World Journal of Pediatric Surgery最新文献

{"title":"Development and evaluation of a patient decision aid for pediatric interval appendectomy.","authors":"Victoria Larocca, Irina Oltean, Viviane Grandpierre, Ahmed Nasr","doi":"10.1136/wjps-2022-000466","DOIUrl":"10.1136/wjps-2022-000466","url":null,"abstract":"<p><strong>Objective: </strong>One option for the treatment of perforated appendicitis in pediatric patients is interval appendectomy (IA). A patient decision aid (PDA) can be useful in the decision-making process regarding IA. The purpose of this study was to evaluate parents' decisional conflict before and after engaging with a developed PDA.</p><p><strong>Methods: </strong>Participants included (a) parents who are considering IA surgery for their child, (b) have not yet had their follow-up appointment postdischarge, and (c) were fluent in either the official languages of English or French. This study used a pretest and post-test design to measure participants' decisional conflict and treatment option choice. Perceptions and acceptability of the PDA were also assessed.</p><p><strong>Results: </strong>A total of 18 participants completed the study (16 mothers). Major findings include significant decreases in all Decisional Conflict Scale items from pre-PDA to post-PDA engagement, except for one item. The majority of participants perceived the PDA to be useful, easy to find information regarding risks and provided enough information to help them make a decision regarding their child's treatment.</p><p><strong>Conclusions: </strong>This is the first study to develop and evaluate a PDA among parents who are making a decision regarding IA surgery. The results showed a significant decrease in decisional conflict after using the PDA. The results also showed that the PDA was generally accepted among parents and had positive perceptions regarding length, content, and balance. The use of PDA for this population can help ease feelings of decisional conflict and equip parents with the information to make informed decisions.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 4","pages":"e000466"},"PeriodicalIF":0.8,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/0a/wjps-2022-000466.PMC9716827.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10737949","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":"Pediatric intestinal obstruction: analysis of etiologies and factors influencing short-term outcomes in Rwanda.","authors":"Isaie Twahirwa,&nbsp;Cyriaque Ndayiragije,&nbsp;Martin Nyundo,&nbsp;Jennifer Rickard,&nbsp;Edmond Ntaganda","doi":"10.1136/wjps-2022-000424","DOIUrl":"10.1136/wjps-2022-000424","url":null,"abstract":"<p><strong>Background: </strong>Intestinal obstruction is a common presentation in pediatric surgical emergencies and presents with different etiologies depending on country or region. Its morbidity and mortality are high in low-income and middle-income countries, with variable influencing factors. The aims of this study were to determine the etiologies, morbidity and mortality of pediatric intestinal obstruction and to assess the factors associated with the outcomes of these conditions in Rwanda.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted on pediatric patients with intestinal obstruction in two Rwandan university teaching hospitals. The patients were followed from admission until discharge, and we documented their basic characteristics, diagnosis, operative details and postoperative outcomes. Data were collected using data collection form and were electronically captured and analysed using SPSS software.</p><p><strong>Results: </strong>A total of 65 patients were enrolled in this study. They were predominantly male (n=49, 75.4%), and the majority of patients (86.2%) were below age 6 years. Intussusception was the most common etiology (n=22, 33.8%). Other common etiologies were Hirschsprung's disease (n=13, 20%), incarcerated inguinal and umbilical hernias (n=6, 9.2%), intestinal worms' impaction (n=5, 7.7%) and adhesions (n=5, 7.7%). Mortality and morbidity were 9.2% and 39.7%, respectively. The most common complications were surgical site infection (n=6, 9.5%) and sepsis (n=6, 9.5%). Preoperative anemia (p=0.001), finding of gangrenous bowels (p=0.003) and bowel resection at the time of laparotomy (p=0.039) were factors associated with postoperative complications.</p><p><strong>Conclusions: </strong>The etiologies of intestinal obstruction are variable and common in children below 6 years in Rwanda. The associated morbidly is high and is influenced by the preoperative anemia, finding of gangrenous bowels and bowel resection.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 4","pages":"e000424"},"PeriodicalIF":0.8,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/85/wjps-2022-000424.PMC9716890.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10719402","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":"Trends in the treatment of undescended testes: a pediatric tertiary care center experience from Croatia.","authors":"Marko Bašković, Luca Zaninović, Ivona Sansović, Ana Maria Meašić, Ana Katušić Bojanac, Davor Ježek","doi":"10.1136/wjps-2022-000461","DOIUrl":"10.1136/wjps-2022-000461","url":null,"abstract":"<p><strong>Objective: </strong>Undescended testes (UDT) is the most common anomaly of the male genitourinary tract. The guidelines suggest that orchidopexy in congenitally UDT should be performed between 6 months and 18 months of age, while in acquired UDT, orchidopexy should be performed before puberty. Delay in treatment increases the risk of cancer and infertility. The main aim of this study was to determine whether we meet international standards in the treatment of UDT.</p><p><strong>Methods: </strong>The present study included all boys who underwent orchidopexy either due to congenital or acquired UDT in 2019 (from January 1 to December 31). For each group, laterality, location, associated anomalies, premature birth and in how many cases ultrasound was applied were determined. Additionally, for each group, the types of surgery, the number of necessary reoperations, and in how many cases atrophy occurred were determined. Finally, ages of referral, of clinical examination, and of orchidopexy were determined.</p><p><strong>Results: </strong>During this period, 198 patients with 263 UDT underwent orchidopexy. The median time of orchidopexy for the congenital group was 30 months, while that for the acquired group was 99 months. In the congenital group up to 18 months of age, orchidopexy was performed in 16 (16%) boys, while in the acquired group up to 13 years of age, orchidopexy was performed in 95 (96.94%) boys.</p><p><strong>Conclusion: </strong>Given the well-known risks of late treatment of UDT, orchidopexy needs to be performed much earlier, especially in the congenital group.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 4","pages":"e000461"},"PeriodicalIF":0.8,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/0d/wjps-2022-000461.PMC9716856.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10430550","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":"Application and prospects of robotic surgery in children: a scoping review.","authors":"Lei Ting Shen, Jinfa Tou","doi":"10.1136/wjps-2022-000482","DOIUrl":"10.1136/wjps-2022-000482","url":null,"abstract":"<p><p>As an innovative minimally invasive surgical technology, robot-assisted surgery (RAS) has greatly improved the accuracy and safety of surgery through the advantages of three-dimensional magnification, tremor filtering, precision and flexibility, and has been carried out by an increasing number of surgeries. In recent years, robots have been gradually applied to children, bringing new ideas and challenges to pediatric surgeons. This review will describe the advantages and limitations of robotic surgery in children, summarize its application in pediatric surgery, and provide an outlook. It is believed that clinicians should actively carry out RAS under the premise of rigorously ensuring surgical indications and strive to improve the efficacy of surgical treatment for children.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 4","pages":"e000482"},"PeriodicalIF":0.8,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/df/wjps-2022-000482.PMC9717356.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10430548","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":"Publishing trends in World Journal of Pediatric Surgery.","authors":"Qi Qi, Robert Dorazio, Lili Yang, Yicheng Xie, Qiang Shu","doi":"10.1136/wjps-2022-000489","DOIUrl":"10.1136/wjps-2022-000489","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 4","pages":"e000489"},"PeriodicalIF":0.8,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/32/wjps-2022-000489.PMC9648599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10719401","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":"Postoperative complications of colectomy and J-pouch with ileostomy versus without ileostomy in children with inflammatory bowel diseases: a systematic review and meta-analysis.","authors":"Irina Oltean, Nicole Travis, Manvinder Kaur, Viviane Grandpierre, Lamia Hayawi, Anne Tsampalieros, Ahmed Nasr","doi":"10.1136/wjps-2021-000354","DOIUrl":"10.1136/wjps-2021-000354","url":null,"abstract":"<p><strong>Background: </strong>The efficacy of performing a restorative proctocolectomy and J-pouch ileoanal anastomosis without diverting ileostomy in children with inflammatory bowel disease has been a longstanding debate. A systematic review and meta-analysis is presented comparing the occurrence of postoperative complications in children who underwent either the pouch-anal anastomosis (IPAA) with ileostomy (diverted) versus the undiverted procedure.</p><p><strong>Methods: </strong>Records were sourced from CINAHL, CENTRAL, EMBASE and MEDLINE databases. Studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and compared postoperative complications in pediatric patients diagnosed with inflammatory diseases aged less than 18 years who underwent J-pouch with ileostomy versus without ileostomy. The primary outcome was the occurrence of postoperative leaks, and the secondary outcomes were presence of postoperative small bowel obstruction (SBO), pouchitis, stricture and fistula complications. A random-effects meta-analysis was used.</p><p><strong>Results: </strong>Twenty-three observational studies in the systematic review were included with 658 patients (83% diverted, 17% undiverted). Pooled estimates showed no difference in occurrence of leaks in children who underwent J-pouch/IPAA with ileostomy versus without (odds ratio (OR) 0.54, 95% confidence interval (CI) 0.17 to 1.64, I²=16%). There was no difference in the occurrence of SBO, pouchitis or strictures in children who underwent J-pouch/IPAA with ileostomy versus without (SBO: OR 2.27, 95% CI 0.52 to 9.92, I²=0%, pouchitis: OR 1.76, 95% CI 0.95 to 3.24, I²=0%, strictures: OR 2.72, 95% CI 0.44 to 16.69, I²=66%).</p><p><strong>Conclusion: </strong>The meta-analysis did not find differences in the occurrence of complications in pediatric patients who underwent the IPAA with ileostomy procedure versus without ileostomy.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 2","pages":"e000354"},"PeriodicalIF":0.8,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/0e/wjps-2021-000354.PMC9648571.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10360669","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":"Prenatal administration of heparin-binding epidermal growth factor-like growth factor in an experimental model of necrotizing enterocolitis decreased both incidence and severity of the disease.","authors":"Marla Ashley Sacks, Yomara Stephanie Mendez, Faraz A Khan, Robert Propst, Craig W Zuppan, Christopher G Wilson, Andrei Radulescu","doi":"10.1136/wjps-2021-000345","DOIUrl":"10.1136/wjps-2021-000345","url":null,"abstract":"<p><strong>Background: </strong>Necrotizing enterocolitis (NEC) is the leading gastrointestinal cause of death in premature infants and causes long-term disabilities. Previously, enteral heparin-binding epidermal growth factor-like growth factor (HB-EGF) administered after birth demonstrated decreased incidence and severity of NEC in a neonatal animal model of NEC. We investigated the potential prophylactic strategy of preventing NEC using prenatally administered HB-EGF.</p><p><strong>Methods: </strong>An HB-EGF (800 µg/kg/dose) dose was injected into pregnant rats via tail vein or intraperitoneal route 2 hours prior to delivery. After cesarean section (C-section) at 21 days' gestation, the rat pups were subjected to the NEC protocol by inducing stressors: hypoxia, hypothermia, hypertonic feeds, and orogastric gavage of lipopolysaccharide (2 mg/kg). Postnatally, pups were monitored for 96 hours and assessed for the development of clinical and postmortem histological NEC.</p><p><strong>Results: </strong>The experimental NEC incidence in untreated, stressed rat pups was 66%. Compared with untreated pups, the maternal administration of HB-EGF correlated with a significant NEC incidence and severity decrease in rat pups. The strongest decrease was seen when HB-EGF was administered via the intraperitoneal route 2 hours prior to C-section (66% vs 31%, *p<0.05). Prenatal HB-EGF administration significantly increased pups' survival after NEC protocol exposure, with the greatest benefit observed in the group that received HB-EGF intraperitoneally 2 hours before delivery.</p><p><strong>Conclusions: </strong>Prenatal administration of HB-EGF decreases the incidence and severity of NEC, preserves gut barrier function and increases survival. This may represent a novel prophylactic clinical strategy for NEC offered to mothers at risk of delivering a premature infant.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 1","pages":"e000345"},"PeriodicalIF":0.8,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/c6/wjps-2021-000345.PMC9716957.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10360678","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":"Endoscopic third ventriculostomy: a feasible treatment option for pediatric hydrocephalus in a high-risk cohort - a single-center report.","authors":"Stefanie Deininger,&nbsp;Julia Küppers,&nbsp;Dirk Lehnick,&nbsp;Peter Esslinger,&nbsp;Hermann Winiker,&nbsp;Markus Lehner","doi":"10.1136/wjps-2021-000374","DOIUrl":"https://doi.org/10.1136/wjps-2021-000374","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 3","pages":"e000374"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/53/wjps-2021-000374.PMC9717421.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10370049","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":"Laparoscopic extraperitoneal technique versus open inguinal herniotomy in children: historical controlled intervention study.","authors":"Arada Suttiwongsing,&nbsp;Jiraporn Khorana,&nbsp;Patchara Ruangwongroj,&nbsp;Korakot Niruttiwat","doi":"10.1136/wjps-2022-000436","DOIUrl":"https://doi.org/10.1136/wjps-2022-000436","url":null,"abstract":"<p><strong>Objective: </strong>To compare surgical outcomes of percutaneous extraperitoneal simple purse string method of laparoscopic hernia (LH) repair with a traditional open inguinal hernia (OH) repair in children with indirect inguinal hernia in a single center.</p><p><strong>Methods: </strong>This study is a historical-controlled intervention study of two groups of patients: patients in the controlled group had OH repair performed from January 2016 to December 2017, and patients in the study group had LH repair from January 2018 to December 2019 at a single institution. Outcomes of the OH and LH groups, in terms of operative time, recurrence, complications, incidence of metachronous contralateral inguinal hernia (MCIH) and contralateral patent processus vaginalis (CPPV) were analyzed.</p><p><strong>Results: </strong>Three hundred and five patients were enrolled in the study. Among them, 95 cases underwent laparoscopic percutaneous extraperitoneal closure herniotomy (LH group), and 210 cases underwent conventional open herniotomy (OH group). In terms of operative time, only unilateral herniotomy in females of the OH group was significantly less than that of the LH group (15.7±7.1 vs 20.5±7.4 min, p=0.004). No significant difference in overall complication was observed between the two groups of patients. The incidence of CPPV in the LH group was 15.7% (15/95), and MCIH in OH group was 10.9% (23/210).</p><p><strong>Conclusions: </strong>Laparoscopic herniotomy may prevent the need for a second operation of metachronous contralateral hernia. Both open and laparoscopic techniques are equivalent in pro and cons.</p>","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 4","pages":"e000436"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/45/wjps-2022-000436.PMC9716936.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10430547","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":"Surgeon feedback to decrease opioid prescriptions after pediatric appendectomy.","authors":"Kristen N Ohe,&nbsp;Edward Hagen,&nbsp;Amber May,&nbsp;Mansen Wang,&nbsp;Rob Weinsheimer","doi":"10.1136/wjps-2022-000437","DOIUrl":"https://doi.org/10.1136/wjps-2022-000437","url":null,"abstract":"","PeriodicalId":23823,"journal":{"name":"World Journal of Pediatric Surgery","volume":"5 4","pages":"e000437"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/9c/wjps-2022-000437.PMC9648589.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10719405","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}