Journal of pediatric surgery最新文献

{"title":"Secure Complete Closure of Inguinal Hernia With Preservation of Ductus and Vessels by Introducing Sena Wire.","authors":"Mustafa Azizoglu","doi":"10.1016/j.jpedsurg.2024.162077","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2024.162077","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162077"},"PeriodicalIF":2.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786198","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":"Prediction of Intestinal Perforation by Daily Radiographic Findings in Very Low Birth Weight Infants With Meconium Ileus.","authors":"Yoshio Katsumata, Keita Terui, Ayako Takenouchi, Shugo Komatsu, Yunosuke Kawaguchi, Katsuhiro Nishimura, Naoko Mise, Gen Matsuura, Mamiko Endo, Yoshiteru Osone, Yuko Sonoda, Kazushi Yoshida, Tomoro Hishiki","doi":"10.1016/j.jpedsurg.2024.162076","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2024.162076","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to develop a prediction model for intestinal perforation from meconium ileus (MI) based on findings from plain X-ray images.</p><p><strong>Methods: </strong>Very low birth weight (VLBW) infants with MI hospitalized in two tertiary centers between 2011 and 2022 were included in this study. We retrospectively reviewed clinical parameters and assessed plain X-ray images from 0 to 5 days of age. The standardized transverse diameter of intestinal gas (STDI) was calculated by dividing the largest diameter of the intestinal gas by the distance from the upper edge of L1 to the lower edge of L4. We then compared the STDI of patients with and without intestinal perforation.</p><p><strong>Results: </strong>Among 81 VLBW infants with MI, intestinal perforation occurred in 6 (7 %). Among known risk factors, significant differences were observed between the two groups regarding pregnancy-induced hypertension (p = 0.03), weeks of gestation (p < 0.01), birthweight (p = 0.02), and indomethacin administration (p < 0.01). The mortality rate was higher in the perforation group (33 %) than in the non-perforation group (3 %) (p = 0.021). There were significant differences between the perforated and non-perforated groups regarding STDI except at 0 days of age. The positive and negative predictive cut-off values of STDI were respectively 0.08 and 0.93 on day 0, 0.30 and 1.00 on day 1, 0.33 and 0.97 on day 2, 0.33 and 1.00 on day 3, 0.29 and 1.00 on day 4, and 0.33 and 0.98 on day 5, respectively.</p><p><strong>Conclusions: </strong>Our novel prediction model, using STDI, predicted intestinal perforation in VLBW infants with MI.</p><p><strong>Levels of evidence: </strong>Level Ⅲ.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 2","pages":"162076"},"PeriodicalIF":2.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786202","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":"Outcomes Following Fecal Diversion for Intractable Hirschsprung Associated Enterocolitis: A Study From the Pediatric Colorectal and Pelvic Learning Consortium.","authors":"Abigail J Alexander, Scott S Short, Kelly Austin, Jeffrey R Avansino, Andrea Badillo, Casey M Calkins, Rachel C Crady, Megan M Durham, Megan K Fuller, Ron W Reeder, Rebecca M Rentea, Payam Saadai, K Elizabeth Speck, Richard J Wood, Jamie C Harris, Michael D Rollins","doi":"10.1016/j.jpedsurg.2024.162078","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2024.162078","url":null,"abstract":"<p><strong>Background: </strong>Hirschsprung associated enterocolitis (HAEC) is a challenging problem in a subset of children with Hirschsprung disease (HD). In refractory cases, fecal diversion may be required. The aim of this study was to characterize patients who require fecal diversion for HAEC management and examine their long-term outcomes.</p><p><strong>Methods: </strong>A retrospective review of prospectively collected data within the Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) registry was performed. All children with a history of a corrective procedure for HD and documented post-operative HAEC were included. Our primary outcome was diversion to manage HAEC after pull-through and secondary outcomes included incidence of recurrent HAEC, fecal continence following ostomy closure, and bowel management needs at last follow-up.</p><p><strong>Results: </strong>951 patients were identified with a history of HD and 852 had undergone pull-through. 339/852 (39.8 %) had documented HAEC and 75/339 (22.1 %) required an ostomy, 54 (72 %) of which underwent reversal at a median of 239.5 days. After reversal, 10/54 (18.5 %) required repeat diversion for recurrent HAEC. 30/75 (40 %) had their pull-through revised. Median age at last follow-up was 5.3 [3.4, 9] years. At time of last follow-up, 40.3 % were toilet-trained for stool and 42.9 % required long term enema-based therapy.</p><p><strong>Conclusion: </strong>Fecal diversion for refractory HAEC was common in our study. Slightly more than half of the patients underwent successful closure of their stoma during over 4.5 years of follow-up, while less than half were toilet-trained for stool at their last visit. These children may represent a unique cohort that warrants further investigation.</p><p><strong>Level of evidence: </strong>Level VI.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 3","pages":"162078"},"PeriodicalIF":2.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807147","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":"Repair of the Bulbospongiosus Muscle to Suspend the Penis to the Pubic Bones in Proximal Hypospadias.","authors":"S Hennayake, M Gopal, H M Seleim, T Cserni, P Hajduk, A Ajao, A Bianchi","doi":"10.1016/j.jpedsurg.2024.162074","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2024.162074","url":null,"abstract":"<p><strong>Background: </strong>In proximal hypospadias, ventral curvature is invariable and most have penoscrotal transposition, and we observed that the base of the penis (BOP) was located on the inferior aspect of the pubic bones in those, in contrast to the location of the BOP at the anterior end in normal penises. We also observed an unfused bulbospongiosus muscle (BSM) at surgery in those. The aim was to assess the impact of repairing the unfused BSM or transection and straightening of the urethral plate at the first operation on the low BOP.</p><p><strong>Method: </strong>All consecutive proximal hypospadias operations from January 2021 to August 2023 that had a low BOP were retrospectively studied. At the first operation, some had urethral plate transection only, with no BSM repair. Some had BSM repair with or without plate transection. The BOP position was reassessed post-intervention.</p><p><strong>Results: </strong>Thirty-three cases of proximal hypospadias with low BOP were studied. At the first operation, as the key distinguishing step, 18 had BSM repair and 15 urethral plate transections. BOP shifted to the anterior end of the pubic bones in all 18 patients following BSM repair but showed no change in the 15 without BSM repair (p < 0.01). Subsequent BSM repair, during the second stage, normalized BOP in those 15. Normalising the BOP corrected penoscrotal transposition because the anterior end of the scrotum was at the anterior end of the pubic bones.</p><p><strong>Conclusion: </strong>Repairing BSM is essential for normalising the BOP, which results in a normal penoscrotal relationship and normal anterior penile projection.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 2","pages":"162074"},"PeriodicalIF":2.4,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854148","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":"Did Madeline Suffer Complications or was a 10 Plus Day Stay After Appendectomy Unremarkable in 1939?","authors":"Andrew H Stephen, Madeline Goosman","doi":"10.1016/j.jpedsurg.2024.162075","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2024.162075","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162075"},"PeriodicalIF":2.4,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769919","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":"Long-term Gastrointestinal Sequelae in Children who Underwent Pyloromyotomy for Infantile Hypertrophic Pyloric Stenosis","authors":"Fenne A.I.M. van den Bunder ,&nbsp;Adinda G.H. Pijpers ,&nbsp;L.W. Ernest van Heurn ,&nbsp;Ilan J.N. Koppen ,&nbsp;Joep P.M. Derikx","doi":"10.1016/j.jpedsurg.2024.162073","DOIUrl":"10.1016/j.jpedsurg.2024.162073","url":null,"abstract":"<div><h3>Aim</h3><div>Pyloromyotomy, the treatment for infantile hypertrophic pyloric stenosis (IHPS), is a procedure with a low risk of short-term complications and quick recovery. However, at a later age, some children report gastrointestinal (GI) symptoms and recently we described a fatal case of adhesive small bowel obstruction years after pyloromyotomy. Therefore, the aim of this study was to evaluate long-term gastrointestinal sequelae of pyloromyotomy.</div></div><div><h3>Methods</h3><div>All children who underwent open or laparoscopic pyloromyotomy between 2007 and 2017 (n = 450), were invited to complete a questionnaire, which included the Pediatric Quality of Life Inventory™ Gastrointestinal symptoms module (PedsQL™ GI Module). Outcomes were compared to published healthy controls (n = 587) and between surgical approach by using an unpaired t-test.</div></div><div><h3>Results</h3><div>In total, 199 respondents completed the questionnaire. The majority (n = 172, 86.4 %) was male with a mean age of 11.4 (±3.1) years. Laparoscopic pyloromyotomy was performed in 104 children (52.3 %) and open pyloromyotomy in 95 (47.7 %). The PedsQL™ GI Module mean total score of all children who underwent pyloromyotomy was 88.6 (±11.0), which is comparable to healthy controls (88.6 (±12.9)). All subtopics were similar for children who underwent pyloromyotomy compared to healthy controls. There were no differences in scores of the PedsQL™ GI module between the open and laparoscopic subgroup.</div></div><div><h3>Conclusions</h3><div>The scores of the PedsQL™ GI module do not differ between children who underwent pyloromyotomy during infancy and healthy controls. Therefore long-term gastrointestinal sequelae of pyloromyotomy appear to be an exception. This evidence can be used during parental counseling. It also suggests that there is no need for long-term follow-up.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 2","pages":"Article 162073"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757547","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":"Parenting a child with disorder of sexual development in traditional society: Psychological impact","authors":"Afef Toumi ,&nbsp;Sami Sfar ,&nbsp;Hajer Ounissi ,&nbsp;Amjed Ben Haouala ,&nbsp;Wafa Dhouib ,&nbsp;Amine Ksia ,&nbsp;Mongi Mekki ,&nbsp;Mohsen Belghith ,&nbsp;Lassaad Sahnoun","doi":"10.1016/j.jpedsurg.2024.162067","DOIUrl":"10.1016/j.jpedsurg.2024.162067","url":null,"abstract":"<div><h3>Background</h3><div>Disorders of Sexual Development can cause significant psychological distress for parents, particularly in traditional societies where such conditions are stigmatized.</div></div><div><h3>Aim</h3><div>This study aims to investigate the psychoaffective impact of sexual development disorders caused by congenital adrenal hyperplasia in children with 46, XX karyotype, in order to determine the predictive factors for the onset of anxiety and depression among parents and the coping strategies employed by parents to adapt to their child’s condition.</div></div><div><h3>Materials and Methods</h3><div>This is a retrospective, cross-sectional, descriptive, and analytical study involving parents of children treated for sexual development disorders related to congenital adrenal hyperplasia, with a 46, XX karyotype, who underwent feminizing genitoplasty during the period from January 1, 2005 and December 31, 2021. The Beck Depression Inventory, the Hamilton Anxiety Scale, and the Brief COPE, in their Arabic versions, were used to assess depression, anxiety and coping respectively.</div></div><div><h3>Results</h3><div>This study included 54 parents. Among them 57,4% exhibited depressive symptomatology, while 37% reported anxiety symptoms. The most frequently adopted coping strategies among parents were acceptance (88,9%), reliance on religion (66,7%), planning (63%), and active coping (63%). Predictive factors of depression included the child’s current age (OR=1,280), the age of the child at the time of feminizing genitoplasty (OR=1,273), and the non-disclosure of the genitoplasty to the child (OR=331,522). Predictive factors of anxiety included the parent’s female gender (OR=7,756), the child’s current age (OR=1,499), the age of the child at the time of feminizing genitoplasty (OR=1,150), and the nondisclosure of the genitoplasty to the child (OR=115,278).</div></div><div><h3>Conclusion</h3><div>Despite the various coping strategies adopted by parents of children with disorder of sexual development related to congenital adrenal hyperplasia, the occurrence of anxiety and depression remains inevitable for many of these parents, depending on several well-defined predictive factors. It is therefore imperative to implement appropriate psychological support to help these parents effectively adapt to this complex situation.</div></div><div><h3>Type of Study</h3><div>Case-Control Study</div></div><div><h3>Level of Evidence</h3><div>III</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 2","pages":"Article 162067"},"PeriodicalIF":2.4,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720750","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":"Op-Ed: Should Pediatric Surgeons Write Op-Eds?","authors":"Kenneth W Gow","doi":"10.1016/j.jpedsurg.2024.162070","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2024.162070","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162070"},"PeriodicalIF":2.4,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750389","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":"From Trash to Treasure: Launching a Medical Device Reprocessing Program.","authors":"Alison Lehane, Katelyn Storton, Mallory Perez, Charesa Smith, Gwyneth A Sullivan, Mehul V Raval","doi":"10.1016/j.jpedsurg.2024.162069","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2024.162069","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162069"},"PeriodicalIF":2.4,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739773","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":"Evaluation of Swallowing Function in Patients With H-type Tracheoesophageal Fistula","authors":"Mehmet Furkan Yalabık ,&nbsp;Selen Serel Arslan ,&nbsp;Özlem Boybeyi ,&nbsp;Numan Demir ,&nbsp;Tutku Soyer","doi":"10.1016/j.jpedsurg.2024.162065","DOIUrl":"10.1016/j.jpedsurg.2024.162065","url":null,"abstract":"<div><h3>Aim</h3><div>Although esophageal atresia (EA) patients can present with dysphagia, the swallowing function of patients with H-type tracheoesophageal fistula (H-TEF) has not been systematically assessed. Therefore, a retrospective study was carried out to evaluate the swallowing function of patients with H-TEF.</div></div><div><h3>Methods</h3><div>Children operated for H-TEF with videofluoroscopic swallowing evaluation (VFSE) were included. Penetration-aspiration score, oral phase efficacy, delay in swallowing reflex, velopharyngeal closure, and esophageal dysmotility during liquid and solid food swallowing were assessed by using VFSE recordings. Penetration-aspiration score &lt;6 was considered as ‘no aspiration’, whereas scores ≥6 was assessed as ‘aspiration’. Oral phase efficacy, delay in swallowing reflex and esophageal dysmotility were scored as 0 (normal) to 3 (severe problem), and delay in swallowing reflex was ranged from 0 (no delay) to 3 (severe delayed, &gt;5 s).</div></div><div><h3>Results</h3><div>Among eleven patients, ten patients who met the inclusion criteria were included. The mean age of the patients was 3.4 years (min = 1, max = 9). Two (20 %) patients had aspiration in liquids and none of them had in solids. One patient had minimum and the other one had mild problem in oral phase efficacy (<em>n</em> = 2, 20 %). Delay in swallowing reflex and velopharyngeal closure were normal in all patients. In five of the patients (50 %), there was mild (<em>n</em> = 1) to severe (<em>n</em> = 4) esophageal dysmotility.</div></div><div><h3>Conclusion</h3><div>Children with H-TEF had modest swallowing impairment in all phases. Although, it is not as severe as in EA patients, evaluation of the swallowing function should be part of the clinical practice of patients with H-TEF.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 2","pages":"Article 162065"},"PeriodicalIF":2.4,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743897","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}