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Pediatric surgery

Ruchi Amin, Alfonso M Martinez, Marjorie J Arca
BACKGROUND: Gastric antral webs are mucosal structures, varying from fenestrated diaphragms to mucosal crescents, resulting in varying degrees of foregut obstruction. Patients commonly present with vomiting, failure to thrive, and abdominal pain. Prevalence is unknown, and diagnosis can be difficult. METHODS: We performed an IRB-approved retrospective review of patients from 4/1/2015-4/1/2018 at a Level I Children's Surgery Center undergoing gastric antral web resection...
July 13, 2018: Surgical Endoscopy
Maria Escolino, Giovanna Riccipetitoni, Atsuyuki Yamataka, Imran Mushtaq, Go Miyano, Paolo Caione, Fabio Chiarenza, Peter Borzi, Ciro Esposito
BACKGROUND: Very limited informations are currently available about the best approach to perform retroperitoneoscopic surgery. This multicentric international study aimed to compare the outcome of lateral versus prone approach for retroperitoneoscopic partial nephrectomy (RPN) in children. METHODS: The records of 164 patients underwent RPN in 7 international centers of pediatric surgery over the last 5 years were retrospectively reviewed. Sixty-one patients (42 girls and 19 boys, average age 3...
July 13, 2018: Surgical Endoscopy
Michael Benson, Sang Lee, Ratul Bhattacharya, Valentino Vasy, Jamshed Zuberi, Sayeeda Yasmeen, Mutahar Ahmed, Moneer K Hanna
OBJECTIVE: To discuss the presenting features, imaging findings and recommended management of patients with Metanephric adenoma (MA) focusing on the diagnostic challenges and indications for follow up. MATERIALS AND METHODS: In this case report, we present a case of a 10-year-old female with MA who eventually underwent nephron sparing surgery with a partial nephrectomy. We performed a literature review of previous cases of metanephric adenoma and their respective management and follow-up...
July 10, 2018: Urology
Youssef Teklali, Yohann Robert, Bernard Boillot, Camille Overs, Christian Piolat, Pierre Yves Rabattu
AIMS: The aims of this study were to evaluate the efficacy and safety of endoscopic treatment of primary obstructive megaureter in children, and to assess its long-term outcome. METHODS: Case files of 35 children who had endoscopic treatment of symptomatic primary obstructive megaureter between 2006 and 2016 were retrospectively analyzed. All children had ureterovesical junction dilatation with one or more ureteral dilators, and insertion of a JJ stent. An analysis of the case files and a comparison between pre- and postoperative ultrasound and scintigraphy findings were performed...
June 28, 2018: Journal of Pediatric Urology
Silvia Triarico, Giorgio Attinà, Palma Maurizi, Stefano Mastrangelo, Lorenzo Nanni, Vincenzo Briganti, Elisa Meacci, Stefano Margaritora, Mario Balducci, Antonio Ruggiero
BACKGROUND: We report our experience and outcomes about the management of Askin's tumors [AT], which are rare primitive neuroectodermal tumors (PNETs) that develop within the soft tissue of the thoracopulmonary region, typically in children and adolescents. METHODS: We retrospectively analyzed the charts of 9 patients affected by AT (aged 6-15 years), treated at the Paediatric Oncology Unit of Gemelli University Hospital in Rome between January 2001 and December 2016...
July 13, 2018: World Journal of Surgical Oncology
Aodhnait S Fahy, Luai Jamal, Bojan Gavrilovic, Brian Carillo, Justin T Gerstle, Ahmed Nasr, Georges Azzie
BACKGROUND: In pediatric minimal access surgery, the operative domain may vary from that of an adult to that of a neonate. This study aimed to quantify the impact of decreased operative domain on forces generated in the performance of a defined intracorporeal suturing task. METHODS: One hundred five participants performed a defined intracorporeal suturing task in small and large simulators. Time to task completion and force analysis parameters (FAPs = total, maximum, and mean forces in X, Y, and Z axes) were measured...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Eun Kyung Choi, Shiback Lee, Won Jae Kim, Sang-Jin Park
BACKGROUND: Emergence delirium is a common complication of sevoflurane anesthesia in children. AIMS: We examined the effects of maintaining remifentanil infusion during the recovery period on the incidence of emergence delirium in preschool-age children undergoing strabismus surgery under sevoflurane anesthesia. METHODS: Eighty children (aged 3-7 years) were randomly assigned to either the control group (group C; intraoperative remifentanil infusion) or the intervention group (group R; intraoperative remifentanil infusion followed by remifentanil maintenance during the recovery phase)...
July 13, 2018: Paediatric Anaesthesia
Manoochehr Ghorbanpoor, Behzad Dehvan, Siavash Rahimi, Azar Pirdehghan
Background: Fecal incontinence is one of the worst functional complications of posterior sagittal anorectoplasty for treatment of anorectal malformation. Objectives: In this study, we aimed to identify the prevalence of fecal incontinence in patients with the diagnosis of high or low anorectal malformation who underwent three-stage posterior sagittal anorectoplasty surgery in our center. Patients and Methods: Children with the diagnosis of anorectal malformation who underwent posterior sagittal anorectoplasty at the Department of Pediatric Surgery of Besat Hospital, Hamadan University of Medical Sciences, Iran, from 2012 to 2016 were enrolled in the study...
2018: Scientifica
Claudia Morales, Natalia Álvarez, Paula Candia, Felipe Celedón, Lital Meyer, Katherine Daniel, Nebenka Lombardic, Ernesto Guiraldes
BACKGROUND: Our institution adopted the Objective Structured Clinical Evaluation (OSCE) format to assess clinical skills of International Medical Graduates (IMGs) aiming to practice in Chile. The OSCE has clear advantages over oral exams due to its objective and structured nature. AIM: To report our experience with OSCE. MATERIAL AND METHODS: A team consisting of clinical specialists and medical educators with expertise in clinical simulation organized this OSCE cycle...
March 2018: Revista Médica de Chile
Daisuke Maruyama, Hiroharu Kataoka, Tetsu Satow, Hisae Mori, Yoshiro Ito, Eika Hamano, Shunichi Tanaka, Taichi Ishiguro, Hidekazu Chikuie, Jun C Takahashi
Antithrombotic treatment has substantial risks, even in pediatric patients. We retrospectively evaluated the management and outcomes of consecutive pediatric patients who underwent neurosurgical treatment for cerebrovascular disease with cardiovascular disease between 1998 and 2017. Patients were divided into patients with comorbid cardiovascular disease (group I); and patients with cardiovascular disease as a primary disease of intracranial complication, without (group IIa) or with (group IIb) extracorporeal circulations...
July 12, 2018: Neurologia Medico-chirurgica
Parth Shah, Stephen G Schwartz, Scott Gartner, Ingrid U Scott, Harry W Flynn
Low vision has been defined by best-corrected visual acuity worse than 20/40 in the better eye, substantial visual field loss, or substantial loss of contrast sensitivity that cannot be corrected by refraction, medical treatment, or surgery. In the United States, low vision is most commonly caused by age-related macular degeneration, glaucoma, and diabetic retinopathy. Most patients with low vision are elderly, although patients of all ages - including pediatric patients - may be affected. Low vision may decrease a patient's quality of life substantially, leading to emotional distress and possibly depression...
January 2018: Therapeutic advances in ophthalmology
Jia-Qing Zhang, Rui-Hong Ju, Kun-Tang Chen, Bao-Qin Ruan, Ting-Ting Xing
OBJECTIVE: To assess the performance of a minimally invasive thoracic drainage tube (14 F) made of polyurethane (PU) in a rabbit model of hemothorax in comparison with the conventional 28 F chest tube (CCT). METHODS: Thirty New Zealand rabbits were divided into experimental chest tube (ECT) group (n=9), CCT group (n=6), and blood provider group (n=15). Blood samples (20 mL) collected from the blood providing rabbits were injected into the chest cavity of the rabbits in the other two groups, and the time taken for closed drainage of the thoracic cavity was recorded...
June 20, 2018: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
Dieter C Broering, Giammauro Berardi, Yasser El Sheikh, Alessandra Spagnoli, Roberto I Troisi
OBJECTIVE: To evaluate the learning curve of an expert liver transplantation surgeon approaching fully laparoscopic living donor left lateral sectionectomy (L-LLS) under proctorship. BACKGROUND: Laparoscopic liver resections necessitate a long learning curve trough a stepwise fulfillment of difficulties. L-LLS requires expertise in both living donor liver transplantation and advanced laparoscopic liver surgery. There is currently no data about the learning curve of L-LLS...
July 10, 2018: Annals of Surgery
Carolina Talini, Bruna Cecília Neves DE-Carvalho, Letícia Alves Antunes, Claudio Schulz, Cesar Cavalli Sabbaga, Sylvio Gilberto Andrade Avilla, João Carlos Garbers, Luiz Roberto Farion DE-Aguiar, Leila Grisa Telles, Giovana Camargo DE-Almeida, Fernando Antonio Bersani Amado, Elisangela DE Mattos E-Silva
OBJECTIVE: to describe the first 13 cases of laparoscopic correction of common bile duct cyst in the Pequeno Príncipe Hospital, Curitiba, Paraná, Brazil. METHODS: we performed a retrospective analysis of medical records of cases of choledochal cyst operated by laparoscopy between March 2014 and September 2016. RESULTS: of the 13 patients, eight were female and the mean age at surgery was 7.8 years. The most common symptom was abdominal pain...
July 10, 2018: Revista do Colégio Brasileiro de Cirurgiões
Ruchi Amin, Michelle Knezevich, Melissa Lingongo, Aniko Szabo, Ziyan Yin, Keith T Oldham, Casey M Calkins, Thomas T Sato, Marjorie J Arca
OBJECTIVE: This prospective observational study was designed to assess Pediatric Quality of Life (PedsQL) after surgical treatment for congenital diaphragmatic hernia (CDH), esophageal atresia/tracheoesophageal fistula (EA/TEF), Hirschsprung disease (HD), gastroschisis (GAS), omphalocele (OMP), and necrotizing enterocolitis (NEC). SUMMARY OF BACKGROUND DATA: Improvements in neonatal and surgical care have led to increased survival for many newborn conditions. Quality of life in these patients is seldom explored in a longitudinal manner...
July 9, 2018: Annals of Surgery
Yamini S Kapileshwarkar, Laura T Smith, Susan M Szpunar, Premchand Anne
We aimed to determine median cumulative radiation exposure in pediatric intensive care unit (PICU) patients, proportion of patients with high radiation exposure (above annual average radiation per person of 6.2 mSv), and determine risk factors for high exposure. This was a retrospective chart review of PICU patients up to 18 years of age admitted to a large community hospital over 2 years. Radiologic studies and radiation exposure were determined for each patient, and total hospital radiation exposure was classified as high (>6...
July 1, 2018: Clinical Pediatrics
Ji-Hyun Lee, Ji-Yoon Jung, Sun-Woo Park, In-Kyung Song, Eun-Hee Kim, Hee-Soo Kim, Jin-Tae Kim
BACKGROUND: The objective of this retrospective study was to determine the risk factors for acute kidney injury (AKI), including albumin, in children who underwent cardiac surgery. In addition, we evaluated the association between preoperative serum albumin level and postoperative AKI in these patients. METHODS: This retrospective study included 505 pediatric patients who underwent congenital cardiac surgery. Preoperative and perioperative risk factors for AKI, including serum albumin level, were assessed...
July 11, 2018: Acta Anaesthesiologica Scandinavica
Maja Raicevic, Amulya K Saxena
BACKGROUND: This study systematically reviewed etiology, prevalence, treatment and outcome of Barrett's esophagus (BE) in the pediatric population. METHODS: PubMed® was searched for terms "Barrett's esophagus" and "children". End points were age of patients, etiology, association with other syndromes, treatment, incidence of carcinoma and outcome. This review was conducted according to the PRISMA guidelines. Data were collected, entered and analyzed into a Microsoft Excel® spreadsheet database...
July 10, 2018: World Journal of Pediatrics: WJP
Young A Kim, Gyung Min Kim, Peter Chun, Eun Ha Hwang, Sang Wook Mun, Yeoun Joo Lee, Jae Hong Park
Purpose: The aim of this study was to describe our treatment experiences with patients who had acute abdomen (AA) with common bile duct (CBD) dilatation. Methods: The treatment outcomes in children with AA and CBD dilatation were retrospectively reviewed. According to the shape of the intrahepatic bile ducts on ultrasonography (US), the origin of the pain was estimated as choledochal cyst (CC) complication or choledocholithiasis in normal CBD. Patients with complicated CC underwent surgery, and patients with choledocholithiasis in a normal appearing CBD underwent symptomatic treatment initially...
July 2018: Pediatric Gastroenterology, Hepatology & Nutrition
Onyinyechukwu Okolie, David M Irvin, Juli R Bago, Kevin Sheets, Andrew Satterlee, Abigail G Carey-Ewend, Vivien Lettry, Raluca Dumitru, Scott Elton, Matthew G Ewend, C Ryan Miller, Shawn D Hingtgen
BACKGROUND: Cytotoxic neural stem cells (NSCs) have emerged as a promising treatment for Medulloblastoma (MB), the most common malignant primary pediatric brain tumor. The lack of accurate pre-clinical models incorporating surgical resection and tumor recurrence limits advancement in post-surgical MB treatments. Using cell lines from two of the 5 distinct MB molecular sub-groups, in this study, we developed an image-guided mouse model of MB surgical resection and investigate intra-cavity NSC therapy for post-operative MB...
2018: PloS One
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