Seminars in Pediatric Surgery最新文献

Evaluation and surgical approaches to gynecologic pelvic pain in pediatric patients. 儿科患者妇科盆腔疼痛的评估和手术方法。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-09-10 DOI: 10.1016/j.sempedsurg.2025.151538

Jourdin Batchelor, Jessica Y Shim

引用次数: 0

Differences in sex development: Taking inventory of function and anatomy to empower self care. 性别发展的差异：盘点功能和解剖以增强自我照顾能力。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-09-08 DOI: 10.1016/j.sempedsurg.2025.151537

Kathleen Heller, Stephanie Brierley, Natalya Foreman, Erica M Weidler, Kathleen van Leeuwen

{"title":"Differences in sex development: Taking inventory of function and anatomy to empower self care.","authors":"Kathleen Heller, Stephanie Brierley, Natalya Foreman, Erica M Weidler, Kathleen van Leeuwen","doi":"10.1016/j.sempedsurg.2025.151537","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2025.151537","url":null,"abstract":"<p><p>The umbrella term disorders of sexual development (DSD) encompasses a broad spectrum of congenital conditions with atypical chromosomal, gonadal or anatomic sex development<sup>1</sup><sup>,</sup><sup>2</sup>. These conditions include mosaic chromosomal disorders, gonadal disorders of development, disorders of androgen synthesis, action or excess, and anatomical disorders, such as cloacal anomalies or mullerian structural errors<sup>1</sup>. The incidence of DSD is estimated to be around 1% of all live births<sup>2</sup>. DSD patients can also be considered to have congenital conditions affecting reproductive development (CCARD) and an important element of their care as the age is taking regular inventory of their anatomy so decisions regarding medical, surgical and psychological options can be made. There are many specialties that are asked to help these families, including pediatricians, endocrinologists, urologists, pediatrics surgeons and, as they age, pediatric/adolescent gynecologists and adult gynecologists. Keeping the message consistent is difficult across such a wide spectrum of specialists. Tools that can offer a review of the function of the body and, in particular, the specific anatomy unique to these diagnoses, is essential. We present a review of common DSD or CCARD conditions and propose education delivered at typical milestones to help empower decision making.</p>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":" ","pages":"151537"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066258","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}

引用次数: 0

Developments and prospects of robotic-assisted surgery in the treatment of pediatric Hirschsprung's disease: a comprehensive review. 机器人辅助手术治疗儿童先天性巨结肠病的进展与前景：综述

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-22 DOI: 10.1016/j.sempedsurg.2025.151527

Ken Chen, Shuhao Zhang, Zhigang Gao, Qingjiang Chen

引用次数: 0

The efficacy and safety of single-port versus multi-port laparoscopic surgery for pediatric inguinal hernia: a systematic review and meta-analysis. 单孔与多孔腹腔镜手术治疗小儿腹股沟疝的疗效和安全性：一项系统综述和荟萃分析。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-21 DOI: 10.1016/j.sempedsurg.2025.151526

Guiquan Fan, Xindan Zhang, Yongke He, Xiaogang Lu, Zongyang Pang, Xiyang Gan

{"title":"The efficacy and safety of single-port versus multi-port laparoscopic surgery for pediatric inguinal hernia: a systematic review and meta-analysis.","authors":"Guiquan Fan, Xindan Zhang, Yongke He, Xiaogang Lu, Zongyang Pang, Xiyang Gan","doi":"10.1016/j.sempedsurg.2025.151526","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2025.151526","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the safety and efficacy of single-port versus multi-port laparoscopic surgery in pediatric inguinal hernia repair through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>Following PRISMA guidelines, a comprehensive literature search was conducted up to December 2024. Studies comparing single-port and multi-port laparoscopic surgery in pediatric inguinal hernia patients were included. Two researchers independently assessed study quality and extracted data. Primary outcomes were surgical duration, intraoperative blood loss, and postoperative complications. Stata 15.1 was used for analysis.</p><p><strong>Results: </strong>Eleven studies with 3,494 pediatric patients were included. No significant differences were found in postoperative recurrence (RR = 0.53, 95%CI: 0.22 to 1.26), complications (RR = 0.60, 95%CI: 0.30 to 1.19), or hospital stay (SMD = -0.34, 95%CI: -0.88 to 0.21). However, single-port surgery resulted in significantly less intraoperative blood loss (SMD = -2.87, 95% CI: -4.43 to -1.31) and shorter bilateral hernia repair time (SMD = -0.93, 95% CI: -1.71 to -0.16), with better cosmetic outcomes.</p><p><strong>Conclusions: </strong>Both approaches are safe and effective. Single-port surgery offers advantages in minimizing scarring, reducing blood loss, and shortening surgery time for bilateral cases but requires advanced skills and is unsuitable for larger or complex hernias. Multi-port surgery provides more flexibility for complex cases.</p>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":" ","pages":"151526"},"PeriodicalIF":2.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008514","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}

引用次数: 0

Advancing advocacy for evidence-based opioid stewardship 推进倡导以证据为基础的阿片类药物管理

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.sempedsurg.2025.151524

Jenna S. Lee , Emma Kirkpatrick , Lorraine I. Kelley-Quon

{"title":"Advancing advocacy for evidence-based opioid stewardship","authors":"Jenna S. Lee , Emma Kirkpatrick , Lorraine I. Kelley-Quon","doi":"10.1016/j.sempedsurg.2025.151524","DOIUrl":"10.1016/j.sempedsurg.2025.151524","url":null,"abstract":"<div><div>Opioids are frequently prescribed for postsurgical and acute pain management for both adults and children. However, research has shown that overprescription and improper handling of these medications contribute to problematic substance use, dependency, and overdose among the pediatric population. Despite increased awareness and efforts to mitigate the opioid epidemic, challenges persist, including inconsistent prescribing practices, inadequate education on safe disposal practices, gaps in prescription monitoring systems, and barriers to naloxone availability. In this review, we will highlight actionable steps and strategies for advocacy and intervention to reduce the burden of the opioid crisis in children and adolescents. Key topics include the critical role of opioid stewardship when managing postoperative pain, the importance of family engagement and education on safe disposal methods, the ongoing challenges of safe prescribing and monitoring, and opportunities to extend substance use screening and treatment referral for injured adolescents. Additionally, we will highlight policy recommendations to promote equitable access and availability of harm reduction tools such as naloxone. These strategies, if implemented together, can significantly reduce the risks associated with pediatric opioid use and mitigate the impact of the opioid epidemic on children and adolescents.</div></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"35 ","pages":"Article 151524"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780223","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}

引用次数: 0

Protecting our patients’ future through perioperative sustainability: Action and advocacy for the pediatric surgeon 通过围手术期可持续性保护患者的未来：儿科外科医生的行动和倡导

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.sempedsurg.2025.151518

Grace A. Nicksa , Nicole Chicoine , Linda T. Li , Ramin Jamshidi , Alison J. Lehane , Mehul V. Raval , Sarah D. King , Sarah Greenberg

{"title":"Protecting our patients’ future through perioperative sustainability: Action and advocacy for the pediatric surgeon","authors":"Grace A. Nicksa , Nicole Chicoine , Linda T. Li , Ramin Jamshidi , Alison J. Lehane , Mehul V. Raval , Sarah D. King , Sarah Greenberg","doi":"10.1016/j.sempedsurg.2025.151518","DOIUrl":"10.1016/j.sempedsurg.2025.151518","url":null,"abstract":"<div><div>Climate change is a significant threat to human health and health equity. Marginalized populations, including children, are most impacted by our rapidly changing environment. Both the prevalence of pediatric surgical disease, as well as the ability to deliver surgical care, are affected by climate change. Ironically, healthcare systems have a significant, deleterious effect on the planet. However, there are many proven mitigation strategies to reduce the injurious climate impact of the delivery of surgical services, augment equity, and improve health. We describe five domains through which pediatric surgical care providers can act to generate more sustainable healthcare systems: reduce, repurpose, reuse, refuse, and recycle. We highlight successful examples instituted through various healthcare organizations and provide recommendations that pediatric surgical care providers can use to support the health of our planet through their daily work. These actions can increase sustainability, reduce cost, and promote equity for our patients and future generations.</div></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"35 ","pages":"Article 151518"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829217","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}

引用次数: 0

The ethics of surgical advocacy 外科宣传的伦理

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.sempedsurg.2025.151528

Baddr A. Shakhsheer , Saunders Lin , Deborah S. Loeff

引用次数: 0

fm i -- Contents fm i -目录

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-01 DOI: 10.1053/S1055-8586(25)00064-2

引用次数: 0

The role of pediatric surgeons in advocating against hazardous consumer products. 儿科外科医生在倡导反对有害消费品中的作用。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.1016/j.sempedsurg.2025.151519

Joanne Baerg, Amanpreet Brar, Bindi Naik-Mathuria, Marion C Henry, Kenneth W Gow

引用次数: 0

Health advocacy through translational science: an experimental model to quantify the impact of human social stressors on health outcomes. 通过转化科学倡导健康：量化人类社会压力源对健康结果影响的实验模型。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-05 DOI: 10.1016/j.sempedsurg.2025.151516

Sarah King, Keyonna M Williams, Byron D Hughes, Erika A Newman

引用次数: 0