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Reply to Letter to the Editor by Lohmann and Fernandes J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-03-08 Kazunori Masahata, Kouji Nagata, Keita Terui, Takuya Kondo, Ashley H. Ebanks, Matthew T. Harting, Terry L. Buchmiller, Yasunori Sato, Hiroomi Okuyama, Noriaki Usui, for the Congenital Diaphragmatic Hernia Study Group
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Mesenchymal Stem Cells Attenuates Hirschsprung Disease-Associated Enterocolitis by Reducing M1 macrophages Infiltration via COX-2 Dependewhant Mechanism J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-03-04 Xinyao Meng, Jun Xiao, Jing Wang, Minxian Sun, Xuyong Chen, Luyao Wu, Ke Chen, Zejian Li, ChenZhao Feng, Didi Zhuansun, Jixin Yang, Xiaojuan Wu, Donghai Yu, Wei Li, Yonghua Niu, Ying He, Mingfa Wei, Feng Chen, Bo Xiong, Jiexiong Feng, Tianqi Zhu
Hirschsprung disease-associated enterocolitis (HAEC) is a common life-threatening complication of Hirschsprung disease (HSCR). We aimed to investigate the effectiveness, long-term safety and the underlying mechanisms of MSCs based therapy for HAEC. Specimens from HSCR and HAEC patients were used to assess the inflammatory condition. Ednrb knock-out mice was used as HAEC model. MSCs was intraperitoneally
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Female Fertility Cryopreservation Outcomes in Childhood Cancer: A Systematic Review J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-03-01 Srinithya R. Gillipelli, Luca Pio, Paul D. Losty, Abdelhafeez H. Abdelhafeez
As survival rates in childhood cancer progress significantly, health outcomes in adulthood are pivotal to quality of life (QoL). Female patients undergoing chemotherapy and radiation for childhood cancer may experience adverse effects such as gonadotoxicity-related ovarian insufficiency. Ovarian tissue cryopreservation (OTC) is well studied in adults, but has only recently started to be explored in
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Impact of surgical timing (primary, delayed, or second look) on surgical morbidity and outcomes in Malignant Germ Cell Tumor of the Ovary in children J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-29 Sajid S. Qureshi, Saiesh Reddy, Vasundhara Smriti, Akshay Baheti, Sanket Shah, Girish Chinnaswamy, Maya Prasad, Badira C. Parambil, Venkata RM. Gollamudi, Poonam Panjwani, Mukta Ramadwar, Nayana Amin, Seema A. Kembhavi
Malignant ovarian germ cell tumors (MOGCT) are rare in children. Surgery with or without chemotherapy is the primary treatment approach. This study aimed to analyze the impact of primary and delayed surgery on surgical morbidity and outcomes. Second-look surgery after inadequate surgical staging and the various components of surgical staging were also evaluated. Children below 15 years with MOGCT treated
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One-year results of minimally invasive sutured fixation of the slipped ribs in the pediatric population J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-29 Andreas Polycarpou, Trevor C. Chopko, Amy E. Glasgow, Sarah R. McCarthy, Daniel R. Hilliker, Robert T. Wilder, Denise B. Klinkner
Costal cartilage resection with or without rib resection is the gold standard surgery for slipping rib syndrome. Minimally invasive restoration of normal anatomy via nonabsorbable sutures has been described in the adult population with encouraging results. We sought to assess the efficacy of minimally invasive sutured fixation of the hypermobile rib in the pediatric population. A retrospective review
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Management of pediatric patients with spontaneous pneumomediastinum: A retrospective chart review J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-29 Vivek Patel, Nathalie Carey, Daniel Briatico, Lisa VanHouwelingen
Given the paucity of data on pediatric spontaneous pneumomediastinum (SPM), management is largely informed by extrapolation from adult studies or personal clinical experience, resulting in significant heterogeneity. The purpose of this study was to describe how pediatric patients with SPM are clinically managed at our institution and propose a treatment algorithm. Retrospective chart review of pediatric
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Antenatal administration of extracellular vesicles derived from amniotic fluid stem cells improves lung function in neonatal rats with congenital diaphragmatic hernia. J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-28 Rebeca L. Figueira, Naghmeh Khoshgoo, Fabian Doktor, Kasra Khalaj, Tasneem Islam, Nazgol Moheimani, Matisse Blundell, Lina Antounians, Martin Post, Augusto Zani
The severity of pulmonary hypoplasia is a main determinant of outcome for babies with congenital diaphragmatic hernia (CDH). Antenatal administration of extracellular vesicles derived from amniotic fluid stem cells (AFSC-EVs) has been shown to rescue morphological features of lung development in the rat nitrofen model of CDH. Herein, we evaluated whether AFSC-EV administration to fetal rats with CDH
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CORRELATION OF CT SCAN RESPONSE TO NECROSIS AND VOLUME CHANGES WITH HISTOPATHOLOGY IN CHILDREN WITH WILMS' TUMOR J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-27 Niaz Nilave, Sajida Nahid, Saiyeda Karim, Shahnoor Islam, Amirul Morshed
Wilms’ tumor is the most common renal tumor in children. To correlate the percentage of necrosis and tumor volume change found in preoperative Contrast Enhance Computed Tomography (CECT) scan of the abdomen with post-operative histopathological findings of Wilms Tumor (WT). In this prospective study from January 2020 to December 2022, out of 33 patients, 15 patients with unilateral localized WT (stage
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Should Pediatric Surgical Oncologists Receive Training in Vascular Surgery ? A Practice Survey Report From the International Society of Paediatric Surgical Oncology (IPSO) J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-26 Prince Raj, Paul D. Losty, Martin T. Corbally
Is vascular training in paediatric surgical oncology considered desirable ? A voluntary survey of work practice was undertaken with the surgeon membership of The International Society Of Paediatric Surgical Oncology (IPSO) using a structured designed questionnaire. A total of 149 IPSO surgeon members completed the survey. 57% (N = 84) of surgeons surveyed had no specific training in vascular surgery
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Proliferative Effects of Mesenchymal Stromal Cells on Neuroblastoma Cell Lines: Are They Tumor Promoting or Tumor Inhibiting? J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-26 Kathleen Doyle, Maria Sutter, Monica Rodriguez, Abd-Elrahman Hassan, Priyadarsini Kumar, Erin Brown
Neuroblastoma is a common pediatric malignancy with poor survival for high-risk disease. Mesenchymal stromal cells (MSCs) have innate tumor-homing properties, enabling them to serve as a cellular delivery vehicle, but MSCs have demonstrated variable effects on tumor growth. We compared how placental MSCs (PMSCs) and bone marrow-derived MSCs (BM-MSCs) affect proliferation of neuroblastoma (NB) cells
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Incidence and Risk Factors for Chyle Leaks after Neuroblastic Tumor Resection: A Systematic Review of Published Studies J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-26 Arimatias Raitio, Paul D. Losty
Chyle leakage / ascites after surgical resection of neuroblastic tumors may delay the start of chemotherapy and worsen prognosis. Previous studies have reported a highly variable incidence and risk factors remain largely unknown. This study aims to analyze the true incidence of chyle leaks and ascites and seeks to identify risk factors and optimal treatment strategies. Medline/Embase databases were
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Robotic-assisted pediatric thoracic and abdominal tumor resection: An Initial Multi-Center Review J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-26 Wendy Jo Svetanoff, Michela Carter, Karen A. Diefenbach, Marc Michalsky, Daniel DaJusta, Edward Gong, Timothy B. Lautz, Jennifer H. Aldrink
Robotic-assisted minimally invasive surgery (RA-MIS) for tumor resection is an emerging technology in the pediatric population with significant promise but unproven safety and feasibility. A multi-center retrospective review of patients 18 years undergoing RA-MIS tumor resection from December 2015 – March 2023 was performed. Patient demographics, perioperative variables, and complication rates were
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Factors Associated With Long-term survival in Children With bronchial and Lung Carcinoid Tumors J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-24 Swathi R. Raikot, Courtney N. Day, R. Paul Boesch, Wendy Allen-Rhoades, Stephanie F. Polites
Bronchial carcinoids are rare in children and the treatment is based on tumor behavior in adults. The purpose of this study was to determine factors and management strategies associated with long-term survival in the pediatric population using a national cohort. Patients aged ≤ 20 years with bronchial carcinoid tumors were identified in the 2004-2020 National Cancer Database using ICD-O-3 codes. Tumor
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Clinical Application and Further Development of Augmented Reality Guidance for the Surgical Localization of Pediatric Chest Wall Tumors J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-24 Rémi van der Woude, Matthijs Fitski, Jasper M. van der Zee, Cornelis P. van de Ven, Guus M.J. Bökkerink, Marc H.W.A. Wijnen, Jene W. Meulstee, Tristan P.C. van Doormaal, Françoise J. Siepel, Alida F.W. van der Steeg
Surgical treatment of pediatric chest wall tumors requires accurate surgical planning and tumor localization to achieve radical resections while sparing as much healthy tissue as possible. Augmented Reality (AR) could facilitate surgical decision making by improving anatomical understanding and intraoperative tumor localization. From January 2021, we used the HoloLens 2 for pre-incisional tumor localization
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Multi-modal 3-Dimensional Visualization of Pediatric Neuroblastoma: Aiding Surgical Planning Beyond Anatomical Information J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-24 Dominique C. Simons, Myrthe A.D. Buser, Matthijs Fitski, Cornelis P. van de Ven, Bernhard ten Haken, Marc H.W.A. Wijnen, Can Ozan Tan, Alida F.W. van der Steeg
Patient-specific 3D models of neuroblastoma and relevant anatomy are useful tools for surgical planning. However, these models do not represent the heterogenous biology of neuroblastoma. This heterogeneity is visualized with the ADC and I-MIGB-SPECT-CT imaging. Combining these multi-modal data into preoperative 3D heatmaps, may allow differentiation of the areas of vital and non-vital tumor tissue
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Ovarian Tissue Collection for Fertility Preservation in Children: The Need for Standardised Surgical Practice Guidance J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-24 Sarah Braungart, Sheila Lane, Christian M. Becker, Nicholas Alexander
Chemotherapy, pelvic radiotherapy (including total body irradiation) and novel compounds used to treat children and teenagers with benign or malignant diseases can lead to impaired fertility. For prepubertal female patients at high risk of treatment-related infertility, upfront storage of ovarian tissue is increasingly being recognised as standard of care. No surgical guidelines exist to ensure best
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Systematic Lymphatic Repair for Reduction of Postoperative Lymphatic Leak Following Neuroblastoma Resection J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-24 Gideon Purwono, York Tien Lee, Joyce HY. Chua, Amos HP. Loh
Gross total resection of neuroblastoma is associated with lymphatic leaks that can delay postoperative resumption of treatment. To prevent postoperative lymphatic leak, we introduced systematic lymphatic repair (SLR), which involved oversewing the entire edge of the disrupted lymphatic plane after neuroblastoma resection. We sought to study the impact of SLR on postoperative lymphatic leak and time
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The Use of a High Flow Picc Catheter for Stem Cell and Lymphocyte Apheresis: The Initial Experience of a Pediatric Oncology Center in Brazil J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-24 Vilani Kremer, Andréia Rheinheimer, Ana Luiza Rodrigues, Andressa Taborda, Robson Coelho, Antonella Zanette
Autologous hematopoietic stem cell transplants (HSCT), characterized by high intensity chemotherapy followed by the infusion of HSC previously collected from the peripheral blood, is a procedure used in the treatment of several malignancies. In pediatrics, the apheresis procedure represents a challenge, due to the need for insertion of a rigid central venous catheter (CVC) in small children. The CVC
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International Society of Paediatric Surgical Oncology (IPSO): A Short History, Developments, and Current Status J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-24 Paul D. Losty, Pablo Lobos, Chan Hon Chui, Andrew M. Davidoff
The International Society of Paediatric Surgical Oncology (IPSO) was officially inaugurated in 1991 through the creativeness and inspiration of a collective dynamic group of paediatric surgeons committed to advancing childhood cancer. This article traces the origins and birth of IPSO tracking its modern day development to a growing world community of paediatric surgeon oncology members. 5
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Transition from pediatric to adult healthcare for colorectal conditions: A systematic review J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-23 Emma J. Moore, Susan M. Sawyer, Sebastian K. King, Melissa Y. Tien, Misel Trajanovska
Despite surgical advances for complex congenital colorectal conditions, such as anorectal malformation (ARM) and Hirschsprung disease (HD), many adolescents require transfer from specialist pediatric to adult providers for ongoing care. A systematic review of PubMed, MEDLINE and Embase was conducted to identify what is known about the transitional care of patients with ARM and HD (PROSPERO # CRD42022281558)
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Functional and Health-Related Quality of Life Outcomes into Adulthood for Females Surgically Treated for Anorectal Malformation J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-20 Joshua Gertler, Anna Löf Granström, Jenny Oddsberg, Anna Gunnarsdóttir, Anna Svenningsson, Tomas Wester, Lisa Örtqvist
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Living Donor Whole and Partial Liver Grafts, Deceased Donor Whole Liver and SPLIT: Outcome Comparison J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-19 João Seda Neto, Carolina M. Costa, Renata Pugliese, Rodrigo Vincenzi, Marcel R. Benavides, Nathália P.R. Travassos, Caio M.V. de Oliveira, Karina Roda, Debora P. Fernandes, Mário Kondo, Eduardo A. Fonseca
Currently, graft options for pediatric liver transplantation (PLT) include whole (WL) and partial (P) grafts, in the form of either deceased donor transplantation (DD) or living donor liver transplantation (LD). WL transplants from LD are commonly referred to as domino LT. The objective of this manuscript is to compare the outcomes of PLT performed with each of the available graft options. Retrospective
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Chest Wall Dermatitis Patterns Following Thoracoscopic Intercostal Nerve Cryoablation for Surgical Correction of Pectus Excavatum J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-16 J. Benjamin Pitt, Michela Carter, Suhail Zeineddin, Laurie Sands, Suzanne Kujawa, Amparo Perez, Walter J. Liszewski, Fizan Abdullah, Seth D. Goldstein
Intercostal nerve cryoablation (INC) has been shown to reduce postoperative pain and length of stay following surgical correction of pectus excavatum (SCOPE). Some patients have developed chest wall dermatological symptoms after INC that can be mistaken for metal allergy or infection. The purpose of this study is to report the symptoms, severity, incidence, and treatment of post-cryoablation dermatitis
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An Electronic Health Record-integrated Web Application Augments a QI-Directed Morbidity & Mortality Conference and Improves Quality of Care J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-16 Nitin Sajankila, Thomas Javens, Josh Hampl, Courtney Coleman, Jami Murnane, Brian D. Kenney, Gail E. Besner
In 2014, we developed a QI-directed Morbidity and Mortality (M&M) Conference, prioritizing discussion of individual and system failures, as well as development of action items to prevent failure recurrence. However, due to a reliance on individual electronic documents to store M&M data, our ability to assess trends in failures and action item implementation was hindered. To address this issue, in 2019
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Microinjection with nanoparticles to deliver drugs in prenatal lung explants - a pilot study for prenatal therapy in congenital diaphragmatic hernia J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-14 Yuichiro Miyake, Wai Hei Tse, Jia Qi Wang, Daywin Patel, Arzu Ozturk, Atsuyuki Yamataka, Richard Keijzer
Fetoscopic endoluminal tracheal occlusion (FETO) improves the survival rate in fetuses with severe congenital diaphragmatic hernia (CDH). We hypothesize that prenatal therapies into the trachea during FETO can further improve outcomes. Here, we present an microinjection technique with rat lung explants to study prenatal therapy with nanoparticles. We used microsurgery to isolate lungs from rats on
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Modifiable preoperative risk factors to mitigate postoperative site infection following pediatric gastrostomy J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-13 Shelby R. Sferra, Sara Donnelly, Sandra Kabagambe, Erica M. Fallon
There are limited studies assessing modifiable preoperative risk factors for pediatric laparoscopic gastrostomy tubes (LGT) and percutaneous endoscopic gastrostomy (PEG) tubes. We sought to evaluate the effect of demographics and surgical/infectious history on the superficial infection rate following gastrostomy tube (GT) placement. After IRB approval, we conducted a single-institution retrospective
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The State of Artificial Intelligence in Pediatric Surgery: A Systematic Review J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-13 Mohamed Elahmedi, Riya Sawhney, Elena Guadagno, Fabio Botelho, Dan Poenaru
Artificial intelligence (AI) has been recently shown to improve clinical workflows and outcomes - yet its potential in pediatric surgery remains largely unexplored. This systematic review details the use of AI in pediatric surgery. Nine medical databases were searched from inception until January 2023, identifying articles focused on AI in pediatric surgery. Two authors reviewed full texts of eligible
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Letter to the Editor in Response to: Risk Factors for Preoperative Pneumothorax in Neonates with Isolated Left-Sided Congenital Diaphragmatic Hernia: An International Cohort Study J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-12 Pablo Lohmann, Caraciolo J. Fernandes
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Long-term airway outcomes and interventions in children with oesophageal atresia with tracheoesophageal fistula: A 20-year single centre observational study J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-10 Sandra Elizabeth Davis, Carl Davis, Neil Patel, Haytham Kubba, Andrew Clement
Airway anomalies, symptoms and interventions are commonly reported in children with oesophageal atresia with tracheoesophageal fistula (OA/TOF). The purpose of this study was to assess the incidence of these airway pathologies and those requiring interventions in the long-term. A retrospective case note review of all patients admitted to the Neonatal Unit at the Royal Hospital for Children, Glasgow
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Letter to the Editor in Response to: What Proportion of Children with Complex Oesophageal Atresia Require Oesophageal Lengthening Procedures? J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-10 Paul Stephen Cullis, Jimmy Lam, Dipankar Dass, Fraser Munro, Dariusz Patkowski
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Knowing your patient population: Techniques to capture infants at high risk for physical abuse in a trauma registry J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-08 Stephanie Papillon, Sahal Master, Matthew Klein, Allison Toth, Norrell Atkinson, Stephen Aronoff, Harsh Grewal
Physical abuse is a major public health concern and a leading cause of morbidity and mortality in infants. Clinical decision tools derived from trauma registries can facilitate timely risk-stratification. The Trauma Quality Improvement Program (TQIP) database does not report age for children <1 year who are at highest risk for abuse. We report a method to capture these infants despite the missing age
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UROLOGICAL Outcomes in POST-PUBERTAL PATIENTS WITH Myelomeningocele: A SINGLE-CENTER Retrospective Study J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-07 Niklas Pakkasjärvi, Sampo Antila, Eija Mäkelä, Seppo Taskinen
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Pediatric, Adolescent and Young Adult (AYA) Peritoneal and Pleural Mesothelioma: A National Cancer Database Review J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-06 Colleen P. Nofi, Bailey K. Roberts, Barrie S. Rich, Richard D. Glick
Malignant peritoneal and pleural mesothelioma are rare in young patients, with a paucity of data regarding clinical characteristics and outcomes. We aimed to describe the clinical characteristics, treatment strategies, and outcomes for pediatric and adolescent/young adult (AYA) patients. The National Cancer Database (NCDB) was queried for malignant peritoneal and pleural mesothelioma in pediatric and
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Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-04 Sarah E. Peiffer, Steven C. Mehl, Paulina Powell, Timothy C. Lee, Sundeep G. Keswani, Alice King
Introduction Congenital diaphragmatic hernia (CDH) is a life-threatening, prenatally diagnosed congenital anomaly. We aim to characterize care and outcomes of infants with CDH in Texas and the impact of treating facilities volume of care. Methods Retrospective cohort study using a state-wide Hospital Inpatient Discharge Public Use Data File was conducted (2013-2021). Neonates and infants <1 year of
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Mental health, psychosocial functioning, and quality of life in adolescents with Hirschsprung disease J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Rania Adel Hameed, Anders Telle Hoel, Trond H. Diseth, Kristin Bjørnland, Helene Gjone
Background Studies of mental health in adolescents with Hirschsprung disease (HD) are scarce. This cross-sectional study investigates mental health, psychosocial functioning and quality of life in HD adolescents. Methods Adolescents (12-18 years) treated at the Department of pediatric surgery at Oslo University Hospital were invited for participation. Mental health was assessed by interview; Child
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Impact of Focused Abdominal Ultrasound Utilization on Outcomes for Children with Midgut Volvulus J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-03 Desi M. Schiess, Marla B.K. Sammer, Andrew C. Sher, Alexander M. El-Ali, Ekene A. Onwuka, Xiaofan Huang, Kristen A. Staggers, HaiThuy N. Nguyen
Ultrasound (US) is gaining acceptance for the evaluation of midgut volvulus in children. However, its impact on clinical outcomes is unknown. We aim to determine whether using US as a first-line modality changes imaging mobilization, time to surgery and re-feeding, length of stay, and frequency of bowel necrosis, short bowel syndrome, and death. An IRB-approved retrospective cohort study was performed
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Provincial review of adherence to age-specific guidelines for umbilical hernia repair and trends in management J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-03 Shadi Hadj-Youssef, Félix Rondeau, Kossi Thomas Golo, Nizar Ghali, Maude Laberge, Patricia Li, Marc Beltempo, Guy Lacroix, Hussein Wissanji
Umbilical hernia (UH) is a common pediatric condition, for which delaying surgical repair for asymptomatic UH until after age 3 is recommended due to a high incidence of spontaneous closure. We aimed to determine the adherence to guidelines, rate of urgent surgical repair, outcomes, cost, and interinstitutional referral patterns of UH repair in the province of Quebec (Canada). This was a population-based
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Decreased β-catenin protein in lungs from human congenital diaphragmatic hernia archival pathology specimens: A case-control study J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-03 Martin A. Prusinkiewicz, Chanhyeok Park, Claire Cheung, Ying Jie Li, Bethany Poon, Erik D. Skarsgard, Pascal M. Lavoie, Anna F. Lee, Martina Mudri
Lung hypoplasia contributes to congenital diaphragmatic hernia (CDH) associated morbidity and mortality. Changes in lung wingless-type MMTV integration site family member (Wnt)-signalling and its downstream effector beta-catenin (), which acts as a transcription coactivator, exist in animal CDH models but are not well characterized in humans. We aim to identify changes to Wnt-signalling gene expression
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The diagnostic Accuracy of serum Alpha-fetoprotein Levels in Follow-up for recurrence of Sacrococcygeal Teratoma; a Nationwide Review of SCT Cases in the Netherlands J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-03 Lieke J. van Heurn, Marijke E.B. Kremer, Ivo de Blaauw, Robertine van Baren, Wim G. van Gemert, Johannes B. van Goudoever, Cornelius E.J. Sloots, Marieke J. Witvliet, L.W. Ernest van Heurn, Joep P.M. Derikx
Serum alpha-fetoprotein (AFP) is often used as tumour marker for recurrent sacrococcygeal teratoma (SCT). We aimed to assess the normal dynamics of serum AFP levels after initial resection and diagnostic accuracy of serum AFP levels the follow-up for recurrence in SCT. This retrospective study included 57 patients treated for SCT in the six pediatric surgical centers in the Netherlands from 1980 to
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Association of Exclusive Breast Milk Intake and Outcomes in Infants with Uncomplicated Gastroschisis: A National Cohort Study J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-03 Emily Hodgson, Daniel Briatico, Sarah Klapman, Erik Skarsgard, Marc Beltempo, Prakesh S. Shah, Esther Huisman, J. Mark Walton, Michael H. Livingston
Enteral feeding is an essential part of the management of infants with gastroschisis. We hypothesized that exclusive breast milk is associated with improved neonatal outcomes. We conducted a retrospective review of infants with uncomplicated gastroschisis through the Canadian Pediatric Surgery Network (CAPSNet) and Canadian Neonatal Network (CNN). The primary outcome was time to full enteral feeds
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Patient-centered surgical care for children in low and lower-middle income countries (LMICs): - A systematic scoping review of the literature J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-02 Riya Sawhney, Kacylia Roy Proulx, Ayla Gerk, Elena Guadagno, Dan Poenaru
Studies exploring patient-centered care (PCC) in pediatric surgery have been disproportionately concentrated in high-income countries. This review aims to characterize the adoption of key PCC domains in low and lower-middle income countries (LMICs). Seven databases were searched from inception until January 2023 to retrieve relevant articles in pediatric surgery in LMICs. We focused on six key PCC
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Using Artificial Intelligence to Label Free-Text Operative and Ultrasound Reports for Grading Pediatric Appendicitis J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-02 Waseem Abu-Ashour, Sherif Emil, Dan Poenaru
Data science approaches personalizing pediatric appendicitis management are hampered by small datasets and unstructured electronic medical records (EMR). Artificial intelligence (AI) chatbots based on large language models can structure free-text EMR data. We compare data extraction quality between ChatGPT-4 and human data collectors. To train AI models to grade pediatric appendicitis preoperatively
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Corrigendum to: “Reducing Unplanned Intubations in the Neonatal Intensive Care Unit After Children's Surgery: A Quality Improvement Project” [J Pediatr Surg 59 (1) (2024 Jan) 45–52] J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-02 Peter Juviler, Jeffrey M. Meyers, Elizabeth Levatino, Jessica Axford, Erin Barker, Lynnie Correll, Andrew S. Decker, John Faria, Marjorie Gloff, Anthony Loria, Margo McKenna Benoit, Jan Schriefer, Timothy P. Stevens, Sarah Verna, Sarah Wegman, Kori Wolcott, Derek Wakeman
Abstract not available
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Outcomes of premature infants with type C esophageal atresia J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-02 Annie Le-Nguyen, Émilie Kate Landry, Prévost Jantchou, Caroline Daoust, Nelson Piché, Ann Aspirot, Christophe Faure
To review the outcomes of premature patients with type C esophageal atresia (EA). In this retrospective cohort study, charts of patients of type C EA patients were reviewed from 1992 to 2022. Outcomes of premature patients were compared to term patients. Preterm patients were analyzed to compare outcomes of infants with very low birth weights (VLBW) to patients > 1,500g as well as primary versus delayed
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Efficacy of bleomycin-lauromacrogol foam in pediatric macrocystic lymphatic malformations with and without intracapsular hemorrhage J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-01-30 Qian Wang, Yi-Xin Wu, Mei-Xian Zhang, Dai-Qiang Song, Bao-Li Su, Sheng-Miao Li, Wang-Yong Shan, Zheng-Ji Liu, Chun-Fen Luo, Lin-Jun Yu
Background Sclerotherapy is purportedly less effective in patients with hemorrhagic than with non-hemorrhagic lymphatic malformations (LMs). We aimed to compare the efficacy of bleomycin-lauromacrogol foam (BLF) sclerotherapy in the treatment of macrocystic LMs with and without intralesional hemorrhage. Methods Fifty-five children with macrocystic LMs admitted to the Pediatric Surgery Department were
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Invited Commentary on ChatGPT: What Every Pediatric Surgeon Should Know About Its Potential Uses and Pitfalls J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-01-30 Danielle S. Walsh
Abstract not available
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Can inguinal hernia be a negative consequence of human evolution? J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-01-29 Sinan Kılıç
Abstract not available
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Letter to the Editor in Response to: Comparing Efficacy of Different Regional Analgesia Methods for Pediatric Laparoscopic Cholecystectomy J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-01-29 Yi Cheng, Fu-Shan Xue, Yu-Jing Yuan
Abstract not available
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Urachal Catheter for Management of Difficult Catheterization in Anorectal Malformations: A Novel Technique J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Yidi Chi, Wei Chen, Anxiao Ming, Xianhua Hao, Ruyue Gao, Siqi Li, Shiru Ye, Yan Zhou, Long Li
Background Urinary tract drainage is necessary to facilitate the maneuver in laparoscopic-assisted anorectoplasty (LAARP). Male patients with Anorectal malformations (ARM) are often encounter difficult catheterization during surgery. Objective We pioneered the urinary catheterization through the urachus in ARM patients and evaluated the efficacy. Method Fourteen ARM patients undergoing urinary catheterization
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The Canadian Pediatric Surgery Workforce: A 10-year Prospective Assessment J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Sherif Emil, Jacob C. Langer, Geoffrey Blair, Ann Aspirot, Guy Brisseau, B.J. Hancock
Background The Canadian Association of Paediatric Surgeons launched a 10-year prospective assessment of the Canadian pediatric surgery workforce and training environment, beginning in 2013.The results of the first 5 years (2013-2017) were previously published. Here, we present the results of the last 5 years (2018-2022), and the cumulative results of the past decade. Methods With IRB approval, a web-based
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Predictors of Mortality in Very Low Birth Weight Neonates With Congenital Diaphragmatic Hernia J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Emily Nes, Priyanka V. Chugh, Gregory Keefe, Katherine Culbreath, Kate A. Morrow, Danielle E.Y. Ehret, Roger F. Soll, Jeffrey D. Horbar, Matthew T. Harting, Kevin P. Lally, Biren P. Modi, Tom Jaksic, Erika M. Edwards
Limited data exists regarding the mortality of very low birth weight (VLBW) neonates with congenital diaphragmatic hernia (CDH). This study aims to quantify and determine predictors of mortality in VLBW neonates with CDH. This analysis of 829 U.S. NICUs included VLBW [birth weight ≤1500g] neonates, born 2011–2021 with and without CDH. The primary outcome was in-hospital mortality. A generalized estimating
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A Social Media Blueprint – Understanding What Makes the Optimal Social Media Account for Paediatric Surgical Families J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Ashaka Patel, Claire A. Wilson, Jacob Davidson, Jennifer Y. Lam, Natashia M. Seemann
Social media is one of the most common sources of information for parents seeking information on their child's health. The purpose of this study was to better understand the social media habits of parents of paediatric surgery patients through surveys and focus groups. An online survey was distributed to parents visiting paediatric surgery clinics at a tertiary care hospital. Surveys were distributed
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Telehealth for Indigenous Children Worldwide: A Scoping Review J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Nour Kabbes, Adalet Bugra, Hussein Wissanji, Esli Osmanlliu
Indigenous children worldwide face healthcare disparities due, in part, to resource scarcity in remote settings which may be mitigated with technology. This study aims to determine the use of telehealth for this population, with respect to feasibility, acceptability, and the degree of patient/family involvement in reported interventions. We focused on the use of telehealth to support perioperative
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Improving Pediatric Trauma Education by Teaching Non-technical Skills: A Randomized Controlled Trial J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Fabio Botelho, Ayla Gerk Rangel, Jason M. Harley, Dan Poenaru
Pediatric trauma is a significant cause of child mortality, and the absence of non-technical skills (NTS) among health providers is linked with errors in patients' care. In this study, we evaluate the effectiveness of a structured debriefing protocol in enhancing NTS during pediatric trauma simulation. A total of 45 medical students were successfully recruited from two medical schools, one in Brazil
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Risk Factors for Infection in Neonates With Intestinal Failure J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Dana Wu, Rhonda Van Oerle, Andrea Martinez, Hannah G. Piper
Neonates with intestinal failure (IF) are at risk for infection due to central venous access, and intestinal surgery. Infection can cause systemic inflammation and sepsis, potentially affecting growth. The purpose of this study was to identify risk factors for, and the potential impact of infection to help with preventative strategies. A retrospective review of infants with IF, at a single centre from
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Adaptation, Translation, and Validation of a Patient-Reported Experience Measure for Children and Young People for the Canadian Context J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Zanib Nafees, Julia Ferreira, Elena Guadagno, Jo Wray, Agneta Anderzén-Carlsson, Dan Poenaru
Patient-reported experience measures (PREMs) evaluate children’s and young people's (CYP) perceptions of care. An important PREM developed and children was created in London, UK. Given the absence of similar North American instruments, we aimed to adapt, translate, and linguistically validate this instrument for use in a Canadian pediatric outpatient setting. A qualitative design was used, involving
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The 54th Annual Meeting of the Canadian Association of Pediatric Surgeons J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Alana L. Beres
Abstract not available
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Prevalence of Mental Health Disorders in Individuals With Gastrointestinal Congenital Surgical Anomalies: A Systematic Review and Meta-analysis J. Pediatr. Surg. (IF 2.4) Pub Date : 2024-02-01 Matthew Urichuk, Anna Zrinyi, Richard Keijzer, Suyin A. Lum Min
Purpose Studies examining functional outcomes and health-related quality of life for patients with congenital surgical anomalies (CSA) are increasingly common. However, the prevalence of mental health disorders in this population has not been determined. The purpose of this review is to summarize the reported prevalence of mental health disorders in children born with gastrointestinal CSA. Methods