Traumatic pelvic fractures in children and adolescents
Although traumatic pelvic fractures in children are relatively rare, these injuries are identified in about 5% of children admitted to level 1 trauma centers after blunt trauma.1 –4 Such injuries differ from adult pelvic fractures in important ways and require distinct strategies for management. While the associated mortality rate for children with pelvic fractures is much lower than that for adults, the patient may require urgent surgical intervention for associated life- threatening injuries such as head trauma and abdominal injury. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - January 3, 2017 Category: Pediatrics Authors: Christopher J. DeFrancesco, Wudbhav N. Sankar Source Type: research
The Use of Telemedicine in the Care of the Pediatric Trauma Patient
This article reviews the current literature on various modalities of telemedicine, evidence for tele-trauma, and challenges and barriers related to telemedicine. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - January 3, 2017 Category: Pediatrics Authors: Paul T. Kim, Richard A. Falcone Source Type: research
Preface
In the last 3 decades (1984 to 2014), we have realized a near 50% reduction in the trauma-related mortality rate in the pediatric population (28.9/100K to 15.1/100K).1 The explanation for this rather remarkable decline is undoubtedly multifactorial including the success injury prevention efforts, improvements in trauma care, and advances in trauma systems. Despite this decline, trauma remains the leading cause of death for children in the United States emphasizing the need for ongoing diligence in the effort to continue to reduce injury-related death and disability. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - January 3, 2017 Category: Pediatrics Authors: Michael L. Nance Source Type: research
Complications in neonatal surgery
Neonatal surgery is recognized as an independent discipline in general surgery requiring the expertise of pediatric surgeons to optimize outcomes in infants with surgical conditions. Survival following neonatal surgery has improved dramatically in the past 60 years. Improvements in pediatric surgical outcomes are in part attributable to improved understanding of neonatal physiology, specialized pediatric anesthesia, neonatal critical care including sophisticated cardiopulmonary support, utilization of parenteral nutrition and adjustments in fluid management, refinement of surgical technique and advances in surgical technol...
Source: Seminars in Pediatric Surgery - October 31, 2016 Category: Pediatrics Authors: Mauricio A. Escobar, Michael G. Caty Source Type: research
Complications in the surgical management of children with malignant solid tumors
With improvement in the outcomes for children with cancer has come an increasing focus on minimizing the morbidity from therapeutic interventions, including surgical procedures, while continuing to have a high likelihood of cure. Thus, an appreciation for the potential complications of surgery, both acute and long term, is critical when considering the risks and benefits of any procedure performed on a child with cancer. Although not meant to be an exhaustive review, here we discuss the most common and significant surgical complications that may occur when performing diagnostic, therapeutic or supportive procedures in chil...
Source: Seminars in Pediatric Surgery - October 30, 2016 Category: Pediatrics Authors: Andrew M. Davidoff, Israel Fernandez-Pineda Source Type: research
Complications in head and neck surgery
Head and neck anatomy is topographically complex and the region is densely populated by vital nerves, vascular and lymphatic structures. Injury to many of these structures is associated with significant morbidity and may even be fatal. A thorough knowledge of regional anatomy is imperative and complications need to be managed in a thoughtful directed manner. The pediatric surgeon may be called upon to address both congenital and acquired conditions and should be prepared to encounter reoperative fields after failed initial surgery. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 30, 2016 Category: Pediatrics Authors: Emily Christison-Lagay Source Type: research
Complications in colorectal surgery
Colorectal pediatric surgery is a diverse field that encompasses many different procedures. The pull-through for Hirschsprung disease, the posterior sagittal anorectoplasty for anorectal malformations including complex cloaca reconstructions and the ileal pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis present some of the most technically challenging procedures pediatric surgeons undertake. Many children prevail successfully following these surgical interventions, however, a small number of patients suffer from complications following these procedures. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 30, 2016 Category: Pediatrics Authors: Jason S. Frischer, Beth Rymeski Source Type: research
Preface
The overarching goal of a surgeon is to achieve an optimal surgical outcome while minimizing the chance of a complication. A common surgical adage states that “no amount of postoperative care can undo a bad operation.” Pediatric surgeons are increasingly scrutinized for their outcomes. National databases such as Pediatric NSQIP provide an objective assessment of outcomes for surgeons in children′s hospitals. Complication recognition and avoidance in volves both systems and individual approaches. Crew resource management and the principles of high reliability organizations can improve team functioning to minimize syst...
Source: Seminars in Pediatric Surgery - October 28, 2016 Category: Pediatrics Authors: Michael G. Caty, Robert A. Cowles Source Type: research
Complications in common general pediatric surgery procedures
Complications related to general pediatric surgery procedures are a major concern for pediatric surgeons and their patients. Although infrequent, when they occur the consequences can lead to significant morbidity and psychosocial stress. The purpose of this article is to discuss the common complications encountered during several common pediatric general surgery procedures including inguinal hernia repair (open and laparoscopic), umbilical hernia repair, laparoscopic pyloromyotomy and laparoscopic appendectomy. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 28, 2016 Category: Pediatrics Authors: Maria E. Linnaus, Daniel J. Ostlie Source Type: research
Complications in pediatric hepatobiliary surgery
This review highlights the complications and their risk factors encountered in pediatric hepatobiliary surgery, specifically in the context of pediatric hepatic resection, excision of choledochal cyst and the Kasai hepatoportoenterostomy procedure for biliary atresia as well as other procedures potentially affecting the biliary tree. With the understanding that these are relatively rare procedures case reports and small case series are included in addition to larger series when available. The review focuses on publications in English over the past fifteen years. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 28, 2016 Category: Pediatrics Authors: Gabriella Grisotti, Robert A. Cowles Source Type: research
Complications in Pediatric Enteral and Vascular Access
This article discusses the various techniques and potential complications associated with short and long term enteral and vascular access. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 28, 2016 Category: Pediatrics Authors: David H. Stitelman Source Type: research
Recent biologic and genetic advances in neuroblastoma: Implications for diagnostic, risk stratification, and treatment strategies
Neuroblastoma is an embryonic cancer of neural crest cell lineage, accounting for up to 10% of all pediatric cancer. The clinical course is heterogeneous ranging from spontaneous regression in neonates to life-threatening metastatic disease in older children. Much of this clinical variance is thought to result from distinct pathologic characteristics that predict patient outcomes. Consequently, many research efforts have been focused on identifying the underlying biologic and genetic features of neuroblastoma tumors in order to more clearly define prognostic subgroups for treatment stratification. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 27, 2016 Category: Pediatrics Authors: Erika A. Newman, Jed G. Nuchtern Source Type: research
Recent biologic and genetic advances in neuroblastoma: Implications for diagnostic, risk-stratification, and treatment strategies
Neuroblastoma is an embryonic cancer of neural crest cell lineage, accounting for up to 10% of all pediatric cancer. The clinical course is heterogeneous ranging from spontaneous regression in neonates to life-threatening metastatic disease in older children. Much of this clinical variance is thought to result from distinct pathologic characteristics that predict patient outcomes. Consequently, many research efforts have been focused on identifying the underlying biologic and genetic features of neuroblastoma tumors in order to more clearly define prognostic subgroups for treatment stratification. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 27, 2016 Category: Pediatrics Authors: Erika A. Newman, Jed G. Nuchtern Source Type: research
Non-rhabdomyosarcoma
Pediatric non rhabdomyosarcoma soft tissue sarcomas (NRSTS) are a heterogeneous group encompassing greater than 50 different histological diagnoses arising from primitive mesenchymal tissue. Together, they comprise about half the soft tissue sarcomas diagnosed in children and young adults. Despite each histologies relative rarity, their management schema are similar among the different NRSTS histologies. Surgical management is an important component of the multimodal treatment strategy of all these tumors. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 21, 2016 Category: Pediatrics Authors: Roshni Dasgupta, David Rodeberg Source Type: research
Evidence-based paediatric surgical oncology
This article offers a brief overview in an effort to demonstrate how a selection of well-conducted, recently published studies can help address some topical and controversial t hemes in paediatric surgical oncology practice. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 19, 2016 Category: Pediatrics Authors: Paul D. Losty Source Type: research
