Pediatric Surgery International最新文献

{"title":"Comparison of cervical versus thoracic spinal cord injury outcomes in pediatric trauma patients.","authors":"Alice M Martino, Areg Grigorian, Catherine M Kuza, Sigrid Burruss, Lourdes Swentek, Yigit Guner, Laura F Goodman, Jeffry Nahmias","doi":"10.1007/s00383-024-05933-4","DOIUrl":"10.1007/s00383-024-05933-4","url":null,"abstract":"<p><strong>Purpose: </strong>To explore differences based on level of pediatric spinal cord injury (SCI), we compared cervical and thoracic SCI in pediatric trauma patients (PTPs), hypothesizing higher mortality and length of stay (LOS) for cervical SCI.</p><p><strong>Methods: </strong>The 2017-2021 Trauma Quality Improvement Program was queried for all PTPs ≤ 17 years-old with cervical or thoracic SCI. Bivariate analyses compared the two groups. The primary outcome was mortality and secondary outcomes included hospital LOS and injury severity scores (ISS). Logistic regression models were used to determine independent risk factors for death and prolonged ventilation.</p><p><strong>Results: </strong>Of 5280 PTPs, 2538 (65.9%) had cervical SCI and 1316 (34.1%) had thoracic SCI. Motor vehicle collisions were the most common cause of both cervical and thoracic SCI (37.8 and 41.9%). PTPs with thoracic SCI had higher rates of positive drug screen as compared to cervical SCI (39.2 vs 29.8%, p = 0.001). PTPs with thoracic SCI had higher median ISS (25 vs 16, p < 0.001), while cervical SCI had higher mortality (13 vs 6.1%, p < 0.001) but decreased hospital LOS (median 9 vs 5 days, p < 0.001. Cervical SCI were associated with a nearly fourfold increase in the risk of death (95% CI 2.750-5.799, p < 0.001) and a 1.6-fold increase in the risk of prolonged ventilator requirement (95% CI 1.228-2.068, p < 0.001).</p><p><strong>Conclusions: </strong>PTPs with cervical SCI have higher mortality while those with thoracic SCI have higher ISS and hospital LOS. Cervical SCI were associated with a fourfold higher risk of death. MVC was the most common cause of injury, and both groups had high rates of positive drug screens. Understanding differing outcomes may assist providers with prognostication and injury prevention.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"86"},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502996","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":"Prognostic factors of desmoplastic small round cell tumor in children and adolescents: a population-based study.","authors":"Dazhou Wu, Lingling Zhao, Zhenqi Liao, Laiyue Luo, Xianming Yao","doi":"10.1007/s00383-025-05987-y","DOIUrl":"10.1007/s00383-025-05987-y","url":null,"abstract":"<p><strong>Purpose: </strong>Desmoplastic small round cell tumor (DSRCT) in children is extremely rare and aggressive. We aimed to conduct a population-based cohort study to predict overall survival (OS) in pediatric patients with DSRCT.</p><p><strong>Methods: </strong>Using the Surveillance, Epidemiology and End Results (SEER) database, all pediatric patients diagnosed with DSRCT between 2000 and 2018 were located. Kaplan-Meier estimates were used to generate survival curves based on different criteria. The survival curves were compared using the log-rank test. Cox proportional-hazards regression was used to identify the variables related to overall survival (OS).</p><p><strong>Results: </strong>A total of 129 pediatric DSRCT patients were identified. The tumors primarily affected males (70.5%) and distant metastasis was present in 65.9% of all cases. Most of them received surgery (61.3%). Chemotherapy and radiotherapy were utilized in 90% and 41.8% of cases, respectively. Overall 1-year, 3-year, and 5-year survival rates for all patients were 81.9%, 37.9%, and 22.6%, respectively. Patients with distant stage showed a greater risk of mortality (hazard ratio (HR) 4.75, 95% confidence interval (CI) 1.87-12.0; P = 0.001). In addition, patients who received radiotherapy had a lower risk of mortality (hazard ratio (HR) 0.45, 95% confidence interval (CI) 0.25-0.81; P = 0.008).</p><p><strong>Conclusions: </strong>DSRCT is a rare malignancy with a generally poor prognosis. Our findings demonstrated that SEER stage and radiotherapy were significant predictors of OS in pediatric DSRCT. Radiotherapy has the potential to improve the prognosis for pediatric patients.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"84"},"PeriodicalIF":1.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483873","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":"An enhanced recovery after surgery (ERAS) pathway for laparoscopic gastrostomy insertion facilitates 23-h discharge.","authors":"Hetal N Patel, Benjamin Martin, Bhavini Pisavadia, Giampiero Soccorso, Ingo Jester, Max Pachl, Michael Singh, Anthony Lander, G Suren Arul","doi":"10.1007/s00383-025-05984-1","DOIUrl":"10.1007/s00383-025-05984-1","url":null,"abstract":"<p><strong>Background: </strong>Enhanced recovery after surgery (ERAS) pathways has become well established for operations as diverse as hip replacement and coronary artery bypass. We designed an ERAS gastrostomy pathway in children based on best practice to facilitate 23-h discharge.</p><p><strong>Methods: </strong>An ERAS pathway for laparoscopic Seldinger gastrostomy insertion was developed in 2018 with standardisation of all phases from first pre-operative visit to discharge. A series of videos uploaded to YouTube accessed via a QR code were created to educate parents. The post-operative feeding regime, nurse-led training and discharge plan were standardised on a single page so it could be shared and viewed easily on a smart phone.</p><p><strong>Results: </strong>Data were collected prospectively for isolated elective laparoscopic gastrotomy insertion from 2019 to 2022. A total of 155 patients were eligible for the ERAS gastrostomy pathway (median age: 3.9 years; median co-morbidities: 4). Length of post-operative stay was a median 26 h with 60/155 (39%) of patients leaving by 10 am the next morning. Post-operative complications were noted in 20 patients with 6 readmissions none of which were due to early discharge. Multiple non-clinical reasons were identified for delays to discharge.</p><p><strong>Conclusions: </strong>Multiple major co-morbidities were not a contraindication to following the ERAS. In total, 39% of the patients were discharged by 10 am the next morning. Key to success was having a single surgical technique, standardisation of pre- and post-operative pathways and nurse-led discharge. Further improvements should be possible by closer adherence to the guidelines.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"83"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441568","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":"Thymus transplantation for DiGeorge Syndrome: a systematic review.","authors":"H Shafeeq Ahmed, Akhil Fravis Dias, Sneha Reddy Pulkurthi","doi":"10.1007/s00383-025-05976-1","DOIUrl":"10.1007/s00383-025-05976-1","url":null,"abstract":"<p><strong>Background: </strong>DiGeorge syndrome (DGS) is a condition typically associated with athymia, parathyroid hypoplasia or aplasia, and congenital heart defects. Athymia in these patients causes severe immunodeficiency, causing high mortality and morbidity, often requiring thymic tissue transplantation. The present systematic review aims to consolidate the present evidence on thymus transplantation in DGS.</p><p><strong>Methods: </strong>An electronic literature search of five databases (PubMed, Medline, Scopus, EBSCOhost, and CINAHL) was performed from inception till September 2024. Relevant articles were selected, and data was extracted by two independent reviewers.</p><p><strong>Results: </strong>A total of 16 articles were included from an initial set of 1227 articles. Patients diagnosed with DGS in the included studies were predominantly male, and the age at which thymus transplantation was done typically varied from 0.8 to 26 months. Several patients had chromosome 22q11 hemizygosity. Thymic tissue was taken from tissues of pediatric patients undergoing cardiothoracic surgery. Pre-transplant medication included immunosuppressants with rabbit anti-thymocyte globulin (RATGAM) being frequently used alongside steroids and tacrolimus. This tissue was cultured and transplanted into the quadriceps muscle of the patients under general anesthesia. Thymopoiesis was well described in most patients with graft failures and rejections occurring rarely. Naive T-cell development was noted in almost all patients with clearance of infections in many cases. Common postoperative complications include sepsis, haemorrhage, gastrointestinal disturbances, among others. Mortality was uncommon but often associated with intracerebral hemorrhages and sepsis.</p><p><strong>Conclusion: </strong>Thymus transplantation is a relatively safe and effective procedure in patients with DGS with athymia. Future research should explore the addition of allogenic parathyroid gland transplantation along with thymic tissue.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"82"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441571","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":"Enhanced recovery after minimally invasive pneumonectomies in children.","authors":"Shuai Li, Mijing Fang, Rui Yin, Yali Wang, Rong Chen, Chen Wang, Kang Li, Wenjia Shi, Shao-Tao Tang","doi":"10.1007/s00383-025-05977-0","DOIUrl":"10.1007/s00383-025-05977-0","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to explore the feasibility and effect of pulmonary rehabilitation (PR) in the recovery of children who underwent thoracoscopic pulmonary resection.</p><p><strong>Methods: </strong>From January 2015 to December 2021, consecutive patients who underwent thoracoscopic pulmonary resection were divided into group A and group B. All of them were treated with the same perioperative protocols except for group A with perioperative lung rehabilitation management, while group B was not. Demographics, operative data, postoperative complications and clinical outcomes were compared between these two groups.</p><p><strong>Results: </strong>Sixty eight cases enrolled with 33 in group A and 35 in group B. Demographic data was comparable between the two groups, as well as the dose of tramadol and diclofenac sodium. Few patients in group A had temperature higher than 38℃ in the first 3 days after the surgery. The mean time of the first ambulation after the operation was shorter in group A than that in group B. The drainage time and the postoperative hospital stay were similar. No interventions needed for complications.</p><p><strong>Conclusion: </strong>The application of perioperative PR in children who underwent thoracoscopic pulmonary resection is safe and feasible.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"81"},"PeriodicalIF":1.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426019","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":"Application of local volume reduction of the dorsal glans groove in the repair of hypospadias with small glans: A retrospective study.","authors":"Hai Lin, Yu-Yun Wang, Shi-Bing Li, Ze-Ting Chen, Liang-Ju Su","doi":"10.1007/s00383-025-05980-5","DOIUrl":"10.1007/s00383-025-05980-5","url":null,"abstract":"<p><strong>Objective: </strong>To assess the efficacy of local volume reduction of the dorsal glans groove in hypospadias repair with small glans.</p><p><strong>Methods: </strong>This retrospective comparative study included 107 children treated between January 2017 and December 2020. Patients were divided into two groups: Group 1 (2017-2018) underwent onlay island flap urethroplasty alone, while Group 2 (2019-2020) underwent the procedure with additional local volume reduction of the dorsal glans groove. Hypospadias objective scoring evaluation (HOSE) scores and postoperative complications, including glans dehiscence, meatal stenosis, and urethrocutaneous fistula, were compared.</p><p><strong>Results: </strong>The mean follow-up was 40 months (Group 1) and 32 months (Group 2). Urethrocutaneous fistula rates were 4% (Group 1) and 2% (Group 2; P = 1). Glans dehiscence occurred in 16% (Group 1) and 4% (Group 2; P = 0.0451). Meatal stenosis rates were 16% (Group 1) and 2% (Group 2; P = 0.0184). Overall success rates were 65% (Group 1) and 92% (Group 2; P = 0.0008). HOSE scores showed no significant difference (P = 0.219).</p><p><strong>Conclusions: </strong>Local volume reduction of the dorsal glans groove significantly reduces postoperative complications in hypospadias repair with small glans.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"80"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426017","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":"Post pubertal outcome after use of oral mucosa in urethral reconstruction for hypospadias in prepubertal boys: a systematic review.","authors":"George Tsachouridis, Rien Nijman, Laetitia M O de Kort, Petra de Graaf","doi":"10.1007/s00383-025-05982-3","DOIUrl":"10.1007/s00383-025-05982-3","url":null,"abstract":"<p><p>Oral mucosa graft urethroplasty (OMGU) is a surgical technique used in complex hypospadias repair. However, long-term outcomes in prepubertal boys, particularly through and after puberty, are not well established. To systematically review the long-term outcomes of OMGU in prepubertal boys with hypospadias, focusing on changes observed after puberty. A systematic literature search was conducted in PubMed, Embase, and Cochrane Library. Studies reporting long-term outcomes of OMGU in prepubertal boys with hypospadias were included. The quality of evidence was assessed using the ROBINS-I tool. Three studies of moderate quality met the inclusion criteria. Outcomes were mixed, with some patients experiencing favorable results and others facing complications such as meatal stenosis, urethral strictures, and fistulas. The scarcity of high-quality, long-term studies highlights a significant knowledge gap in this area. This systematic review reveals insufficient evidence to establish the long-term efficacy and safety of OMGU in prepubertal boys with hypospadias, particularly concerning pubertal development and post-pubertal outcomes. Future research should prioritize prospective, longitudinal studies with larger sample sizes and standardized outcome measures to address these critical gaps in understanding.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"79"},"PeriodicalIF":1.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409859","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":"Internal jugular vein versus external jugular vein as the insertion site for totally implantable venous access ports in children: a randomized comparative study.","authors":"Chen Zhen, Wei Yandong, Ye Mao, Liu Chao, Zhang Jun","doi":"10.1007/s00383-025-05981-4","DOIUrl":"10.1007/s00383-025-05981-4","url":null,"abstract":"<p><strong>Background and aims: </strong>Various venous approaches are possible during implanting a totally venous access port. In this study, we compare the result of venous access port implantation using external and internal jugular vein cut-down in young children to determine the safest method, associated with less complications and higher quality of life.</p><p><strong>Patients and methods: </strong>January 2018 to January 2022 who received a TIVAP were included in the study and written informed consent was obtained from parents of all children at least 24 h prior to the intervention. One hundred and seven patients who needed TIVAP were randomly allocated into external jugular vein cut-down group (EJVCP) (n = 55) and internal jugular vein cut-down group (IJVCP) (n = 52) in this study.</p><p><strong>Results: </strong>Mean operative time was 32.5 ± 17.1 min in EJVCP group, and 63.6 ± 28.3 min in IJVCP group. The difference of operation time between the two groups was statistically significant (P < 0.05). The overall incidence of late complications found in this study was 14.5% in EJVCP group and 13.4% in IJVCP group, indicating that no statistical difference was observed.</p><p><strong>Conclusions: </strong>Compared with internal jugular vein, external jugular vein access has obvious advantages: the location of external jugular vein is superficial and easy to find, the utilization of external jugular vein is easy to learn and master, and the external jugular vein is of little importance to the human body. Through our study, we found that the external jugular vein access does not increase complications. External jugular vein access can be used as the first choice.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"78"},"PeriodicalIF":1.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399682","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":"Surgical and psychosocial factors related to Pediatric Medical Traumatic Stress (PMTS) in children following surgery: a follow-up study.","authors":"Devprabha Bhagat, Manish Pathak, Tanu Gupta, Kirtikumar Rathod, Avinash Jadhav, Rahul Saxena, Shubhalaxmi Nayak, Naresh Nebhinani, Arvind Sinha","doi":"10.1007/s00383-025-05975-2","DOIUrl":"10.1007/s00383-025-05975-2","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical procedures in children involve significant psychological traumatic stress leading to the development of psychologic distress and dysfunction after surgery. Pediatric medical traumatic stress (PMTS) ensues from negative medical experiences which is a trauma that can have a devastating effect on children and their families. Awareness and early identification are important to provide psychological intervention at the correct time.</p><p><strong>Aims and objectives: </strong>This study aims to determine the prevalence of PMTS along with the associated surgical and psychosocial factors involved in pediatric surgical patients at our institute.</p><p><strong>Methods: </strong>We included patients admitted to the pediatric surgery ward, for elective or emergency surgeries, and a three-point assessment was done. It was done pre-surgery, at 1 month for diagnosis of PMTS, and at 3 months for any spontaneous resolution. Along with we recorded data regarding surgical and psychosocial factors in play for each child.</p><p><strong>Results: </strong>A PMTS prevalence of 16.26% was seen in the age group of 1 to 7 years and 12.64% in 8 to 18 years on evaluation at 1 month after surgery. A significant association was calculated with factors like duration of surgery, duration of hospital stay, staged approach of surgery, malignancy or congenital anomalies, postoperative pain, postoperative complications, multiple admissions, creation of stoma, need for additional interventions on follow-up, parental anxiety, and socioeconomic status. A significant spontaneous resolution at 3 months was also noted.</p><p><strong>Conclusion: </strong>With this study we can establish a significant prevalence of PMTS in pediatric patients undergoing surgery and the significantly associated determinants have been identified. The healthcare team as a whole can work toward reducing the risk of the development of PMTS, both in parents and children.</p><p><strong>Level of evidence: </strong>Level II.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"77"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365564","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":"Current practice and barriers for transition of care (TOC) in pediatric surgery: perspectives of adult surgeons from different subspecialties.","authors":"Woon Teen Sia, Jia Chyi Tay, Tiong Chan Lee, Shireen Anne Nah, Mohan Arunasalam A Nallusamy, Hans Alexander Mahendran","doi":"10.1007/s00383-025-05969-0","DOIUrl":"10.1007/s00383-025-05969-0","url":null,"abstract":"<p><strong>Introduction: </strong>The advancements in neonatal resuscitation and surgical care have enabled children with congenital abnormalities to receive corrective surgeries and achieve lifespans well into adulthood. These patients may require long-term follow-up as they continue to have risks of developing sequelae from their original diseases or surgical interventions.</p><p><strong>Purpose: </strong>This study aimed to investigate the current practice and barriers to the transition of care (TOC) from the perspectives of adult surgeons.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with purposive sampling of adult surgeons from different subspecialties. An online self-administered questionnaire was distributed.</p><p><strong>Results: </strong>There were 60 respondents. 62% of the respondents had experience managing referrals for continuation of care or complications in patients with congenital abnormalities. 38% of the respondents believed that TOC should be implemented when patients reached ages 17-18 years. 93% of the respondents agreed that a proper TOC model would greatly benefit patient care, and 97% asserted the need to develop TOC pathways in Malaysia. The absence of a proper guideline was the greatest barrier to a smooth TOC.</p><p><strong>Conclusion: </strong>This study offered insights into the obstacles to TOC based on the perspectives and experiences of adult surgeons who participated. While not exhaustive, our study provided a better understanding of the challenges in developing the appropriate referral pathways for the continued care of these patients.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"76"},"PeriodicalIF":1.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053053","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}