Journal of Pediatric Surgery Open最新文献

{"title":"Outcomes of meso-Rex bypass for prehepatic portal hypertension in pediatric patients","authors":"Pierre Jean Aurelus ,&nbsp;Sofia Brenes Guzmán ,&nbsp;Gloria Abigail Medrano De La Rocha ,&nbsp;Juan Carlos Nuñez Enríquez ,&nbsp;Jose Luis González Chávez ,&nbsp;Jairo Candido Torres Aguilera ,&nbsp;Hermilo De La Cruz Yañez","doi":"10.1016/j.yjpso.2023.100105","DOIUrl":"10.1016/j.yjpso.2023.100105","url":null,"abstract":"<div><p>Portal hypertension in pediatric patients is often associated with prehepatic portal hypertension (PHPH), frequently linked to thrombosis and cavernomatous degeneration of the portal vein (CDVP). This study evaluates the efficacy of the MesoRexBypass (MRB) in managing PHPH and associated thrombosis.</p></div><div><h3>Methods</h3><p>A retrospective prognostic cohort design was employed to analyze the clinical outcomes of nine pediatric patients who underwent MRB between 2020 and 2022. Clinical and surgical variables were examined, including graft type, surgical time, and complications. Postoperative follow-up confirmed MRB functionality.</p></div><div><h3>Results</h3><p>The MRB proved highly successful, with improved clinical parameters observed in all patients. Significant reductions in gastrointestinal bleeding, esophageal varices, and hypertensive gastropathy were observed postoperatively. Thrombocytopenia and liver enzyme levels showed substantial improvement, indicating enhanced liver function and amelioration of hypersplenism. The MRB's adaptability was demonstrated using autologous grafts and various graft sources.</p><p>One patient experienced shunt thrombosis, another experienced minor gastrointestinal bleeding, and another died. The MRB exhibited a high success rate and few complications.</p></div><div><h3>Conclusion</h3><p>The MRB is an effective and versatile surgical technique for managing PHPH in pediatric patients. This study emphasizes its promising outcomes and suggests its potential for enhancing treatment approaches and quality of life in this patient population. Further research with larger cohorts is needed to strengthen the evidence presented. The MRB holds promise as a valuable addition to the management of PHPH in children. Level of Evidence IV.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"5 ","pages":"Article 100105"},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623001028/pdfft?md5=f7e62ae9f6aa2ab97cd1479f6dd92b68&pid=1-s2.0-S2949711623001028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138624495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fluorescence-guided pediatric surgery: The past, present, and future","authors":"Adrian Chi Heng FUNG ,&nbsp;Kwai Chi LAU ,&nbsp;Kenneth Kak Yuen WONG","doi":"10.1016/j.yjpso.2023.100106","DOIUrl":"10.1016/j.yjpso.2023.100106","url":null,"abstract":"<div><p>Fluorescence-guided surgery (FGS) is becoming a common practice as an intraoperative aid in both adult and pediatric populations. It makes use of fluorescent contrast agents to identify targeted structures intraoperatively for precise resection with the help of a near-infrared (NIR) light camera. A wide spectrum of contrast agents and imaging platforms has been developed throughout the years to enhance their use for intraoperative tissue differentiation. FGS is applied in pediatric surgery for various indications, including thoracic, gastrointestinal, hepatobiliary, urogenital, oncology, and vascular surgery. Despite the popularity of fluorescence-guided pediatric surgery, the current literature is limited. The present review offers an up-to-date appraisal of the development and current status of FGS in the field of pediatric surgery.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"5 ","pages":"Article 100106"},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294971162300103X/pdfft?md5=5353d042e8cb637b48cb55bd80a1fbd6&pid=1-s2.0-S294971162300103X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To transfuse or not to transfuse? A pilot study evaluating preoperative transfusion practices for pediatric sickle cell patients undergoing central venous access procedures","authors":"Rebecca Moreci ,&nbsp;Megan Vasterling ,&nbsp;Selby M. White ,&nbsp;Denise Danos ,&nbsp;Jessica A. Zagory","doi":"10.1016/j.yjpso.2023.100104","DOIUrl":"https://doi.org/10.1016/j.yjpso.2023.100104","url":null,"abstract":"<div><h3>Introduction</h3><p>Perioperative transfusion guidelines for pediatric sickle cell disease (SCD) patients are underdeveloped. The American Society of Hematology (ASH) provides transfusion recommendations for procedures requiring general anesthesia and lasting &gt;1 hour. However, many pediatric SCD patients require long term central venous access and these short procedures do not fall within these guidelines. The objective of this study is to investigate our institutional preoperative transfusion practices in central venous access procedures.</p></div><div><h3>Methods</h3><p>A retrospective chart review was performed from 2018 to 2022 of SCD patients who underwent a line placement or removal at a stand-alone quaternary care children's hospital. Clinical information including demographics, Hgb levels, number of transfusions, and postoperative complications were collected. Statistical analysis was performed using Fisher exact and Wilcoxon rank sum tests.</p></div><div><h3>Results</h3><p>A total of 30 patients underwent 34 venous access procedures (76 % line placement, 36 % line removal). Half of the patients (15) had an initial Hgb &lt;9 g/dL. There were no significant differences in the demographics, complications, or readmission rates between patients with an initial Hgb &lt;9 or &gt;9 g/dL. Significantly more patients received a preoperative blood transfusion in patients with a Hgb &lt;9 g/dL compared to those with a Hgb &gt;9 g/dL (73% vs 20 %, <em>p</em> = 0.01) Length of stay, postoperative complications, intraoperative transfusion, and readmission rates were not significantly different in patients who received a preoperative transfusion.</p></div><div><h3>Conclusion</h3><p>We encountered variability in the preoperative transfusion threshold; however, outcomes remained similar with no significant differences based on preoperative Hgb. Future studies focused on quality, safety, and resource allocation are needed for development of practice recommendations.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"4 ","pages":"Article 100104"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623001016/pdfft?md5=06dbf4f4821563e4e5b44e31b6e75c60&pid=1-s2.0-S2949711623001016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138490901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board Page","authors":"","doi":"10.1016/S2949-7116(23)00104-1","DOIUrl":"https://doi.org/10.1016/S2949-7116(23)00104-1","url":null,"abstract":"","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"4 ","pages":"Article 100107"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623001041/pdfft?md5=825b560783789e851453730add9b6a40&pid=1-s2.0-S2949711623001041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical efficacy of tubularized incised plate urethroplasty applying for Buck's fascia coverage in the treatment of hypospadias","authors":"Qian Zhou ,&nbsp;Wei-ping Zhang ,&nbsp;Xin Ni ,&nbsp;Hong-cheng Song","doi":"10.1016/j.yjpso.2023.100091","DOIUrl":"10.1016/j.yjpso.2023.100091","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to compare the effectiveness of Buck's fascia and dartos fascia in covering the neourethra during tubularized incised plate urethroplasty (TIPU) for treating hypospadias in children.</p></div><div><h3>Methods</h3><p>We conducted a retrospective analysis of 100 cases of hypospadias treated with TIPU at the Department of Urology, Beijing Children's Hospital from January 2019 to September 2021. The cases were divided into two groups (A and B) based on the type of intraoperative neourethral covering used during surgery. Group A (<em>n</em> = 53) was covered with Buck's fascia, while group B (<em>n</em> = 47) was covered with dartos fascia. Two experienced surgeons performed the surgeries in their respective groups. We recorded general clinical data, intraoperative measurements, and postoperative follow-up data for both groups and analyzed the results statistically.</p></div><div><h3>Results</h3><p>There were no significant differences in clinical data, such as mean age, urethral opening position, penile length, urethral plate width, urethral defect length, preoperative penile curvature and follow-up time (<em>P &gt; 0.05</em>) between the two groups. However, group A had a wider glans and a lower proportion of dorsal tunica albuginea plication to correct penile curvature but a higher proportion of 6F catheters left in place (<em>P &lt; 0.05</em>). c, group A reported 12 cases (22.6 %) of complications including eight cases (15.1 %) of urethral stricture and five cases (9.4 %) of urethral fistula; four cases were related to penile corporal fistula while one related to coronal fistula. On the other hand, group B reported 17 cases (36.2 %) of complications including three cases (6.4 %) of urethral stricture and fourteen cases (29.8 %) of urethral fistula; four cases were related to penile corporal fistula while one related to coronal fistula. A multifactorial analysis incorporating confounding factors revealed a lower incidence rate for urethral fistulas in group A compared to group B(<em>P</em> &lt; 0 0.05).</p></div><div><h3>Conclusion</h3><p>The application of Buck's fascia to cover the new urethra can effectively reduce the incidence of urethral fistula in TIPU, and the quality of Buck's fascia and suture tension should be taken into account to avoid the formation of urethral strictures.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"4 ","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623000886/pdfft?md5=3b083b5ed2735eb3d2efe934c3ddb372&pid=1-s2.0-S2949711623000886-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135371986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of gene expression and biological pathways in Wilms tumor","authors":"Claire D. Gerall ,&nbsp;Aleksandar Z. Obradovic ,&nbsp;Madison C. Betcher ,&nbsp;Larisa Debelenko ,&nbsp;Alice Lee ,&nbsp;Matthew C. Dallos ,&nbsp;Erica M. Fallon","doi":"10.1016/j.yjpso.2023.100095","DOIUrl":"10.1016/j.yjpso.2023.100095","url":null,"abstract":"<div><h3>Background</h3><p>Although mortality for low stage (I/II) Wilms tumor (WT) has greatly improved with dose-intense multimodality and multi-agent interventions, advanced stage (III/IV) tumors remain associated with relapse, mortality and increased treatment-related morbidity. We aim to identify targets unique to the microenvironment of advanced stage WT to develop novel treatments.</p></div><div><h3>Methods</h3><p>Retrospective review of patients treated for WT at a single institution from 2000 to 2021. Following review by a pediatric pathologist, samples underwent bulk RNA-sequencing with differential gene expression and pathway enrichment analysis. Groups analyzed included low vs advanced stage and neoadjuvant chemotherapy-treated vs treatment-naïve tumors. In neoadjuvant chemotherapy-treated patients with subsequent recurrence, genes predictive of recurrence were identified using Boruta Random Forest Feature Selection and whole-exome DNA-Sequencing.</p></div><div><h3>Results</h3><p>Initial analysis of 15 samples showed enrichment for <em>cell cycle progression E2F</em> genes with downregulation of <em>interferon alpha</em> and <em>KRAS</em> signaling genes in advanced compared to low stage tumors. Subsequent analysis of 51 tumors with stratification of RNA-sequencing profiles by treatment status showed notable differences among neoadjuvant chemotherapy-treated tumors. A subcluster of advanced stage tumors lacked enrichment of immune-related genes and pathways observed within a subcluster of immune-enriched low stage tumors, including an activating variant of <em>Catenin beta-1</em>. Among patients with recurrence, <em>transmembrane protein 31</em> was downregulated and <em>flavin containing dimethylaniline monoxygenase 3</em> upregulated.</p></div><div><h3>Conclusions</h3><p>Genetic and cellular composition differ between low and advanced stage WT, most notably a significant reduction in immune-related genes/pathways in neoadjuvant chemotherapy-treated tumors. Significant variability exists between same stage tumors, requiring further investigation for reliable treatment targets.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"4 ","pages":"Article 100095"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623000928/pdfft?md5=1b6366e4522ba3c7fe3f7f963e73a15a&pid=1-s2.0-S2949711623000928-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135455074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the epidemiological profile of pediatric burn patients hospitalized in referral centers in the north, center and south of Chile: A multicenter study","authors":"Sebastián Villegas ,&nbsp;Paulos Angélica ,&nbsp;Andrea Schwaner ,&nbsp;Alberto Torres ,&nbsp;Pilar Claure","doi":"10.1016/j.yjpso.2023.100101","DOIUrl":"10.1016/j.yjpso.2023.100101","url":null,"abstract":"<div><h3>Introduction</h3><p>The epidemiological profile of burn patients is a useful tool when planning prevention and prioritization of resources.</p></div><div><h3>Objective</h3><p>To describe and analyze differences in the epidemiological profile of hospitalized pediatric burn patients in reference centers throughout the country.</p></div><div><h3>Materials and Methods</h3><p>This is a retrospective analytical multicenter study conducted in four burn units (one in the IV region, two in the Metropolitan Region, and one in the X region). We reviewed clinical records between January 2019 to December 2021. Variables included: Age, Gender, Etiology, Burned Body Surface Area (BSA), and Severity Index (SI). Incomplete records were excluded. Statistical analysis was performed using Chi-square test and ANOVA with <em>p</em>&lt; 0.05.</p></div><div><h3>Results</h3><p>1,081 patients, 48 were from the North, 837 from the central region, and 196 from the South. We observed a decrease in the number of patients over the years. Gender: 56.24 % were male. Age: median of 1 year and a 75th percentile of 4 years. Etiology: 70.9 % were scalds. Scalds were more frequent in the North. In the South, there were more burns by hot objects, while in the central region, there were more electrical burns (<em>p</em> = 0.012). BSA: Median was 5 % (4–7.5 %), the distribution varied, <em>p</em> = 0.0007. SI: Median was 63 (61–68.5), with the North having a higher median.</p></div><div><h3>Conclusions</h3><p>The epidemiological profile of pediatric burn patients is scald in male infants with a BSA less than 10 %. The main difference between profiles is the etiology. Towards the South, the frequency of scald decreases while hot objects increase.</p></div><div><h3>Level of evidence</h3><p>level II - 3 of evidence</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"4 ","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623000989/pdfft?md5=b17c810d7c5169faceffea60872dca9a&pid=1-s2.0-S2949711623000989-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135669342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hirschsprung disease and intestinal malrotation: A rare association with unique perioperative considerations","authors":"Dimitra M. Lotakis,&nbsp;Sydni Imel,&nbsp;Jack P. Vernamonti,&nbsp;Brianna L. Spencer,&nbsp;Matthew W. Ralls","doi":"10.1016/j.yjpso.2023.100103","DOIUrl":"10.1016/j.yjpso.2023.100103","url":null,"abstract":"<div><h3>Background</h3><p>Multiple etiologies exist for neonatal intestinal obstruction with similar presenting symptoms. While single etiology is the most common cause, concomitant surgical diagnoses exist requiring unique peri‑operative considerations. We present a retrospective review of 5 patients with a rare association of Hirschsprung disease (HD) and intestinal malrotation.</p></div><div><h3>Methods</h3><p>After IRB approval, patients were identified utilizing Data Direct and Electronic Medical Records ID with pathologically confirmed HD and intestinal malrotation from a single institution and retrospective review was performed.</p></div><div><h3>Results</h3><p>Five patients were identified with the concomitant malrotation and HD diagnoses over a 15-year period. Intestinal malrotation was confirmed by intra-operative findings. HD was confirmed in all patients by rectal biopsy. Feeding intolerance was the most common chief complaint. A contrast enema was the initial diagnostic test of choice in 3 of 5 of patients. All patients underwent a Ladd procedure, including appendectomy, during the index admission. Two of 5 patients underwent surgical management for HD during the index admission, while surgery was delayed in the remaining 3.</p></div><div><h3>Conclusions</h3><p>Association between HD and malrotation causing intestinal obstruction has been previously described, albeit rare. The two diagnoses can present similarly in neonatal patients; although, the underlying pathophysiology, work up and surgical management is quite different. Traditionally, a Ladd procedure is performed utilizing an open approach and includes an appendectomy. However, patients undergoing a Ladd procedure with high suspicion of HD pre-operatively pose unique considerations. We present data of 5 patients to highlight unique considerations regarding diagnostic work up and operative planning.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"4 ","pages":"Article 100103"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623001004/pdfft?md5=f631a50ede50c0248f01d5335e897ee0&pid=1-s2.0-S2949711623001004-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135566788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of pediatric H-type rectovestibular fistula with tension-free repair of rectal seromuscular layer","authors":"Mao Ye ,&nbsp;Zhen Chen ,&nbsp;Jun Zhang ,&nbsp;Cuizhu Feng ,&nbsp;Xu Li","doi":"10.1016/j.yjpso.2023.100102","DOIUrl":"10.1016/j.yjpso.2023.100102","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to assess the outcomes of a 7-year experience with tension-free repair of the rectal seromuscular layer for H-type rectovestibular fistula in female children with a normal anus.</p></div><div><h3>Methods</h3><p>Between May 2016 and January 2023, 86 patients with H-type rectovestibular fistula underwent a standardized surgical procedure conducted by the same surgical team. The procedure involved: (1) Identifying and locating the vestibular orifice. (2) Dissecting the fistula. (3) Dissecting the anterior rectal wall. (4) Repairing the fistula. (5) Closing the internal opening of the fistula. During the dissection of the rectovaginal septum, care was taken to avoid any harm to the posterior wall of the vagina while exposing the anterior rectal wall by 10–25 mm.</p></div><div><h3>Results</h3><p>Follow-up, conducted via telephone or outpatient visits, ranged from 3 months to 6 years and 11 months (median, 3.5 years). In 82 cases (95.35% of 86), primary healing was achieved, resulting in satisfactory perineal appearance, smooth stool passage, and regular defecation. In 4 cases (4.65% of 86), fistula recurrence occurred within 5 to 10 days post-surgery. One case healed within 3 weeks with 3% boric acid sitz baths. The other 2 cases underwent debridement 7 days after the initial operation, leading to successful recovery. The final case experienced a recurrence 1 year after surgery following resection and repair of the perineal fistula, and no further surgical intervention was pursued.</p></div><div><h3>Conclusion</h3><p>Tension-free repair of the rectal seromuscular layer represents a straightforward, safe, and effective surgical approach for managing H-type rectovestibular fistula with a normal anus in female children.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"5 ","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623000990/pdfft?md5=6eefa322d8f593bc1aef432873a52d76&pid=1-s2.0-S2949711623000990-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135516007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The future of pediatric enhanced recovery after surgery is bright!","authors":"Michael R. Phillips ,&nbsp;Jennifer Y. Lam ,&nbsp;Mary E. Brindle","doi":"10.1016/j.yjpso.2023.100089","DOIUrl":"10.1016/j.yjpso.2023.100089","url":null,"abstract":"<div><p>There is an abundance of data for the use of enhanced recovery after surgery protocols (ERPs) in the adult literature. These ERPs are not used only to expedite discharge after surgery, but to optimize patients before surgery, standardize their care during surgery, and shorten the time to full post-operative recovery. However, the use of ERPs in pediatric surgery has lagged behind adult surgeons. This is primarily due to specific challenges in pediatric surgery including a lack of consensus guidelines, data to support their use, and the belief that many of the principles are already followed. Early champions of ERPs have demonstrated their utility and effectiveness in children. This special issue of the Journal of Pediatric Surgery – Open highlights the current state and future of ERPs in children. The contributing authors demonstrate that the future of pediatric ERPs is very bright and will ultimately lead to better recovery for our patients.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"5 ","pages":"Article 100089"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711623000862/pdfft?md5=860ba3dfd79278c24ee394c38af78c6f&pid=1-s2.0-S2949711623000862-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135564432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}