Pediatric Surgery International最新文献_第2页

Letter to "Application of local volume reduction of the dorsal glans groove in the repair of hypospadias with small glans: a retrospective study".

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-20 DOI: 10.1007/s00383-025-05995-y

Cemal Bilir

引用次数: 0

Long-term outcomes beyond childhood in patients treated for congenital diaphragmatic hernia- a systematic review.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-18 DOI: 10.1007/s00383-025-06001-1

Mikal Obed, Fabian Doktor, Rachel Bercovitch, Augusto Zani, Federica Pederiva

{"title":"Long-term outcomes beyond childhood in patients treated for congenital diaphragmatic hernia- a systematic review.","authors":"Mikal Obed, Fabian Doktor, Rachel Bercovitch, Augusto Zani, Federica Pederiva","doi":"10.1007/s00383-025-06001-1","DOIUrl":"https://doi.org/10.1007/s00383-025-06001-1","url":null,"abstract":"Advancements in the management of congenital diaphragmatic hernia (CDH) have significantly improved survival rates, shifting the focus toward long-term outcomes in adult survivors. However, limited awareness of CDH sequelae among adult physicians complicates the transition from pediatric to adult care. This systematic review aims to provide a comprehensive evaluation of the most common long-term complications in CDH survivors aged 16 years and older following neonatal surgical repair. A literature search of PubMed, MEDLINE, EMBASE, Web of Science, and Cochrane Library was conducted according to PRISMA guidelines and registered on PROSPERO. Nineteen studies met inclusion criteria, encompassing 250 adult survivors (mean age: 22.1 years). Chronic lung disease was observed in 33% of patients, with 28% experiencing dyspnea during daily activities and exertion. Gastroesophageal reflux disease (GERD) was present in 45%, and severe scoliosis was identified in 2.4%. Quality of life was generally reported as good, though 30% experienced depression and lower scores in vitality and mental health domains. CDH survivors frequently encounter multisystem morbidities, including pulmonary, gastrointestinal, and musculoskeletal challenges. Structured transition programs and multidisciplinary follow-up are essential to address these needs and ensure continuity of care into adulthood. Further research is warranted to optimize outcomes and develop standardized protocols for this growing population.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"96"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658122","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

Long-term follow-up after ureteral reimplantation in children: a 12-year analysis.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-15 DOI: 10.1007/s00383-025-05992-1

T Gerwinn, M Zellner, A Prouza, U Kennedy, M Horst, L Mazzone

{"title":"Long-term follow-up after ureteral reimplantation in children: a 12-year analysis.","authors":"T Gerwinn, M Zellner, A Prouza, U Kennedy, M Horst, L Mazzone","doi":"10.1007/s00383-025-05992-1","DOIUrl":"10.1007/s00383-025-05992-1","url":null,"abstract":"Purpose: To evaluate the incidence of late surgical complications and long-term kidney outcomes following ureteral reimplantation (UR) for high-grade vesicoureteral reflux (VUR) and primary obstructed megaureter (POM), assessing the necessity of routine long-term follow-up.Methods: A retrospective review was conducted of 135 children who underwent UR between 2006 and 2013, with at least 10 years of follow-up. Primary outcomes included postoperative ureterovesical junction obstruction (pUVJO) and febrile urinary tract infections (UTIs). Secondary outcomes assessed kidney function and morphology (renal ultrasound changes, elevated BUN/creatinine, and arterial hypertension).Results: Fifty-three renal units in 34 children met the inclusion criteria. pUVJO occurred in 7.5% of units, exclusively after Politano-Leadbetter (P-L) reimplantation, and within eight months postoperatively. Nine children experienced febrile UTIs, primarily within the first postoperative year. One child with reflux nephropathy (RN) developed chronic kidney disease 12 years later, and another developed RN without impaired function. No hypertension was observed in the cohort.Conclusion: Children with uneventful recoveries and no pUVJO in the first year have a low risk of late complications, suggesting limited benefit from routine long-term follow-up. Higher risk groups, including those undergoing P-L reimplantation, girls, and those with preoperative RN, may warrant extended follow-up.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"95"},"PeriodicalIF":1.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634340","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

Clinical evaluation and comprehensive management strategies for adolescent varicocele.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-15 DOI: 10.1007/s00383-025-05985-0

Zhongyao Zeng, Mengnan Jiang, Miao Sun, Yan Liu, Maolin Liu, Yang Liu, Yuanzhi Song, Jinwen Mi, Shengde Wu

引用次数: 0

AI integration in pediatric surgery: bridging innovation, equity, and adaptive decision-making.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-12 DOI: 10.1007/s00383-025-05993-0

Kai Chen, Zekai Yu

引用次数: 0

Enrollment disparities in the PCPLC's patient-reported outcome measures (PROMs) study. PCPLC 患者报告结果测量（PROMs）研究中的注册差异。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-07 DOI: 10.1007/s00383-025-05983-2

Kate E McNevin, Lauren N Nicassio, Samuel E Rice-Townsend, Jeffrey R Avansino, Andrea Badillo, Casey M Calkins, Megan M Durham, Rachel Crady, Ron W Reeder, Rebecca M Rentea, Michael D Rollins, Caitlin A Smith

{"title":"Enrollment disparities in the PCPLC's patient-reported outcome measures (PROMs) study.","authors":"Kate E McNevin, Lauren N Nicassio, Samuel E Rice-Townsend, Jeffrey R Avansino, Andrea Badillo, Casey M Calkins, Megan M Durham, Rachel Crady, Ron W Reeder, Rebecca M Rentea, Michael D Rollins, Caitlin A Smith","doi":"10.1007/s00383-025-05983-2","DOIUrl":"https://doi.org/10.1007/s00383-025-05983-2","url":null,"abstract":"Background: Patient-reported outcomes have become an important metric for assessing quality of life and long-term clinical status. The Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) evaluates the quality of life of patients with congenital colorectal diagnoses through the PCPLC Patient (and Parent) Reported Outcome Measures (PROMs) study. We sought to identify how socioeconomic disparities affect the enrollment rates of our patient population in the PROMs study.Methods: A multicenter, retrospective study of children evaluated at sites participating in the PCPLC PROMs study was performed. We evaluated associations of the participants' demographic information with screening, enrollment, and consent for the PROMs study.Results: Of the 3505 participants enrolled in the PCPLC, 724 patients were eligible for the study. Demographics and enrollment practices varied by site. Hispanic ethnicity (p = 0.015) and public insurance (p = 0.013) were independently associated with lower enrollment, stratifying by site. Race was not independently associated with enrollment.Conclusions: These results suggest that enrollment of participants into the PROMs study may be preferential for certain demographic groups, regardless of PCPLC site location and independent of demographic composition at each site. Further investigation is needed to develop strategies to ensure equitable screening and enrollment.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"92"},"PeriodicalIF":1.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573508","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

Neighborhood child opportunity and its association with complicated inguinal hernia in children: an analysis of a national insurance claims-based database.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-06 DOI: 10.1007/s00383-025-05989-w

Theresa Ann Dickerson, Ben Bodek, Laritza Diaz, Chris B Agala, Michael R Phillips, Sean E McLean, Adesola C Akinkuotu

{"title":"Neighborhood child opportunity and its association with complicated inguinal hernia in children: an analysis of a national insurance claims-based database.","authors":"Theresa Ann Dickerson, Ben Bodek, Laritza Diaz, Chris B Agala, Michael R Phillips, Sean E McLean, Adesola C Akinkuotu","doi":"10.1007/s00383-025-05989-w","DOIUrl":"https://doi.org/10.1007/s00383-025-05989-w","url":null,"abstract":"Background: The Child Opportunity Index (COI) is a measure of neighborhood conditions associated with healthy child development. Inguinal hernia repair (IHR) is a common pediatric procedure. We sought to evaluate the association between COI and complicated inguinal hernia (IH), incarcerated or strangulated IH, among children with employer-based insurance coverage.Methods: We performed a retrospective cohort study of children who underwent IHR in the IBM Watson Health MarketScan® Research Database from 2015 to 2019. Claims data were merged with the COI at the metropolitan statistical area (MSA) level. We performed a multivariate regression analysis to determine the association between COI and complicated IH.Results: A total of 12,084 eligible pediatric patients were identified, of which 3.7%(n = 408) had IH. Children with complicated IH were younger than those with uncomplicated IH (2 vs. 3 years; p = 0.0016). There were no children from very low COI neighborhoods. There was no difference in COI between uncomplicated and complicated IH: (Low- 13.5% vs. 17.2%: Moderate- 67.3% vs. 63.5%; High- 19.2% vs. 19.4%; p = 0.19). Age (aOR: 0.967; 95% CI: 0.95-0.99), but not COI, was independently associated with decreased odds of complicated IH.Conclusion: Neighborhood-level disadvantage, as measured by COI 2.0, was not an independent predictor of complicated IH among children with employer-based insurance coverage.Level of evidence: II.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"91"},"PeriodicalIF":1.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567877","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

Mental health sequelae of violent injury in children: a review.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-03-04 DOI: 10.1007/s00383-025-05991-2

Jennifer M Schuh, Stephen J Molitor, Danielle J Wilson, Patricia K Marik, Elizabeth Fischer, Casey M Calkins, Katherine T Flynn-O'Brien

引用次数: 0

Impact of follow-up liver biopsy on long-term outcomes post-Kasai procedure in patients with biliary atresia.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-02-28 DOI: 10.1007/s00383-025-05979-y

Koki Takase, Takehisa Ueno, Sayaka Matsumoto, Naoko Uga, Koichi Deguchi, Motonari Nomura, Miho Watanabe, Masafumi Kamiyama, Yuko Tazuke, Takeshi Kimura, Hiroomi Okuyama

{"title":"Impact of follow-up liver biopsy on long-term outcomes post-Kasai procedure in patients with biliary atresia.","authors":"Koki Takase, Takehisa Ueno, Sayaka Matsumoto, Naoko Uga, Koichi Deguchi, Motonari Nomura, Miho Watanabe, Masafumi Kamiyama, Yuko Tazuke, Takeshi Kimura, Hiroomi Okuyama","doi":"10.1007/s00383-025-05979-y","DOIUrl":"10.1007/s00383-025-05979-y","url":null,"abstract":"Purpose: Patients with biliary atresia (BA) suffer from progressive liver damage, even after successful Kasai portoenterostomy (KPE). The purpose of this study is to analyze the relevance of follow-up percutaneous liver biopsy (LBx) and long-term prognosis of patients with BA.Methods: This study included patients with BA who were born between 1983 and 2005 and survived with their native liver until 10 years of age. Patient characteristics, laboratory data and Child-Pugh score at the time of LBx, and native-liver survival (NLS) and complication-free survival (CFS) in patients with mild (F0-F2) or severe fibrosis (F3, F4) on follow-up LBx were retrospectively analyzed.Results: Forty-three patients were gathered in this study and the most recent LBx was performed at age 21.1 ± 2.9 years. Thirty-three patients had mild fibrosis and ten patients had severe fibrosis on follow-up LBx. Long-term NLS and CFS were significantly worse in patients with severe fibrosis. Among those patients, 18 patients had follow-up LBx between the ages of 6 and 12 years, and CFS were significantly worse in patients with severe fibrosis.Conclusions: We found that patients with BA with severe liver fibrosis on follow-up LBx had worse long-term survival and a higher rate of progression of complications of BA.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"88"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524063","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

Clinical characteristics, surgical approaches, and prognosis of follicular and papillary thyroid cancer in children and adolescents: a retrospective cohort study.

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2025-02-28 DOI: 10.1007/s00383-025-05990-3

Yuhui Liu, Tingting Meng, Shuang Ma, Yanqing Zheng, Yutang Miao, Tao Zhang

{"title":"Clinical characteristics, surgical approaches, and prognosis of follicular and papillary thyroid cancer in children and adolescents: a retrospective cohort study.","authors":"Yuhui Liu, Tingting Meng, Shuang Ma, Yanqing Zheng, Yutang Miao, Tao Zhang","doi":"10.1007/s00383-025-05990-3","DOIUrl":"https://doi.org/10.1007/s00383-025-05990-3","url":null,"abstract":"Purpose: Follicular and papillary thyroid cancers are prevalent endocrine tumors in children and adolescents. This study seeks to highlight distinctions between papillary thyroid cancer (PTC) and follicular thyroid cancer (FTC) to inform subtype-specific guidelines.Patients and methods: Utilizing data from the SEER database, this study contrasts the clinical features, survival rates, causes of death, TNM staging, and surgical interventions for pediatric and adolescent patients diagnosed with PTC and FTC from 2000 to 2020.Results: We analyzed 3068 pediatric and adolescent patients with differentiated thyroid cancer (DTC). Since 2005, PTC incidence has increased, while FTC remains stable. Both subtypes exhibit excellent survival rates; FTC shows near-perfect outcomes, and PTC's overall survival (OS) at 2, 5, and 10 years is 99.6, 99.2, and 98.5%, respectively. Thyroid cancer accounted for only 20.9% of deaths among PTC patients. Significant differences in T and N staging were observed. Regarding surgery, 70% of FTC patients underwent total or near-total thyroidectomy compared to 90% of PTC patients. Lymph node dissection was performed in 41.7% of FTC and 77.5% of PTC patients, indicating distinct surgical approaches.Conclusion: Pediatric and adolescent patients with FTC and PTC have excellent prognoses. The extent of thyroidectomy and criteria for prophylactic central lymph node dissection should be tailored specifically for FTC and PTC, rather than generalizing under DTC.Clinical trial information: NCT06592118.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"89"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524062","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