World Journal of Pediatric Surgery最新文献

{"title":"An unusual cause of cyanosis after intra-extra cardiac Fontan procedure: anastomotic leakage between conduit and inferior vena cava.","authors":"Jiajun Xu, Weize Xu, Jin Yu, Shanshan Shi, Qiang Shu, Zhuo Shi","doi":"10.1136/wjps-2023-000636","DOIUrl":"10.1136/wjps-2023-000636","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000636"},"PeriodicalIF":0.8,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of intravenous administration of nalbuphine at different time points for postoperative analgesia and sedation in adenotonsillectomized children: a prospective, randomized controlled trial","authors":"Hongmin Cao, Chunying Bao, Haiya Tu, Jing Gao, Jinjin Huang, Qixing Chen","doi":"10.1136/wjps-2023-000662","DOIUrl":"https://doi.org/10.1136/wjps-2023-000662","url":null,"abstract":"Objective To compare the efficacy of intravenous administration of nalbuphine at different time points for postoperative analgesia and sedation in adenotonsillectomized children. Methods Patients with obstructive sleep apnea syndrome scheduled for adenotonsillectomy were randomly divided into group A (patients received intravenous nalbuphine 0.2 mg/kg before anesthesia induction), group B (patients received intravenous nalbuphine 0.2 mg/kg 10 min before the end of surgery), and group C (patients did not receive nalbuphine injection). The time points for measuring outcomes were before anesthesia induction (T0), extubation (T1), and 0, 15, 30, or 45 min in the postanesthesia care unit (PACU) (T2–T5, respectively). Results There were 40 patients in group A, 41 patients in group B and 39 patients in group C. Patients in group B had significantly lower FLACC (Face, Legs, Activity, Cry, Consolability) pain scores at T2–T5 than those in group C (all p<0.05). Patients in group B had higher Ramsay Sedation Score at T2–T4 than those in group C (all p<0.05). The proportion of patients who received remedial analgesia in the PACU in group A (17.5%, p=0.008) and group B (9.8%, p<0.001) was significantly lower than that in group C (46.2%). Conclusion Intravenous administration of nalbuphine 10 min before the end of adenotonsillectomy in children could decrease pain intensity and increase sedation levels during the recovery period with the reduction of remedial analgesia in the PACU. Trial registration number ChiCTR2200060118.","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"4 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135565204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significance of the auditory meatus inferior wall cartilage in the surgical treatment of congenital first branchial cleft anomalies in children","authors":"Bo Yu, Ruiyang Zhu, Yong Fu, Bin Xu, Lulu Yu, Jing Bi","doi":"10.1136/wjps-2023-000645","DOIUrl":"https://doi.org/10.1136/wjps-2023-000645","url":null,"abstract":"Objective To investigate the clinical significance of the inferior wall cartilage of the auditory meatus in surgical treatment of congenital first branchial cleft anomalies (CFBCAs) in children. Methods Twenty children diagnosed with CFBCAs who underwent surgery between December 2018 and June 2022 at our hospital were retrospectively analyzed and classified according to their Work lesion type. The guiding significance of the inferior wall cartilage in the surgical treatment of CFBCAs was summarized by investigating the adjacent relationships of the surgical lesions with the external auditory canal and facial nerve. Results Of the 20 patients, 16 were classified as Work type I and 4 as Work type II. The lesions were adjacent to the inferior wall cartilage of the auditory meatus in all children. Work type I lesions were located in the upper lateral aspect and were not adjacent to the facial nerve. Work type II lesions were located in the inferior-medial region of the facial nerve. The lesions were completely resected in all children. One patient experienced recurrence 3 months postoperatively because of a residual endochondral fistula. No patients developed facial paralysis or other complications. Conclusions The inferior wall cartilage of the auditory meatus may help to the identify the initial lesion of the CFBCAs and can be regarded as a guiding anatomical structure. These lesions can be completely resected. For resection of Work type II first branchial cleft lesions, the surgical incision can be narrower, and can be precisely positioned with the assistance of endoscope.","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"17 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135565738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are multidisciplinary consultation meetings for prenatal diagnosis achievable in a low-income country? A descriptive cross-sectional survey in Benin.","authors":"Monsoia Gildas Yassegoungbe,&nbsp;Beaudelaire Romulus Assan,&nbsp;Amoussou Sedjro Clotaire Romeo Houegban,&nbsp;Codjo Serge Metchihoungbe,&nbsp;Jean-Francois Lecompte,&nbsp;Christine Tschabu Aguemon,&nbsp;Sidoine Bitho Gbetey,&nbsp;Jean Breaud,&nbsp;Antoine Seraphin Gbenou","doi":"10.1136/wjps-2023-000576","DOIUrl":"https://doi.org/10.1136/wjps-2023-000576","url":null,"abstract":"<p><strong>Objective: </strong>The multidisciplinary antenatal diagnosis staff bring together practitioners who are involved in the management of the antenatal period at birth. This project was designed following the French experience to institute multidisciplinary consultation meetings for prenatal diagnosis (MCMPD) in Benin.</p><p><strong>Methods: </strong>This is a descriptive cross-sectional study examining the knowledge, attitudes, and practices of Beninese practitioners in the field of MCMPD to develop the pilot phase of the project.</p><p><strong>Results: </strong>We collected 108 participants from different specialties. Pediatricians and pediatric surgeons were in the majority at 23.9% and 16.5%, respectively. Sixty-seven percent of participants were from the public sector (n=75). One practitioner felt that it was not a good idea to implement these meetings. Almost all staff (96.2%) agreed that this meeting would have a positive impact on reducing neonatal mortality. Omphalocele (58.5%), spina bifida aperta (43.6%), and gastroschisis (34%) were the most commonly diagnosed antenatal conditions in Benin. No neonatal pathology required medical termination of the pregnancy according to 35.6% of the participants.</p><p><strong>Conclusions: </strong>The objective of reducing infant mortality due to medical and surgical pathologies is a noble one and deserves to be supported. This innovative project, developed through this study, the first of its kind in the subregion, will contribute inexorably to the achievement of the third Goal Sustainable Development.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000576"},"PeriodicalIF":0.8,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10603329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of adhesive strapping on umbilical hernia in children: a systematic review and meta-analysis of cohort studies.","authors":"Takuya Sugimoto,&nbsp;Kazunori Tahara,&nbsp;Koshi Uchida,&nbsp;Kazuhiko Yoshimoto","doi":"10.1136/wjps-2023-000633","DOIUrl":"https://doi.org/10.1136/wjps-2023-000633","url":null,"abstract":"<p><strong>Background: </strong>Although adhesive strapping (AS) for pediatric umbilical hernia (UH), which was once obsolete, has been reconsidered as a common practice in Japan, its efficacy is still unclear. This study aimed to evaluate its efficacy by reviewing related articles.</p><p><strong>Methods: </strong>A comprehensive literature search of PubMed, Cochrane, Google Scholar, and Igaku Chuo Zasshi via Ichushi-Web was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Cohort studies reporting on the UH closure rate after AS compared with observation-only management were included.</p><p><strong>Results: </strong>A total of 10 cohort studies were included, and the overall UH closure rate was not statistically significant (p=0.31, risk ratio (RR)=0.76, 95% confidence interval (CI) 0.45 to 1.28). However, there were significant differences in the UH closure rate at the age of 6 months (p<0.01, RR=0.55, 95% CI 0.41 to 0.75) and the efficacy of preventing protruding umbilici with redundant skin (p=0.049, RR=0.16, 95% CI 0.03 to 0.99).</p><p><strong>Conclusions: </strong>Although the efficacy of AS on UH compared with observation-only management did not differ in terms of the UH closure rate, the application of AS may be effective for faster UH closure and the prevention of protruding umbilici. However, due to the high heterogeneity of the study, further large-scale studies, particularly randomized controlled trials, are warranted to reach a conclusion.</p><p><strong>Prospero registration number: </strong>CRD42022314417.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000633"},"PeriodicalIF":0.8,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/84/wjps-2023-000633.PMC10582974.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of surgical complications in boys with hypospadias: data from an internationa registry.","authors":"Kathryn Scougall,&nbsp;Jillian Bryce,&nbsp;Federico Baronio,&nbsp;Rachel L Boal,&nbsp;Jose Roberto Castera,&nbsp;Sebastián Castro,&nbsp;Tim Cheetham,&nbsp;Eduardo Corrêa Costa,&nbsp;Feyza Darendeliler,&nbsp;Justin H Davies,&nbsp;Mirjam Dirlewanger,&nbsp;Gabriella Gazdagh,&nbsp;Evgenia Globa,&nbsp;Gil Guerra-Junior,&nbsp;Tulay Guran,&nbsp;Gloria Herrmann,&nbsp;Paul-Martin Holterhus,&nbsp;Ahsen Karagözlü Akgül,&nbsp;Renata Markosyan,&nbsp;Kenneth McElreavey,&nbsp;Marcio Lopes Miranda,&nbsp;Anna Nordenstrom,&nbsp;Stuart O'Toole,&nbsp;Sukran Poyrazoglu,&nbsp;Gianni Russo,&nbsp;Valerie Schwitzgebel,&nbsp;Marianna Stancampiano,&nbsp;Michael Steigert,&nbsp;S Faisal Ahmed,&nbsp;Angela K Lucas-Herald","doi":"10.1136/wjps-2023-000599","DOIUrl":"https://doi.org/10.1136/wjps-2023-000599","url":null,"abstract":"<p><strong>Background: </strong>Complications are frequently reported after hypospadias repair and there is a need to understand the factors that influence their occurrence.</p><p><strong>Methods: </strong>Data from boys with hypospadias born between 2000 and 2020 were obtained from the International Disorders of Sex Development (I-DSD) Registry. Logistic regressions, fisher's exact tests and spearman's correlation tests were performed on the data to assess associations between clinical factors and complication rates.</p><p><strong>Results: </strong>Of the 551 eligible boys, data were available on 160 (29%). Within the cohort, the median (range) External Masculinization Score (EMS) was 6 (2, 9). All presented with one or more additional genital malformation and 61 (38%) presented with additional extragenital malformations. Disorders of androgen action, androgen synthesis and gonadal development were diagnosed in 28 (18%), 22 (14%) and 9 (6%) boys, respectively. The remaining 101 (62%) patients were diagnosed as having non-specific 46,XY Disorders of Sex Development. Eighty (50%) boys had evidence of abnormal biochemistry, and gene variants were identified in 42 (26%). Median age at first hypospadias surgery was 2 years (0, 9), and median length of follow-up was 5 years (0, 17). Postsurgical complications were noted in 102 (64%) boys. There were no significant associations with postsurgical complications.</p><p><strong>Conclusions: </strong>Boys with proximal hypospadias in the I-DSD Registry have high rates of additional comorbidities and a high risk of postoperative complications. No clinical factors were significantly associated with complication rates. High complication rates with no observable cause suggest the involvement of other factors which need investigation.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000599"},"PeriodicalIF":0.8,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/90/wjps-2023-000599.PMC10582860.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous non-invasive hemoglobin monitoring in pediatric trauma setting.","authors":"Antonio Romanelli,&nbsp;Rosanna Carmela De Rosa","doi":"10.1136/wjps-2023-000614","DOIUrl":"10.1136/wjps-2023-000614","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 4","pages":"e000614"},"PeriodicalIF":0.8,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/2a/wjps-2023-000614.PMC10476105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10225332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of psychosocial interventions for pediatric patients with scoliosis: a systematic review.","authors":"Maike van Niekerk,&nbsp;Ann Richey,&nbsp;John Vorhies,&nbsp;Connie Wong,&nbsp;Kali Tileston","doi":"10.1136/wjps-2022-000513","DOIUrl":"10.1136/wjps-2022-000513","url":null,"abstract":"<p><strong>Background: </strong>Pediatric patients affected by scoliosis have complex psychological and social care needs, and may benefit from psychosocial interventions. We therefore aimed to summarize evidence of the efficacy of psychosocial interventions for this patient population.</p><p><strong>Methods: </strong>Literature was identified by searching Medline, PsycINFO, Embase, EBSCO Cumulated Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Central Register of Controlled Trials (CENTRAL) from database inception to 20 March 2022. Articles that evaluated the effectiveness of psychosocial interventions for pediatric patients diagnosed with scoliosis and reported at least one quantitative outcome were included. Article eligibility, data extraction, and quality assessment (using the Cochrane Collaboration's Risk of Bias Tool and Methodological Index for Non-Randomized Studies) were performed by two independent researchers. Findings are presented using narrative synthesis.</p><p><strong>Results: </strong>We identified ten studies, all of which focused on adolescent idiopathic scoliosis. Studies included a total of 1007 participants, most of whom were female. Three studies focused on patients undergoing bracing, six on patients undergoing spinal surgery, and one on patients broadly. Brace compliance monitoring and counseling were found to significantly improve brace compliance quality and quantity. Proactive mental healthcare delivery by nurses after spinal surgery was similarly found to improve outcomes. Several studies examined the efficacy of brief educational interventions; most did not report clear evidence of their efficacy. The methodological quality of studies was often unclear due to limitations in articles' reporting quality.</p><p><strong>Conclusions: </strong>Research on the efficacy of psychosocial interventions for pediatric patients with scoliosis is limited, with interventions involving frequent patient-provider interactions showing the most promise. Future clinical and research efforts should focus on developing and testing psychosocial interventions for this patient population, with emphasis on multidisciplinary teams delivering holistic care.</p><p><strong>Trial registration number: </strong>PROSPERO number CRD42022326957.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 2","pages":"e000513"},"PeriodicalIF":0.8,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/c0/wjps-2022-000513.PMC10008171.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9490949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tribute to reviewers (January 1, 2022 to December 31, 2022)","authors":"","doi":"10.1136/wjps-2023-reviewers","DOIUrl":"https://doi.org/10.1136/wjps-2023-reviewers","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135074647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of two-stage double-level rotational osteotomy in treating patients with congenital proximal radioulnar synostosis.","authors":"Hu Bo,&nbsp;Jingfang Xu,&nbsp;Jianlan Lin,&nbsp;Weiwei Zhu,&nbsp;Zhefeng Zhen,&nbsp;Wensong Ye,&nbsp;Wenhao Chen","doi":"10.1136/wjps-2023-000578","DOIUrl":"https://doi.org/10.1136/wjps-2023-000578","url":null,"abstract":"Department of Orthopedics, Sir Run Run Hospital Nanjing Medical University, Nanjing, Jiangsu, China Department of Orthopedics, Children's Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China Department of Orthopedics, Fujian Children’s Hospital, Fuzhou, Fujian Province, China Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian, China","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"6 2","pages":"e000578"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/fd/wjps-2023-000578.PMC10040036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}