Pediatric Surgery International最新文献_第6页

Antenatal detection of pediatric surgical congenital abnormalities and its effect on maternal anxiety: a multicentre prospective study in a middle-income country. 儿科外科先天性异常的产前检测及其对产妇焦虑的影响：一项中等收入国家的多中心前瞻性研究

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-28 DOI: 10.1007/s00383-024-05952-1

Hai Choon Soh, Shireen Anne Nah, Wei Sheng Tan, Srihari Singaravel, Yew-Wei Tan, Seet Fai Woon, Bathmavathy Chandran, Anand Sanmugam

{"title":"Antenatal detection of pediatric surgical congenital abnormalities and its effect on maternal anxiety: a multicentre prospective study in a middle-income country.","authors":"Hai Choon Soh, Shireen Anne Nah, Wei Sheng Tan, Srihari Singaravel, Yew-Wei Tan, Seet Fai Woon, Bathmavathy Chandran, Anand Sanmugam","doi":"10.1007/s00383-024-05952-1","DOIUrl":"10.1007/s00383-024-05952-1","url":null,"abstract":"Background: In middle-income countries, healthcare systems face unique challenges in ensuring timely antenatal detection of congenital abnormalities that require pediatric surgical intervention. Early detection can significantly improve outcomes, yet resource constraints often limit access to diagnostic technologies. This study evaluates the antenatal detection rate of congenital abnormalities referred to pediatric surgical services in three Malaysian tertiary centers and examines its effect on maternal anxiety.Methods: A prospective observational study was conducted at Hospital Raja Permaisuri Bainun (HRPB), Hospital Sultanah Aminah (HSA), and University of Malaya Medical Centre (UMMC) over a 8 month period. Data were collected from mothers of neonates born with congenital abnormalities, and the Spielberg State-Trait Anxiety Inventory (STAI) was used to assess maternal anxiety.Results: A total of 58 patients were recruited. The overall antenatal detection rate for congenital abnormalities was 43.1%, comparable to high-income countries despite resource limitations. Antenatal counselling by pediatric surgeons was rare (6.9%) and showed no significant reduction in maternal anxiety (p = 0.374).Conclusion: The antenatal detection rates at the three Malaysian centers align with those in more developed nations, underscoring the potential of middle-income healthcare systems to deliver high-quality prenatal care. However, improving access to diagnostic technologies and involving pediatric surgical teams in antenatal counselling could further enhance care.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"52"},"PeriodicalIF":1.5,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896552","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

Diagnostic value of hemoglobin concentration in identifying Meckel's diverticulum in pediatric lower gastrointestinal bleeding. 血红蛋白浓度对小儿下消化道出血梅克尔憩室的诊断价值。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-28 DOI: 10.1007/s00383-024-05944-1

Miguel Couselo, Vicente Ibáñez, Beatriz Pemartín, Rosa Fonseca, Juan José Vila

{"title":"Diagnostic value of hemoglobin concentration in identifying Meckel's diverticulum in pediatric lower gastrointestinal bleeding.","authors":"Miguel Couselo, Vicente Ibáñez, Beatriz Pemartín, Rosa Fonseca, Juan José Vila","doi":"10.1007/s00383-024-05944-1","DOIUrl":"https://doi.org/10.1007/s00383-024-05944-1","url":null,"abstract":"Purpose: To assess the diagnostic performance of hemoglobin concentration for Meckel's diverticulum (MD) and evaluate if hemoglobin levels could be useful in the surgical decision-making process of children with lower gastrointestinal bleeding (LGIB).Methods: Retrospective cohort study of children with LGIB attending the emergency department between 2011 and 2021. Episodes of LGIB were divided into two groups: MeckD (MD diagnosed by surgery) and non-MeckD. Demographic and clinical variables were recorded. Comparisons between groups were made using the χ2 and the Mann-Whitney U tests. The diagnostic performance of hemoglobin for MD was studied using ROC curves.Results: Eight hundred and nineteen episodes of LGIB were considered. Blood samples were obtained in 233 cases (31 with MD). There were differences between MeckD and non-MeckD in hemoglobin concentration (8.7 vs. 12.6; U = 592; p < 0.01), hematochezia (83.9% vs. 50.5%; χ2 = 12.1; p < 0.01), absence of other symptoms (61.3% vs. 39.6%; χ2 = 5.2; p < 0.02) and blood transfusions (41.9% vs. 9.9%; χ2 = 74.8; p < 0.01). Hemoglobin levels ≤ 8.3 g/dL obtained a specificity ≥ 99.01% and a positive likelihood ratio ≥ 35.8 for MD. The area under the curve was 0.91 (95% CI 0.86-0.94).Conclusion: Hemoglobin showed a good diagnostic performance for MD. Low hemoglobin levels could guide surgical indications in the management of children with LGIB.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"50"},"PeriodicalIF":1.5,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896559","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

Enhanced recovery protocol for congenital duodenal obstruction - initial experiences with development and implementation. 先天性十二指肠梗阻的增强恢复方案-发展和实施的初步经验。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-27 DOI: 10.1007/s00383-024-05951-2

Henrik Røkkum, Martin Alavi Treider, Wenche Bakken Børke, Janicke Bergersen, Kristoffer Lassen, Ragnhild Støen, Thorstein Sæter, Kristin Bjørnland

{"title":"Enhanced recovery protocol for congenital duodenal obstruction - initial experiences with development and implementation.","authors":"Henrik Røkkum, Martin Alavi Treider, Wenche Bakken Børke, Janicke Bergersen, Kristoffer Lassen, Ragnhild Støen, Thorstein Sæter, Kristin Bjørnland","doi":"10.1007/s00383-024-05951-2","DOIUrl":"10.1007/s00383-024-05951-2","url":null,"abstract":"Background: The experience with Enhanced Recovery After Surgery® (ERAS®) protocols in neonatal intestinal surgery is very limited. We present the development and implementation of an Enhanced Recovery Protocol (ERP) designed specifically for neonates treated for congenital duodenal obstruction (CDO), and early outcome after implementation.Methods: An ERP for CDO was developed and implemented. Experiences with ERP development and implementation are described. Early clinical outcome in patients treated before (January 2015-Descember 2020) and after (February 2022-September 2024) implementation were compared. Ethical approval was obtained.Results: A multidisciplinary ERP team was established. The ERP for CDO was developed with stakeholder involvement. Implementation was challenging, but with close follow-up and frequent meetings with the involved medical disciplines, an overall ERP compliance of 80% was achieved for the 21 patients treated after implementation. Compared to 40 patients treated before ERP implementation (January 2015-Descember 2020), the use of minimally invasive surgery increased and time to first postoperative enteral and breast feed were reduced, without increasing the rate of postoperative complications.Conclusions: This study presents an ERP specifically designed for CDO with a unique description of our experiences with the development and implementation process. Early results suggest that this ERP for CDO is feasible and safe.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"49"},"PeriodicalIF":1.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11680611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896566","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

Impact of the relationship between renal pedicles and tumors on surgical outcomes for non-high-risk abdominal neuroblastoma. 肾蒂与肿瘤的关系对非高危腹部神经母细胞瘤手术结果的影响。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-26 DOI: 10.1007/s00383-024-05956-x

Yuki Yamamoto, Akihiro Yoneda, Osamu Miyazaki, Kimikazu Matsumoto, Satoko Yamagishi, Akinori Ichinose, Tomoya Hirokawa, Michimasa Fujiogi, Tetsuya Ishimaru, Naoki Shimojima

{"title":"Impact of the relationship between renal pedicles and tumors on surgical outcomes for non-high-risk abdominal neuroblastoma.","authors":"Yuki Yamamoto, Akihiro Yoneda, Osamu Miyazaki, Kimikazu Matsumoto, Satoko Yamagishi, Akinori Ichinose, Tomoya Hirokawa, Michimasa Fujiogi, Tetsuya Ishimaru, Naoki Shimojima","doi":"10.1007/s00383-024-05956-x","DOIUrl":"https://doi.org/10.1007/s00383-024-05956-x","url":null,"abstract":"Purpose: To assess the impact of the relationship between renal pedicles and tumors on surgical outcomes in patients with non-high-risk abdominal neuroblastoma.Methods: We retrospectively analyzed cases of neuroblastoma without metastasis treated at our hospital between March 2002 and December 2023. Cases in which surgical resection was performed were divided into three groups according to imaging findings at the time of diagnosis and before surgery: Group E (tumor encasing renal pedicles), Group C (tumor in contact with renal pedicles), and Group S (tumor separated from renal pedicles).Results: Among 256 neuroblastoma cases diagnosed during the study period, 27 non-high-risk cases that underwent surgery for partial abdominal tumor resection or greater were included. The numbers of cases in the S group, C group, and E group, respectively, were 7, 9, and 11 at diagnosis, and 8, 14, and 5 before surgery. Renal complications (combined concurrent renal resection and post-operative renal atrophy) were seen in five E group cases at the time of diagnosis, and two C group cases and three E group cases preoperatively.Conclusion: In non-high-risk abdominal neuroblastomas, tumors encased in the renal pedicles have the highest risk of renal complications, followed by tumors in contact with the renal pedicles.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"47"},"PeriodicalIF":1.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896586","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

Risk factors and surgical outcomes in pediatric patients with congenital heart disease and ischemic colitis. 先天性心脏病和缺血性结肠炎患儿的危险因素和手术结果

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-26 DOI: 10.1007/s00383-024-05950-3

N Mokhaberi, E P Schneider, M Aftzoglou, I Hüners, M Körner, L Armbrust, D Biermann, R Kozlik-Feldmann, M Hübler, K Reinshagen, C Tomuschat

{"title":"Risk factors and surgical outcomes in pediatric patients with congenital heart disease and ischemic colitis.","authors":"N Mokhaberi, E P Schneider, M Aftzoglou, I Hüners, M Körner, L Armbrust, D Biermann, R Kozlik-Feldmann, M Hübler, K Reinshagen, C Tomuschat","doi":"10.1007/s00383-024-05950-3","DOIUrl":"10.1007/s00383-024-05950-3","url":null,"abstract":"Introduction: This study investigates risk factors and surgical outcomes in pediatric patients with congenital heart defects (CHD) who develop ischemic colitis (IC). Previous research indicates a higher IC risk in very low birth weight neonates with CHD.Methods: A retrospective analysis compared an IC-CHD group to a CHD-only group. Key variables included gestational age, birth weight, multiple pregnancies, prematurity, APGAR scores, cardiac and surgical characteristics, Aristotle-Score, and mortality rates. Surgical outcomes such as bowel resection and stoma procedures were also evaluated.Results: IC-CHD exhibited significantly lower gestational ages and birth weights, with higher rates of multiple pregnancies and prematurity. APGAR scores were notably lower. Cardiac and surgical data showed more frequent ECMO use and shorter cardiopulmonary bypass durations in the IC-CHD group. High rates of bowel resection highlighted severe gastrointestinal involvement. Mortality was significantly higher in IC-CHD with elevated Aristotle scores correlating with poorer outcomes.Conclusion: Gestational age, birth weight, and initial health status are critical in predicting IC risk and surgical outcomes in pediatric patients with CHD. The significantly higher mortality and complex surgical needs in the IC-CHD group underscore the necessity for vigilant monitoring and tailored interventions. Development of targeted therapeutic strategies adjustment for confounding factors in future studies is needed.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"48"},"PeriodicalIF":1.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896600","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

Inguinal hernioplasty in children-open or laparoscopic?: A retrospective cohort study of 1,072 cases. 儿童腹股沟疝成形术-开放还是腹腔镜？一项1072例回顾性队列研究。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-24 DOI: 10.1007/s00383-024-05943-2

Ágnes Eszter Tímár, Dalma Bénes, András Terebessy, Balázs Fadgyas

{"title":"Inguinal hernioplasty in children-open or laparoscopic?: A retrospective cohort study of 1,072 cases.","authors":"Ágnes Eszter Tímár, Dalma Bénes, András Terebessy, Balázs Fadgyas","doi":"10.1007/s00383-024-05943-2","DOIUrl":"10.1007/s00383-024-05943-2","url":null,"abstract":"Purpose: The most common surgical intervention in childhood is inguinal hernioplasty. The advantage of laparoscopic approach is still questionable, therefore our aim was to compare open hernia repair (OHR) and PIRS (Percutaneous Internal Ring Suturing) technique at the authors' institute.Methods: An observational retrospective cohort study was conducted between 2013 and 2021. Patients were included with hernioplasties under 18 years. The number of contralateral patent processus vaginalis, length of hospital stay, complications and recurrences were analysed.Results: 1,072 surgeries were performed (OHR: 836, PIRS: 236) in 959 patients with the mean age of 4.2 years. During the study period 86 incarcerated hernias were treated: 85/86 following successful reduction with postponed surgery (77 open and eight PIRS) and 1/86 acute (open) surgery. Only six complications (OHR: 5, PIRS: 1, p = 0.86) and 22 recurrences were registered (open:15, PIRS: 7, p = 0.22). The average length of hospital stay was 1.13 days (OHR: 1.3, PIRS: 1.13 days, p = 0.82). PIRS identified contralateral patent processus vaginalis in 22.45% of cases initially diagnosed as unilateral.Conclusions: Our findings indicate that both techniques are equally safe, with no statistically significant differences observed in terms of hospital stay duration, recurrence rates, or complication rates.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"45"},"PeriodicalIF":1.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882704","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

Risk factors associated with neonatal pneumothorax in the neonatal intensive care unit: 10 years of experience in a single-center. 新生儿重症监护病房与新生儿气胸相关的危险因素：单中心10年的经验

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-24 DOI: 10.1007/s00383-024-05939-y

H Madenci, M Uysal

{"title":"Risk factors associated with neonatal pneumothorax in the neonatal intensive care unit: 10 years of experience in a single-center.","authors":"H Madenci, M Uysal","doi":"10.1007/s00383-024-05939-y","DOIUrl":"https://doi.org/10.1007/s00383-024-05939-y","url":null,"abstract":"Background: We aimed to evaluate the epidemiological characteristics, risk factors and prognostic factors affecting the clinical follow-up of patients who underwent tube thoracostomy due to pneumothorax in the neonatal intensive care unit of our hospital.Methods: In our study; 54 cases with neonatal pneumothorax underwent tube thoracostomy followed up in the neonatal intensive care unit between April 2014 and March 2023 were retrospectively analyzed.Results: The gestational age of the cases was between 28 and 38 weeks; 24 (44.4%) were premature and 30 (55.6%) were 36 weeks and above. Of the cases included in the study, 35 (64.8%) had primary lung disease and 19 (35.2%) had other anomalies accompanying pneumothorax. Mechanical ventilation was needed in 35 (64.8%) of the 54 cases included in the study. While all patients who did not require mechanical ventilation recovered, 10 of 35 patients (28.6%) who required mechanical ventilation died. The body weight of 10 of these 35 cases (28.6%) was 2500 g or less.Conclusion: It was determined that accompanying primary lung disease, the need to connect to a ventilator, and bilateral pneumothorax significantly affected mortality and prognosis in premature babies, especially those weighing less than 2500 g, who were followed in the neonatal intensive care unit.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"46"},"PeriodicalIF":1.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882705","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

Correction: Association between nighttime/weekend visits and patient outcomes in children with blunt liver and spleen injuries. 更正：夜间/周末就诊与钝性肝脾损伤患儿预后之间的关系。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-23 DOI: 10.1007/s00383-024-05936-1

Hiraku Funakoshi, Shogo Shirane, Morihiro Katsura

引用次数: 0

Surgical management of children with Burkitt's lymphoma involving the gastrointestinal tract. 累及胃肠道的伯基特淋巴瘤患儿的外科治疗。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-23 DOI: 10.1007/s00383-024-05955-y

Zhiyi Zhang, Jiayu Yan, Jun Yan, Liuming Huang, Yajun Chen, Xin Ni

{"title":"Surgical management of children with Burkitt's lymphoma involving the gastrointestinal tract.","authors":"Zhiyi Zhang, Jiayu Yan, Jun Yan, Liuming Huang, Yajun Chen, Xin Ni","doi":"10.1007/s00383-024-05955-y","DOIUrl":"https://doi.org/10.1007/s00383-024-05955-y","url":null,"abstract":"Purpose: To investigate the clinical characteristics and surgical management of children with Burkitt's lymphoma (BL) involving the gastrointestinal tract.Methods: A retrospective analysis was conducted on 87 pediatric patients diagnosed with BL involving the gastrointestinal tract and treated surgically at Beijing Children's Hospital (2008-2022). All patients were histopathologically confirmed with BL and diagnosed with gastrointestinal involvement through imaging studies and surgery. Clinical data were reviewed and analyzed.Results: Among 87 patients, 79 were male and 8 were female, with an average age of 6.8 ± 3.3 years. Predominant clinical manifestations included abdominal pain (74/87, 85.1%) and abdominal mass (45/87, 51.7%). The ileocecal region (31/87, 35.6%) was the most frequent involvement site. The presence of intussusception (58/87, 66.7%) was the main indication for surgery, of which 56 (56/58, 96.6%) underwent enterectomy and anastomosis. Twenty-two (22/87, 25.3%) patients underwent surgery for abdominal mass, with 15 (15/22, 68.2%) receiving an open biopsy. During the follow-up period, 2 patients (2/83, 2.4%) experienced recurrence, 4 patients (4/83, 4.8%) required reoperation, and no deaths were reported.Conclusion: The main surgical indications for gastrointestinal BL are intussusception and abdominal mass. Surgery plays a crucial role in resolving intussusception, clarifying the diagnosis, and ultimately facilitating the timely initiation of chemotherapy without delay.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"44"},"PeriodicalIF":1.5,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882706","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

Medium- to long-term outcomes of seton placement for fistula-in-ano in children: the experience of 103 patients from a single institution. 儿童瘘管植入的中长期结果：来自单一机构103例患者的经验

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-12-21 DOI: 10.1007/s00383-024-05932-5

Shaobo Yang, Cheng Xie, Yanlei Huang, Shan Zheng

{"title":"Medium- to long-term outcomes of seton placement for fistula-in-ano in children: the experience of 103 patients from a single institution.","authors":"Shaobo Yang, Cheng Xie, Yanlei Huang, Shan Zheng","doi":"10.1007/s00383-024-05932-5","DOIUrl":"https://doi.org/10.1007/s00383-024-05932-5","url":null,"abstract":"Purpose: The aim of this study was to evaluate the efficacy of seton placement for anal fistula in children.Methods: The clinical data of children with anal fistula treated by seton placement admitted from January 2017 to September 2022 were retrospectively analyzed. Our primary treatments for perianal abscess (PA) are conservative treatment and drainage. Patients with systemic and inflammatory bowel diseases were excluded.Results: The median follow-up time of these patients was 23 (6-58) months, and the median onset age was 16 (3-156) months. Among the 103 patients, 75 with a single fistula and 20 with a double fistula were treated by primary seton placement. Seven patients with multiple fistulas were treated using staged seton placement, and one case using primary seton placement. A total of 97 patients experienced good healing, four patients experienced poor healing and healed after dressing change and debridement, and two patients with multiple fistulas who experienced recurrence underwent a second seton placement. The average healing time was four (1-10) weeks.Conclusion: The medium- to long-term outcome of seton placement indicates that this procedure is safe and effective in the treatment of anal fistula in children.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"42"},"PeriodicalIF":1.5,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872569","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