Pediatric Surgery International最新文献

Volume-outcome relationship in corrective surgery for Hirschsprung's disease: a systematic literature review of direct evidence and an overview of indirect evidence. 巨结肠矫正手术的体积-结果关系：直接证据的系统文献综述和间接证据的概述。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-21 DOI: 10.1007/s00383-025-06117-4

Valeria Solari, Thomas Boemers, Eberhard Schmiedeke, Wolfram Trudo Knoefel, Michael Böttcher, Ekkehart Jenetzky, Miriam Wilms

{"title":"Volume-outcome relationship in corrective surgery for Hirschsprung's disease: a systematic literature review of direct evidence and an overview of indirect evidence.","authors":"Valeria Solari, Thomas Boemers, Eberhard Schmiedeke, Wolfram Trudo Knoefel, Michael Böttcher, Ekkehart Jenetzky, Miriam Wilms","doi":"10.1007/s00383-025-06117-4","DOIUrl":"https://doi.org/10.1007/s00383-025-06117-4","url":null,"abstract":"Hirschsprung's disease (HD) is a rare congenital condition requiring complex corrective surgery. We reviewed available direct evidence on the volume-outcome relationship for HD corrective surgery and assessed the applicability of indirect evidence based on GRADE (Grading of Recommendations Assessment, Development, and Evaluation) recommendations for rare diseases. Three retrospective cohort studies analysing the volume-outcome relationship for HD surgery met the inclusion criteria. In all studies, the high-volume threshold was below 12 HD corrective surgeries per year. No significant volume-outcome relationship was found for outcomes such as readmission or intestinal perforation. Faecal incontinence was not assessed. No risk-adjustment was performed. We applied the GRADE framework and explored indirect evidence from adult colorectal surgery, which shares technical similarities and complexity with HD corrective procedures. Multiple studies in adult colorectal surgery demonstrate a clear volume-outcome relationship, with improved outcomes mostly observed in centres performing more than 20 rectal resections annually. Direct evidence for a volume-outcome relationship in HD surgery cannot be established or refuted due to low caseloads and decentralization. Indirect evidence from adult colorectal surgery with comparable case complexity and the same core outcome parameters suggests the presence of a volume-outcome relationship in HD corrective surgery.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"221"},"PeriodicalIF":1.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early versus delayed repair in patients with anorectal malformation with rectoperineal fistula: impact on short-term complications and midterm and long-term bowel function. 直肠肛肠畸形伴直肠会阴瘘患者的早期修复与延迟修复：对短期并发症和中长期肠功能的影响

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-18 DOI: 10.1007/s00383-025-06110-x

Xianming Xiao, Wei Feng, Chenzhu Xiang, Liang Yuan, Zhili Wang, Jinping Hou, Yi Wang

{"title":"Early versus delayed repair in patients with anorectal malformation with rectoperineal fistula: impact on short-term complications and midterm and long-term bowel function.","authors":"Xianming Xiao, Wei Feng, Chenzhu Xiang, Liang Yuan, Zhili Wang, Jinping Hou, Yi Wang","doi":"10.1007/s00383-025-06110-x","DOIUrl":"https://doi.org/10.1007/s00383-025-06110-x","url":null,"abstract":"Background: This study aims to investigate the impact of early versus delayed repair on early postoperative complications and midterm and long-term bowel function in ARM patients with rectoperineal fistula.Methods: A total of 568 ARM patients with rectoperineal fistula who underwent cutback anoplasty were identified at our hospital from 2015 to 2021. Early repair was defined as an anoplasty performed at or before 28 days of age. Delayed repair was defined as occurring after this period.Results: 267 patients were finally enrolled, with 171 males and 96 females. 129 (48.3%) underwent early repair and 138 (51.7%) delayed repair. Early postoperative complication rates showed no significant difference between the two groups (0% vs. 0.7%, P = 1.000). No wound infections or dehiscence occurred in either group within 6 months postoperatively. The median Rintala score did not differ significantly between the early and delayed groups (20 vs. 20, P = 0.272). Based on the Krickenbeck classification, there were no significant differences between the groups regarding constipation, soiling, or voluntary bowel movements (P > 0.05).Conclusions: Early and delayed repair have no significant impact on early postoperative complications and midterm and long-term bowel function in ARM patients with rectoperineal fistula. Neonatal cutback anoplasty is safe and effective for stable patients without major comorbidities, offering a favorable prognosis.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"220"},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exosomes derived from colostrum and mature human breast milk protect against experimental necrotizing enterocolitis. 从初乳和成熟人母乳中提取的外泌体可预防实验性坏死性小肠结肠炎。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-18 DOI: 10.1007/s00383-025-06043-5

Runnan Gao, Yingying Huang, Bo Li, Rong Zhang, Carol Lee, Mashriq Alganabi, Masaya Yamoto, Xueni Peng, Weijing He, Yun Cao, Agostino Pierro, Chun Shen, Haitao Zhu

{"title":"Exosomes derived from colostrum and mature human breast milk protect against experimental necrotizing enterocolitis.","authors":"Runnan Gao, Yingying Huang, Bo Li, Rong Zhang, Carol Lee, Mashriq Alganabi, Masaya Yamoto, Xueni Peng, Weijing He, Yun Cao, Agostino Pierro, Chun Shen, Haitao Zhu","doi":"10.1007/s00383-025-06043-5","DOIUrl":"https://doi.org/10.1007/s00383-025-06043-5","url":null,"abstract":"Objective: Human milk-derived exosomes can protect intestinal organoids from lipopolysaccharide induced injury. The aim of this study is to investigate effects of exosomes derived from different periods of lactation on intestinal injury caused by experimental necrotizing enterocolitis (NEC).Methods: Colostrum and mature milk from healthy lactating human mothers were collected and isolated exosomes using serial ultracentrifugation and filtration. NEC was induced in mice pups by hypoxia, gavage of feeding of formula, and lipopolysaccharide (LPS) administration between postnatal days 5 and 9. Breast-fed pups were used as controls. NEC groups received daily gavage feeding of formula with added phosphate-buffered saline (PBS), colostrum exosomes or mature breast milk exosomes. The distal ileum was examined for NEC histology, inflammatory cytokines, and intestinal regeneration abilities.Results: Compared to NEC group, administration of colostrum and mature milk exosomes in NEC mice resulted in a significant reduction in histological scores of intestinal tissues and decreased expression of inflammatory genes IL-6 and TNF-α. Furthermore, the expression of PCNA, as well as stem cell markers (Lgr5 and Olfm4), increased following exosome treatment, with a corresponding rise in the immunofluorescence staining of Ki67. Compared to mature breast milk exosomes, colostrum exosomes were more effective at enhancing enterocyte proliferation and intestinal regeneration.Conclusions: Human milk-derived exosome treatment decreases the severity of experimental NEC. Colostrum exosomes induce greater intestinal regeneration compared to mature breast milk exosomes.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"218"},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comparative study of endoscopic balloon dilatation and laparoscopic ureteral replantation in the treatment of primary obstructive megaureter. 内镜球囊扩张术与腹腔镜输尿管再植术治疗原发性梗阻性输尿管的比较研究。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-18 DOI: 10.1007/s00383-025-06115-6

Yan-Xi Wang, Hong-Song Chen, Zhi-Cheng Zhang, Jin Luo, Chong Wang, Xue-Yu He, Zhen-Min Liu, Da-Wei He, Xing Liu, Guang-Hui Wei

{"title":"A comparative study of endoscopic balloon dilatation and laparoscopic ureteral replantation in the treatment of primary obstructive megaureter.","authors":"Yan-Xi Wang, Hong-Song Chen, Zhi-Cheng Zhang, Jin Luo, Chong Wang, Xue-Yu He, Zhen-Min Liu, Da-Wei He, Xing Liu, Guang-Hui Wei","doi":"10.1007/s00383-025-06115-6","DOIUrl":"https://doi.org/10.1007/s00383-025-06115-6","url":null,"abstract":"Purpose: Surgical intervention may be required in some children with primary obstructive megaureter (POM) and laparoscopic ureteral reimplantation (LUR) is regarded as the standard approach. With the recent development of endoscopic technology, endoscopic balloon dilation (EBD) has gained popularity. We sought to describe our initial experience with EBD in treating POM, and to compare efficiency and safety with the LUR.Methods: A retrospective chart review was performed on children who underwent EBD or LUR between January 2019 and July 2021. Patient demographics, clinical manifestation and perioperative parameters, complications and primary outcomes were analyzed.Results: A total of 6 patients underwent EBD and 13 underwent LUR during the study period. There were no significant differences in the demographics, clinical manifestation and pre-operative renal function between the EBD and the LUR groups. Although the EBD series was associated with shorter operative time (p < 0.001), less blood loss (p < 0.001), and shorter postoperative hospitalization (p < 0.001), patients undergoing LUR had a higher success rate (p < 0.01).Conclusions: Our preliminary results suggested that the EBD, though more non-invasive, seems less effective in the surgical management of POM. The \"one size fits all\" approach of EBD does not work with POM. Perhaps the EBD is not effective for all children with POM, but for some specific subtypes. Further studies were needed to better clarify the optimal indications of EBD.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"219"},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The application of stay sutures in thoracoscopic esophageal repair for Type C esophageal atresia. 留置缝线在胸腔镜食管修复术中C型食管闭锁的应用。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-17 DOI: 10.1007/s00383-025-06111-w

Shichun Zhu, Zhenyong Liu, Bing Li

{"title":"The application of stay sutures in thoracoscopic esophageal repair for Type C esophageal atresia.","authors":"Shichun Zhu, Zhenyong Liu, Bing Li","doi":"10.1007/s00383-025-06111-w","DOIUrl":"https://doi.org/10.1007/s00383-025-06111-w","url":null,"abstract":"Purpose: To investigate the clinical application of stay sutures in thoracoscopic repair for esophageal atresia (EA) combined with tracheoesophageal fistula (TEF).Methods: A total of 56 neonates diagnosed with Type C EA received thoracoscopic correction surgery from May 2019 to December 2024. The patients were divided into 2 groups randomly: (1) Esophageal anastomosis was constructed using interrupted sutures on the posterior wall and continuous locked stitches on the anterior wall assisted by two stay sutures (Group A; n = 30) and (2) Esophageal anastomosis was performed using traditional techniques with interrupted sutures on both anterior and posterior walls (Group B; n = 26). A comprehensive comparison of operative parameters and postoperative complications was systematically conducted between the two surgical methods.Results: The mean anastomotic time was significantly shorter in Group A (20.5 ± 3.3 min) compared with Group B (41.0 ± 4.5 min, P < 0.05). Similarly, operation time was 126.5 ± 15.5 min in Group A versus 154.5 ± 13.5 min in Group B (P < 0.05). Postoperative ventilator support duration was 2.1 ± 0.7 days in Group A versus 2.3 ± 0.6 days in Group B (P > 0.05). The time to first oral intake was 8.5 ± 1.8 days in Group A versus 9.3 ± 3.2 days in Group B (P > 0.05). An upper gastrointestinal series performed on postoperative day 5-7 revealed anastomotic leakage in 4 of 30 patients (13.3%) in Group A versus 6 of 26 patients (23.1%) in Group B (P > 0.05). Anastomotic stenosis was observed in 6 patients (20%) in Group A and 6 patients (23.1%) in Group B postoperatively, also with no statistically significant difference between the groups (P > 0.05). No recurrence of TEF was observed in each group.Conclusion: This innovative approach significantly shortens the operative time in the thoracoscopic treatment of Type C EA.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"217"},"PeriodicalIF":1.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of ventilator-associated pneumonia in intubated pediatric trauma patients. 插管儿童创伤患者呼吸机相关肺炎的预测因素。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-17 DOI: 10.1007/s00383-025-06131-6

Fnu Avinash, Jeffry Nahmias, Negaar Aryan, James Jeng, Cristobal Barrios, Peter D Nguyen, Areg Grigorian

{"title":"Predictors of ventilator-associated pneumonia in intubated pediatric trauma patients.","authors":"Fnu Avinash, Jeffry Nahmias, Negaar Aryan, James Jeng, Cristobal Barrios, Peter D Nguyen, Areg Grigorian","doi":"10.1007/s00383-025-06131-6","DOIUrl":"10.1007/s00383-025-06131-6","url":null,"abstract":"Purpose: Ventilator-associated pneumonia (VAP) is the most common complication among intubated pediatric trauma patients (PTPs) in pediatric intensive care units. Early identification of associated risk factors may help mitigate adverse outcomes linked to VAP, such as increased mortality and healthcare costs. This study aims to identify risk factors associated with VAP for intubated PTPs.Methods: The 2017-2021 Trauma Quality Improvement Program database was queried for all intubated PTPs. Two groups were compared: intubated PTPs with and without VAP. Bivariate and multivariable logistic regression analyses were performed.Results: From 38,593 intubated PTPs, 819 (2.1%) developed VAP. The VAP cohort had a higher injury severity score with increased rates of traumatic brain injury (TBI) (75.3% vs. 55.4%, p < 0.001), rib fractures (24.0% vs. 16.4%, p < 0.001), and lung injuries (20.8% vs. 10.6%, p < 0.001). Independent associated risk factors for VAP included unplanned reintubation (OR 2.51, CI 1.84-3.43, p < 0.001), TBI (OR 1.96, CI 1.63-2.36, p < 0.001), and severe thoracic injury (OR 1.27, CI 1.01-1.58, p < 0.001).Conclusion: Unplanned reintubation, TBI, and severe thoracic injuries are key risk factors for VAP in intubated PTPs. Our findings highlight the need for strategies to reduce reintubation, optimize ventilator management, and improve pulmonary care in high-risk PTPs.Level of evidence: IV.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"216"},"PeriodicalIF":1.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of CDH patients receiving PDA ligation: a propensity score matched analysis. CDH患者接受PDA结扎的结果：倾向评分匹配分析。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-17 DOI: 10.1007/s00383-025-06132-5

Hamzah Mansoura, Chelsea Drennan, Vikas Gupta, Matthew Harting, Neil Patel, Ashley Ebanks, Shobhan Vachhrajani, Daniel Robie

{"title":"Outcomes of CDH patients receiving PDA ligation: a propensity score matched analysis.","authors":"Hamzah Mansoura, Chelsea Drennan, Vikas Gupta, Matthew Harting, Neil Patel, Ashley Ebanks, Shobhan Vachhrajani, Daniel Robie","doi":"10.1007/s00383-025-06132-5","DOIUrl":"https://doi.org/10.1007/s00383-025-06132-5","url":null,"abstract":"Purpose: Neonates with congenital diaphragmatic hernia (CDH) have varying severity of pulmonary hypertension (PH) caused by developmental and structural abnormalities of the pulmonary vasculature and exacerbated by hypoxia induced vasoconstriction. Failure of the ductus arteriosus to close postnatally can intermittently shunt blood either to or away from the lungs. We hypothesize patent ductus arteriosus (PDA) ligation can be performed.Methods: We queried the Congenital Diaphragmatic Hernia Study Group registry to identify patients from 2007 to 2020 who underwent PDA ligation. We excluded patients with missing prenatal data, postnatal diagnosis > 28 days, CDH never repaired, death < 30 days, and PDA ligated on day of or before CDH repair. Patients were matched 4:1 on propensity scores for PDA ligation. The primary outcome was mortality. The secondary outcome was any use of extracorporeal life support (ECLS).Results: 3953 cases were identified for analysis (3899 in no PDA ligation (-PDAL) group, 54 in PDA ligation (+ PDAL) group). After 4:1 matching, there were 196 in the -PDAL group and 49 in the + PDAL group. There was no significant difference in mortality (OR 1.1, (0.5-2.4), p = 0.811) or in use of ECLS (OR 1.5 (0.8-2.8), p = 0.218) between the two groups.Conclusions: PDA ligation can be considered as a therapeutic option for CDH patients with persistent ductus arteriosus. It may have a role in highly selected cases that have exhausted other therapeutic options.Level of evidence: Level III evidence.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"215"},"PeriodicalIF":1.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Initiating a paediatric living donor liver transplant program in a resource-challenged environment: outcomes and lessons learned. 在资源匮乏的环境中启动儿科活体肝移植项目：结果和经验教训。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-16 DOI: 10.1007/s00383-025-06109-4

Li Lyn Ooi, Junice Ai Wei Oi, Kevin Wei Shan Ng, Pui San Loh, Chuang Shin Mok, Noor Iftitah Ab Rahman, Shireen Anne Nah, Ina Ismiarti Shariffuddin

{"title":"Initiating a paediatric living donor liver transplant program in a resource-challenged environment: outcomes and lessons learned.","authors":"Li Lyn Ooi, Junice Ai Wei Oi, Kevin Wei Shan Ng, Pui San Loh, Chuang Shin Mok, Noor Iftitah Ab Rahman, Shireen Anne Nah, Ina Ismiarti Shariffuddin","doi":"10.1007/s00383-025-06109-4","DOIUrl":"10.1007/s00383-025-06109-4","url":null,"abstract":"Purpose: Paediatric liver transplantation (PLT) is a life-saving yet complex procedure requiring coordinated multidisciplinary expertise. This study aimed to evaluate anaesthetic and surgical factors influencing outcomes in paediatric living donor liver transplantation at a newly established centre in Malaysia.Methods: We conducted a retrospective cohort study of 21 paediatric patients who underwent living donor liver transplantation between August 2019 and January 2024 at our centre. Perioperative variables including surgical duration, intraoperative blood loss, transfusion volume, and postoperative mechanical ventilation were analysed. Associations with three-year survival were assessed.Results: The median age of recipients was 33 months, with biliary atresia as the leading indication (66.7%). The median operative time was 10.9 h. Massive intraoperative bleeding occurred in 47.6% of patients, and 42.8% required massive transfusion. Median ventilator duration was 2 days, and the three-year survival rate was 70.6%. Intraoperative blood loss (p = 0.03) and prolonged ventilation (p = 0.01) were significantly associated with reduced survival. Higher PELD scores and operative duration > 600 minutes were also associated with prolonged ventilation and increased mortality.Conclusions: Massive blood loss, prolonged operative duration, and delayed extubation significantly affect outcomes in PLT. Strengthening perioperative haemodynamic and ventilation strategies is crucial to improve survival in resource-limited transplant settings.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"213"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parental health literacy in anorectal malformation: needs and challenges. 父母健康素养在肛肠畸形：需要和挑战。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-16 DOI: 10.1007/s00383-025-06096-6

Signe Olsbø, Marie Hamilton Larsen, Sara George Kiserud, Trine Sæther Hagen, Åsmund Hermansen, Kristin Bjørnland

{"title":"Parental health literacy in anorectal malformation: needs and challenges.","authors":"Signe Olsbø, Marie Hamilton Larsen, Sara George Kiserud, Trine Sæther Hagen, Åsmund Hermansen, Kristin Bjørnland","doi":"10.1007/s00383-025-06096-6","DOIUrl":"10.1007/s00383-025-06096-6","url":null,"abstract":"Aim: Explore health literacy (HL) among parents of children with anorectal malformation (ARM) and identify the predictors of HL.Method: Parents of children < 16 years treated for ARM were invited to complete the Health Literacy Questionnaire-Parent (HLQ-p), General Self-efficacy Scale (GSES), electronic Health Literacy-Scale (eHEALS) and a study-specific questionnaire. Demographic data were collected. Ethical approval was obtained.Results: 137 parents (40% fathers) of 105 children (median age 7.1 years) participated. The highest HL scores were in managing the child's health and engaging with healthcare providers, while scores were lowest in social support, information sufficiency, and interpreting health information. Higher HL correlated with increasing parental age and education. Parents not speaking the native language at home or not living with the child's other parent had lower HL scores. More challenges were observed among parents of female children and children with comorbidities. Parents had high eHEALS scores (mean 3.7, SD 0.6, max score 5), while 48% had low self-efficacy scores (max score 4).Conclusion: Many parents experience a lack of information, insufficient social support, and difficulty interpreting information. Predictors of HL challenges include having a female child, a child with comorbidity, younger parental age, lower education, and low self-efficacy. These parents will likely benefit from targeted support.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"214"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic value of the jumping-up test in children with suspected acute appendicitis. 跳跃试验对小儿疑似急性阑尾炎的诊断价值。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-07-16 DOI: 10.1007/s00383-025-06125-4

Da Hyun Kim, Jun Sung Park, Min Kyo Chun, Jeong-Yong Lee, Jong Seung Lee, Seung Jun Choi

{"title":"Diagnostic value of the jumping-up test in children with suspected acute appendicitis.","authors":"Da Hyun Kim, Jun Sung Park, Min Kyo Chun, Jeong-Yong Lee, Jong Seung Lee, Seung Jun Choi","doi":"10.1007/s00383-025-06125-4","DOIUrl":"10.1007/s00383-025-06125-4","url":null,"abstract":"Background: Diagnosing acute appendicitis in children is often difficult due to non-specific symptoms and limited cooperation during physical examination. This study aimed to evaluate the diagnostic utility of the Jumping-Up (J-Up) test, and to compare it with traditional physical signs.Methods: We conducted a prospective observational study from September 2021 to July 2023 in the pediatric emergency department of Asan Medical Center Children's Hospital in Seoul, Korea. Children aged 6-17 years with suspected appendicitis were enrolled. The J-Up test involved instructing patients to jump with both arms raised; the pain response during landing was then assessed. A positive result was defined by visible signs of pain, such as facial grimacing, abdominal guarding, or verbal complaints. Diagnosis was confirmed by contrast-enhanced abdominal CT. The sensitivity of the J-Up test was compared with the sensitivities of rebound tenderness, psoas sign, obturator sign, and Rovsing's sign.Results: Of the 129 children included, 76 were diagnosed with appendicitis. Mean age was 11.7 ± 3 years and 54.3% (n = 70) were male. The J-Up test was more sensitive (80.3%) than rebound tenderness (69.7%). In complicated cases of appendicitis, the J-Up test had a sensitivity of 92.9%, outperforming the other signs.Conclusion: The Jumping-Up test is a simple and effective tool for diagnosing appendicitis in children, especially in identifying complicated cases. It may serve as a practical adjunct to traditional methods of physical examination in pediatric emergency care.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"212"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0