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European Journal of Pediatric Surgery Reports最新文献

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Loop Ileostomy in Europe's Tiniest Male Newborn for Meconium-Related Ileus. 环形回肠造口术治疗欧洲最小男婴粪相关肠梗阻。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-03 DOI: 10.1055/s-0040-1721406
Holger Till, Georg Singer, Christoph Castellani, Berndt Urlesberger
{"title":"Loop Ileostomy in Europe's Tiniest Male Newborn for Meconium-Related Ileus.","authors":"Holger Till,&nbsp;Georg Singer,&nbsp;Christoph Castellani,&nbsp;Berndt Urlesberger","doi":"10.1055/s-0040-1721406","DOIUrl":"https://doi.org/10.1055/s-0040-1721406","url":null,"abstract":"<p><p>With the advances of neonatology, the survival rate for \"live-born periviable fetuses\" weighing < 300 g, a subgroup of extremely low birth weight (BW) infants, has improved over the past 10 years. Meconium-related ileus (MRI) represents an early postnatal hazard, and, if medical evacuation fails, a surgical challenge in such immature babies. We report the interdisciplinary management of surgically treated MRI in a newborn with a BW of 273 g. According to the worldwide database held by the University of Iowa, he is registered as the tiniest male newborn in Europe. The boy was born in the 25th gestational week by cesarean section after a triplet pregnancy with twin-twin transfusion syndrome, him being the donor. He had a BW of 273 g, whereas his brothers had a BW of 740 g and 722 g. Cardiopulmonary stabilization and ventilation were successful. He developed MRI unresponsive to medical treatment. On day 14 of life, a minilaparotomy was performed in the right lower quadrant to externalize a loop of the distal ileum in a no-touch technique. Despite the small diameter of only 2 mm, a standard loop ileostomy could be fashioned. There were no intra- or postoperative abdominal complications. Bowel function and weight gain were adequate and the ileostomy was closed electively 5 months later at a body weight of 3.5 kg. In summary, minilaparotomy and loop ileostomy placement were effective to treat surgical MRI in Europe's tiniest male newborn. With the advances of neonatology, pediatric surgery reaches new frontiers as well.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e17-e19"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25445445","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
Congenital Anterior Urethrocutaneous Fistula with a Persistent Urethral Groove. 先天性前尿道瘘伴持续性尿道沟。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-01-29 DOI: 10.1055/s-0040-1721469
Hazem Mosa, Massimo Garriboli
{"title":"Congenital Anterior Urethrocutaneous Fistula with a Persistent Urethral Groove.","authors":"Hazem Mosa,&nbsp;Massimo Garriboli","doi":"10.1055/s-0040-1721469","DOIUrl":"https://doi.org/10.1055/s-0040-1721469","url":null,"abstract":"<p><p>Congenital anterior urethrocutaneous fistula (CAUF) is a rare penile anomaly with only 63 cases reported in the literature. The anomaly can present in isolation or in association with chordee or hypospadias. We report the case of an 8-month-old boy with CAUF that resembles the embryological urethral groove. On examination, a wide urethral groove was noted to cover the midshaft of the penis with a well formed urethra extending proximally and distally and with a normal glandular anatomy, a wide glandular meatus, and a complete foreskin. The urethral groove was tubularized and covered in layers. Surgery was complicated with early superficial skin dehiscence not affecting the urethral repair. Refashioning of the skin was then performed. A satisfactory aesthetic and functional outcome was observed at 7 years' follow-up. Defining the anatomy of CAUF and distal urethra is key in management of these children.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e9-e12"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25324935","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: 1
Erratum to: Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft. 用尸体移植修复新生儿先天性腹主动脉瘤的显微外科手术。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-07-12 DOI: 10.1055/s-0041-1730902
Annie Le-Nguyen, Shahrzad Joharifard, Geneviève Côté, Daniel Borsuk, Rafik Ghali, Michel Lallier
{"title":"Erratum to: Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft.","authors":"Annie Le-Nguyen,&nbsp;Shahrzad Joharifard,&nbsp;Geneviève Côté,&nbsp;Daniel Borsuk,&nbsp;Rafik Ghali,&nbsp;Michel Lallier","doi":"10.1055/s-0041-1730902","DOIUrl":"https://doi.org/10.1055/s-0041-1730902","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0041-1723019.].</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e50"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196827","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
A Novel Surgical Approach for the Management of Cloacal Exstrophy with a Giant Omphalocele. 一种治疗巨大脐膨出伴泄殖腔外翻的新手术方法。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-05-18 DOI: 10.1055/s-0041-1728719
Caitlin A Smith, Jeffrey R Avansino, Paul Merguerian, Victoria Lane, Marc Levitt
{"title":"A Novel Surgical Approach for the Management of Cloacal Exstrophy with a Giant Omphalocele.","authors":"Caitlin A Smith,&nbsp;Jeffrey R Avansino,&nbsp;Paul Merguerian,&nbsp;Victoria Lane,&nbsp;Marc Levitt","doi":"10.1055/s-0041-1728719","DOIUrl":"https://doi.org/10.1055/s-0041-1728719","url":null,"abstract":"<p><p>Cloacal exstrophy is a rare malformation that presents as a lower midline abdominal wall defect which affects the gastrointestinal and genitourinary systems. The components of cloacal exstrophy characteristically include omphalocele, exstrophy of perineal structures, and imperforate anus. Most of these patients also have renal anomalies such as pelvic kidney, fused kidneys, or solitary kidneys. This congenital condition can also be associated with spinal issues, such as spinal dysraphism. When combined with spinal defects, it is referred to as the omphalocele, exstrophy, imperforate anus, and spinal defects (OEIS) complex, and is one of the most challenging surgical conditions to manage. Here, we present a unique case of a low-birth-weight patient with OEIS and a liver containing giant omphalocele and the novel surgical technique used to manage her cloacal exstrophy whereby the cecal plate was not separated from the bladder halves, but rather left for an autoaugment, and the ileum was connected to the hindgut.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e41-e45"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1728719","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39011890","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
Pelvic Venous Congestion Secondary to a Circumaortic Renal Collar in an Adolescent Female: Report of a Case. 青春期女性继发于环主动脉肾环的盆腔静脉充血1例报告。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-08-10 DOI: 10.1055/s-0041-1730998
Verónica Alonso-Arroyo, Jose Javier Velasco, Sonia Pérez-Bertólez, Maria Elena Molina, Jose Manuel Marugan-de-Miguelsanz, Alberto Sanchez-Abuin, Oscar Dario Gomez Beltran
{"title":"Pelvic Venous Congestion Secondary to a Circumaortic Renal Collar in an Adolescent Female: Report of a Case.","authors":"Verónica Alonso-Arroyo,&nbsp;Jose Javier Velasco,&nbsp;Sonia Pérez-Bertólez,&nbsp;Maria Elena Molina,&nbsp;Jose Manuel Marugan-de-Miguelsanz,&nbsp;Alberto Sanchez-Abuin,&nbsp;Oscar Dario Gomez Beltran","doi":"10.1055/s-0041-1730998","DOIUrl":"https://doi.org/10.1055/s-0041-1730998","url":null,"abstract":"<p><p>We report a 13-year-old girl who presented with a recurrent abdominal pain that started after her menarche. The abdominal palpation revealed tenderness over the left ovarian point. The laboratory study, ultrasonography, and abdominal X-ray were normal. The computed tomography and magnetic resonance imaging showed a double left renal vein with a retroaortic component, an increased left parauterine circulation, and ipsilateral ovarian vein engorgement. A diagnostic and therapeutic phlebography allowed a selective catheterization of a group of pelvic varicose veins draining to the left ovarian and to the internal iliac veins. There were no complications during the procedure and the symptoms disappeared 2 days later. Circumaortic left renal vein may cause hematuria, proteinuria, pelvic congestion syndrome, and massive hemorrhage during surgery. A conservative treatment is recommended for patients without gynecourological/renal symptoms or with mild hematuria. The endovascular treatment by gonadal venous embolization is safe and effective.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e56-e60"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8354767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313866","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: 2
Congenital Diaphragmatic Hernia with Intrathoracic Renal Ectopia: Thoracoscopic Approach for a Complete Anatomical Repair. 先天性膈疝合并胸内肾异位:胸腔镜下完全解剖修复术。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-10-21 DOI: 10.1055/s-0039-3402741
Colin Mizzi, David Farrugia, Muhammad S Choudhry
{"title":"Congenital Diaphragmatic Hernia with Intrathoracic Renal Ectopia: Thoracoscopic Approach for a Complete Anatomical Repair.","authors":"Colin Mizzi, David Farrugia, Muhammad S Choudhry","doi":"10.1055/s-0039-3402741","DOIUrl":"10.1055/s-0039-3402741","url":null,"abstract":"<p><p>Congenital diaphragmatic herniae (CDH) with associated intrathoracic ectopic kidneys are rare congenital anomalies, with a reported incidence of only 0.25%. The authors report a case of a 24-day-old baby girl who was diagnosed with a left-sided CDH on a chest X-ray taken for pneumonia. Computed tomography scan showed CDH hernia, containing small and large bowel and whole left kidney with adrenal gland. Thoracoscopic reduction in the bowel, kidney, and adrenal gland into the abdomen and primary closure of the defect was achieved with no complications. During investigation of the child, it was discovered that her maternal aunt had also had a left-sided congenital diaphragmatic hernia containing the kidney, which was treated via open surgery after birth; she subsequently developed renal cell carcinoma and required radical nephrectomy of that kidney during her third decade.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e74-e76"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3402741","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38527197","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: 2
A Case Series of Penile Skin Grafting in Children. 儿童阴茎植皮术一例系列。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-10-21 DOI: 10.1055/s-0040-1716525
Lin Qiu, Xuan Zhang, Yan Liu, Yuexian Fu, Xingang Yuan
{"title":"A Case Series of Penile Skin Grafting in Children.","authors":"Lin Qiu,&nbsp;Xuan Zhang,&nbsp;Yan Liu,&nbsp;Yuexian Fu,&nbsp;Xingang Yuan","doi":"10.1055/s-0040-1716525","DOIUrl":"https://doi.org/10.1055/s-0040-1716525","url":null,"abstract":"<p><p>Pediatric penile skin grafting is rarely performed. We present a case series of four pediatric patients receiving skin grafting due to the loss of penile skin. The four boys were followed up for 1 to 5 years. One full-thickness skin graft and three split-thickness skin grafts (STSGs) survived well with low Vancouver scar scale scores. One boy gradually developed lymphedema of the distal foreskin and underwent a second preputioplasty. He presented with normal erectile function and did not experience any pain. We propose thick STSGs as the most appropriate choice for pediatric penile skin reconstruction. Lymphedema of the foreskin is an important long-term complication of penile skin grafting.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e77-e80"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1716525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38527198","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
Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach. 伤口牵开器治疗巨大脐膨出及胃裂合并肝疝的新方法。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-12-15 DOI: 10.1055/s-0040-1721054
Jana Nelson, Robin Wachowiak, Manuela Siekmeyer, Matthias Knuepfer, Ulrich Thome, Stepan Holger, Martin Lacher
{"title":"Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach.","authors":"Jana Nelson,&nbsp;Robin Wachowiak,&nbsp;Manuela Siekmeyer,&nbsp;Matthias Knuepfer,&nbsp;Ulrich Thome,&nbsp;Stepan Holger,&nbsp;Martin Lacher","doi":"10.1055/s-0040-1721054","DOIUrl":"https://doi.org/10.1055/s-0040-1721054","url":null,"abstract":"<p><p>Ruptured giant omphaloceles (GO) and gastroschisis with total liver herniation are rare cases of exceptionally large abdominal wall defects. Many of these children have lethal outcome. The surgical and postsurgical management are complex. We report on two cases treated with staged surgical repair using a wound retractor as a silo. With this technique, the liver and intestines could be reduced into the abdomen with secondary closure of the abdominal cavity within the first 1 to 2 weeks of life.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e112-e116"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38724771","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: 1
Image of the Month: How to Select the Ideal Surgical Approach in Male Anorectal Malformation with No Visible Fistula. 月度影像:如何选择理想的手术入路治疗男性肛肠畸形并无可见瘘管。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-11-23 DOI: 10.1055/s-0040-1721042
Anisha Apte, Elise McKenna, Marc A Levitt
{"title":"Image of the Month: How to Select the Ideal Surgical Approach in Male Anorectal Malformation with No Visible Fistula.","authors":"Anisha Apte,&nbsp;Elise McKenna,&nbsp;Marc A Levitt","doi":"10.1055/s-0040-1721042","DOIUrl":"https://doi.org/10.1055/s-0040-1721042","url":null,"abstract":"<p><p>We present a case of a 6-month-old male infant with an anorectal malformation (ARM) who underwent colostomy as a newborn, and now presents for definitive repair. A colostogram is shown to identify the malformation and to help plan for the ideal surgical approach. The case is presented with a focus on surgical strategies for management of ARM in the male infant, with questions for the readers posed in a quiz format.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e105-e107"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38306895","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
Image of the Month: Decision-Making in Surgery for Late Onset Hirschsprung Disease. 本月图片:迟发性巨结肠疾病的手术决策。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-12-03 DOI: 10.1055/s-0040-1721049
Anisha Apte, Elise McKenna, Marc A Levitt
{"title":"Image of the Month: Decision-Making in Surgery for Late Onset Hirschsprung Disease.","authors":"Anisha Apte,&nbsp;Elise McKenna,&nbsp;Marc A Levitt","doi":"10.1055/s-0040-1721049","DOIUrl":"https://doi.org/10.1055/s-0040-1721049","url":null,"abstract":"<p><p>We present a case of a 14-year-old boy with chronic distension, poor growth, and chronic constipation. He undergoes anorectal manometry and rectal biopsy, confirming the diagnosis of Hirschsprung disease (HD). The case is presented with a key image and associated questions to prompt discussion on strategies for management and treatment of HD in late-diagnosed children.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e99-e101"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38351401","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: 2
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