Laparoscopic removal of autoamputated adnexa in infants and neonates
Conclusion: Although laparoscopic removal of autoamputated adnexa can be successfully accomplished in newborns and infants, 50% of autoamputated adnexa are still treated with laparotomy. Our review revealed the necessity of at least two ports for the identification and removal of the adnexa using the laparoscopic-assisted technique, whereas three trocars in the presence of tenacious adhesions. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2015 Category: Surgery Tags: Review Article Source Type: research
Current management of Hirschsprung’s disease in Egypt: a survey of members of the Egyptian Pediatric Surgical Association
Conclusion: The EPSA survey indicated that most surgeons are moving toward a one-stage pull-through using transanal endorectal pull-through for patients with rectosigmoid HD. There are large variations in preference for the age at pull-through. There is a need for a routine practice of intraoperative frozen section tissue diagnosis, and popularizing laparoscopic surgery for patients with long segment disease. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2015 Category: Surgery Tags: Survey Source Type: research
Single-port laparoscopic-assisted pyloromyotomy: a 6-year experience
Conclusion: The feasibility of SPLAP found over these 6 years suggests that this procedure is an excellent alternative to open or laparoscopic pyloromyotomy. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: How to DO It Source Type: research
Omental infarction in children misdiagnosed as acute appendicitis
We present our experience with two cases of pediatric acute abdomen due to OI, misdiagnosed as acute appendicitis, which were successfully treated surgically. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: Case Report Source Type: research
New technique for herniotomy in children: a clinical trial
Conclusion: This study showed that hernial sac ligation after its transection is not necessary in pediatric herniotomy. Omission of ligation did not result in any significant effect on early and late complications. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: Original Articles Source Type: research
Aneurysms in pediatric age: a challenging and rare disease entity
Conclusion: Repair of aneurysms in children is feasible and yields good midterm results. Management is usually individual and tailored to each case. Finding the suitable conduit is a challenge, and autogenous veins are preferred whenever available. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: Original Articles Source Type: research
Securing the mucocutaneous anastomosis in the repair of low-anorectal anomalies
Conclusion: Among the patients with rectoperineal fistula, extension of the dissection and mobilization of the rectum from the anterior structures (vagina in girls, and bulpospongiosum in boys) decreases wound dehiscence following a limited sagittal anorectoplasty procedure. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: Original Articles Source Type: research
Laparoscopic diagnostic findings in atypical intestinal malrotation in children with equivocal imaging studies
Conclusion: Laparoscopy permits direct evaluation and treatment of undocumented malrotation in children, with equivocal UGI contrast study. These newly described laparoscopic findings are the key for the diagnosis of malrotation with atypical presentation. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: Original Articles Source Type: research
Effectiveness of Wharton’s jelly stem cells in gastroschisis repair using the inner surface of the umbilical cord as a patch: long-term results
Conclusion: This paper describes the effect of the local application of WJ – that is, mesenchymal stromal cells derived from the inner surface of the umbilical stump – and its influence on the healing process of the birth defect and wound. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: Original Articles Source Type: research
Hyperhidrosis in children and review of its current evidence-based management
Hyperhidrosis (HH) is excessive sweating that usually interferes with the patient’s social life. In more than 80% of the cases, the symptoms start in childhood. Early detection and management can significantly improve the patient’s quality of life; however, HH remains widely underdiagnosed and undertreated, particularly among children. Many patients do not realize that they have a treatable condition and reports have shown that only 38% of the patients had discussed their condition with a healthcare professional. The aim of this article was to improve awareness on the significant sequel of HH in children and highlight ...
Source: Annals of Pediatric Surgery - July 1, 2015 Category: Surgery Tags: Review Article Source Type: research
An artifice in the insertion of the Hickman catheter in small children
Although the Hickman catheter is commonly used in pediatric patients, it is difficult to place this catheter safely in small children, especially infants. A multiple-step method, starting with a thinner catheter, makes the placement easier and safer. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2015 Category: Surgery Tags: How to DO It Source Type: research
Type IIA2 urethral duplication: report of an unusual case
This report describes a rare case of type IIA2 sagittal urethral duplication. The presentation, investigation, and management of this rare anomaly are briefly discussed. A 3½-year-old boy presented with urinary obstruction and recurrent urinary tract infection due to a stenosed dorsal urethra and segmental stenosis of the dominant ventral urethra. The child also had left-sided vesicoureteric reflux. Staged surgical management consisted of an initial vesicostomy followed by serial dilatation of the ventral urethral stricture, left ureteric reimplantation, and a 2-cm long distal urethrourethrostomy between the dorsal urethr...
Source: Annals of Pediatric Surgery - April 1, 2015 Category: Surgery Tags: Case Reports Source Type: research
Multifocal necrotizing fasciitis following Hirshsprung’s disease surgery away from the surgical wound site
Necrotizing fasciitis (NF) is a life-threatening infection with rapidly progressive necrosis. Escherichia coli is rarely reported as causative agent of type 2 NF. NF typically arises in a single area usually secondary to penetrating injury. NF was only reported as a postoperative complication of Hirshsprung’s disease in one report, where the causative agent was Pseudomonas aeruginosa. We here present a case of synchronous multifocal NF in a 7-month Hirshsprung’s disease patient after abdominal Soave procedure. The patient presented with constipation and had a colosotomy undergone at the splenic flexure through a left t...
Source: Annals of Pediatric Surgery - April 1, 2015 Category: Surgery Tags: Case Reports Source Type: research
Secondary involvement of Meckel’s diverticulum by group A β-hemolytic streptococcus in a child with upper airways infection treated by laparoscopic-assisted resection
We report a case of a 5-year-old boy with acute abdomen following an upper airways infection who developed Meckel’s diverticulum perforation secondary to group A β-hemolytic streptococcus and its successful treatment by a laparoscopic-assisted intervention. To the best of our knowledge, such an event has never been reported previously. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2015 Category: Surgery Tags: Case Reports Source Type: research
Spontaneous bile duct perforation in an infant, managed with simple drainage: a case report
We report a case of spontaneous bile duct perforation in an infant and showed the successful minimal surgical intervention with T-tube insertion as the sole management. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2015 Category: Surgery Tags: Case Reports Source Type: research
