Journal of Indian Association of Pediatric Surgeons最新文献

{"title":"Robotic Repair of a Rare Morgagni Hernia in an Infant.","authors":"Apurva Gupta, Arvind Sinha, Kirtikumar J Rathod, Rahul Saxena, Manish Pathak","doi":"10.4103/jiaps.jiaps_141_24","DOIUrl":"10.4103/jiaps.jiaps_141_24","url":null,"abstract":"<p><p>This case report describes the successful robotic-assisted repair of a large Morgagni hernia in an 8-month-old infant. Using the da Vinci Xi system, the hernial sac was excised, and the patient recovered without complications. It highlights the advantages of robotic surgery, including enhanced optics and precision, for complex hernia repairs in infants.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"104-106"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449228","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 Hidden Connection - Split Notochord Syndrome with Dorsal Enteric Fistula.","authors":"Shravya Subhash Shetty, Neha Masrani, Salmaan Radiowala, Ameya Muzumdar, Kshitij Mane, Suraj Gandhi, Neha Sisodiya Shenoy, Hemanshi Shah","doi":"10.4103/jiaps.jiaps_136_24","DOIUrl":"10.4103/jiaps.jiaps_136_24","url":null,"abstract":"<p><p>Split notochord with dorsal enteric fistula is a rare congenital disease of the central nervous system. It can be associated with other anomalies. Communication with gastrointestinal tract is one of them. Less than 30 cases of such dorsal enteric fistula with split notochord have been reported till date. Here, the authors describe a unique case of a female infant with split notochord syndrome and dorsal enteric fistula. A comprehensive assessment is essential to plan management of this infrequent disease. She was treated with a multistage surgical repair and is currently thriving well.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"96-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449233","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":"Acute Gastric Volvulus Associated with Wandering Spleen and Diaphragmatic Eventration in a 5-month-old Girl.","authors":"Giacomo Mandarano, Fabio Torri, Anna Lavinia Bulotta, Michele Bosisio, Filippo Parolini, Giovanni Boroni, Daniele Alberti","doi":"10.4103/jiaps.jiaps_122_24","DOIUrl":"10.4103/jiaps.jiaps_122_24","url":null,"abstract":"<p><p>The triad of gastric volvulus (GV), wandering spleen (WS), and diaphragmatic eventration (DE) is extremely uncommon and only two cases have been reported in the current pediatric literature. In this paper, we aim to describe the diagnostic and surgical management of a 5-month-old baby with this pathological triad and to present the other cases reported in pediatric literature. A 5-month-old baby was referred to our hospital because of vomiting and inconsolable crying from 12 h. The X-ray study demonstrated a severely distended stomach and a left diaphragmatic elevation. Swallow fluoroscopy revealed no passing contrast in duodenum and abdomen ultrasound showed splenic malposition. Computed tomography scan confirmed GV and WS. The patient underwent an urgent laparoscopy that revealed ischemia of the gastric antrum, thrombosis of the right gastroepiploic vein, and eventration of the left hemidiaphragm. After laparotomic conversion due to hemodynamic instability, derotation of the stomach allowed appreciation of splenic 360° twisting within the diaphragmatic defect. The spleen was untwisted, placed in a fashioned retroperitoneal pocket, and covered with the splenocolic ligament. The stomach was anchored to the large omentum and the diaphragm was plicated. Our case is the first one describing this pathological triad in such a little infant. This association is probably the result of a developmental defect of left upper abdomen ligaments and must be considered a cause of upper gastrointestinal obstruction. In case of diaphragmatic defects, if gastric malposition or ectopic spleen are identified, we suggest early diaphragmatic plication, prophylactic gastropexy, and splenopexy to prevent GV and WS torsion, which can lead to gastric necrosis with perforation and splenic infarction. Although laparoscopy may be useful, operative laparotomy is necessary in case of hemodynamic instability.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"81-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449377","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":"Case Series of Transverse Testicular Ectopia in Children.","authors":"Sai Prasuna Vudata, Anusiri Inugala, Sai Krishna Vuppala, Revanth Kumar Banda","doi":"10.4103/jiaps.jiaps_124_24","DOIUrl":"10.4103/jiaps.jiaps_124_24","url":null,"abstract":"<p><strong>Introduction: </strong>Transverse testicular ectopia (TTE) is an uncommon urological abnormality in children where both the gonads migrate toward the same hemi-scrotum. Herein, we describe five cases of children with TTE and their management at a tertiary care center.</p><p><strong>Materials and methods: </strong>Five cases with complaints of inguinal hernia and undescended testis were presented to the department of pediatric Surgery at a tertiary care center have been taken up for the study. The history, investigations, surgical findings, and procedures were reviewed retrospectively.</p><p><strong>Case summary: </strong>Of the five cases, one presented with irreducible inguinal hernia, two presented with unilateral hernia with contralateral undescended testis, and two presented with bilateral undescended testes. Inguinal herniotomy and transseptal orchiopexy were performed in all 5 cases. Three of the five cases were associated with persistent Müllerian duct syndrome (PMDS).</p><p><strong>Conclusion: </strong>In children with unilateral cryptorchidism and a contralateral descendent testis with an associated hernia, TTE should be suspected and ultrasonographic evaluation must be done to diagnose this condition before surgery. Transseptal orchiopexy is highly recommended to manage these cases especially when vasa deferentia are fused. In the case of PMDS, it is preferred to preserve Müllerian remnants.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"76-80"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449379","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":"Extrarenal Pyelocalyceal System or Extrarenal Calyces: A Case Series and Literature Review.","authors":"Namasivayam Selvarajan, B R Nammalwar, Sairam V Kannan, S Muralinath, Rochita Venkataramanan, Madhu Ramasundaram, Senthil Ganesh Kamaraj, Jai Durai Raj, G Nandhini, Vidhya Tamizhvanan","doi":"10.4103/jiaps.jiaps_86_24","DOIUrl":"10.4103/jiaps.jiaps_86_24","url":null,"abstract":"<p><p>Extrarenal pyelocalyceal system or extrarenal calyces, a congenital anomaly, is identified when it presents with pelviureteric junction obstruction. It is elusive to preoperative diagnosis and was identified only intraoperatively in all published pediatric cases. Experience gained by managing a series of cases and a literature search has guided us to evolve a preoperative diagnostic approach, a pyelotomy technique, and a practical classification of the EPS. During the period from 2003 to 2023, four cases with six kidneys of the EPS including three kidneys of the polar extrarenal infundibulum and calyces, a variant of EPS involving only upper or lower pole of the kidney, were seen. Successful pyeloplasty was performed in five of the six kidneys for PUJO using a careful pyelotomy technique. Characteristic \"garden rake\" X-ray sign was seen in intravenous urogram or retrograde pyelogram, contrast-enhanced computerized tomogram, or magnetic resonance imaging (MRI) of the abdomen in three kidneys. Retrograde pyelogram, CECT, or MRI of the abdomen identified the polar variant in three kidneys. Late-onset PUJO was seen in one case. Four cases with PUJO presented with significantly reduced renal function. One showed postoperative deterioration to nonfunction despite good drainage. A preoperative diagnostic approach, a pyelotomy technique for pyeloplasty, and a classification of the EPS are evolved by the authors. Progressive loss of function and late-onset obstruction mandate a renal-sparing pyeloplasty approach and follow-up.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448858","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":"Profile of Serum Inflammatory Biomarkers in Children with Peritonitis and their Role in Predicting the Severity and Outcome.","authors":"Chandra Vibhash, Subhasis Roy Choudhury, Anu Maheshwari, Yogesh Kumar Sarin, Sunita Sharma, Ritu Singh","doi":"10.4103/jiaps.jiaps_140_24","DOIUrl":"10.4103/jiaps.jiaps_140_24","url":null,"abstract":"<p><strong>Aims and objectives: </strong>The aim of this study was to determine whether the levels of serum inflammatory markers (C-reactive protein [CRP], interleukin-6 [IL-6], calprotectin, and N terminal pro-B-type natriuretic peptide [NT-proBNP]) predict the severity and outcome in children with peritonitis. The primary objective was to evaluate the profile of these serum inflammatory biomarkers in children with peritonitis. The secondary objectives were to correlate the level of these biomarkers with pediatric sequential organ failure assessment (pSOFA) severity score at admission and predict the outcome (mortality).</p><p><strong>Methods: </strong>In this prospective observational study, the level of above serum inflammatory biomarkers in children with peritonitis was measured at the time of admission. The disease severity was assessed using pSOFA score and the association of these biomarkers with the outcomes was studied.</p><p><strong>Results: </strong>A total of 80 children with peritonitis (M: F:: 9:7, mean age: 6.22 ± 3.7 years) were included. The median values of serum CRP, IL-6, calprotectin, and NT-proBNP were 196.88 mg/L (interquartile range [IQR]: 124.37, 285.6), 6.74 pg/ml (IQR: 1.87, 12.54), 46750 μg/L (IQR: 17937.5, 84075), and 365.2 ng/L (IQR: 170, 1034), respectively. Serum CRP and NT-proBNP correlated with pSOFA score. The pSOFA score >4 and serum NT-proBNP were significant in predicting mortality in children with peritonitis (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>In children with peritonitis, serum levels of inflammatory biomarkers, i.e. CRP, calprotectin, and NT-proBNP were found to be raised, whereas IL-6 was not raised. The pSOFA score >4 predicted mortality. The serum levels of NT-proBNP were significantly raised in nonsurvivors in children with peritonitis, therefore, can be used as a predictor of severity and mortality in children with peritonitis.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449205","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":"Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature.","authors":"Posam Manoj Kumar, Mandakini T Kotaiah, Gudla Keerthi, Vishnuvardhan Reddy","doi":"10.4103/jiaps.jiaps_135_24","DOIUrl":"10.4103/jiaps.jiaps_135_24","url":null,"abstract":"<p><strong>Introduction: </strong>Falciform ligament abscess (FLA) is a rare type of intra-abdominal abscess which has been sporadically reported. Diagnosis of FLA can be challenging without typical image findings of an abscess. This study publishes the varied clinical presentations, radiological findings, and management of FLA.</p><p><strong>Materials and methods: </strong>All patients who were diagnosed and operated for FLA between May 2022 and May 2024 are included in the study. Relevant investigations were done preoperatively.</p><p><strong>Results: </strong>A total of six patients were operated for FLA. The mean age of presentation was 30 days. There were no major perioperative complications in five patients. One patient had pyopericardium which required pericardiocentesis and catheter drainage preoperatively.</p><p><strong>Conclusion: </strong>FLA should be considered in children, especially in infants with vague abdominal symptoms and failure to respond to conservative management. Due to its obscure location, it often causes delay in diagnosis and inadequate treatment. Hence, early consideration of this pathology is crucial for timely diagnosis, proper surgical treatment, and decreased morbidity and mortality.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448861","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":"Optimal Surgical Approach for Bilateral Congenital Lobar Emphysema: Evaluating a Staged, Response Based Approach.","authors":"Shreyas Krishnamurthy, Arvind Sinha, Siva Kamesh, Kirtikumar J Rathod, Rahul Saxena, Manish Pathak","doi":"10.4103/jiaps.jiaps_127_24","DOIUrl":"10.4103/jiaps.jiaps_127_24","url":null,"abstract":"<p><p>Management of bilateral congenital lobar emphysema (CLE) is challenging and only a few isolated cases are available in the literature for guiding surgeons in managing such cases. We recently managed a child with bilateral CLE and realized that there is an extreme dearth of data available in the literature to guide a surgeon on the management of children with bilateral CLE. We performed a systematic review of the available literature and share our understanding from the same. A 10-month-old child presented to our emergency room with intermittent episodes of tachypnea and respiratory distress since birth. Computed tomography of the chest was suggestive of CLE of the left upper and the right middle lobe (RML) with mediastinal shift toward the right. Left posterolateral thoracotomy and left upper lobectomy were performed and the child was kept in follow-up for RML pathology. After 4 uneventful months, the child was readmitted with respiratory distress. Repeat imaging demonstrated continued RML hyperinflation with atelectatic changes in the adjacent lobes and he subsequently underwent RML ctomy. Our literature review suggests that the infants tolerate sequential thoracotomies better than the single-staged bilateral thoracotomies. Literature suggests that up to a fifth of the patients might not require the second surgery based on the clinical condition of the child on careful follow-up. Our case report and review support staged and a response-based approach to bilateral CLE has a promising outcome.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"87-95"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449185","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":"Video-urodynamic Profile in Postoperative Cases of Lumbosacral Myelomeningocele with Neurogenic Bladder.","authors":"Dipanjan Goswami, Gaurav Saxena, Sujoy Neogi, Simmi K Ratan, Prafull Kumar, Chiranjiv Kumar, Md Fahim Ahmad","doi":"10.4103/jiaps.jiaps_156_24","DOIUrl":"10.4103/jiaps.jiaps_156_24","url":null,"abstract":"<p><strong>Introduction: </strong>Neurogenic bladder is a very common sequel in cases of spina bifida with variable prevalence ranging between 46% and 80%. Conventionally, these patients are analyzed using urodynamic studies (UDSs), with some chances to be misinterpreted, as a large percentage of these subjects are associated with vesicoureteric reflux (VUR), for which video-UDS (VUDS) is considered to be investigation of choice.</p><p><strong>Materials and methods: </strong>The study included 24 postoperative patients (at least 3 months postoperative) of lumbosacral myelomeningocele with urinary complaints over a 1-year period. The VUDS parameters and presence of VUR were noted along with sonographic evaluation of the urinary tract as well as renal function tests. VUDS was done using the HERMES model, and micturating cystourethrography films were taken using the C-arm fluoroscopy machine. Postvoid residual urine (PVRU) was calculated using a portable ultrasonography (USG) scanner. Based on the VUDS parameters, we tried to categorize the type of neurogenic bladder and also establish a correlation between the VUDS profile and upper tract changes if any.</p><p><strong>Results: </strong>There were 20 males and 4 females, age range of 9 months to 11 years. On USG kidney ureter bladder, there were mild bilateral hydronephrosis (<i>n</i> = 1), moderate to gross bilateral hydroureteronephrosis (<i>n</i> = 2), and thickened bladder (<i>n</i> = 7). On VUDS, high detrusor pressures were noted in 58% of cases (<i>n</i> = 14) and high sphincter pressures in 20% (<i>n</i> = 5) of patients. Detrusor sphincter dyssynergia (DSD) was present in 50% of cases (<i>n</i> = 12). PVRU was significant in 87.5% of cases (<i>n</i> = 21), of which 14.2% (<i>n</i> = 3) had VUR and 52% (<i>n</i> = 11) had DSD. VUR was diagnosed in 16% (<i>n</i> = 4) of patients (3 unilateral and 1 bilateral). Among those patients with VUR, 25% (<i>n</i> = 1) had bilateral hydroureteronephrosis, 25% (<i>n</i> = 1) had thickened irregular bladder, and 50% (<i>n</i> = 2) had DSD. Overall patients with DSD had worst VUDS parameters. Overactive detrusor and normal sphincter, <i>n</i> = 8 (33%), was the most common type of neurogenic bladder in our study. On statistical analysis, there were positive correlations found between the VUDS parameters such as leak point volume, bladder capacity, bladder compliance, and DSD with sonological deterioration of the upper and lower urinary tracts (significant PVRU, hydronephrosis, and bladder wall thickening) as well as serum urea and creatinine levels.</p><p><strong>Conclusion: </strong>VUDS is decisive for the therapeutic strategy as it allows the definition of the dysfunctional pattern of the lower urinary tract and detection of risk factors to enable the prevention of major upper urinary tract changes by appropriate treatment. VUDS should be a part of standard evaluation protocol in all patients of neurogenic bladder.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449245","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":"Prospective Study of the Impact of Preoperative Nutrition on Postoperative Outcomes in Paediatric Surgery Using a Novel Two-axis Classification Scheme.","authors":"Benjamin Chacko, M M Zameer, Vinay, Ashley L J D'cruz, Sanjay Rao","doi":"10.4103/jiaps.jiaps_150_24","DOIUrl":"10.4103/jiaps.jiaps_150_24","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition is a significant concern in the hospitalized surgical cohort. Despite this there is no standardized scheme tailored for the pediatric surgical cohort. This study evaluated the feasibility to of the novel two-axis scheme to fill the lacunae in pediatric nutritional assessment.</p><p><strong>Aims: </strong>The aim of this study is to study the effect of the preoperative nutritional status on the clinical outcomes.</p><p><strong>Materials and methods: </strong>This is a prospective, observational, and cohort study of all pediatric patients undergoing surgery at our center from January 2021 to September 2022. Preoperative anthropometry was measured and all subjects were classified using the two-axis scheme incorporating body mass index and height <i>z</i>-scores into nonoutliers or one of the four outlier groups: underweight short, underweight tall, overweight short, and overweight tall. All complications within 30 days postsurgery were recorded and graded by the Clavien-Dindo classification.</p><p><strong>Results: </strong>The study included a total of 827 patients who underwent 1022 surgeries, 70.5% being males. About 33% of the cohort was under 5 years of age. Overall incidence of complications was 10.1% with underweight short group having the highest (19.7%). Underweight short group had higher incidence of composite and healthcare-associated infections (<i>P</i> < 0.05) and higher odds of all types of complication in comparison to the nonoutliers. No significant relation was noted between the nutritional groups and the severity of the complication.</p><p><strong>Conclusions: </strong>This study supported the predictive value and feasibility of this novel two-axis nutritional classification scheme in the pediatric surgical outcomes. The underweight short subjects are at higher risk of developing postoperative complications.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449215","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}