European Journal of Pediatric Surgery Reports最新文献_第5页

Combined Pre- and Postnatal Minimally Invasive Approach to a Complex Symptomatic Congenital Pulmonary Airway Malformation. 产前产后联合微创治疗复杂症状性先天性肺气道畸形。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/a-2107-0409

Francesco Macchini, Stefano Mazzoleni, Giacomo Cavallaro, Nicola Persico, Irene Borzani, Ernesto Leva

{"title":"Combined Pre- and Postnatal Minimally Invasive Approach to a Complex Symptomatic Congenital Pulmonary Airway Malformation.","authors":"Francesco Macchini, Stefano Mazzoleni, Giacomo Cavallaro, Nicola Persico, Irene Borzani, Ernesto Leva","doi":"10.1055/a-2107-0409","DOIUrl":"https://doi.org/10.1055/a-2107-0409","url":null,"abstract":"Congenital pulmonary airway malformation (CPAM) is a rare congenital lung lesion that usually remains asymptomatic during the fetal and neonatal period. However, it can occasionally cause prenatal cardiocirculatory failure and fetal hydrops, requiring a thoraco-amniotic shunt (TAS) placement. In other cases, it can also cause symptoms at birth (such as respiratory distress) and may require urgent surgical intervention. Thoracoscopic lobectomy for neonates is rarely reported. Here, we report a case of right macrocystic CPAM causing fetal hydrops at 27 weeks of gestation. The fetus was treated with a TAS placement that successfully resolved the hydrops. At 39 weeks of gestation, a male neonate was born (weight 2,850 g). The TAS spontaneously displaced during delivery, causing an open pneumothorax (PNX), initially treated with a drainage. His condition gradually worsened, requiring ventilatory support. Computed tomography (CT) scan showed different giant cysts in the context of the right lower lobe, left mediastinal shift, and compression of the rest of the lung. An urgent surgical management was required. A thoracoscopic right lower lobectomy was performed at 10 days of life (weight 2,840 g). The postoperative course was uneventful; the child remained totally asymptomatic and showed a good recovery. To the best of our knowledge, this is the first reported case of open iatrogenic PNX following TAS positioning and the second of neonatal thoracoscopic lobectomy in a newborn weighting less than 3 kg. The purpose of this report is to indicate that minimally invasive surgery is feasible, safe, and effective for the resection of CPAM, even in small newborns.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"11 1","pages":"e36-e39"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10263729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hyperspectral Imaging-A Novel Tool to Assess Tissue Perfusion and Oxygenation in Esophageal Anastomoses. 高光谱成像-一种评估食管吻合口组织灌注和氧合的新工具。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/s-0043-1769106

Duarte Vaz Pimentel, Larissa Merten, Jan-Hendrik Gosemann, Ines Gockel, Boris Jansen-Winkeln, Steffi Mayer, Martin Lacher

引用次数: 0

Cloacal Malformation with Associated Urethral Atresia. 阴腔畸形伴尿道闭锁。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/s-0043-1761206

Tamador Al-Shamaileh, Laura Tiusaba, Shimon Eric Jacobs, Teresa Lynn Russell, Elizaveta Bokova, Hans G Pohl, Briony K Varda, Christina Ho, Christina Feng, Andrea Badillo, Marc A Levitt

{"title":"Cloacal Malformation with Associated Urethral Atresia.","authors":"Tamador Al-Shamaileh, Laura Tiusaba, Shimon Eric Jacobs, Teresa Lynn Russell, Elizaveta Bokova, Hans G Pohl, Briony K Varda, Christina Ho, Christina Feng, Andrea Badillo, Marc A Levitt","doi":"10.1055/s-0043-1761206","DOIUrl":"https://doi.org/10.1055/s-0043-1761206","url":null,"abstract":"Introduction Cloacal malformations comprise a heterogeneous group of anomalies that are considered the most complex anorectal malformations (ARMs) in females. Precise evaluation to identify the unique anatomy prior to reconstruction with collaboration between colorectal surgeons, urologists, and gynecologists is vital. Here, we present a rare anatomical variation in a patient with a cloacal malformation which affected operative and postoperative management. Case description A 6-year-old female with cloaca who underwent colostomy, vaginostomy, and vesicostomy as a newborn presented for reconstruction. Her VACTERL workup was negative except for an atretic right kidney. Her ARM index included the cloaca, a normal spine, and sacrum with a lateral sacral ratio of 0.7, predicting good potential for bowel continence. Cystoscopy through the vesicostomy showed a small bladder with normal ureteral orifices, and a closed bladder neck, with no identifiable urethra. A cloacagram showed an atretic common channel, a single small vagina, and a rectum below the pubococcygeal line. The patient underwent a posterior sagittal anorectovaginourethroplasty, vaginal patch using rectum, rectoplasty, and perineal body reconstruction. The urethra was not amenable to reconstruction, so the vesicostomy was preserved and a future Mitrofanoff was planned. Conclusion Urethral atresia is a rare and challenging finding in cloaca patients, and a vesicostomy is needed to drain urine in the newborn period. Preoperative examination under anesthesia, cystoscopy, vaginoscopy, and cloacagram are crucial to identify the precise anatomy and to plan accordingly.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"11 1","pages":"e1-e4"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9904968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10678814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful on-ECLS Repair of CDH and Omphalocele in a Newborn. 新生儿CDH和脐膨出的ecls成功修复。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/s-0043-1767734

Frank Fideler, Migdad Mustafi, Hans-Joachim Kirschner, Ines Gerbig, Jörg Fuchs, Michael Hofbeck, Matthias Kumpf, Oliver Kagan, Jörg Michel, Walter Jost, Felix Neunhoeffer

{"title":"Successful on-ECLS Repair of CDH and Omphalocele in a Newborn.","authors":"Frank Fideler, Migdad Mustafi, Hans-Joachim Kirschner, Ines Gerbig, Jörg Fuchs, Michael Hofbeck, Matthias Kumpf, Oliver Kagan, Jörg Michel, Walter Jost, Felix Neunhoeffer","doi":"10.1055/s-0043-1767734","DOIUrl":"https://doi.org/10.1055/s-0043-1767734","url":null,"abstract":"Both congenital diaphragmatic hernias (CDHs) and omphaloceles show relevant overall mortality rates as individual findings. The combination of the two has been described only sparsely in the literature and almost always with a fatal course. Here, we describe a term neonate with a rare high-risk constellation of left-sided CDH and a large omphalocele who was successfully treated on extracorporeal life support (ECLS). Prenatally, the patient was diagnosed with a large omphalocele and a left CDH with a lung volume of ∼27% and an observed to expected lung-to-head ratio of 30%. Due to respiratory insufficiency, an ECLS device was implanted. As weaning from ECLS was not foreseeable, the female infant underwent successful surgery on ECLS on the ninth day of life. Perioperative high-frequency oscillatory ventilation and circulatory and coagulation management under point-of-care monitoring were the main anesthesiological challenges. Over the following 3 days, ECLS weaning was successful, and the patient was extubated after another 43 days. Surgical treatment on ECLS can expand the spectrum of therapy in high-risk constellations if potential risks are minimized and there is close interdisciplinary cooperation.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"11 1","pages":"e15-e19"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9304519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dirofilaria repens in a Pediatric Patient-First Case Report from Switzerland. Dirofilaria再次出现在一份来自瑞士的儿科患者优先病例报告中。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/s-0043-1768706

Rebekka Rose, Kai-Uwe Kleitsch, Diana Born, Pascal Heye

引用次数: 0

A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma. 更深的诅咒:一名巨结肠患者的评估揭示了先天性中枢性低通气综合征和神经母细胞瘤的罕见关联。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-11-29 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1758826

Shimon Eric Jacobs, Laura Tiusaba, Elizaveta Bokova, Tamador Al-Shamaileh, Teresa Lynn Russell, Emily C Rutan, Harutyun Haroyan, Yong Wang, Christina Feng, Andrea Badillo, Marc A Levitt

引用次数: 0

Successful Treatment of a Single Giant Renal Cyst in a Newborn with Drainage and Sclerotherapy. 引流和硬化疗法成功治疗新生儿单个巨大肾囊肿。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-11-11 eCollection Date: 2022-01-01 DOI: 10.1055/a-1939-4031

Adriana Koenig, Anika Ménétrey, Tobias Jhala, Vincent Uerlings, Philipp O Szavay

引用次数: 0

A Case of Prepubertal Ovarian Tissue Cryopreservation in Metachronous Bilateral Mature Ovarian Teratoma Requiring Bilateral Oophorectomy. 异时性双侧成熟卵巢畸胎瘤需双侧卵巢切除术一例青春期前卵巢组织冷冻保存。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-11-11 eCollection Date: 2022-01-01 DOI: 10.1055/a-1926-2053

Tom Malik, Robert Wheeler, Nigel J Hall, Juliet Gray

引用次数: 0

Where Is the Vagina? A Rectal Stricture after a Presumed Cloacal Repair Turns Out to be the Mobilized Vagina and a Missed High Rectovaginal Fistula. 阴道在哪里?直肠狭窄后，一个假定的阴道修复原来是阴道活动和漏高位直肠阴道瘘。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-10-10 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1755538

Shimon E Jacobs, Laura Tiusaba, Elizaveta Bokova, Tamador Al-Shamaileh, Teresa L Russell, Briony K Varda, Christina Feng, Andrea T Badillo, Marc A Levitt

引用次数: 0

Arterial Embolization and Methylene Blue Injection into the Aberrant Artery in Two Infants with Intralobar Sequestration. 动脉栓塞和亚甲基蓝注射在2例婴儿小叶内隔离中的应用。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-10-10 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1757570

Anna Ayako Accarain, Marc Laureys, Luc Joyeux, Nasroola Damry, Henri Steyaert, Helena Reusens

{"title":"Arterial Embolization and Methylene Blue Injection into the Aberrant Artery in Two Infants with Intralobar Sequestration.","authors":"Anna Ayako Accarain, Marc Laureys, Luc Joyeux, Nasroola Damry, Henri Steyaert, Helena Reusens","doi":"10.1055/s-0042-1757570","DOIUrl":"https://doi.org/10.1055/s-0042-1757570","url":null,"abstract":"Bronchopulmonary sequestration is a rare congenital lung dysplasia. An intralobar sequestration (ILS) is a nonfunctional mass within the lung parenchyma without bronchial communication and with aberrant systemic arterial blood supply. Surgical resection or close observation can be proposed in the management of asymptomatic and low-risk ILS, but there is a lack of consensus. Endovascular embolization before thoracoscopic resection of ILS has been described to limit perioperative bleeding. Another technique previously reported is the injection of methylene blue in the feeding artery to macroscopically mark the sequestration from the healthy lung. In that way, a nonanatomical resection can be performed instead of a lobectomy without the risk of leaving abnormal lung tissue in place. We describe the first two cases of these two techniques combined: a 3-year-old girl with an ILS in the right lower lobe with an artery originating from the abdominal aorta, and a 14-month-old girl with an ILS in the right lower lobe with an artery coming from the celiac trunk. The combination of embolization and injection of methylene blue in the aberrant artery leads to a clear macroscopic demarcation of the blue-colored ILS from the healthy lung parenchyma and allowed safe nonanatomical resection of the ILS without risk of bleeding or compromising normal lung tissue.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":" ","pages":"e141-e144"},"PeriodicalIF":0.6,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33527168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0