Journal of Pediatric Surgery Open最新文献

{"title":"Rare and syndromic tumours in South African children: A novel report from Sub-Saharan Africa","authors":"Alessia Pisapia, Guy Shemesh, Derek Harrison","doi":"10.1016/j.yjpso.2024.100174","DOIUrl":"10.1016/j.yjpso.2024.100174","url":null,"abstract":"<div><h3>Background and Aims</h3><div>There is a paucity of literature available on the prevalence of paediatric rare and syndromic tumours in Sub-Saharan Africa, furthered by a lack of consensus on the definition of a “rare” tumour. The aim of this study was to describe the types, incidence, management, and overall survival of rare and syndromic tumours in South Africa to improve future management and outcomes.</div></div><div><h3>Methods</h3><div>A retrospective review of patients below 18 years of age presenting to Chris Hani Baragwanath Academic Hospital, South Africa, from the period of 1st January 2004 to 31st December 2017, with rare or syndromic tumours was conducted. Tumours were classified according to criteria described by international literature. (Ethics: M190920)</div></div><div><h3>Results</h3><div>One hundred and eighty-six tumours were identified, with an average incidence of 10 %. The mean age of presentation was 8.3 years. Ten anatomical regions were identified: soft tissue (<em>N</em> = 68, OS= 62 %), head and neck (<em>N</em> = 35, OS= 77 %), renal (<em>N</em> = 19, OS=74 %), skin (<em>N</em> = 17, OS=47 %), hepatic (<em>N</em> = 16, OS=38 %), adrenal (<em>N</em> = 10, OS= 80 %), female reproductive system (<em>N</em> = 8, OS=75 %), pulmonary, chest wall and mediastinum (<em>N</em> = 7, OS=86 %), gastrointestinal (<em>N</em> = 4, OS=75 %) and male reproductive system (<em>N</em> = 2, OS=100 %). The 10 most common variants included: malignant peripheral nerve sheath tumours (<em>N</em> = 15, 8 %, OS=47 %), nasopharyngeal carcinoma (<em>N</em> = 14, 8 %, OS=64 %), malignant melanoma (<em>N</em> = 14, 8 %, OS=43 %), Ewings sarcoma (<em>N</em> = 13, 7 %, OS=54 %), clear cell sarcoma of the kidney (<em>N</em> = 9, 5 %, OS=67 %), hepatocellular carcinoma (<em>N</em> = 9, 5 %, OS=22 %), desmoplastic small round cell tumour (<em>N</em> = 7, 4 %, OS=57 %), synovial sarcoma (<em>N</em> = 7, 4 %, OS=71 %), undifferentiated sarcoma (<em>N</em> = 6, 3 %, OS=66 %), infantile fibrosarcoma (<em>N</em> = 6, 3 %, OS=66 %). Treatment modalities included: surgery (<em>N</em> = 24, 13 %, OS=79 %), palliation (<em>N</em> = 21, 11 %, OS=0 %), surgery and chemotherapy (<em>N</em> = 19, 10 %, OS=58 %), and surgery, chemotherapy, and radiation (<em>N</em> = 16, 9 %, OS=75 %). Thirteen (7 %) were associated with the syndromes: Xeroderma pigmentosa (<em>N</em> = 4, 2 %), Neurofibromatosis (<em>N</em> = 3, 2 %), Tuberous Sclerosis (<em>N</em> = 2, 1 %), Giant congenital nevus syndrome (<em>N</em> = 2, 1 %), Li-Fraumeni (<em>N</em> = 1, 0.5 %) and 31q Deletion syndrome (<em>N</em> = 1, 0.5 %). Overall, there was a 66 % survival rate.</div></div><div><h3>Conclusion</h3><div>The diagnosis of rare tumours in the paediatric population is rising but are rarely associated with a syndrome. Most require definitive surgical treatment; others required the addition of adjuvant chemotherapy and radiation. Overall, although lower than that reported in higher income co","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"9 ","pages":"Article 100174"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702645","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":"Socio-demographic and clinical characteristics of patients at screening for an international collaborative free paediatric surgical outreach in Sagamu, Nigeria","authors":"Ibukunolu O Ogundele ,&nbsp;Lukmon O Amosu ,&nbsp;Oluwakemi A Shotayo ,&nbsp;Dagash Haitham ,&nbsp;Collins C Nwokoro ,&nbsp;Olubunmi M Fatungase ,&nbsp;Timothy Adeyinka ,&nbsp;R.O. Soyemi ,&nbsp;Faidah O. Badru ,&nbsp;Adekunle O. Ajayi ,&nbsp;Olubukola I. Ogundele ,&nbsp;Ayodele E. Emmanuel ,&nbsp;Rajinwale Ashok ,&nbsp;Petroze T. Robin","doi":"10.1016/j.yjpso.2024.100176","DOIUrl":"10.1016/j.yjpso.2024.100176","url":null,"abstract":"<div><h3>Background</h3><div>Free surgical outreaches are important in low/middle socio-economic communities due to financial constraint and poor health insurance coverage. Understanding socio-demographic characteristics of outreach patients will aid program sponsors in design, planning and execution. This study obtained data to categorize participants into socio-economic, demographic and clinical strata.</div></div><div><h3>Methods</h3><div>Descriptive cross-sectional study of patients at screening for a free surgical outreach in Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria. Relevant socio-demographic and clinical details were obtained. Frequency and distribution of baseline characteristics were derived. Chi-square, <em>t</em>-test and multinomial logistic regression model were used to test association between socio-demographic characteristics and other domains with probability values (<em>p</em>) &lt; 0.05 considered significant.</div></div><div><h3>Results</h3><div>Sources of information about the outreach were through social media, indirect means (relatives, work colleagues etc.), religious organizations, hospital referral and mainstream media in 42.7 %, 40.4 %, 8.5 %, 7.7 %, and 0.8 % respectively. Regarding socio-economic classes, 16.9 %, 7.3 %, 45.8 %, and 30.0 % of the participants were in the upper, upper-middle, lower-middle, and lower classes respectively. There was average delay in presentation of 59.65 ± 56.205 months with financial constraints being the major reason (44.9 %). Among respondents, 41.3 % resided within 60km. However, 82.9 % of those farther away possessed smart phones for early postoperative teleconsultation. Only 9.2 % of respondents would immediately opt for paid treatment if screened out.</div></div><div><h3>Conclusion</h3><div>Social media is a viable means of publicity for surgical outreaches in LMIC. All socio-economic classes have need for free paediatric surgical outreaches but the lower and lower-middle classes are most predominant. Regular collaborative outreaches of this nature may help to mitigate delays in treatment of some surgical conditions in children occasioned by financial constraints.</div></div><div><h3>Level of Evidence</h3><div>Level 4.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100176"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653293","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(24)00067-4","DOIUrl":"10.1016/S2949-7116(24)00067-4","url":null,"abstract":"","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100182"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702808","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":"Single institution review of operative management of giant omphalocele","authors":"Noah J. Keime ,&nbsp;Nell T. Weber ,&nbsp;Nicole Becher ,&nbsp;Noah Wilson ,&nbsp;Jose Diaz-Miron ,&nbsp;Shannon N. Acker","doi":"10.1016/j.yjpso.2024.100175","DOIUrl":"10.1016/j.yjpso.2024.100175","url":null,"abstract":"<div><h3>Purpose</h3><div>Operative management of giant omphalocele that cannot be closed primarily varies based on several factors, and there is little data to guide choice of operative approach and how this impacts long-term outcomes. We aimed to characterize whether surgical approach – staged closure during the neonatal period, or delayed closure – affects outcomes.</div></div><div><h3>Methods</h3><div>We conducted a retrospective review of children treated for giant omphalocele who did not undergo primary closure at Children's Hospital Colorado from 2010–2022. We included patients with giant omphalocele who underwent treatment at the study site. Data collected included patient characteristics, clinical course, and outcomes. Comparisons were made based on type of closure, delayed versus staged.</div></div><div><h3>Results</h3><div>We identified 24 patients; 6 delayed and 16 staged. 2 patients died prior to closure. Delayed and staged groups did not differ regarding demographics. Infants undergoing staged repair tended to have more total hospital and total ventilator days, and more post-closure ventral hernia requiring repair; short-term outcomes were otherwise comparable. There was no difference between groups in long-term outcomes, including neurodevelopmental milestones and mortality.</div></div><div><h3>Conclusions</h3><div>Long term outcomes are equivalent between staged repair and delayed repair of giant omphalocele. However, staged repair may be associated with more ventilator days, total hospital days and higher risk of ventral hernia.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100175"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432526","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":"Robotic-assisted choledochal cyst excision with Roux-en-Y hepaticojejunostomy in children: A Chinese expert panel consensus statement","authors":"Shuai Li ,&nbsp;Patrick HY Chung ,&nbsp;Zhigang Gao ,&nbsp;Xiaolong Xie ,&nbsp;Hailan Zhang ,&nbsp;Guoqing Cao ,&nbsp;Yajun Chen ,&nbsp;Xufei Duan ,&nbsp;Qi Dong ,&nbsp;Huajian Gu ,&nbsp;Yige Luo ,&nbsp;Aiwu Li ,&nbsp;Shuixue Li ,&nbsp;Zhaozhu Li ,&nbsp;Junshan Lin ,&nbsp;Dengrui Liu ,&nbsp;Haijin Liu ,&nbsp;Mingwei Liu ,&nbsp;Zhenfan Qu ,&nbsp;Yi Su ,&nbsp;Shao-tao Tang","doi":"10.1016/j.yjpso.2024.100149","DOIUrl":"10.1016/j.yjpso.2024.100149","url":null,"abstract":"<div><h3>Background</h3><div>The first robotic surgery in children and adult happened in more or less that same time but the development in children subsequently lagged behind especially for complicated operations such as robotic-assisted hepaticojejunostomy for choledochal cyst (RHCC). In order to achieve a high standard for this operation, expert consensus was developed among Chinese experts with ample experience in RHCC.</div></div><div><h3>Methods</h3><div>Thirty experts from twenty-six institutions experts participated in the consensus meeting. A Screening Committee was established to performed a comprehsenive literature review on RHCC. A few specific topics have been proposed based on the review but only topics which were agreed upon were discussed during the meeting using Delphi Rounds. Lastly, formulated recommendations were proposed by the Committee and finalized in the expert consensus meeting.</div></div><div><h3>Results</h3><div>After initial screening and discussion, nine topics were selected for discusssion. Eight recommendation statements were formulated. All recommendations reached more than 80 % consensus among experts at the final Delphi Round.</div></div><div><h3>Conclusions</h3><div>The consensus statementson RHCC in children were based on available international literatures and experience from Chinese experts. These statements helpto standardize the surgical techniques and prevent surgical complications during RHCC.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100149"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560757","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":"Continuous local anaesthetic wound infusion in infants undergoing thoracic or abdominal surgery: A systematic review","authors":"Jeewan Jyoti ,&nbsp;Eva Sloukova ,&nbsp;Kaye Spence ,&nbsp;Annabel Webb ,&nbsp;Albert Shun ,&nbsp;Himanshu Popat","doi":"10.1016/j.yjpso.2024.100177","DOIUrl":"10.1016/j.yjpso.2024.100177","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether continuous local anaesthetic wound infusion (CLAWI) provides more effective pain relief and decrease the need for systemic opioids compared to other analgesic agents in term or preterm newborn infants undergoing thoracic or abdominal surgery.</div></div><div><h3>Methods</h3><div>Cochrane Central Register of Controlled Trials, Medline, Embase and CINAHL were searched from database inception to August 2022. Publications were screened and their references were hand-searched to identify additional studies. This review included randomized controlled trials (RCTs), quasi-RCTs, and cluster RCTs. Two reviewers independently extracted data and examined the methodological quality of the eligible studies. A meta-analysis was performed for available outcomes.</div></div><div><h3>Results</h3><div>After screening 1202 articles, two RCTs with 98 patients were included. Meta-analysis for combined data was possible for only two outcomes: pain scores post-surgery and length of hospital stay. The random effects model for the pooled standardised mean difference of pain scores between treatment groups post-surgery was -2.54 (95 % CI:7.53, 2.46, <em>p</em> = 0.3196) and for length of stay in the NICU was -0.19 (95 % CI:0.58, 0.21, <em>p</em> = 0.3574), suggesting that CLAWI was not more effective in either providing pain relief or reducing length of stay. However, the small number of studies included, the considerable heterogeneity between the studies, and the small sample sizes of the individual studies limit the generalizability of the findings.</div></div><div><h3>Conclusion</h3><div>This review highlights the need for further, adequately powered well-designed, multicentre trials to examine the effectiveness of CLAWI in reducing postoperative pain in newborns undergoing abdominal and thoracic surgery.</div></div><div><h3>Level of evidence</h3><div>Level I - Evidence from a systematic review of all relevant randomized controlled trials</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100177"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593525","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":"Double J ureteral stent removal following pediatric laparoscopic pyeloplasty without cystoscopy","authors":"Edit Kecskés,&nbsp;Levente Szabó,&nbsp;Gábor Varga,&nbsp;László Sasi Szabó","doi":"10.1016/j.yjpso.2024.100178","DOIUrl":"10.1016/j.yjpso.2024.100178","url":null,"abstract":"<div><h3>Background</h3><div>Double J ureteral stents (DJUS) require anesthesia and cystoscopy for its removal. We analysed the effectivity of a noncystoscopy (NC) DJUS removal procedure in vivo described by Shao. The study aimed to determine whether this method can safely be applied in our practice.</div></div><div><h3>Methods</h3><div>We analysed the data of all pediatric patients who had noncystoscopy DJUS removal following laparoscopic pyeloplasty in our Department between January 2021- December 2023 and compared data from cystoscopic (CS) interventions in 2020. We examined the success and complication rate of the in vivo intervention and its cost-effectivity. Ex-vivo bladder models were used to study the success rates of DJUS removal under different conditions and the impact of suture positioning.</div></div><div><h3>Results</h3><div>After laparoscopic pyeloplasty 34 NC and 10 CS stent removals were performed. The mean age was 35.65 months (NC) vs. 67.6 months (CS). DJUS removal was successful after an average of 2.08 trials without perioperative complications. Intervention time was significantly shorter in NC (4.62 mins vs. 12.90 mins, p&lt;0.005). Noncystoscopic removal reduces hospital material costs (NC: ∼ 8.4 EUR vs. CS: ∼ 98 EUR). In the ex-vivo bladder model, 400 attempts were made to remove the stent. The success rate was higher in the empty model (38.5% vs. full: 32%, p = 0.21). The position of the suture did not significantly affect the success rate (37% vs. 33.5%, p= 0.53).</div></div><div><h3>Conclusions</h3><div>This innovative technique proved to be safe and effective. NC removal significantly shortens procedural time, is less burdensome for the patient and reduces hospital material costs.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100178"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653294","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":"Is there a need for revised guidelines in the treatment of perforated appendicitis in children? A study of risk factors for prolonged hospital stay and postoperative complications","authors":"Pia Löfgren ,&nbsp;Hanna Eriksson ,&nbsp;Isak Arvidsson ,&nbsp;Erik Persson ,&nbsp;Erik Sinclair ,&nbsp;Kate Abrahamsson ,&nbsp;Sofia Sjöström","doi":"10.1016/j.yjpso.2024.100173","DOIUrl":"10.1016/j.yjpso.2024.100173","url":null,"abstract":"<div><h3>Purpose</h3><div>To study the need for revised guidelines in the treatment of children with acute perforated appendicitis (APA) by describing the clinical course of children surgically treated for APA in one county in Sweden, with focus on length of hospital stay (LOS) and risk of postoperative complications. The study also aimed to identify variation in practice, comparing a university children's hospital (UCH) to county hospitals (CH).</div></div><div><h3>Methods</h3><div>Two thousand children, &lt;16 years, who had surgery for acute appendicitis 2014–2018 in four public hospitals (1 UCH and 3 CH), were identified. Patients with perforation of the appendix, <em>n</em> = 383(19 %) were selected for study and retrospective assessment of patient records. Uni and multivariable logistic regression analyses were done to identify risk factors for prolonged length of stay (PLOS) and complications.</div></div><div><h3>Results</h3><div>The median LOS was 5.05 days (0.5–61.9), 6.79 (1.81–61.91) for the UCH (<em>n</em> = 186) and 3.65 (0.54–35.65) for CH's (<em>n</em> = 197)(<em>p</em> &lt; 0.0001). PLOS (=&gt;5 days in hospital) was seen in 147 (79 %) at UCH and 53(26.9 %) at CH's(<em>p</em> &lt; 0.0001). Intra-abdominal abscess within 30 days was identified in 36 (9.4 %) and surgical re-intervention was needed in 19 (5 %) with no differences between hospitals. The need for readmission within 30 days was higher at CH <em>n</em> = 22(11.4 %) than at UCH <em>n</em> = 4(2.2 %), (<em>p</em> = 0.0006). Multivariable analyses showed independent predictors of PLOS to be: male gender(OR 2.97 (1.68–5.23)), treatment at UCH (OR 10.24 (6.38–16.44)), CRP &gt;135 mg/l(OR per 50 units 1.42 (1.16–1.73)), prehospital delay&gt;2.5 days(OR 1.22 (1.01–1.47)), delayed time to surgery(OR per 10 h 1.74 (1.26–2.41)) extended surgery time(OR per 2 h 4.59 (1.43–14.76)) and use of urinary catheter(OR 2.99 (1.42–6.29)).</div></div><div><h3>Conclusion</h3><div>Guidelines for treatment of childhood APA, focusing on minimizing antibiotics and facilitating early discharge, would optimize care of the patients but also the economical use of resources. Most children with APA have an uncomplicated course, but factors predicting PLOS have been identified. We found a pronounced variation in practice between the UCH and CH's, without increasing the risk of postoperative complications.</div></div><div><h3>Level of evidence</h3><div>Level III</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100173"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142539173","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":"Postoperative continuation of antibiotic prophylaxis beyond 24 h is unnecessary for abdominal surgeries in children and neonates","authors":"Hajime Takayasu ,&nbsp;Kiyoshi Tanaka ,&nbsp;Ken-ichiro Konishi ,&nbsp;Yoshimasa Uematsu ,&nbsp;Takuji Tomari ,&nbsp;Yusuke Kumamoto","doi":"10.1016/j.yjpso.2024.100179","DOIUrl":"10.1016/j.yjpso.2024.100179","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite recent WHO recommendations, antibiotic prophylaxis is routinely continued for several days after surgery. We conducted a retrospective study to evaluate the safety and efficacy of antibiotic prophylaxis cessation within 24 h after abdominal surgeries</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the charts of patients who underwent 3 representative gastrointestinal surgeries (1; transumbilical small bowel procedure for intestinal atresia or stenosis, 2; extrahepatic bile duct resection, and hepaticojejunostomy for congenital biliary dilatation, 3; stoma closure for intestinal perforation, anorectal malformation, or inflammatory bowel disease) at our institution between 2011 and 2023. The demographic data collected included age, preoperative hemoglobin level, albumin level, body mass index, and ASA class. Intraoperative and postoperative data were also collected. The patients were divided into 2 groups according to the duration of perioperative antibiotics (‘within 24 h’ and ‘beyond 24 h’), and the incidence of superficial incisional SSI (siSSI) was compared between the 2 groups in each procedure</div></div><div><h3>Results</h3><div>During the study period, 25 cases underwent transumbilical small bowel procedure, 23 cases underwent hepaticojejunostomy, and 45 cases underwent stoma closure. The preoperative care bundle including bowel preparation, cleansing, and operative procedures has not changed during the study period. First- and third-generation cephalosporins were administered to all the patients. All patients received their first single dose of antibiotics within 60 min before the skin incision. In particular, 14 patients who underwent small-bowel procedures received only a single dose. The SSI rates for small bowel procedures, hepaticojejunostomy, and stoma closure were 0 %, 4.4 %, and 4.4 %, respectively. No SSIs were observed in any of the procedures in the 'within 24 h' group</div></div><div><h3>Conclusion</h3><div>Based on our study, we conclude that ≤24 h of postoperative continuation of antibiotic prophylaxis is sufficient for siSSI prevention in hepaticojejunostomy and stoma closure. Additionally, single-dose antibiotic prophylaxis is adequate for neonatal small bowel procedures.</div></div><div><h3>Level of evidence</h3><div>Level</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100179"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653295","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":"Introducing a short-medium format, paediatric surgical podcast into the formal teaching resources of a medical school","authors":"Catherine A Brown ,&nbsp;Patrina Caldwell ,&nbsp;Karen M Scott ,&nbsp;John N Colgan ,&nbsp;Andrew J A Holland","doi":"10.1016/j.yjpso.2024.100172","DOIUrl":"10.1016/j.yjpso.2024.100172","url":null,"abstract":"<div><h3>Background</h3><p>Podcasts are a popular form of extracurricular education. They provide a range of benefits for listeners including an opportunity for learning whilst mobile. We aimed to assess the interest of medical students in a podcast series as a part of their formal paediatric surgery teaching resources; to determine the optimal format for such a podcast and, following their introduction, if they were considered to have a beneficial effect on student learning.</p></div><div><h3>Method</h3><p>We conducted focus groups with medical students to explore interest in a podcast series and to determine the optimal format. Our findings guided production and introduction of 5 short-format podcast episodes as an adjunct to available formal learning resources. We ran student focus groups to evaluate the podcasts until data saturation was reached. Transcripts were analysed through thematic analysis by two researchers, who used the constant comparison process to produce a coding framework, through which they identified relevant themes.</p></div><div><h3>Results</h3><p>Medical students utilised outsourced medical podcasts as an adjunct to formal medical school curricula. All students supported the introduction of a podcast series into formal teaching resources to extend paediatric surgical teaching. The preferred medical podcast format was a short, conversational style podcast that begins with a clinical case and ends with a summary. The introduction of podcasts increased student engagement in, and understanding of, podcast topics.</p></div><div><h3>Conclusion</h3><p>Medical students enthusiastically embraced paediatric surgical podcasts in their curriculum. The addition of short-medium format podcasts enhances learning and engagement. Medical schools should utilize the teaching benefits that podcasts offer.</p></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"8 ","pages":"Article 100172"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949711624000571/pdfft?md5=e29c5ca43abcc896584c87e3fdff31f1&pid=1-s2.0-S2949711624000571-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272883","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}