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European Journal of Pediatric Surgery

Shohei Hiwatashi, Yasuhide Nakayama, Satoshi Umeda, Yuichi Takama, Takeshi Terazawa, Hiroomi Okuyama
INTRODUCTION:  Tracheal reconstruction for long-segment stenosis remains challenging. We investigate the usefulness of BIOTUBE, an in-body tissue-engineered collagenous tube with a biodegradable stent, as a novel tracheal scaffold in a beagle model. MATERIALS AND METHODS:  We prepared BIOTUBEs by embedding specially designed molds, including biodegradable stents, into subcutaneous pouches in beagles. After 2 months, the molds were filled with ingrown connective tissues and were harvested to obtain the BIOTUBEs...
November 2, 2018: European Journal of Pediatric Surgery
Bilge Karabulut, Gulsah Bayram, Can Ihsan Oztorun, Burak Ozcift, Tuğrul Hüseyin Tiryaki
INTRODUCTION:  Detecting renal scar is important in pediatric patients with vesicoureteral reflux (VUR) for deciding on treatment option. The aim of this study is to detect whether freehand elastosonography technique could be an alternative to dimercaptosuccinic acid (DMSA) scan in determining renal scar formation. MATERIALS AND METHODS:  Between November 2015 and April 2016, 25 VUR patients, age ranging from 3 to 17 years admitted to our clinic, had urinary ultrasound and elastosonography, and data of approximately 147 renal region were recorded...
October 31, 2018: European Journal of Pediatric Surgery
Wei Yao, Kai Li, Zuopeng Wang, Jiahao Pei, Xiangqi Liu, Shan Zheng, Kuiran Dong
OBJECTIVE:  To evaluate the outcome and safety of corticosteroids and vincristine (VCR) in the treatment of kaposiform hemangioendothelioma (KHE) and tufted angioma (TA). MATERIALS AND METHODS:  Clinical studies involving corticosteroids and VCR therapies in treating KHE/TA were identified by using PubMed, Cochrane Library, OVID, EBSCO, CNKI, VIP, and Wanfang databases from their establishment date to December 2017. Randomized controlled trials, case-control, or case series with more than five cases were included...
October 29, 2018: European Journal of Pediatric Surgery
Zoran Marjanovic, Maja Raicevic, Andjelka Slavkovic, Dragoljub Zivanovic, Ivan Filipovic, Nikola Bojovic
INTRODUCTION:  Child migrants are the most vulnerable population, prone to various health conditions due to trauma and the bad living conditions that they experience during their migration. The objective of this study was to determine the pediatric surgical conditions of migrant children treated in our hospital on their way toward North-West Europe. MATERIALS AND METHODS:  A retrospective analysis was performed on all admitted migrants in one tertiary and one secondary level hospital from 2016 to 2018...
October 29, 2018: European Journal of Pediatric Surgery
Julia Elrod, Doris Mannhard, Christoph Mohr, Christine Lienert, Kerstin Hagemann-Gysling, Clemens Schiestl, Luca Mazzone
INTRODUCTION:  Meningococcal septicemia is not merely an acute disease with a high lethality, but patients surviving the fulminant phase can suffer from serious long-term sequelae. MATERIALS AND METHODS:  The records of 165 patients admitted to the hospital from 1968 to 2008 with the diagnosis of meningococcal septicemia were retrospectively reviewed for early signs at presentation, intensive care management, acute symptoms, the necessity of plastic and orthopaedic surgical management, and long-term orthopaedic sequelae...
October 29, 2018: European Journal of Pediatric Surgery
Mehmet Ali Özen, Mehmet Taşdemir, Gökhan Gündoğdu, Ilmay Bilge, Cenk Büyükünal, Egemen Eroğlu
INTRODUCTION:  Delayed presentation of posterior urethral valves (PUVs) is a rare condition. Presentation and diagnosis of the patients with late PUVs are challenging. Voiding cystourethrogram (VCUG) is mainly practiced. In this study, we aimed to evaluate the children with late-presented PUVs, and the reliability of VCUG in this group. MATERIALS AND METHODS:  Between January 2003 and December 2017 records of patients who were diagnosed with late-presented PUVs were analyzed...
September 28, 2018: European Journal of Pediatric Surgery
Oskar Zgraj, Anna Taczanowska-Niemczuk, Wojciech Gorecki
INTRODUCTION:  The management of melanocytic nevi involves many various practitioners with a high number of patients. Data on failure to achieve goals of treatment are scarce. We aimed to determine percentage of incompletely excised nevi and the risk factors responsible. MATERIALS AND METHODS:  In this retrospective cohort study, histology reports of all melanocytic nevi excised within our department between January 2014 and June 2015 were considered. Those aimed for stage excision and those with inconclusive histology reports were excluded...
September 27, 2018: European Journal of Pediatric Surgery
Sofie Flieder, Michaela Dellenmark-Blom, Stefanie Witt, Carmen Dingemann, Julia H Quitmann, Linus Jönsson, Vladimir Gatzinsky, John E Chaplin, Barbara Gómez Dammeier, Monika Bullinger, Benno M Ure, Kate Abrahamsson, Jens Dingemann
AIM:  Despite advances of outcomes of esophageal atresia (EA), knowledge on patients' health-related quality of life (HRQoL) is sparse. Due to the heterogeneity of EA, larger cohorts need to be investigated to ensure reliability of data. Aim was to determine generic HRQoL after EA repair in a Swedish-German cohort. METHODS:  Ethical approval was obtained. A total of 192 patients (2-18 years; 134 Swedish; 58 German) were included. Clinical data were reviewed...
September 27, 2018: European Journal of Pediatric Surgery
Aodhnait S Fahy, Agostino Pierro
INTRODUCTION:  With improvements in prenatal ultrasound, more abdominal enteric duplication cysts (EDCs) are diagnosed prenatally. The optimal time for operative intervention is unclear. We aimed to review the evidence supporting the indication and timing of surgery for prenatally diagnosed EDCs. MATERIALS AND METHODS:  A systematic review was performed using a defined search strategy identifying articles with inclusion criteria of prenatal diagnosis of histologically confirmed EDCs...
September 18, 2018: European Journal of Pediatric Surgery
Elke Zani-Ruttenstock, Augusto Zani, Simon Eaton, Annie Fecteau
AIM:  The American College of Surgeons has developed a registry, the National Quality Improvement Program Pediatric (NSQIP-P), that provides participating centers with high-quality surgical outcome data for children. Herein, we aimed to analyze for the first time the short-term outcomes of live-born infants with congenital diaphragmatic hernia (CDH) registered on this large North American database. METHODS:  During 2015 to 2016, up to 101 participating centers uploaded 95 perioperative data points on the NSQIP-P database for patients that underwent surgical repair of CDH...
August 21, 2018: European Journal of Pediatric Surgery
Zeng Hao Wong, Mark Davenport
AIM:  Biliary atresia (BA) remains a rare disease in Europe with an estimated incidence of 1 in 15-20,000 livebirths. While the Kasai portoenterostomy (KPE) is regarded as the standard operation for BA, there is no consensus on optimum adjuvant therapy. We sought to determine the variation in therapy and opinion in centers known to have an interest in pediatric hepatobiliary surgery across Europe. METHODS:  A survey of current pre- and postoperative practice was circulated to surgeons and centers known to have an interest in BA...
August 21, 2018: European Journal of Pediatric Surgery
Akhilesh Pradhan, Radhika Patel, A J Said, Manasvi Upadhyaya
INTRODUCTION:  Balanitis xerotica obliterans (BXO) is uncommon in children. Diagnosis of the condition is almost always clinical and supported by histology. Our aim was to evaluate the outcomes of children undergoing circumcision for BXO and explore the correlation between surgical and histological findings. MATERIALS AND METHODS:  A 10-year retrospective review (2007-2017) of all children, aged 16 and less, undergoing circumcision at a tertiary teaching hospital was conducted...
August 21, 2018: European Journal of Pediatric Surgery
Sanjena Kumar Amuddhu, Yong Chen, Shireen Anne Nah
INTRODUCTION:  Recent literature advocates outpatient emergency department (ED) management of intussusception citing low recurrence rates and postreduction events after uncomplicated ileocolic reduction. However, few studies include both inpatient and outpatient cohorts. We performed a systematic review and meta-analysis to compare recurrence rates and length of hospital stay between the groups. METHODS:  Studies published in English up to January 2018 were searched from Medline, Embase, Google Scholar, and Cochrane databases, using a combination of the terms 'intussusception,' 'reduction,' and 'management'...
August 21, 2018: European Journal of Pediatric Surgery
Omid Madadi-Sanjani, Julia Zimmer, Jan-Hendrik Gosemann, Benno M Ure, Martin Lacher, Roland Boehm
OBJECTIVE:  Recurrent esophageal strictures (ESs) following esophageal atresia repair or caustic ingestion represent a common clinical problem. Recently, Mitomycin C was reported to improve the outcome of patients by reducing the number of endoscopic dilatations. However, other groups failed to exhibit a beneficial effect. We report on our experience with topic Mitomycin C application following endoscopic dilatation for recurrent ES. METHODS:  Retrospective chart review of patients with ES treated at the Hannover Medical School (Location A) and the University of Leipzig (Location B) between 2009 and 2015...
December 2018: European Journal of Pediatric Surgery
Selen Serel Arslan, Numan Demir, Aynur Ayşe Karaduman, Feridun Cahit Tanyel, Tutku Soyer
INTRODUCTION:  Feeding problems are common in children with esophageal atresia and tracheoesophageal fistula (EA-TEF); however, chewing disorders, which may cause inability to intake solid food, have not been evaluated. Therefore, we aimed to evaluate the chewing function in children with repaired EA-TEF. MATERIALS AND METHODS:  Age, sex, the type of atresia, the type of repair, and the time to start oral feeding were recorded. The level of the chewing performance was scored according to the Karaduman Chewing Performance Scale (KCPS)...
December 2018: European Journal of Pediatric Surgery
Linda Korhonen, Niina Salokorpi, Maria Suo-Palosaari, Juha Pesälä, Willy Serlo, Juha-Jaakko Sinikumpu
INTRODUCTION:  Severe trampoline injuries in children and adolescents are rare; however, minor injuries are common and their incidence is increasing. Severe injuries are most commonly head and neck injuries. They may result in long-term morbidity. This study aimed to illustrate these severe injuries and to find out their incidence and risk factors. MATERIALS AND METHODS:  This is a population-based, prospective study in the Oulu region of Finland completed over 2 years (May 1, 2015 to April 31, 2017)...
December 2018: European Journal of Pediatric Surgery
Alberto Attilio Scarpa, Ashok Daya Ram, Giampiero Soccorso, Michael Singh, Dakshesh Parikh
BACKGROUND:  Foregut duplication cysts (FDC) have unpredictable natural course and rarely remain asymptomatic. We present our large cohort of FDC to highlight surgical learning points and outcome. MATERIALS AND METHODS:  Review of 41 children with FDC (April 1997-April 2015) included demographics, clinical presentation, preoperative investigations, surgical management, post-operative complications, and overall outcome. RESULTS:  Forty-one children (26 girls/15 boys; male/female [M/F] ratio 1:1...
December 2018: European Journal of Pediatric Surgery
Kristiina Kyrklund, Malla I Neuvonen, Mikko P Pakarinen, Risto J Rintala
BACKGROUND:  Anorectal malformations (ARMs) and Hirschsprung's disease (HD) are chronic bowel conditions associated with varying degrees of fecal incontinence. We aimed to discuss the contemporary status of social morbidity associated with ARMs and HD in the long term after contemporary treatments. MATERIALS AND METHODS:  The bowel functional outcomes of our recent institutional series up to adulthood were reviewed and compared for ARMs and HD. The Rintala score was used to evaluate bowel function, which includes an assessment of the social effects of the condition...
December 2018: European Journal of Pediatric Surgery
Arin L Madenci, Joseph T Church, Robert J Gajarski, Kathryn Marchetti, Edwin J Klein, Megan A Coughlin, Jeannie Kreutzmann, Marjorie Treadwell, Maria Ladino-Torres, George B Mychaliska
PURPOSE:  The relationship between pulmonary hypoplasia and pulmonary arterial hypertension (PHTN) in patients with congenital diaphragmatic hernia (CDH) remains ill-defined. We hypothesized that prenatal estimates of lung size would directly correlate with PHTN severity. METHODS:  Infants with isolated CDH (born 2004-2015) at a single institution were included. Estimates of lung size included observed-to-expected LHR (o:eLHR) and %-predicted lung volumes (PPLV = observed/predicted volumes)...
December 2018: European Journal of Pediatric Surgery
Andrea Zanini, Francesco Macchini, Giorgio Farris, Anna Morandi, Irene Festa, Giulia Brisighelli, Valerio Gentilino, Ernesto Leva
INTRODUCTION:  We aim to assess gastroesophageal reflux (GER) in patients treated for congenital diaphragmatic hernia (CDH) and to determine whether a pH-metry investigation should be routinely performed in follow-up. MATERIALS AND METHODS:  Twenty-four-hour pH-metry at 1 year was performed in all patients treated for CDH between January 2014 and April 2015 (Group 1). We compared pH-metry results to those of two other groups: children treated for esophageal atresia (EA) (Group 2) and normal babies presenting with typical symptoms (Group 3)...
December 2018: European Journal of Pediatric Surgery
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