One-stage transanal Swenson procedure for rectosigmoid Hirschsprung’s disease in infants and children
Conclusion: One-stage transanal Swenson pull-through procedure is a safe alternative and simpler procedure for rectosigmoid HD with low morbidities and accepted outcome as regards postoperative bowel habits. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Low-cost laparoscopic appendectomy in pediatric patients
Conclusion: Division of the mesoappendix using monopolar electrocautry and closing the base of appendix using handmade endloops during laporoscopic appendectomy appears to be a simple, effective, safe, and cost-efficient technique. Therefore, the use of more costly instruments, such as the endostapler, LigaSure, or Harmonic scalpel, seems unwarranted. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Changing trends in the management of choledochal cysts in children in an Egyptian institution
Conclusion: HD is the preferred option for biliary reconstruction in our institute. This was based on the shorter operative time and avoidance of intestinal anastomosis, and an early and late complication rate compared with Roux-en-Y hepaticojejunostomy. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Epidemiology of small-bowel obstruction beyond the neonatal period
Conclusion: Nearly a quarter of this cohort had a primary SBO. SBO in children is more prevalent among boys (M : F ratio, 2.5 : 1). Intussusception, postoperative adhesions, and irreducible inguinal hernias are the most common pathologies for SBO, followed by Meckel’s diverticulum and congenital adhesive bands. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Avoiding cord extraction or mobilization during pediatric inguinal hernia repair: a step midway between conventional and minimally invasive approaches
Conclusion: We found our approach to be safe and easy to perform, and the vital structures in the cord did not have to be manipulated. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Congenital lung malformations: correlation between prenatal and postnatal imaging and pathological findings
Conclusion: Discordance between imaging data and definitive diagnosis is not rare. Our results suggest that postnatal CT scan is the most sensible and specific examination. Before birth, US seems better compared with MRI for description of the lesion. MRI seems to be useful in case of complex lesions and pulmonary sequestration. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Predictors of pediatric surgeons’ career satisfaction: a national survey
Objective: A survey was performed to identify factors for professional career satisfaction and for dissatisfaction.
Methods: During General Assembly of CSPS, attendees answered the 37-question form grouped into the following categories: demographic, professional activity and organizational issues, type of service, education, and compensation and status. Data were analyzed using the Pearson χ2 test (P (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Subcutaneous endoscopically assisted ligation using miniport for the treatment of girls with inguinal hernia
Conclusion: SEAL using miniport proved to be a successful operative procedure compared with other laparoscopic percutaneous extraperitoneal closure procedures and produced excellent cosmetic results. SEAL using miniport for the treatment of girls with inguinal hernias appears to be safe, effective, and reliable. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: How to DO It Source Type: research
Single-incision thoracoscopic surgery for spontaneous pneumothorax in a 14-year-old girl
Single-incision thoracoscopic surgery has become popular because of its potential to further extend the benefits of thoracoscopic surgery, such as less pain, a faster recovery time, and improved cosmesis, but the limited visualization due to crowding of instruments requires a certain amount of skill, especially in children. We herein describe a single-access video-assisted thoracoscopic surgery for a pediatric spontaneous pneumothorax. This procedure was useful, led to less postoperative pain and a better cosmetic appearance, and resulted in satisfactory results. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: Case Reports Source Type: research
Fetus in fetu in the scrotal sac of newborn
We describe the case of a 15-day-old neonate who presented with scrotal swelling since birth. Radiography and ultrasound revealed a FIF. On surgical removal and pathological evaluation, the anencephalic fetus had limb buds, male external genitals, and vertebral column, supporting the diagnosis of FIF. FIF in the scrotum is a very rare entity. It should be differentiated from other scrotal swellings such as teratoma because of the malignant potential of the latter. Preoperative diagnosis is based on radiologic findings. The treatment is complete excision. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: Case Reports Source Type: research
Factors for failure of nonoperative management of blunt hepatosplenic trauma in children
Conclusion: High-grade injuries, large hemoperitoneum, and contrast blush on the CT scan increase the risk of failure of NOM in patients with blunt hepatosplenic injuries. Nevertheless, most of these patients can be successfully managed with NOM. However, other than hemodynamic instability, the other factors mentioned above deserve further evaluation to determine their ability to aid in the decision between operative and NOM for blunt hepatosplenic injuries in children. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Ergonomic varicocele ligation: laparoscopic intracorporeal knot-tying
Conclusion: Our preliminary results indicate that laparoscopic varicocele ligation carried out with intracorporeal knot-tying is safe and effective and produces cosmetically better results. Therefore, it is a suitable procedure in both pediatric and adolescent patients. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Case series of unusual causes intestinal obstruction in infants and children
Conclusion: Management of these conditions requires a high degree of suspicion, careful assessment, and awareness while the appropriate treatment needs to be tailored to the individual situation. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
A single-institution experience with hydrostatic reduction for childhood intussusception: a preliminary report
This study is a prospective review of all cases of intussusception that presented at the Emergency Department at the Lagos University Teaching Hospital between February 2012 and May 2014. Eligibility for hydrostatic reduction was based on internationally recognized criteria, which included absence of peritonitis and shock. Data were analyzed using the statistical package for social sciences (version 20). The χ2-test was used to compare categorical variables, and a P value of 0.05 was considered significant.
Results: A total of 66 patients were seen within the study period. Thirty-eight were male (57.6%) and 28 were femal...
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
Surgical treatment of necrotizing enterocolitis: single-centre experience from Saudi Arabia
Conclusion: The most common indication for laparotomy in NEC was pneumoperitoneum. We performed laparotomy in drain-managed patients when stable; 40% of such patients survived. We preferred gangrene resection and enterostomy to RA. Mortality and morbidity in the RA group were higher than that in the stoma group; dead RA patients had multifocal disease. Survival rate of laparotomy-NEC patients (66.66%) was comparable to that of other centres. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2016 Category: Surgery Tags: Original Articles Source Type: research
