-children-and-young-adults-with-chest-wall-sarcoma-a-population-based-study
#20
Michael Joseph, Emma C Hamilton, Andrea Hayes-Jordan, Winston W Huh, Mary T Austin
BACKGROUND: To determine whether there are racial/ethnic disparities in disease presentation, treatment and survival outcomes among children and young adults with chest wall sarcomas. METHODS: The Surveillance, Epidemiology and End Results (SEER) database was analyzed for patients 21 years old and younger with chest wall sarcoma. We performed multivariate logistic regression to investigate the association of race/ethnicity with advanced stage of disease at presentation and likelihood of undergoing surgical resection...
April 13, 2018: Journal of Pediatric Surgery
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