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Seminars in Pediatric Surgery最新文献

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Recurrent Crohn's disease 复发性克罗恩病
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151403
Mahmoud Shehada , Lisa E. McMahon
{"title":"Recurrent Crohn's disease","authors":"Mahmoud Shehada ,&nbsp;Lisa E. McMahon","doi":"10.1016/j.sempedsurg.2024.151403","DOIUrl":"10.1016/j.sempedsurg.2024.151403","url":null,"abstract":"<div><p>Although surgical management of the ileocolic segment in pediatric Crohn's disease is not curative, the main goal of therapy is to allow for growth, adequate nutrition, and age-appropriate development. Recurrent disease at the site of anastomosis presents as a major morbidity. Several factors have been implicated in the development of surgical recurrence though data in the literature is scarce. This review explores the epidemiology of recurrent ileocolic disease following primary surgery, indications for surgical intervention, and techniques reported in the literature. Pediatric data is scarce, and therefore, much of it is extrapolated from adult literature.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151403"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401396","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
Ouch, my pouch! a clinician's guide to pouchitis 哎哟，我的小袋小袋炎临床医师指南
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151406
Vincent P. Anto , Anna E. Ramos , Kevin P. Mollen
{"title":"Ouch, my pouch! a clinician's guide to pouchitis","authors":"Vincent P. Anto ,&nbsp;Anna E. Ramos ,&nbsp;Kevin P. Mollen","doi":"10.1016/j.sempedsurg.2024.151406","DOIUrl":"10.1016/j.sempedsurg.2024.151406","url":null,"abstract":"<div><p>Pouchitis is defined as inflammation of the ileal pouch created during a restorative proctocolectomy with ileal pouch-anal anastomosis. Although the incidence of this inflammatory condition is high, the exact etiology often remains unclear and the management challenging. In this review, we summarize the clinical presentation, pathogenesis, diagnosis, and management of this common complication.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151406"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400974","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
Complications following ileal pouch-anal anastomosis in pediatric ulcerative colitis 小儿溃疡性结肠炎的回肠袋-肛门吻合术后并发症
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151405
Preston H. Palm, Monique C. Matos, Cristine S. Velazco
{"title":"Complications following ileal pouch-anal anastomosis in pediatric ulcerative colitis","authors":"Preston H. Palm,&nbsp;Monique C. Matos,&nbsp;Cristine S. Velazco","doi":"10.1016/j.sempedsurg.2024.151405","DOIUrl":"10.1016/j.sempedsurg.2024.151405","url":null,"abstract":"<div><p>Ileal pouch-anal anastomosis (IPAA) is the procedure of choice for reconstruction after total proctocolectomy in pediatric patients with ulcerative colitis. 30–60 % of patients undergoing IPAA will experience a postoperative complication. The primary objective of this article is to address the most common complications specific to IPAA in the pediatric population and provide an up-to-date review of their presentation, risk factors, workup, and management. We also share our preferred approaches to management and prevention of complications, where relevant. We intend to provide a concise review on the topic aimed at pediatric surgeons and healthcare providers involved in the care of this population with the goal of contributing to improved outcomes and patient quality of life.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151405"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140407407","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
Surgical management of pediatric Crohn's disease 小儿克罗恩病的外科治疗
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151401
Michela Carter , Irene Isabel P Lim
{"title":"Surgical management of pediatric Crohn's disease","authors":"Michela Carter ,&nbsp;Irene Isabel P Lim","doi":"10.1016/j.sempedsurg.2024.151401","DOIUrl":"10.1016/j.sempedsurg.2024.151401","url":null,"abstract":"<div><p>Management of pediatric-onset Crohn's disease uniquely necessitates consideration of growth, pubertal development, psychosocial function and an increased risk for multiple future surgical interventions. Both medical and surgical management are rapidly advancing; therefore, it is increasingly important to define the role of surgery and the breadth of surgical options available for this complex patient population. Particularly, the introduction of biologics has altered the disease course; however, the ultimate need for surgical intervention has remained unchanged. This review defines and evaluates the surgical techniques available for management of the most common phenotypes of pediatric-onset Crohn's disease as well as identifies critical perioperative considerations for optimizing post-surgical outcomes.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151401"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398853","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
Surgery for ulcerative colitis 溃疡性结肠炎手术
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151404
Brielle Ochoa, Lisa McMahon
{"title":"Surgery for ulcerative colitis","authors":"Brielle Ochoa,&nbsp;Lisa McMahon","doi":"10.1016/j.sempedsurg.2024.151404","DOIUrl":"10.1016/j.sempedsurg.2024.151404","url":null,"abstract":"<div><p>Ulcerative colitis (UC) has a more severe presentation and rapid progression in pediatric patients, resulting in a greater need for surgical intervention compared to adults. Though medical management of UC has advanced with new biologic therapies, surgery continues to play an important role when disease progresses in the form of worsened or persistent symptoms, hemodynamic instability, or sepsis. The goals of surgical management are to restore intestinal continuity with a functional pouch when possible. While the literature has been growing regarding studies of pediatric patients with UC, high level of evidence studies are limited and most recommendations are based on adult studies. Similar to adults, pediatric patients who have ileal pouches created require surveillance for recurrent disease and cancer surveillance. Unique issues for pediatric patients include monitoring of growth and appropriate transition to adult care after adolescence. This review includes indications for surgical management, overview of staged surgical approaches, and the technical details of the three-stage approach.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151404"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140402149","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
fm i -- Contents FM I -- 目录
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-02-01 DOI: 10.1053/S1055-8586(24)00015-5
{"title":"fm i -- Contents","authors":"","doi":"10.1053/S1055-8586(24)00015-5","DOIUrl":"https://doi.org/10.1053/S1055-8586(24)00015-5","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 1","pages":"Article 151394"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139699593","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
Virtual reality applications in pediatric surgery 儿科手术中的虚拟现实应用
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-01-12 DOI: 10.1016/j.sempedsurg.2024.151387
Daniel J. Robertson , Zachary T. Abramson , Andrew M. Davidoff , Matthew T. Bramlet
{"title":"Virtual reality applications in pediatric surgery","authors":"Daniel J. Robertson ,&nbsp;Zachary T. Abramson ,&nbsp;Andrew M. Davidoff ,&nbsp;Matthew T. Bramlet","doi":"10.1016/j.sempedsurg.2024.151387","DOIUrl":"10.1016/j.sempedsurg.2024.151387","url":null,"abstract":"<div><p>Virtual reality modeling (VRM) is a 3-dimensional (3D) simulation. It is a powerful tool and has multiple uses and applications in pediatric surgery. Patient-specific 2-dimensional imaging can be used to generate a virtual reality model, which can improve anatomical perception and understanding, and can aid in preoperative planning for complex operations. VRM can also be used for realistic training and simulation. It has also proven effective in distraction for pediatric patients experiencing pain and/or anxiety. We detail the technical requirements and process required for VRM generation, the applications, and future directions.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 1","pages":"Article 151387"},"PeriodicalIF":1.7,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1055858624000088/pdfft?md5=51f3f62224097175635f182d01c3e22f&pid=1-s2.0-S1055858624000088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139459028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diaphragmatic pacing for respiratory failure in children 膈肌起搏治疗儿童呼吸衰竭
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-01-09 DOI: 10.1016/j.sempedsurg.2024.151386
Daniel J. Robertson , Paul M. Jeziorczak , Charles J. Aprahamian
{"title":"Diaphragmatic pacing for respiratory failure in children","authors":"Daniel J. Robertson ,&nbsp;Paul M. Jeziorczak ,&nbsp;Charles J. Aprahamian","doi":"10.1016/j.sempedsurg.2024.151386","DOIUrl":"10.1016/j.sempedsurg.2024.151386","url":null,"abstract":"<div><p>Diaphragm pacing is a ventilation strategy in respiratory failure. Most of the literature on pacing involves adults with common indications being spinal cord injury and amyotrophic lateral sclerosis (ALS). Previous reports in pediatric patients consist of case reports or small series; most describe direct phrenic nerve stimulation for central hypoventilation syndrome. This differs from adult reports that focus most commonly on spinal cord injuries and the rehabilitative nature of diaphragm pacing. This review describes the current state of diaphragm pacing in pediatric patients. Indications, current available technologies, surgical techniques, advantages, and pitfalls/problems are discussed.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 1","pages":"Article 151386"},"PeriodicalIF":1.7,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1055858624000076/pdfft?md5=6e3fb765b7cba39de0214b4e6d18ca5a&pid=1-s2.0-S1055858624000076-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139422492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-surgical approaches to the management of chest wall deformities 治疗胸壁畸形的非手术方法
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-01-08 DOI: 10.1016/j.sempedsurg.2024.151388
Jacky Z Kwong, Brian CH Gulack
{"title":"Non-surgical approaches to the management of chest wall deformities","authors":"Jacky Z Kwong,&nbsp;Brian CH Gulack","doi":"10.1016/j.sempedsurg.2024.151388","DOIUrl":"10.1016/j.sempedsurg.2024.151388","url":null,"abstract":"<div><p><span>Chest wall deformities in children encompass a broad spectrum of disorders but </span>pectus excavatum<span> and carinatum are by far the most common. Treatment varies substantially by center, and depends on patient symptoms, severity of disease, and surgeon preference.</span></p><p><span>Historically, surgical approaches were the mainstay of treatment for these disease processes but new advances in non-surgical approaches have demonstrated reasonable results in select patients. These non-surgical approaches include vacuum bell therapy, autologous fat grafting and hyaluronic acid injections for pectus excavatum, and </span>orthotic<span> brace therapy for pectus carinatum. There is debate with regards to optimal patient selection for these non-surgical approaches, as well as other barriers including reimbursement issues.</span></p><p>This paper will review the current non-surgical approaches to chest wall deformities available, including optimal patient selection, treatment protocols, indications, contraindications, and outcomes.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 1","pages":"Article 151388"},"PeriodicalIF":1.7,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139421009","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
Artificial intelligence in pediatric surgery 人工智能在小儿外科中的应用
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-01-06 DOI: 10.1016/j.sempedsurg.2024.151390
Anthony Y. Tsai , Stewart R. Carter , Alicia C. Greene
{"title":"Artificial intelligence in pediatric surgery","authors":"Anthony Y. Tsai ,&nbsp;Stewart R. Carter ,&nbsp;Alicia C. Greene","doi":"10.1016/j.sempedsurg.2024.151390","DOIUrl":"10.1016/j.sempedsurg.2024.151390","url":null,"abstract":"<div><p>Artificial intelligence (AI) is rapidly changing the landscape of medicine and is already being utilized in conjunction with medical diagnostics and imaging analysis. We hereby explore AI applications in surgery and examine its relevance to pediatric surgery, covering its evolution, current state, and promising future. The various fields of AI are explored including machine learning and applications to predictive analytics and decision support in surgery, computer vision and image analysis in preoperative planning, image segmentation, surgical navigation, and finally, natural language processing assist in expediting clinical documentation, identification of clinical indications, quality improvement, outcome research, and other types of automated data extraction. The purpose of this review is to familiarize the pediatric surgical community with the rise of AI and highlight the ongoing advancements and challenges in its adoption, including data privacy, regulatory considerations, and the imperative for interdisciplinary collaboration. We hope this review serves as a comprehensive guide to AI's transformative influence on surgery, demonstrating its potential to enhance pediatric surgical patient outcomes, improve precision, and usher in a new era of surgical excellence.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 1","pages":"Article 151390"},"PeriodicalIF":1.7,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139376118","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
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