Journal of pediatric surgery最新文献

{"title":"Letter to the Editor in Response to: Successful Treatment of Early Presenting Intussusception with a Single Dose of Corticosteroid: A Prospective Randomised Controlled Trial by Acer-Demir, et al.","authors":"Bruce Jaffray","doi":"10.1016/j.jpedsurg.2025.162313","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2025.162313","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162313"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Centralization of Care for Patients With Congenital Diaphragmatic Hernia in Sweden","authors":"Carmen Mesas Burgos ,&nbsp;Vladimir Gatzinsky ,&nbsp;Petra Nord ,&nbsp;Elisabet Gustafson ,&nbsp;Pernilla Stenström ,&nbsp;Hans Winberg ,&nbsp;Manja Nilsson ,&nbsp;Lars Mikael Broman ,&nbsp;Evelina Rosén ,&nbsp;Tomas Wester","doi":"10.1016/j.jpedsurg.2025.162314","DOIUrl":"10.1016/j.jpedsurg.2025.162314","url":null,"abstract":"<div><h3>Aim</h3><div>There is very limited data regarding the impact of centralization of care of patients with congenital diaphragmatic hernia (CDH). The National Board of Health and Welfare in Sweden decided to centralize the care of CDH from July 2018.</div><div>The aim of this study was to assess the short-term impact of centralization in patient outcomes.</div></div><div><h3>Methods</h3><div>This was a retrospective observational study including all centers in Sweden managing CDH before and after centralization. Outcomes for patients born with CDH who were managed from 1st of July 2013 to 30th of June 2018 (before centralization) were compared with patients managed 1st of July 2018 to 30th of June 2023 (after centralization). Fisher’s exact test and non-parametric tests were used to compare differences between the two time periods and a p &lt; 0.05 was considered statistically significant. The study was approved by the Swedish Ethical Review Authority (<strong>2023-02650-01).</strong></div></div><div><h3>Main results</h3><div>A total of 243 patients with CDH were managed nationally during the study period, 111 before and 132 after centralization. The rates of prenatal diagnosis, side of the defect, need of patch, or mortality did not differ significantly between the study periods. The need for ECMO decreased significantly after centralization 18 % vs. 7 %, p &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>After centralization, we observed a decreased rate of need for ECMO support. Although the time from centralization push through is short, it underscores the importance of an ongoing evaluation, optimization and strategic planning in order to find, describe and maximize the possible benefits of a centralization of CDH in our settings.</div></div><div><h3>Type of Study</h3><div>Retrospective cohort study, nationwide.</div></div><div><h3>Level of Evidence</h3><div>II.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 6","pages":"Article 162314"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neighborhood-based Social Determinants of Health are Associated With Decreased Helmet Use in Young Children","authors":"Caroline Q. Stephens ,&nbsp;Alexandra Highet ,&nbsp;Ava Yap ,&nbsp;Christopher Newton ,&nbsp;Willieford Moses","doi":"10.1016/j.jpedsurg.2025.162315","DOIUrl":"10.1016/j.jpedsurg.2025.162315","url":null,"abstract":"<div><h3>Purpose</h3><div>We sought to determine the association between neighborhood-level social determinants of health (SDoH) and protective helmet use for young children involved in bicycle, scooter, and skateboard crashes. We hypothesized that children from disadvantaged communities would be less likely to be wearing helmets at the time of their crash.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was performed of all children ≤10 years old who presented after bicycle, scooter, and skateboard crashes to a single Level 1 Pediatric Trauma Center (7/1/2017–6/30/2021). Geocoding linked patient addresses to state-Area Deprivation Index (ADI) and Social Vulnerability Index (SVI). Multivariable logistic regression modeling investigated associations between neighborhood-level SDoH and helmet use, controlling for age, sex, and racialization. ADI and SVI were scaled to present decile change (0 = least disadvantaged, 10 = most disadvantaged).</div></div><div><h3>Results</h3><div>220 children were in bicycle, scooter, and skateboard crashes, 56 % of whom were not wearing helmets. The median age was 7.6 years, 71 % were male, 52 % were on public insurance, and 63 % had minoritized racialization. Neighborhood-level SDoH indices were significantly associated with helmet use, with a 27 % (95 % CI 1.10–1.39, p &lt; 0.001) increase in the odds of no helmet use for every decile increase in overall SVI, and a 23 % (95 % CI 1.12–1.44, p &lt; 0.001) increase in the odds of no helmet use every decile increase in ADI.</div></div><div><h3>Conclusions</h3><div>Helmet use in young children was found to be closely associated with community structural factors. Neighborhood-level SDoH indices may be an effective tool for identifying at-risk communities for the development of injury prevention interventions.</div></div><div><h3>Level of Evidence</h3><div>Prognosis Study, Level II.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 7","pages":"Article 162315"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of pediatric surgery in Spain.","authors":"Óscar Girón-Vallejo","doi":"10.1016/j.jpedsurg.2025.162310","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2025.162310","url":null,"abstract":"<p><p>During the 19th century, Spanish children represented one of the most vulnerable population groups in Europe. Pediatric surgery and children care both showed an improvement at an international level. This article aims to summarize the most relevant events in the history of pediatric surgery in Spain. José Ribera y Sans is considered as the father of the specialty in Spain, as well as a group of pioneer surgeons who, mainly in Madrid and Barcelona, created a pediatric surgical concept throughout Spain. Important milestones in Spain are described, such as the first Ramstedt pyloromyotomy or the first successful esophageal atresia repair. We discuss the effects of the Spanish Civil War (1936-1939) on the development of pediatric surgery and particularly, the case of a pediatric surgeon who was judged after the war. Finally, the foundation of the Spanish Society of Pediatric Surgery and the membership of the first Spanish female pediatric surgeons such as Dr. Guadalupe Pérez-Lafuente is reviewed.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162310"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Sphincter-Sparing Posterior Sagittal Anorectoplasty for Rectourethral Fistulas: A Potential Refinement to Consider?","authors":"Ismael Elhalaby ,&nbsp;Essam Elhalaby","doi":"10.1016/j.jpedsurg.2025.162161","DOIUrl":"10.1016/j.jpedsurg.2025.162161","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 4","pages":"Article 162161"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toxic Environments: Recovery or Renewal","authors":"Thomas F. Tracy Jr.,&nbsp;Terry Buchmiller","doi":"10.1016/j.jpedsurg.2024.161980","DOIUrl":"10.1016/j.jpedsurg.2024.161980","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 4","pages":"Article 161980"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardizing Perineal Body Assessment in Low ARM Management: A Call for Objective Criteria.","authors":"Ismael Elhalaby, Essam Elhalaby","doi":"10.1016/j.jpedsurg.2025.162311","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2025.162311","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162311"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of Endoscopic Ablation of Late-childhood Posterior Urethral Valves: Case Series and Literature Review","authors":"Youssef Ibrahim,&nbsp;Abdelrahman Mohamed,&nbsp;Shahid Iqbal,&nbsp;Eskinder Solomon,&nbsp;Pankaj Mishra,&nbsp;Jo Clothier,&nbsp;Massimo Garriboli","doi":"10.1016/j.jpedsurg.2025.162294","DOIUrl":"10.1016/j.jpedsurg.2025.162294","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the outcomes of endoscopic valve ablation (EVA) in children diagnosed with posterior urethral valves (PUV) during late childhood (LC-PUV).</div></div><div><h3>Methods</h3><div>Retrospective analysis of prospectively maintained database of 53 children aged 5-15 years who underwent EVA for PUV at a single institution between 2002 and 2023. Data on mode of presentation, pre-operative investigations, intra-operative findings, and post-operative outcomes were reviewed. Primary outcome assessed symptom resolution, while secondary outcomes included changes in uroflowmetry, urinary tract imaging and urodynamics.</div></div><div><h3>Results</h3><div>The median age at the time of EVA was 8.5 years. Symptoms at presentation were predominantly storage-related, with urge urinary incontinence (47.2 %) being most common. Post-operatively, 64 % of patients showed significant symptomatic improvement, with 28 % achieving complete resolution. Urodynamic studies demonstrated a significant increase in Q-max (mean 21.9 ml/s post-EVA vs. 10.3 ml/s pre-EVA, p &lt; 0.001), and reduction in mean detrusor voiding pressure (p &lt; 0.05) after endoscopic ablation. Long-term bladder dysfunction persisted in 65% of cases, and 28 % showing structural renal damage post-EVA.</div></div><div><h3>Conclusion</h3><div>Diagnosis of LC-PUV requires high-level of suspicion given the nonspecific presentation. Endoscopic valve ablation is associated with high success rates both subjectively and objectively. Long-term surveillance is essential due to substantial risk of residual bladder dysfunction and CKD.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 6","pages":"Article 162294"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor in Response to: Retrospective Review of Management of Antenatally Diagnosed Ovarian Cysts at the Hospital for Sick Children","authors":"Bade Toker Kurtmen","doi":"10.1016/j.jpedsurg.2025.162180","DOIUrl":"10.1016/j.jpedsurg.2025.162180","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 4","pages":"Article 162180"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Letter to the Editor","authors":"Valerie Bloomfield,&nbsp;Jeffrey Traubici,&nbsp;Priscilla P.L. Chiu,&nbsp;Sari Kives,&nbsp;Lisa Allen","doi":"10.1016/j.jpedsurg.2025.162245","DOIUrl":"10.1016/j.jpedsurg.2025.162245","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 4","pages":"Article 162245"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}