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28 papers 0 to 25 followers
By Ismael Medécigo Pediatric surgery resident.
https://www.readbyqxmd.com/read/29510429/perioperative-complications-of-video-assisted-thoracoscopic-pulmonary-procedures-in-neonates-and-infants
#1
Christoph Zoeller, Benno M Ure, Jens Dingemann
INTRODUCTION:  Video-assisted thoracoscopic surgery (VATS) has gained broad acceptance among pediatric surgeons. Today, VATS can be regarded as a routine approach for various conditions in neonates and infants. However, there is a lack of information concerning the complications of thoracoscopic pulmonary surgery in neonates and infants. We aimed to review the available data. PATIENTS AND METHODS:  A systematic review of the literature was performed using PubMed...
March 6, 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29514740/optimal-timing-for-elective-resection-of-asymptomatic-congenital-pulmonary-airway-malformations
#2
Eric B Jelin, Elizabeth M O'Hare, Tim Jancelewicz, Isam Nasr, Emily Boss, Daniel S Rhee
PURPOSE: We sought to determine optimal timing for CPAM resection within the first year of life. METHODS: We queried the National Surgical Quality Improvement Program pediatric database from 2012 to 2015 for elective CPAM resections on patients less than 1year of age. Patients were divided by age in months: 1-3 (n=57), 4-6 (n=135), and 6-12 (n=214). Patient operative variables and 30-day postoperative outcomes were compared. RESULTS: A total of 406 patients were included with no differences in demographics or comorbidities...
February 10, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29510872/decision-making-criteria-for-observational-management-of-congenital-pulmonary-airway-malformations-cpams
#3
Ashley Robinson, Rodrigo Romao, Jessica Mills, Dafydd A Davies
PURPOSE: The purpose of this study was to determine practice patterns of Canadian surgeons managing congenital pulmonary airway malformations (CPAMs) and factors influencing practice. METHODS: Pediatric surgeons in Canada were surveyed regarding their experience, evaluation, and management CPAMs, and what factors they feel qualify patients for observation vs resection. Data were summarized, and Fisher's-Exact and Kruskal-Wallis Tests applied where appropriate. RESULTS: Sixty eight percent (n=46) of surgeons responded...
February 10, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29486889/battery-ingestions-in-children-variations-in-care-and-development-of-a-clinical-algorithm
#4
Eric H Rosenfeld, Richard Sola, Yangyang Yu, Shawn D St Peter, Sohail R Shah
PURPOSE: To review current management and outcomes of ingested batteries and develop a clinical management algorithm. METHODS: Children <18years old who ingested a battery between 1/2011 and 9/2016 at two tertiary care children's hospitals were reviewed. Demographics, imaging, management and outcomes were analyzed using descriptive statistics, Chi-square and Wilcoxon Rank-sum tests. RESULTS: There were 180 battery ingestions. The median age was 3...
February 2, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29229483/outcomes-of-fundoplication-in-oesophageal-atresia-associated-gastrooesophageal-reflux-disease
#5
Antti I Koivusalo, Risto J Rintala, Mikko P Pakarinen
AIM OF THE STUDY: Conservative management of gastrooesophageal reflux (GORD) in oesophageal atresia (OA) is sometimes inefficient, and fundoplication is required. We assessed the outcomes of fundoplication among OA patients from 1980 to 2016. METHODS: After ethical consent, hospital records of 290 patients, including 22 referred patients, were reviewed. Included were 262 patients with end-to-end repair. Excluded were patients who underwent oesophageal reconstruction (n=23) or no repair (n=5)...
February 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27297040/percutaneous-tracheostomy-by-griggs-technique-under-rigid-bronchoscopic-guidance-is-safe-and-feasible-in-children
#6
Gulnur Gollu, Ufuk Ates, Ozlem S Can, Tanil Kendirli, Aydin Yagmurlu, Murat Cakmak, Tanju Aktug, Hüseyin Dindar, Meltem Bingol-Kologlu
OBJECTIVE: The aim of this study is to report prospective data of pediatric cases that underwent percutaneous tracheostomy (PT) to show that PT is a safe and feasible procedure in children even in small infants. PATIENTS AND METHODS: PT was done in 51 consecutive patients. Demographic data, indications, complications and outcome were recorded prospectively. Initial 6 PT was done by Giaglia technique whereas the Griggs technique was used in the consecutive 45 patients...
October 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28914345/comparison-of-clinical-outcomes-between-open-and-thoracoscopic-repair-for-esophageal-atresia-with-tracheoesophageal-fistula-a-systematic-review-and-meta-analysis
#7
Yuhao Wu, Hongyu Kuang, Tiewei Lv, Chun Wu
OBJECTIVE: A meta-analysis was performed for a comparison of outcomes between open repair (OR) and thoracoscopic repair (TR) for esophageal atresia with tracheoesophageal fistula (EA with TEF). METHODS: Electronic databases, including PubMed, Cochrane Library, and Medline, were searched systematically for the literatures aimed mainly at comparing the therapeutic effects for EA with TEF administrated by OR and TR. Corresponding data sets were extracted and two reviewers independently assessed the methodological quality...
November 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28899548/magnet-foreign-body-ingestion-rare-occurrence-but-big-consequences
#8
Richard Sola, Eric H Rosenfeld, Yangyang R Yu, Shawn D St Peter, Sohail R Shah
PURPOSE: To review the outcomes of magnet ingestions from two children's hospitals and develop a clinical management pathway. METHODS: Children <18years old who ingested a magnet were reviewed from 1/2011 to 6/2016 from two tertiary center children's hospitals. Demographics, symptoms, management and outcomes were analyzed. RESULTS: From 2011 to 2016, there were 89 magnet ingestions (50 from hospital 1 and 39 from hospital 2); 50 (56%) were males...
August 24, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28852843/enhancing-recovery-after-minimally-invasive-repair-of-pectus-excavatum
#9
Cristen N Litz, Sandra M Farach, Allison M Fernandez, Richard Elliott, Jenny Dolan, Will Nelson, Nebbie E Walford, Christopher Snyder, Jeffrey P Jacobs, Ernest K Amankwah, Paul D Danielson, Nicole M Chandler
PURPOSE: There are variations in the perioperative management of patients who undergo minimally invasive repair of pectus excavatum (MIRPE). The purpose is to analyze the change in resource utilization after implementation of a standardized practice plan and describe an enhanced recovery pathway. METHODS: A standardized practice plan was implemented in 2013. A retrospective review of patients who underwent MIRPE from 2012 to 2015 was performed to evaluate the trends in resource utilization...
October 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28879448/pre-decannulation-flexible-bronchoscopy-in-tracheostomized-children
#10
Anil Sachdev, Amrit Ghimiri, Neeraj Gupta, Dhiren Gupta
OBJECTIVES: This study was aimed to evaluate the utility and benefits of flexible fiberoptic bronchoscopy (FFB) prior to tracheostomy decannulation. METHODS: Besides demographic data, initial cause of tracheostomy, primary diagnosis, pre-tracheostomy and pre-decannulation bronchoscopic findings and duration of tracheostomy were collected from medical charts. The type of active intervention following bronchoscopy and outcome after decannulation were recorded. Departmental decannulation policy and procedure were used in all patients...
November 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28606386/comparison-of-the-nuss-versus-ravitch-procedure-for-pectus-excavatum-repair-an-updated-meta-analysis
#11
Yong Zhong Mao, ShaoTao Tang, Shuai Li
BACKGROUND/PURPOSE: To evaluate surgical outcomes of Nuss versus Ravitch repair of pectus excavatum via a systematic review and meta-analysis. METHODS: Medline, PubMed, Cochrane, EMBASE, and Google Scholar databases were searched up to September 5, 2016 using the following search terms: pectus excavatum, funnel chest, Nuss; Ravitch, minimally invasive, and open surgery. Randomized controlled trials, two-arm prospective, and two-arm retrospective studies were eligible for inclusion...
June 3, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26196260/therapy-of-caustic-ingestion-new-treatment-considerations
#12
REVIEW
Mitchell D Shub
PURPOSE OF REVIEW: This review will focus on therapeutic considerations and recent advances in treatment of caustic ingestion injuries. RECENT FINDINGS: A retrospective study suggests that it may be safe to advance the endoscope beyond the first circumferential burn to allow for a more complete assessment of extent of injury. A randomized controlled prospective study suggested that a 3-day course of high-dose methylprednisolone might reduce the occurrence of esophageal stricture formation...
October 2015: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/24864182/high-doses-of-methylprednisolone-in-the-management-of-caustic-esophageal-burns
#13
RANDOMIZED CONTROLLED TRIAL
Merve Usta, Tülay Erkan, Fugen Cullu Cokugras, Nafiye Urganci, Zerrin Onal, Mahir Gulcan, Tufan Kutlu
OBJECTIVE: Caustic substance ingestion in childhood is a public health issue in developing countries, and several management protocols have been proposed to prevent the resulting esophageal strictures. The role of corticosteroids in preventing corrosive-induced strictures is controversial. Our aim was to study the influence of high doses of corticosteroids in preventing esophageal strictures. METHODS: Eighty-three children with a mean age of 4.10 6 2.63 years and with grade IIb esophageal burns (an esophagogastroscopy was performed within 24–48 hours of injury) due to corrosive substance ingestion were enrolled in our study between 2005 and 2008...
June 2014: Pediatrics
https://www.readbyqxmd.com/read/23141564/-management-of-caustic-esophagitis-in-children
#14
REVIEW
E Mas, A Breton, A Lachaux
In children, caustic ingestion is due to accidents at home and inadequate storage of caustic agents. In emergency, it is useful to remove the soiled clothes, rinse the affected area, and prevent vomiting and feeding. Caustic ingestion (pH<2 or>12) induces burns of the upper gastrointestinal tract requiring esophagogastro-duodenoscopy between H12 and H24. Strong alkalis cause necrosis with liquefaction of the esophagus, penetrating deeply with a high-risk of perforation. Management of these children requires a specialized care center with an intensive care unit, endoscopic equipment, and a surgical team...
December 2012: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28293700/optimal-age-for-elective-surgery-of-asymptomatic-congenital-pulmonary-airway-malformation-a-meta-analysis
#15
REVIEW
Katrina J Sullivan, Michelle Li, Sarah Haworth, Elizabeth Chernetsova, Carolyn Wayne, Jessica Kapralik, Emily Chan, Ahmed Nasr
Controversy exists on the optimal age for elective resection of asymptomatic congenital pulmonary airway malformation. Current recommendations vary widely, highlighting the overall lack of consensus. A systematic search of Embase, MEDLINE, CINAL, and CENTRAL was conducted in January 2016. Identified citations were screening independently in duplicate and consensus was required for inclusion. Results were pooled using inverse variance fixed effects meta-analysis. Meta-analysis results indicate no statistically significant differences for complications within the 3-month and 6-month age comparison groups [odds ratio (OR) 4...
June 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28189452/do-x-rays-after-chest-tube-removal-change-patient-management
#16
Bret Johnson, Michele Rylander, Alana L Beres
BACKGROUND: A link between childhood radiation and future cancer risks exists, and reduction of unnecessary radiation in childhood has been recommended. Pneumothoraces, pleural effusions, and many surgical procedures require placement of a chest tube/pigtail catheter. Traditional management is daily x-rays, with an x-ray after tube removal. Our hypothesis is the "post pull" x-ray rarely results in changing clinical management of the patient. METHODS: With IRB approval, a 5-year retrospective chart review was performed...
May 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28213995/thoracoscopic-division-of-vascular-rings
#17
Kevin M Riggle, Samuel E Rice-Townsend, John H T Waldhausen
BACKGROUND/PURPOSE: Vascular rings are traditionally treated via an open thoracotomy. In recent years the use of thoracoscopy has increased. Herein we report our experience with thoracoscopic division of vascular rings in pediatric patients. METHODS: We reviewed all patients who underwent thoracoscopic or open division of a vascular ring at our institution between 2007 and 2015. We analyzed patient demographics, presenting symptoms, diagnostic imaging modality, ring anatomy, operative details, complications, and symptom resolution...
July 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28185629/the-role-of-adjunctive-procedures-in-reducing-postoperative-tracheobronchial-obstruction-in-single-lung-patients-with-congenital-tracheal-stenosis-undergoing-slide-tracheoplasty
#18
Akiko Yokoi, Yoshihiro Oshima, Eiji Nishijima
PURPOSE: Congenital tracheal stenosis (CTS) and a single right lung treated with slide tracheoplasty (ST) has relatively high rates of mortality and morbidity. We report a single institution's experience with adjunctive procedures at the time of ST to reduce postoperative tracheal obstruction in patients with a single right lung and CTS. METHODS: With IRB approval, 8 patients with a single right lung and CTS who underwent ST in our institution between 2008 and 2016 were reviewed...
May 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28188033/success-and-safety-of-endoscopic-retrograde-cholangiopancreatography-in-children
#19
Jordan D Rosen, Rebecca S Lane, Jose M Martinez, Eduardo A Perez, Jun Tashiro, Amy E Wagenaar, Robert M Van Haren, Ashwini Kumar, Juan E Sola
PURPOSE: Despite its diagnostic and therapeutic utility, endoscopic retrograde cholangiopancreatography (ERCP) is underutilized in children. METHODS: Patients younger than 18years undergoing ERCP from 2000 to 2014 at a children's hospital were identified. Patient characteristics and outcomes were evaluated. RESULTS: Overall, 215 ERCPs (78% therapeutic) were performed in 184 patients. Our cohort was 67% female, with a median age (IQR) of 14 (8) years...
July 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28168984/pleurectomy-versus-pleural-abrasion-for-primary-spontaneous-pneumothorax-in-children
#20
COMPARATIVE STUDY
Shahrzad Joharifard, Brian A Coakley, Sonia A Butterworth
PURPOSE: Primary spontaneous pneumothorax (PSP) represents a common indication for urgent surgical intervention in children. First episodes are often managed with thoracostomy tube, whereas recurrent episodes typically prompt surgery involving apical bleb resection and pleurodesis, either via pleurectomy or pleural abrasion. The purpose of this study was to assess whether pleurectomy or pleural abrasion was associated with lower postoperative recurrence. METHODS: The records of patients undergoing surgery for PSP between February 2005 and December 2015 were retrospectively reviewed...
May 2017: Journal of Pediatric Surgery
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