Pediatric Surgery International最新文献

{"title":"Meckel's diverticulum: differences in clinical features between children and adults.","authors":"N Srisan, P Songsiri, S Liukitithara, A Sriniworn, K Decharun, P Rajatapiti, S Reukvibunsi, B Nonthasoot, S Prichayudh, C Tharavej, S Manasnayakorn, P Vejchapipat","doi":"10.1007/s00383-025-06183-8","DOIUrl":"https://doi.org/10.1007/s00383-025-06183-8","url":null,"abstract":"<p><strong>Purpose: </strong>The objectives were to describe and to compare the clinical features of patients with MD in terms of demographic data, clinical presentation, investigations, treatment, histopathology, and postoperative complications between children and adults.</p><p><strong>Methods: </strong>Patients with MD were retrospectively reviewed from two tertiary hospitals (2002-2021). These included patients with symptomatic MD and patients whose MD was incidentally found during operations. Demographic data, clinical presentation, investigation, treatment, histopathology, and postoperative complications were reviewed.</p><p><strong>Results: </strong>A total of 123 cases with MD (69 children vs 54 adults) were studied. Of 69 children with MD, symptomatic MD was reported in 48 cases (69.6%). Lower GI bleeding was the most common presentation (52.1%), followed by obstruction (29.1%), umbilical problems (10.4%), and diverticulitis (8.3%). For children with bleeding MD (25 cases), Meckel scan was an important investigation to confirm the diagnosis, with a sensitivity value of 95%. Of 54 adults with MD, symptomatic MD was recorded in 30 cases (55.6%). Diverticulitis was the most common presentation (46.7%), followed by obstruction (30.0%), GI bleeding (20.0%), and umbilical problems (3.3%). For incidentally found MD during operations, 80% were resected. Interestingly, ectopic gastric tissue was found in 27.4% of the resected MD specimens. Moreover, there was no significant difference in postoperative complications between patients with symptomatic MD and patients with incidentally found MD.</p><p><strong>Conclusion: </strong>The most common symptom of MD was lower GI bleeding in children, and diverticulitis in adults. Meckel scan is an important tool to investigate bleeding MD. Since ectopic gastric tissue was found in 19% of asymptomatic MD, our findings seem to support the concept of resection of MD incidentally found during the operations.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"284"},"PeriodicalIF":1.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992973","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}

{"title":"Evaluating the role of Kasai portoenterostomy in biliary atresia older than 90 days.","authors":"Yu Tian, Haoran Lian, Mao Ye, Yifeng Shao, Yuanyuan Geng, Zhen Chen, Shuai Chen, Xuli, Longli","doi":"10.1007/s00383-025-06184-7","DOIUrl":"10.1007/s00383-025-06184-7","url":null,"abstract":"<p><strong>Purpose: </strong>Biliary atresia (BA) patients presenting after 90 days of age face contentious treatment decisions between Kasai portoenterostomy and direct liver transplantation. This study evaluated outcomes of Kasai portoenterostomy in older BA patients to inform therapeutic decision-making.</p><p><strong>Methods: </strong>A retrospective multicenter study analyzed 32 BA patients who underwent Kasai portoenterostomy beyond 90 days of age. Primary outcomes included jaundice clearance (total bilirubin < 20 μmol/L) and two-year native liver survival. Patients were stratified by jaundice clearance status for comparative analysis.</p><p><strong>Results: </strong>The median surgical age was 110 days (IQR: 98-119 days). Twenty patients (62.5%) achieved jaundice clearance, while 12 (37.5%) failed to clear jaundice. All patients achieving jaundice clearance survived with their native Liver at two years, with only one requiring transplantation in the fourth postoperative year. Conversely, none of the non-clearance patients achieved two-year native Liver survival, with 11 undergoing transplantation for progressive cholestasis at a median of 5 months postoperatively and one death after declined transplantation. Surgical age was the most significant predictor of success, with ROC analysis yielding an optimal cutoff of 109 days (AUC: 0.779), while histological fibrosis stage also showed significant association with outcomes\".</p><p><strong>Conclusion: </strong>Kasai portoenterostomy remains clinically meaningful in selected older BA patients, with 109 days representing a critical surgical threshold. This approach is particularly valuable in resource-limited settings where liver transplantation availability is constrained.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"285"},"PeriodicalIF":1.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001286","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}

{"title":"Correction: Outcomes of CDH patients receiving PDA ligation: a propensity score matched analysis.","authors":"Hamzah Mansoura, Chelsea Drennan, Vikas S Gupta, Matthew T Harting, Neil Patel, Ashley H Ebanks, Shobhan Vachhrajani, Daniel K Robie","doi":"10.1007/s00383-025-06176-7","DOIUrl":"https://doi.org/10.1007/s00383-025-06176-7","url":null,"abstract":"","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"283"},"PeriodicalIF":1.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964400","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}

{"title":"Clinical features and surgical outcomes of testicular epidermoid cysts in children.","authors":"Chengpin Tao, Changkun Mao, Yongsheng Cao","doi":"10.1007/s00383-025-06179-4","DOIUrl":"https://doi.org/10.1007/s00383-025-06179-4","url":null,"abstract":"<p><p>To investigate the clinical features, surgical outcomes, and prognosis of testicular epidermoid cysts in children, to enhance the understanding of this rare benign lesion, reduce misdiagnosis and overtreatment, optimize clinical decision-making, and improve the quality of life in affected children. A retrospective analysis was conducted on the clinical data of 23 pediatric patients with testicular epidermoid cysts treated at our hospital between September 2015 and April 2024. Data collected included age, laterality, disease duration, AFP levels, tumor size, operative time, intraoperative blood loss, and length of hospital stay. Descriptive statistical analysis was performed. All 23 cases involved unilateral lesions, with 9 on the left and 14 on the right. The mean age was 75.2 ± 43.6 months. The median interval from discovery to consultation was 15 days (interquartile range [IQR]: 7-180 days). The median preoperative AFP level was 1.3 ng/ml (IQR: 0.50-2.5 ng/ml), with only one case showing a significant elevation (22.90 ng/ml). The median maximum diameter of the lesions was 1.0 cm (IQR: 0.8-1.2 cm). All patients underwent testis-sparing tumor enucleation, with a mean operative time of 45.3 ± 13.0 min and a median intraoperative blood loss of 2.0 ml (IQR: 1.0-2.0 ml). The median hospital stay was 3.0 days (IQR: 2.0-3.0 days). All patients recovered well postoperatively, with no recurrence or testicular atrophy observed during follow-up. Testicular epidermoid cysts are rare in children and typically present as painless scrotal masses. Preoperative imaging aids in diagnosis, while intraoperative frozen-section pathology facilitates testis-sparing surgery. Definitive diagnosis depends on postoperative histopathology. Tumor enucleation is minimally invasive, effective, and associated with excellent prognosis, making it the preferred treatment approach for this condition.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"282"},"PeriodicalIF":1.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964310","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}

{"title":"Single vs. staged PSARP for rectovestibular fistula: a 25-year study on complications, continence, and quality of life.","authors":"Elif Emel Erten, Can İhsan Öztorun, Süleyman Arif Bostancı, Vildan Selin Çayhan, Nur Sezen Parlak, Dilara Kısıklı, Sabri Demir, Ahmet Ertürk, Müjdem Nur Azılı, Emrah Şenel","doi":"10.1007/s00383-025-06177-6","DOIUrl":"https://doi.org/10.1007/s00383-025-06177-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates and compares surgical complications, functional outcomes, and quality of life between single-stage and staged posterior sagittal anorectoplasty (PSARP) procedures in female patients with Rectovestibular fistula (RVF) over a 25-year period.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 54 female patients with RVF treated between 1999 and 2024. Patients were categorized into Group 1 (n = 42, single-stage PSARP) and Group 2 (n = 12, staged PSARP). Demographics, associated anomalies, postoperative complications, Krickenbeck continence scores, and Pediatric Quality of Life Inventory (PedsQL) scores were analyzed and compared.</p><p><strong>Results: </strong>Group 1 showed significantly higher rates of surgical site infection (22.2% vs. 8.3%, p = 0.01), wound dehiscence (17.8% vs. 8.3%, p = 0.03), and mucosal prolapse (13.3% vs. 0%, p = 0.001). Conversely, anal stenosis occurred only in Group 2 (16.7%, p = 0.001). Voluntary bowel movements (88% vs. 83%, p = 0.86) and reoperation rates (8.9% vs. 8.3%, p = 0.88) were similar across groups. Longitudinal analysis revealed progressive improvement in bowel control and quality of life with age, irrespective of surgical method. PedsQL scores increased from 73.4 in early childhood to 85.5 in adulthood.</p><p><strong>Conclusion: </strong>Both single-stage and staged PSARP are effective in achieving long-term continence in RVF patients. While the single-stage approach carries higher early wound-related risks, it remains a viable option for well-selected, low-risk patients. Staged repair may be more appropriate for high-risk cases to reduce early complications. Individualized surgical planning and long-term follow-up are essential to optimize functional and psychosocial outcomes.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"280"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964527","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}

{"title":"Benefits and barriers to using a portable thoracoscopic esophageal atresia simulator as perceived by surgical trainees.","authors":"Jonathan M Wells, Georges Tinawi, Angharad Vernon-Roberts, Spencer Beasley","doi":"10.1007/s00383-025-06159-8","DOIUrl":"https://doi.org/10.1007/s00383-025-06159-8","url":null,"abstract":"<p><strong>Introduction: </strong>Simulation-based education (SBE) offers a controlled training environment for complex procedures, such as thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula (EA/TEF). Identifying and overcoming the barriers to SBE is imperative for surgical training programs to be effective and efficient. This study investigated surgical trainees' attitudes to a portable thoracoscopic EA/TEF simulator and changes in the perceptions of surgical trainees following its use as a measure of its benefits and possible barriers for learning.</p><p><strong>Methods: </strong>Twenty New Zealand surgical trainees across both Paediatric Surgery and General Surgery, completed a pre- and post-simulation survey assessing their attitudes and perceptions toward the thoracoscopic simulator. Content manifest analysis was performed to identify trainee-perceived barriers and benefits to the use of the simulator model.</p><p><strong>Results: </strong>Trainees expressed positive attitudes toward the simulator, with the most common identified benefits being \"increased expertise and confidence\" and \"time for practice\". However, despite this, actual hours of simulator use was lower than predicted, with the majority of trainees spending less than one hour per week on the simulator. Barriers identified by trainees included \"access to equipment\" and \"time and motivation\" although these decreased significantly in the post-simulation survey.</p><p><strong>Conclusions: </strong>The portable thoracoscopic EA/TEF simulator was supported by trainees as being a valuable tool for surgical education, in this case, of acquiring technical skills for a challenging neonatal surgical procedure. There were significant reductions observed in trainee-perceived barriers to SBE after use of the simulator although further efforts are required to translate this into increased actualised hours of use.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"281"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964284","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}

{"title":"Dosage and duration of ursodeoxycholic acid therapy Post-Kasai portoenterostomy in biliary atresia: a multicenter cross-sectional study with age stratification.","authors":"Yu Meng, Shaowen Liu, Qianhui Yang, Yilin Zhao, Tengfei Li, Jiaying Liu, Xin Li, Yuqiang Chen, YanRan Zhang, Ji Qi, Xiaoxia Wu, Pu Yu, Xueqiang Yan, Bin Wang, Zhibo Zhang, Xianwei Zhang, Tiquan Yang, Wei Gao, Jianghua Zhan","doi":"10.1007/s00383-025-06180-x","DOIUrl":"https://doi.org/10.1007/s00383-025-06180-x","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluate clinical efficacy of ursodeoxycholic acid (UDCA) in biliary atresia (BA) infants post-Kasai portoenterostomy (KPE) using real-world data.</p><p><strong>Methods: </strong>Retrospective analysis of 698 BA patients from eight Chinese pediatric centers (2020-2025). Age-stratified analyses used propensity score matching (PSM) and inverse probability treatment weighting (IPTW) to adjust baseline differences. Primary outcomes were UDCA utilization and effects on bilirubin (TBil, DBil) and total bile acid (TBA) levels.</p><p><strong>Results: </strong>The median follow-up duration for the cohort was 49 months (IQR: 25-74), with male patients accounting for 54.2% (379/698). The median age at surgery was 59 days (IQR: 46-75). A history of cholangitis was present in 53.1% of patients (371 cases), and 63.5% (443 cases) underwent open Kasai portoenterostomy. After PSM/IPTW adjustment, UDCA within 12 months significantly reduced TBil, DBil, and TBA. Initiation before 12 months reduced TBil-elevated (TBil > 20 μmol/L) odds by 80% (OR = 0.20, 95% CI 0.05-0.72) and hyperbilirubinemia (TBil > 34 μmol/L) by 86% (OR = 0.14, 95% CI 0.03-0.50). Low-dose UDCA (≤ 10 mg/kg/day) within 12 months provided optimal bilirubin/hepatic improvement without dose-dependence. UDCA beyond 36 months nearly doubled TBA levels, potentially reflecting dose-dependent TBA elevation.</p><p><strong>Conclusion: </strong>UDCA efficacy post-KPE is age-dependent. Low-dose therapy (≤ 10 mg/kg/day) within 12 months significantly improves jaundice and liver function, with limited benefits at 12-36 months. Use beyond 36 months may be harmful. Optimal timing/dosing requires prospective validation.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"279"},"PeriodicalIF":1.6,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964350","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}

{"title":"Clinical characteristics of pediatric acute epididymitis: a single institute review of 142 cases.","authors":"Ryoya Furugane, Tetsuya Mitsunaga, Shugo Komatsu, Ayako Takenouchi, Satoru Oita, Yunosuke Kawaguchi, Wataru Kudo, Katsuhiro Nishimura, Tomoro Hishiki","doi":"10.1007/s00383-025-06168-7","DOIUrl":"https://doi.org/10.1007/s00383-025-06168-7","url":null,"abstract":"<p><strong>Purpose: </strong>Acute epididymitis (AE) is a common cause of scrotal pain and swelling in children; however, its etiology and risk factors for poor outcomes remain unclear. This study aimed to identify the clinical characteristics and potential risk factors associated with poor AE outcomes.</p><p><strong>Methods: </strong>We retrospectively reviewed pediatric patients with AE treated at our hospital. Clinical data, laboratory results, ultrasonographic findings, and treatment strategies were analyzed. We conducted comparative analyses to identify significant risk factors linked to poor outcomes.</p><p><strong>Results: </strong>A total of 142 patients with a median age of 9 years were reviewed. Of these, 137 cases had favorable testicular outcomes, while five cases had poor outcomes, including three cases of testicular or epidydimal atrophy, one case of testicular necrosis, and one case of testicular necrosis and abscess. Fever (p = 0.001), C-reactive protein (CRP) levels (p = 0.002), and decreased testicular blood flow on ultrasonography (p < 0.001) were significantly associated with poor testicular outcomes.</p><p><strong>Conclusion: </strong>Fever, CRP levels, and decreased testicular blood flow are risk factors for unfavorable testicular outcomes in pediatric patients with AE. Patients with these risk factors require careful monitoring and may benefit from aggressive management strategies.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"278"},"PeriodicalIF":1.6,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964248","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}

{"title":"Clinical characteristics and timing of intervention in 195 neonatal simple ovarian cysts: a 20-year single-center retrospective analysis.","authors":"Jian Zhu, Yingdi Yuan, Peiliang Sun, Ning Li, Jun Zhou, Songxian Lu, Peng Wang, Zhansheng Wang, Junpeng Du","doi":"10.1007/s00383-025-06178-5","DOIUrl":"https://doi.org/10.1007/s00383-025-06178-5","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize neonatal simple ovarian cysts (SOCs) and determine the optimal timing for intervention based on real-world clinical outcomes.</p><p><strong>Methods: </strong>A retrospective analysis included 163 neonates (195 SOCs) surgically managed at the Third Affiliated Hospital of Zhengzhou University from 2004 to 2024. SOCs were grouped by presence or absence of adverse outcomes and further stratified by diameter (< 30 mm, 30-40 mm, ≥ 40 mm). Clinical variables were analyzed, and logistic regression and ROC analysis were performed to identify predictive factors.</p><p><strong>Results: </strong>Among 195 SOCs, 105 (53.8%) had adverse outcomes including torsion, necrosis, autoamputation, or hemorrhage. Cysts in this group had significantly larger diameters (median 46.0 mm vs. 35.0 mm, P < 0.001) and longer diagnosis-to-intervention intervals (median 1.50 vs. 0.68 months, P < 0.001). Cysts ≥ 30 mm were strongly associated with adverse outcomes (OR = 17.1, P < 0.001). Multivariate analysis confirmed maximum cyst diameter and delayed intervention as independent risk factors. ROC analysis showed good predictive value for diameter (AUC = 0.720) and moderate value for diagnosis-to-intervention interval (AUC = 0.637).</p><p><strong>Conclusion: </strong>Our findings suggest that, in neonatal SOCs, a maximum diameter ≥ 30 mm is associated with an increased risk of adverse outcomes, and longer diagnosis-to-intervention intervals may also be linked to higher risk. For neonates with SOCs-particularly those measuring ≥ 30 mm-early assessment and timely minimally invasive intervention may be considered when clinically appropriate.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"277"},"PeriodicalIF":1.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964299","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}

{"title":"Dorsal dartos flap for buried penis treatment: surgical technique and long-term outcomes.","authors":"Carlos Delgado-Miguel, Ricardo Mejía, Virginia Amesty, Susana Rivas, Roberto Lobato, Pedro López-Pereira, María José Martínez-Urrutia","doi":"10.1007/s00383-025-06181-w","DOIUrl":"https://doi.org/10.1007/s00383-025-06181-w","url":null,"abstract":"<p><strong>Objetive: </strong>The objective of our study was to report our long-term experience in buried penis (BP) treatment based on dorsal dartos flap technique. Several surgical techniques have been proposed, yielding differing long-term outcomes; however, no single approach is currently recognized as the gold standard.</p><p><strong>Methods: </strong>We performed a observational retrospective study on patients under 18 years with BP treated at our institution between 2014 and 2019. A coronal incision was performed, degloving the penis and creating a dorsal dartos flap that was later divided in the midline, forming two lateral flaps which were fixed with interrupted stiches on each side of the penis base. Demographic variables, surgical duration, and postoperative complications were evaluated. Cosmetic outcomes were assessed through a survey conducted with the patients' parents.</p><p><strong>Results: </strong>A total of 19 patients were included, with a mean age of 7.5 years (interquartile range 4.3-9.7). Mean surgery time was 43.8 ± 5.5 min. All patients were discharged within 24 h of surgery. No postoperative complications or reoperations occurred, with a median follow-up period of 96 months (interquartile range 82-108 months). Regarding the cosmetic outcomes, 95% of patients parents were satisfied with the outcome of the procedure, 89% considered optimal the age at which surgery was performed, 100% considered it a minimally invasive procedure, and 95% would recommend it.</p><p><strong>Conclusions: </strong>Surgical correction of BP using dorsal dartos flap is a simple and a promising surgical alternative, associated with negligible morbidity and satisfactory cosmetic and functional long-term outcomes. Therefore, it should consider it as an alternative treatment for BP.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"274"},"PeriodicalIF":1.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964364","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}