Journal of Indian Association of Pediatric Surgeons最新文献

{"title":"Vaginal Duplication Cyst - A Rare Isolated Anomaly Masquerading as a Colonic Duplication Cyst.","authors":"Simmi K Ratan, Harsh Bhomaj, Nitin Jain, Sheetal Upreti, Md Fahim Ahmad, Shramana Mandal, Mehak Sehgal, Rashi Garg","doi":"10.4103/jiaps.jiaps_295_24","DOIUrl":"10.4103/jiaps.jiaps_295_24","url":null,"abstract":"<p><p>Vaginal duplication cysts are rare congenital anomalies, especially in pediatric patients, often mimicking other pelvic cystic lesions. We report a 2-month-old female with a lower abdominal lump, urinary retention, and defecation issues. Imaging suggested a rectal duplication cyst, but laparoscopy revealed a vaginal duplication cyst adherent to the posterior vaginal wall. Surgical excision confirmed the diagnosis, and the child had complete symptom resolution. This case emphasizes the rarity of vaginal duplication cysts in infancy and the importance of surgical management for definitive diagnosis and treatment.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"415-417"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127852","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":"Artificial Intelligence Use in Daily and Professional Life among Pediatric Surgeons in India: A Roadmap for Adoption Based on Online Survey Results.","authors":"Ankur Mandelia, Vinayak S Rengan, Alish Rajesh Mehta, Aseesh Varma Vankam, Ramesh Babu, Sumitra Kumar Biswas, Vikesh Agrawal","doi":"10.4103/jiaps.jiaps_306_24","DOIUrl":"10.4103/jiaps.jiaps_306_24","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is transforming the various domains of medicine, including pediatric surgery, where precision and timely decision-making are critical. However, the real-world integration of AI in pediatric surgery, particularly in low- and middle-income countries such as India, remains underexplored. We propose a roadmap for the adoption of AI based on our survey results for <i>Indian Association of Pediatric Surgeons</i> (IAPS).</p><p><strong>Objective: </strong>This survey aimed to evaluate the awareness, utilization, and perspectives of pediatric surgeons in India regarding AI in both professional and personal settings, as well as to identify barriers and opportunities for its integration into clinical practice.</p><p><strong>Methodology: </strong>A cross-sectional survey was conducted among the members of the IAPS, utilizing a structured online questionnaire. Quantitative data were analyzed using the descriptive statistics and Chi-square tests, whereas qualitative responses were thematically analyzed.</p><p><strong>Results: </strong>A total of 74 pediatric surgeons participated in the survey. While 60.8% were somewhat familiar with AI, only 47.3% used AI in their clinical practice, primarily for diagnostic imaging (31.1%) and administrative tasks (23%). Perceived benefits included enhanced diagnostic accuracy (45.9%) and improved surgical care (37.8%), yet barriers such as data privacy (39.2%) and concerns over reliability (51.4%) were prevalent. Personal AI adoption was high (70.3%), with virtual assistants and health-tracking apps being most common. Additionally, 86.4% of respondents anticipated AI becoming integral to pediatric surgery within the next decade.</p><p><strong>Conclusion: </strong>Despite limited clinical adoption, there is strong interest among pediatric surgeons in India for AI-focused training and integration. Addressing barriers such as ethical concerns, data privacy, and cost could catalyze AI's potential to revolutionize pediatric surgical care. Our roadmap addressing these challenges through targeted education, ethical guidelines, and better integration strategies will be essential for harnessing AI's full potential in pediatric surgery.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"361-368"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127511","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":"Intrathoracic Lipoblastoma: A Rare Occurrence in a Child.","authors":"Deepak Kumar Garnaik, Rajat Piplani, Akash Dhiman, Arvind Kumar","doi":"10.4103/jiaps.jiaps_288_24","DOIUrl":"10.4103/jiaps.jiaps_288_24","url":null,"abstract":"<p><p>Lipoblastoma is a rare benign tumor arising from embryonic fat tissue, primarily affecting children under 3 years of age, and is exceptionally uncommon in the thoracic cavity. We report a case involving a 4-year-old boy with intrathoracic lipoblastoma. The mass was entirely removed through a left posterolateral thoracotomy, and histopathological examination confirmed the diagnosis. Despite its rarity, lipoblastoma should be considered in the differential diagnosis of thoracic masses in children.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"409-411"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127523","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-staged Anterior versus Posterior Sagittal Anorectoplasty for Low Female Arms.","authors":"ElSayed Mohammed Elsayed Kheder, Mohamed A Tageldin, Ali H Rahmy, Sherif N Kaddah, Mohamed Hamed Abouelfadl","doi":"10.4103/jiaps.jiaps_208_24","DOIUrl":"10.4103/jiaps.jiaps_208_24","url":null,"abstract":"<p><strong>Background: </strong>Anorectal malformations (ARMs) are among the predominant birth anomalies seen in pediatric surgery.</p><p><strong>Aims: </strong>The aim of the study was to create a detailed comparison of short-term (3-6 months) outcomes in female patients having rectovestibular fistula (RVF) operated through a single stage by both techniques, posterior sagittal anorectoplasty (PSARP) versus anterior sagittal anorectoplasty (ASARP).</p><p><strong>Materials and methods: </strong>Our prospective cohort study involved 36 females whose ages fell between 3 and 12 months and who developed congenital ARM in RVF or rectoperineal fistula. Participants went through an equal random categorization into two groups: Group 1: patients with RVF or rectoperineal fistula who underwent single-staged PSARP and Group 2: patients with RVF or rectoperineal fistula who underwent single-staged ASARP.</p><p><strong>Results: </strong>There was a notable association between the incidence of wound infection and the hospital stay period, as with total parenteral nutrition (TPN) duration and the start of enteral feeding. 7 (63.4%) patients developed dehiscent wounds, and their hospital stay was significantly longer as opposed to the others with (<i>P</i> < 0.001). Wound infection was significantly associated with longer TPN duration among infected wounds compared to another group (<i>P</i> < 0.001). Wound dehiscence was significantly associated with wound infection among both groups (<i>P</i> = 0.025 and <i>P</i> = 0.002). Hospitalization was significantly prolonged between the two groups, with the PSARP group longer than ASARP (<i>P</i> = 0.003 and <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>ASARP may be a better option in low-resource settings, as it is associated with shorter hospital stays, fewer wound infections, and fewer complications than PSARP. Patients who underwent PSARP experienced more extended hospital stays, more infections, and longer TPN durations.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"322-329"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127825","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":"Minimally Invasive Strategies in Rectal Atresia and Anal Stenosis: A Report of Two Cases.","authors":"Revathy Menon, Rahul Saxena, T K Jayakumar, Arvind Sinha","doi":"10.4103/jiaps.jiaps_251_24","DOIUrl":"10.4103/jiaps.jiaps_251_24","url":null,"abstract":"<p><p>This study discusses our experience with rectal atresia and anal stenosis, utilizing a combined laparoscopic and transanal approach. A laparoscopic-assisted pull-through was performed successfully in both cases. Laparoscopic-assisted surgery is done when preserving the anal canal and sphincter complex and avoiding the complete posterior sagittal incision.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"394-397"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127697","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 of 0.5% Timolol Maleate versus 0.05% Clobetasol Propionate in Treating Superficial Infantile Hemangioma: A Pilot Randomized Controlled Trial.","authors":"Sunita Singh, Niraj Kumar Srivastava, Amrita Upadhyaya, Mrityunjay Kumar, Neeraj Pawar, Rohit Kapoor","doi":"10.4103/jiaps.jiaps_256_24","DOIUrl":"10.4103/jiaps.jiaps_256_24","url":null,"abstract":"<p><strong>Aim: </strong>To compare the efficacy of two topical agents in superficial infantile hemangioma (SIH).</p><p><strong>Materials and methods: </strong>A Randomised controlled trial was carried out with details as follows.</p><p><strong>Design: </strong>A prospective double-blinded, double-armed, randomized controlled trial.</p><p><strong>Setting: </strong>Multidisciplinary unit from 2022 to 2024.</p><p><strong>Subjects: </strong>Children younger than 2 years with color Doppler-confirmed SIH (superficial to deep dermal fascia).</p><p><strong>Methods: </strong>Randomization in treatment arm I: topical beta-blocker 0.5% timolol maleate (TTM) solution or treatment arm II: ultrapotent topical Steroid 0.05% clobetasol propionate ointment.</p><p><strong>Outcome: </strong>(1) reduction in area, (2) color change on visual analog scale (VAS), and (3) total VAS scores for color, size, and thickness. Each VAS parameter was rated from 0 to 3 (cumulative score 0-9).</p><p><strong>Results: </strong>Twenty patients were enrolled in each arm. Four patients in each group missed 96 weeks of follow up assessment but completed at least 9 months of treatment. In arm I, two patients were transitioned from TTM to oral propranolol due to rapid progression deep into the dermis. Arm I demonstrated a quicker improvement in color with a steeper reduction in area. The mean total VAS score on 9-point sales was comparable in both arms at 3 months, 6 months, 12 months, 18 months, and 24 months of treatment (<i>P</i> = 0.223, <i>P</i> = 0.123, <i>P</i> = 0.123, <i>P</i> = 0.123, and <i>P</i> = 0.103). At the end of the 96^th week, both treatments achieved an excellent response (<i>P</i> = 0.634) with no rebound growth.</p><p><strong>Conclusion: </strong>0.5%-TTM solution can be a first-line therapy for SIH due to its rapid onset of action and overall comparable efficacy in reducing SIH size. While clobetasol remains effective, its slower response may limit its utility.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"308-316"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127561","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":"Intraparotid Facial Nerve Schwannoma: An Enigma for Surgeons.","authors":"Mhm Anand, Arvind Krishnamurthy, B Gurukeerthi","doi":"10.4103/jiaps.jiaps_291_24","DOIUrl":"10.4103/jiaps.jiaps_291_24","url":null,"abstract":"<p><p>Intraparotid schwannoma is a peripheral nerve sheath tumor arising from the facial nerve. Because of their rarity, surgeons always confront with diagnostic dilemmas. Since it is frequently diagnosed in the younger age group, surgical management is quite challenging. Meticulous dissection of the facial nerve during the surgery is of utmost importance. We report a case of 10-year-old boy with parotid swelling, who underwent superficial parotidectomy in our center. The final histology showed intraparotid schwannomma.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"398-400"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127569","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 Congenital Macroglossia Due to Lymphatic Malformation in a Child with Review of Literature.","authors":"Sushma Achugatla, Surendra Singh, Sonia Thakur, Rajeev Redkar","doi":"10.4103/jiaps.jiaps_281_24","DOIUrl":"10.4103/jiaps.jiaps_281_24","url":null,"abstract":"<p><p>Lymphangiomas are uncommon congenital hamartomas of the lymphatic system with a marked predilection for the head-and-neck region accounting for 75% of all cases. Lymphangiomas rarely affect the oral cavity. Affected sites in the oral cavity may include the tongue, palate, gingiva, lips, and alveolar ridge of the mandible. The anterior two-thirds on the dorsal surface of the tongue is the most common site for intraoral lymphangiomas leading to macroglossia, similar to the presentation in our case. Congenital macroglossia is a rare clinical condition characterized by an enlarged tongue. This enlargement can lead to a variety of oral and facial problems, with structural deformities such as diastema, disproportionate mandibular growth, and functional disorders such as difficulty in eating and swallowing, speech impairment, or even difficulty in breathing if it is severe. Macroglossia may be attributed to multiple underlying causes. These include conditions such as idiopathic muscular hypertrophy (notably in Beckwith-Wiedemann syndrome), vascular malformations (such as angiomas and lymphangiomas), tumors, and endocrine disorders. Among these causes, lymphangiomatous macroglossia is particularly rare and is characterized by diffuse involvement. This type of macroglossia typically progresses chronically, reaching a developmental plateau at puberty without any spontaneous regression. We report a case of congenital macroglossia in an 8-year-old male due to lymphatic malformation and managed successfully.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"403-406"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127779","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 Transumbilical Laparoscopic-assisted Appendectomy Better than Laparoscopic Appendectomy in Children? A Randomized Controlled Study.","authors":"Mohamad Abdullah, Raed Al-Taher, Basil Abdin, Mutaz Abbad, Ibraheem Khris, Duha Atieh, Sajeda Ghassan Matar, Mohammed Bassam Nawaiseh","doi":"10.4103/jiaps.jiaps_264_24","DOIUrl":"10.4103/jiaps.jiaps_264_24","url":null,"abstract":"<p><strong>Aim: </strong>To compare the gold standard method of managing acute appendicitis; laparoscopic appendectomy (LA) to transumbilical laparoscopic-assisted appendectomy (TULAA).</p><p><strong>Methods: </strong>A randomized clinical study of consecutive pediatric patients (age under 13 years) undergoing appendectomy for noncomplicated acute appendicitis was conducted at a tertiary center in Jordan. Data collected included; perioperative parameters, operative time, gas time, postoperative hospital stay, pathology, complications, pain, and cost.</p><p><strong>Results: </strong>Out of the 50 initially enrolled patients, 47 were included in the analysis (25 in TULAA group [53.2%], 22 in LA group [46.8%]), of which only 12% and 31% of patients had perforated appendicitis, in the TULAA group and LA group consecutively. No early intraoperative complications were observed. Postoperative complications were seen in 4.8% of the LA group and 4% in the TULAA group. TULAA had significantly shorter operative time, lower gas flow, gas time, gas pressure levels, and more cases (68%) were operated without gas use compared to LA. Pain relief, diet resumption, cosmetic, and hospital stay did not significantly differ between the groups. The cosmetic outcome was slightly better in the TULAA group but not statistically significant.</p><p><strong>Conclusion: </strong>TULLA offers an alternative approach to LA for acute appendicitis and may be of benefit in resource-poor institutions whilst maintaining the benefits of the minimally invasive approach. This study has demonstrated a significantly reduced wound infection, operative time, and gaseous insufflation for TULLA compared to LA. Further studies to demonstrate its feasibility in complicated appendicitis may be warranted.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"369-376"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127653","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":"Gastric Lactobezoar: A Rare Cause of Intestinal Obstruction in Neonates.","authors":"Dhara Gosai, Jolly Vaishnav, Purbasha Mishra","doi":"10.4103/jiaps.jiaps_284_24","DOIUrl":"10.4103/jiaps.jiaps_284_24","url":null,"abstract":"<p><p>Gastric lactobezoar, a pathological collection of milk and mucus in the stomach of milk-fed infants, can present with features of gastric outlet obstruction. A 3-day-old neonate developed abdominal distension with no hemodynamic instability. Abdominal X-ray was suggestive of gastric pneumatosis with heterogeneous opacities in the gastric region indicative of lactobezoar. The patient was managed conservatively with intravenous fluids and gastric lavage at regular intervals. We highlight this case due to its rare presentation, and when diagnosed early using a simple bedside radiological test, it has a good prognosis and minimal recurrence rate.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"30 3","pages":"401-402"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127567","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}