Journal of Pediatric Surgery Open最新文献

{"title":"Perceptions and decision making regarding circumcision amongst parents and medical personnel","authors":"Y. Doruk Bilgili ,&nbsp;Duygu Tatli Uçarci ,&nbsp;B. Haluk Güvenç","doi":"10.1016/j.yjpso.2024.100181","DOIUrl":"10.1016/j.yjpso.2024.100181","url":null,"abstract":"<div><h3>Aim of the study</h3><div>Despite the fact that male circumcision being one of the most common procedures, there is a lack of awareness amongst parents and doctors. In this study, a questionnaire was applied to find answers covering topics, which include best timing of operation and type of anaesthesia, indications, expected complications, and contraindications, as well as effect on sexual performance.</div></div><div><h3>Methods</h3><div>A total of 146 test subjects (48 parents, 48 local pediatricians, and 50 general practitioners (GP)) were requested to fill out a questionnaire concerning the mentioned topics.</div></div><div><h3>Main results</h3><div>GP mostly preferred (46 %) circumcision under age of two when compared to parents (18.8 %) (<em>p</em> = 0.001). However, 18.8 % of pediatricians and 30 % of GP preferred circumcision during phallic stage. Parents (47.9 % vs 16.7 %-10 %) believed that newborns did not require any type of anaesthesia (<em>p</em> &lt; 0.001). From a religious point of view, the act of circumcision is regarded mandatory according to 10.4 % of parents, 8.3 % pediatricians, and 4 % GP. Doctors regarded circumcision as compulsory (pediatricians 60 % - GP 68.8 %) in preventing venereal diseases compared to parents (37.5 %) (<em>p</em> &lt; 0.001). Need for circumcision in the presence of hydronephrosis was regarded unnecessary by parents (10.4 %) when compared to doctors (<em>p</em> &lt; 0.001). However, this point of view was interestingly shared by 35.4 % of the pediatricians and 40 % GP. According to 37.5 % of the parents, circumcision did not correlate with good reproductive ability (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Results showed that enhanced medical education and awareness are required amongst medical personnel with regards to a widely known subject as circumcision. Public information is also needed to achieve a better state of knowledge.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"9 ","pages":"Article 100181"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102547","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":"Factors associated with biloma formation in biliary atresia patients after Kasai operation and outcomes of percutaneous transhepatic biliary drainage","authors":"Niramol Tantemsapya,&nbsp;Rattakan Jutiyon,&nbsp;Mongkol Laohapensang","doi":"10.1016/j.yjpso.2024.100189","DOIUrl":"10.1016/j.yjpso.2024.100189","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to investigate factors associated with the development of biloma after Kasai operation, and to study the outcomes of treatment.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted on biliary atresia patients who underwent Kasai operation at Siriraj Hospital from 2006 to 2021. The eligible 79 patients were divided into groups with biloma (n=13) and without biloma. Clinical and laboratory data at diagnosis and postoperation were compared. The treatment outcome of biloma was studied. Finally, the overall outcomes of portoenterostomy between both groups were analyzed.</div></div><div><h3>Results</h3><div>Patients with biloma demonstrated a longer time to jaundice clearance (p=0.004), more frequent episodes of postoperative cholangitis (p=0.006), and higher levels of alkaline phosphatase (ALP) at 5 months post-operation (p=0.037). There was a significant decrease in bilirubin levels (p=0.028) and gamma-glutamyltransferase (GGT) (p=0.021) after biloma treatment. However, there was no significant difference in the overall outcomes of Kasai operation between the two groups.</div></div><div><h3>Conclusion</h3><div>Biloma formation should be suspected in biliary atresia patients requiring longer duration to clear jaundice, having persistent ALP level and frequent episodes of cholangitis after the Kasai operation. Treatment of biloma improves liver function but it did not show a significant difference in the overall outcome of portoenterostomy.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"9 ","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102544","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(25)00004-8","DOIUrl":"10.1016/S2949-7116(25)00004-8","url":null,"abstract":"","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"9 ","pages":"Article 100195"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102597","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":"Efficacy and safety of retrograde laparoscopic appendectomy in pediatric complicated appendicitis: A 14- year retrospective analysis","authors":"Mario Riquelme ,&nbsp;Carlos Garcia-Hernandez ,&nbsp;Irving Alan Cardenas-Medina ,&nbsp;Ana Cantu-Zendejas ,&nbsp;Alejandro Cendejas-Higuera","doi":"10.1016/j.yjpso.2024.100188","DOIUrl":"10.1016/j.yjpso.2024.100188","url":null,"abstract":"<div><h3>Background</h3><div>Acute appendicitis is the leading cause of emergency abdominal surgery in children. Complicated cases, particularly those with perforation or gangrene, pose a surgical challenge due to significant inflammation and altered anatomy.</div></div><div><h3>Objective</h3><div>To evaluate the efficacy and safety of retrograde laparoscopic appendectomy (RLA) as an alternative technique in pediatric patients with complicated acute appendicitis, based on data collected over a 14-year period. This study also examines the surgical technique and potential complications associated with <strong>RLA.</strong></div></div><div><h3>Methods</h3><div>This retrospective, observational, and descriptive case series analyzed 30 cases of complicated acute appendicitis treated with RLA from a total of 415 laparoscopic appendectomies performed over 14 years. The patients' ages ranged from 4 to 18 years. Dissection began at the appendicular base, progressing retrogradely to the tip. Variables analyzed included operative time, hospital stay, postoperative complications, and conversion rates to open surgery.</div></div><div><h3>Results</h3><div>The study included 19 boys (63 %) and 11 girls (37 %). The average operative time was 75 minutes, and the mean hospital stay was 4 days. There were no conversions to open surgery. Postoperative complications were limited to abscess formation at the port sites in 10 % of cases. No intraoperative complications or residual intra-abdominal abscesses were reported.</div></div><div><h3>Conclusion</h3><div>Retrograde laparoscopic appendectomy (RLA) is a safe and effective technique for managing complicated acute appendicitis in pediatric patients. It is a reproducible procedure for surgeons with experience in laparoscopic techniques, offering a viable alternative in complex cases.</div></div><div><h3>Type of study</h3><div>Retrospective, observational, and descriptive case series.</div></div><div><h3>Level of evidence</h3><div>Level IV</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"10 ","pages":"Article 100188"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132151","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 breast-pectoralis flap: A major contribution to the treatment of severe thoraco-mammary deformities in Poland syndrome and associated syndromes - A case series of five patients","authors":"Gwenola Mambour ,&nbsp;Richard Vaucher ,&nbsp;Simon Perez ,&nbsp;Paul Frobert ,&nbsp;Emmanuel Delay","doi":"10.1016/j.yjpso.2024.100185","DOIUrl":"10.1016/j.yjpso.2024.100185","url":null,"abstract":"<div><h3>Background</h3><div>The lipomodeling technique has transformed the management of Poland syndrome-associated thoraco-mammary deformities. Complex type 3 cases with significant thoracic deformity often require a combined approach, including the latissimus dorsi flap, which is absent in about 10 % of cases. These patients face therapeutic challenges. The breast-pectoralis flap (BPF), developed for breast reconstruction, allows transfer of tissue from the contralateral breast. This study aimed to evaluate the BPF's contribution to correcting severe thoraco-mammary deformities in Poland syndrome and associated syndromes.</div></div><div><h3>Materials and methods</h3><div>We conducted a case series on five female patients aged 11–16 years between 2012 and 2024 to evaluate outcomes and complications of breast reconstruction using the BPF. Four had severe stage III Poland syndrome with marked thoracic deformity. One had sequelae from cystic lymphangioma treatment, lacking the latissimus dorsi and pectoralis major muscles, corresponding to severe stage III Poland syndrome. Evaluation criteria included aesthetic results, patient satisfaction, functional impact, and the number of lipomodeling sessions needed.</div></div><div><h3>Results</h3><div>The BPF enabled thoraco-mammary restoration in all patients. Additional lipomodeling sessions achieved the desired morphological results. All outcomes were “very good,” with no flap necrosis or other complications. Patient satisfaction was rated “very good” in all cases.</div></div><div><h3>Conclusion</h3><div>The BPF is a valuable technique for treating severe thoraco-mammary deformities in Poland syndrome and should be part of the therapeutic arsenal for complex cases. However, it requires a delicate procedure by experienced plastic surgeons.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"10 ","pages":"Article 100185"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534985","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":"Management of pneumatosis intestinalis after stoma takedown in preterm infants","authors":"Shannon N. Acker ,&nbsp;S. Chris Derderian ,&nbsp;Diane Melara ,&nbsp;Theresa Grover ,&nbsp;Sai Krupa Rajaramsiva ,&nbsp;Ann M. Kulungowski ,&nbsp;Romeo C. Ignacio Jr.","doi":"10.1016/j.yjpso.2024.100184","DOIUrl":"10.1016/j.yjpso.2024.100184","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to compare pre-term infants with and without post stoma takedown pneumatosis intestinalis (PSTPI), describe outcomes of PSTPI, and discuss current management strategies.</div></div><div><h3>Study Design</h3><div>We reviewed infants born at &lt;34 weeks who underwent laparotomy with stoma formation and subsequent stoma takedown between 2010 and 2019 at two level IV NICUs. Comparisons were made between infants with PSTPI defined by the presence of PI on plain radiograph after stoma takedown (<em>n</em> = 13), and those without PSTPI (<em>n</em> = 102) with either Fisher's exact or Mann Whitney U test.</div></div><div><h3>Result</h3><div>No infants required urgent operation for PSTPI. All infants were treated with a period of NPO (median 8 days; range: 2–39) and antibiotic therapy (median 7 days; range:3–10). TPN at discharge was more common among the PSTPI group (31 % vs 10 %; <em>p</em> = 0.05).</div></div><div><h3>Conclusions</h3><div>Among this limited cohort, PSTPI among premature infants seems to follow a benign course and is often adequately treated with antibiotics and bowel rest.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"10 ","pages":"Article 100184"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132142","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":"Validation study of synthetic models for esophageal atresia with tracheoesophageal fistula (EA/TEF): A simulation-based training in pediatric surgery","authors":"Zahradníková Petra ,&nbsp;Hnilicová Silvia ,&nbsp;Lindák Martin ,&nbsp;Pechanová Rebeka ,&nbsp;Števková Dominika ,&nbsp;Vitovič Pavol ,&nbsp;Laurovičová Miroslava ,&nbsp;Horn František ,&nbsp;Tvrdoň Tomáš ,&nbsp;Babala Jozef","doi":"10.1016/j.yjpso.2024.100180","DOIUrl":"10.1016/j.yjpso.2024.100180","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric surgery is a highly specialised field, with minimally invasive surgery (MIS) posing greater technical challenges than conventional open surgery. Proficiency requires both in and out-of-operating-room training, with simulation playing a crucial role. The purpose of this study was to explore MIS perceptions, training experiences, and preferences regarding laparoscopic simulation training. Furthermore, we aimed to validate two synthetic EA/TEF models.</div></div><div><h3>Method</h3><div>A questionnaire focused on the degree of adoption of MIS among paediatric surgeons was proposed online to participants at the 68th Czech and Slovak Pediatric Surgery Congress in Slovakia in 2024. All participants also had scheduled sessions to practice advanced laparoscopic skills on two synthetic EA/TEF models. The purpose of this study was to analyse experiences with paediatric MIS, the implementation of simulation training, and personal stances on integrating simulation training into training curricula. EA/TEF models were validated with a 5-point Likert scale.</div></div><div><h3>Results</h3><div>Thirty-three paediatric surgeons from 14 centres in two countries completed the questionnaire. Six (18 %) were novices, 12 (36 %) intermediate trainees, and 15 (45 %) specialists with over 11 years of practice. Eight participants (18 %) declared weekly access to simulation training, while 49 % had none. Additionally, 15 individuals (45.5 %) strongly agree and 48.5 % agree that regular training on simulators enhances surgical skills in MIS procedures in the operating room. Twenty-six respondents (76 %) believe that simulator training should be part of the requirements for pediatric surgical trainees, with no significant difference according to the surgeons' experience (<em>p =</em> 0.290). Thirty surgeons validated the EA/TEF models. Highest ratings were for overall impression and tool usefulness in experienced surgeons' training (mean scores: 4.5 and 4.6). The working space received the lowest score (mean: 3.6 ± 0.8), with experienced surgeons rating it significantly lower (3.4) than the inexperienced group (4.1, <em>p =</em> 0.030). No significant differences were observed between models in Likert scale parameters.</div></div><div><h3>Conclusion</h3><div>Simulation training is essential for teaching MIS in paediatric surgery, improving skills, and should be part of specialisation preparation. Synthetic EA/TEF models received high ratings as effective training tools for thoracoscopic EA/TEF training. Further studies are needed to prove construct validity.</div></div>","PeriodicalId":100821,"journal":{"name":"Journal of Pediatric Surgery Open","volume":"9 ","pages":"Article 100180"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702644","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":"Rare and syndromic tumours in South African children: A novel report from Sub-Saharan Africa","authors":"Alessia Pisapia,&nbsp;Guy Shemesh,&nbsp;Derek Harrison","doi":"10.1016/j.yjpso.2024.100174","DOIUrl":"10.1016/j.yjpso.2024.100174","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and Aims&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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)&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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 (&lt;em&gt;N&lt;/em&gt; = 68, OS= 62 %), head and neck (&lt;em&gt;N&lt;/em&gt; = 35, OS= 77 %), renal (&lt;em&gt;N&lt;/em&gt; = 19, OS=74 %), skin (&lt;em&gt;N&lt;/em&gt; = 17, OS=47 %), hepatic (&lt;em&gt;N&lt;/em&gt; = 16, OS=38 %), adrenal (&lt;em&gt;N&lt;/em&gt; = 10, OS= 80 %), female reproductive system (&lt;em&gt;N&lt;/em&gt; = 8, OS=75 %), pulmonary, chest wall and mediastinum (&lt;em&gt;N&lt;/em&gt; = 7, OS=86 %), gastrointestinal (&lt;em&gt;N&lt;/em&gt; = 4, OS=75 %) and male reproductive system (&lt;em&gt;N&lt;/em&gt; = 2, OS=100 %). The 10 most common variants included: malignant peripheral nerve sheath tumours (&lt;em&gt;N&lt;/em&gt; = 15, 8 %, OS=47 %), nasopharyngeal carcinoma (&lt;em&gt;N&lt;/em&gt; = 14, 8 %, OS=64 %), malignant melanoma (&lt;em&gt;N&lt;/em&gt; = 14, 8 %, OS=43 %), Ewings sarcoma (&lt;em&gt;N&lt;/em&gt; = 13, 7 %, OS=54 %), clear cell sarcoma of the kidney (&lt;em&gt;N&lt;/em&gt; = 9, 5 %, OS=67 %), hepatocellular carcinoma (&lt;em&gt;N&lt;/em&gt; = 9, 5 %, OS=22 %), desmoplastic small round cell tumour (&lt;em&gt;N&lt;/em&gt; = 7, 4 %, OS=57 %), synovial sarcoma (&lt;em&gt;N&lt;/em&gt; = 7, 4 %, OS=71 %), undifferentiated sarcoma (&lt;em&gt;N&lt;/em&gt; = 6, 3 %, OS=66 %), infantile fibrosarcoma (&lt;em&gt;N&lt;/em&gt; = 6, 3 %, OS=66 %). Treatment modalities included: surgery (&lt;em&gt;N&lt;/em&gt; = 24, 13 %, OS=79 %), palliation (&lt;em&gt;N&lt;/em&gt; = 21, 11 %, OS=0 %), surgery and chemotherapy (&lt;em&gt;N&lt;/em&gt; = 19, 10 %, OS=58 %), and surgery, chemotherapy, and radiation (&lt;em&gt;N&lt;/em&gt; = 16, 9 %, OS=75 %). Thirteen (7 %) were associated with the syndromes: Xeroderma pigmentosa (&lt;em&gt;N&lt;/em&gt; = 4, 2 %), Neurofibromatosis (&lt;em&gt;N&lt;/em&gt; = 3, 2 %), Tuberous Sclerosis (&lt;em&gt;N&lt;/em&gt; = 2, 1 %), Giant congenital nevus syndrome (&lt;em&gt;N&lt;/em&gt; = 2, 1 %), Li-Fraumeni (&lt;em&gt;N&lt;/em&gt; = 1, 0.5 %) and 31q Deletion syndrome (&lt;em&gt;N&lt;/em&gt; = 1, 0.5 %). Overall, there was a 66 % survival rate.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;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}