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Pediatric Surgery International

Tarryn Gabler, Robyn Charlton, Jerome Loveland, Ellen Mapunda
Congenital aphallia is a rare anomaly with little supporting literature and controversial management. The aim of this review is to assess the most recent literature with a focus on staged management of these cases. We performed a PubMed search of all English literature in the past 10 years using the term aphallia. Twenty-three articles were identified of which six were excluded. A further three papers meeting our criteria were found in the references to papers initially identified. We found that management can be staged in three phases: short, intermediate and long-term...
April 20, 2018: Pediatric Surgery International
Alessio Pini Prato, Cinzia Mazzola, Girolamo Mattioli, Maria Escolino, Ciro Esposito, Antonio D'Alessio, Laura Caterina Abati, Lorenzo Leonelli, Claudio Carlini, Franco Rotundi, Pier Carlo Meinero
BACKGROUND: Pilonidal disease is a troublesome acquired condition for whom various surgical treatments have been proposed with relatively high recurrence and complication rates. Since EPSiT technique has been described in 2013, it became an alternative treatment in adult practice. Our study reports the results of a multicentre series of pediatric patients who underwent EPSiT procedure over a 21-month period. METHODS: Between July 2015 and March 2017, all consecutive patients undergoing EPSiT in four different pediatric surgical units have been enrolled...
April 19, 2018: Pediatric Surgery International
Pernille Kock Grave, Sabrina Valentin Thomsen, Pia Susanne Clark, Gunvor Iben Madsen, Niels Qvist, Mark Bremholm Ellebæk
PURPOSE: The objective of the present study was to investigate the effect of segmental reversal of the distal 20 cm of the small intestine in piglets with induced SBS compared to controls with SBS alone. Primary endpoint was postoperative weight change over a period of 1 month. Secondary endpoints were the influence on cell proliferation and mucosal architecture shown by histological analysis. METHODS: Sixteen piglets underwent a 60% resection of the distal small intestine and were randomized into two groups...
April 17, 2018: Pediatric Surgery International
Miriam Duci, Francesco Fascetti-Leon, Marta Erculiani, Elena Priante, Maria Elena Cavicchiolo, Giovanna Verlato, Piergiorgio Gamba
PURPOSE: Necrotizing enterocolitis (NEC) is a severe neonatal disease. The present study aimed to identify factors predisposing the development of severe forms of NEC. METHODS: This retrospective study examined NEC patients in a single centre between 2002 and 2015. Data concerning clinical characteristics, therapeutic management as well as short-term outcomes were collected. We compared the patients receiving successful medical treatment and those requiring surgical intervention...
April 11, 2018: Pediatric Surgery International
Joseph Sujka, Shawn St Peter, Tolulope A Oyetunji
No abstract text is available yet for this article.
April 11, 2018: Pediatric Surgery International
E Graham Englert, Guillermo Ares, Andrea Henricks, Karen Rychlik, Catherine J Hunter
PURPOSE: Finding a breast mass in a child provokes apprehension in parents, especially in those with a family history of breast cancer. Clinicians must decide between serial imaging or biopsy of the mass. Herein, we identify management differences in those with and without a positive family history, as well as identify cost differences. METHODS: An institutional retrospective review was performed of patients (2-18 years of age) with a diagnosis of breast mass...
April 11, 2018: Pediatric Surgery International
Cristen N Litz, Ernest K Amankwah, Paul D Danielson, Nicole M Chandler
PURPOSE: The purpose was to compare the resource utilization and outcomes between patients with suspected (SUSP) and confirmed (CONF) non-accidental trauma (NAT). METHODS: The institutional trauma registry was reviewed for patients aged 0-18 years presenting from 2007 to 2012 with a diagnosis of suspicion for NAT. Patients with suspected and confirmed NAT were compared. RESULTS: There were 281 patients included. CONF presented with a higher heart rate (142 ± 27 vs 128 ± 23 bpm, p < 0...
April 11, 2018: Pediatric Surgery International
Peter Conner, Jenny Hammarqvist Vejde, Carmen Mesas Burgos
BACKGROUND: Associated anomalies in omphalocele are common, but to which extent these anomalies are diagnosed before or after birth is less well documented. AIM: To investigate the different types of associated anomalies, long-term survival and the extent whether these are diagnosed pre- or postnatally in children with a prenatal diagnosis of omphalocele at a single institution. MATERIALS AND METHODS: Retrospective review of all pregnancies with omphalocele managed and/or born at our institution between 2006 and 2016...
April 10, 2018: Pediatric Surgery International
Elin Öst, Margret Nisell, Carmen Mesas Burgos, Björn Frenckner, Maria Öjmyr-Joelsson
PURPOSE: The aim was to investigate social competence and behavioral and emotional problems in children and adolescents born with CDH. METHODS: All children born with CDH, treated in Stockholm 1990-2009, were invited to participate. After written consent, the Child Behavior Checklist or Adult Self-Report questionnaires were sent to participants. Of the 145 long-term survivors, 51% returned a completed questionnaire. Both the syndrome and competence scales were used and open-ended questions were analyzed with manifest content analysis...
April 10, 2018: Pediatric Surgery International
Navot Kantor, Carolyn Wayne, Ahmed Nasr
PURPOSE: For the approximately three quarters of patients with a prenatal diagnosis of congenital pulmonary airway malformation (CPAM) who are asymptomatic at birth, the chance of eventually developing symptoms is unknown. We sought to explore the natural history of asymptomatic CPAM. METHODS: We searched EMBASE, MEDLINE, and the first 50 results from Google Scholar. Studies describing the natural history of prenatally diagnosed, initially asymptomatic CPAM were included...
April 9, 2018: Pediatric Surgery International
Mihir Chaudhary, Olajire Idowu, Sunghoon Kim
A typical method of placing a tunneled central catheter utilizes C-arm fluoroscopy for insertion and estimation of the length of the catheter needed. We describe a new technique to estimate the length more accurately using a C-arm fluoroscope.
April 9, 2018: Pediatric Surgery International
Rebecca S Lane, Jun Tashiro, Brandon W Burroway, Eduardo A Perez, Juan E Sola
PURPOSE: We hypothesized that laparoscopic (LA) or open appendectomy (OA) outcomes in complicated appendicitis are associated with weekend vs. weekday procedure date. METHODS: We queried the Kids' Inpatient Database (1997-2012) for complicated (540.0, 540.1) appendicitis treated with LA or OA. Propensity score (PS)-matched analysis compared outcomes associated with weekend vs. weekday LA and OA. RESULTS: Overall, 103,501 cases of complicated appendicitis were identified...
April 6, 2018: Pediatric Surgery International
Micah G Katz, Stephen J Fenton, Kathryn W Russell, Eric R Scaife, Scott S Short
PURPOSE: To examine surgical outcomes of children with pancreaticoduodenal injuries at a Quaternary Level I pediatric trauma center. METHODS: We queried a prospectively maintained trauma database of a level one pediatric trauma center for all cases of pancreatic and/or duodenal injury from 2002 to 2017. Analysis was conducted using JMP 13.1.0. RESULTS: 170 children presented with pancreatic and/or duodenal injury. 13 (7.7%) suffered a combined injury and this group forms the basis for this report with mean ISS of 22...
April 5, 2018: Pediatric Surgery International
Rebecca M Rentea, Ashwini S Poola, Joy M Fulbright, Shawn D St Peter, Sohail R Shah
INTRODUCTION: While many childhood cancers are curable with therapy, adverse consequences in fertility exist. We sought to assess the number of female patients with pelvic tumors receiving radiation therapy, and the proportion that undergo measures for fertility preservation (FP). METHODS: A total of 53 female patients treated with pelvic tumors from 2000 to 2016 were retrospectively identified. RESULTS: 19 (34%) of these patients underwent pelvic radiation therapy (pXRT)...
April 4, 2018: Pediatric Surgery International
Patrick M Foye, Gerard J D'Onofrio
No abstract text is available yet for this article.
April 3, 2018: Pediatric Surgery International
Amulya K Saxena
This review focuses on the surgical viewpoints on patch repairs in neonates with large congenital diaphragmatic hernia defects. The main focus  is on the various biomaterials that have been employed to date with regard to their source of origins, degradation properties as well as tissue integration characteristics. Further focus  is on the present knowledge on patch integration when biomaterials are placed in the diaphragmatic defect. The review will also look at the present evidence on the biomechanical characteristics of the most commonly used biomaterials and compares these materials to diaphragmatic tissue to offer more  insight on the present practice of patch repairs in large defects...
April 2, 2018: Pediatric Surgery International
Shuai Chen, Yuanjun Hu, Qinghua Liu, Xiaoying Li, Hefeng Wang, Kelai Wang
PURPOSE: The purpose of this study was to investigate the comparison of AR and AUS in predicting prognosis in infants with necrotizing enterocolitis. METHODS: All patients were diagnosed as NEC at the department of general surgery and neonatal surgery, Qilu children's hospital between 1st, Jun, 2010 and 30th, Dec, 2016. The logistic regression analysis and the area under ROC curve (AUC)s were also used to compare the prognostic values of radiograph and sonograph for NEC...
March 30, 2018: Pediatric Surgery International
Nhatrang Le, Douglas C Rivard, Rebecca M Rentea, Michelle Manalang, Walter Andrews, Bartholomew Kane, Richard J Hendrickson
Portal vein embolization (PVE) is a pre-operative treatment modality in adults undergoing hepatectomy with concerns of post-operative liver failure from insufficient future liver remnant (FLR). PVE induces growth in the FLR. The success of this technique is well described in adults, but not in young children with hepatoblastoma.
March 29, 2018: Pediatric Surgery International
Jaber Jawdat, Shachar Rotem, Stanislav Kocherov, Amicur Farkas, Boris Chertin
PURPOSE: We have retrospectively evaluated all patients who underwent endoscopic puncture (EP) of ureterocele over the last 26 years with special reference to the need in the second intervention and disease-free status. METHODS: 78 (69%) of the 112 patients following EP and completed follow-up were included. 51 (65%) were diagnosed prenatally and 27 (35%) postnatally. 46 patients (60%) had intravesical, while 32 (40%) had ectopic ureterocele. Median age at time of puncture was 4 months...
March 29, 2018: Pediatric Surgery International
Kristin A Sonderman, Lindsey L Wolf, Lindsey B Armstrong, Kathryn Taylor, Wei Jiang, Brent R Weil, Tracey P Koehlmoos, Robert L Ricca, Christopher B Weldon, Adil H Haider, Samuel E Rice-Townsend
PURPOSE: We sought to determine the incidence and timing of testicular atrophy following inguinal hernia repair in children. METHODS: We used the TRICARE database, which tracks care delivered to active and retired members of the US Armed Forces and their dependents, including > 3 million children. We abstracted data on male children < 12 years who underwent inguinal hernia repair (2005-2014). We excluded patients with history of testicular atrophy, malignancy or prior related operation...
March 28, 2018: Pediatric Surgery International
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