Preface
What has been is what will be, (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 23, 2016 Category: Pediatrics Authors: Shawn St Peter, Charles L. Snyder Source Type: research
Gastroesophageal reflux disease in children
Despite the frequency with which antireflux procedures are performed, decisions about gastroesophageal reflux disease treatment remain challenging. Several factors contribute to the difficulties in managing gastroesophageal reflux. First, the distinction between physiologic and pathologic gastroesophageal reflux (gastroesophageal reflux disease, GERD) is not always clear. Second, measures of the extent of gastroesophageal reflux often poorly correlate to symptoms or other complications attributed to reflux in infants and children. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 23, 2016 Category: Pediatrics Authors: Douglas C. Barnhart Source Type: research
Gallbladder disease in children
Biliary disease in children has changed over the past few decades, with a marked rise in incidence —perhaps most related to the parallel rise in pediatric obesity—as well as a rise in cholecystectomy rates. In addition to stone disease (cholelithiasis), acalculous causes of gallbladder pain such as biliary dyskinesia, also appear to be on the rise and present diagnostic and treatment conundru ms to surgeons. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 10, 2016 Category: Pediatrics Authors: David H. Rothstein, Carroll M. Harmon Source Type: research
Current concepts in the management of inguinal hernia and hydrocele in pediatric patients in laparoscopic era
This article reviews current concepts in the management of inguinal hernia and hydrocele based on the recent literature and the authors ׳ experience. We describe the principles of clinical assessment and anesthetic management of children undergoing repair of inguinal hernia, underlining the differences between an inguinal approach and minimally invasive surgery (MIS). (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 10, 2016 Category: Pediatrics Authors: Ciro Esposito, Maria Escolino, Francesco Turr à, Agnese Roberti, Mariapina Cerulo, Alessandra Farina, Simona Caiazzo, Giuseppe Cortese, Giuseppe Servillo, Alessandro Settimi Source Type: research
The undescended testis: Clinical management and scientific advances
Undescended testes (UDT), where one or both testes fail to migrate to the base of the scrotum, can be congenital (2 –5% of newborn males) or acquired (1–2% of males). The testis may be found in any position along its usual line of descent. Cryptorchidism affects the developing testicular germ cells and increases the risk of infertility and malignancy. Clinical management aims to preserve spermatogenesis and p revent the increased risk of seminoma. Examination to document the testicular position will guide the need for imaging, medical management and the surgical approach to orchidopexy. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 10, 2016 Category: Pediatrics Authors: Jaya Vikraman, John M. Hutson, Ruili Li, Jorgen Thorup Source Type: research
Gallbladder disease in children
Biliary disease in children has changed over the past few decades, with a marked rise in incidence – perhaps most related to the parallel rise in pediatric obesity – as well as a rise in cholecystectomy rates. In addition to stone disease (cholelithiasis), acalculous causes of gallbladder pain such as biliary dyskinesia, also appear to be on the rise and present diagnostic and treatment conundrums to surgeons. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 10, 2016 Category: Pediatrics Authors: David H. Rothstein, Carroll M. Harmon Source Type: research
Current concepts in the management of inguinal hernia and Hydrocele in pediatric patients in laparoscopic era
We describe the principles of clinical assessment and anesthetic management of children undergoing repair of inguinal hernia, underlining the differences between an inguinal approach and minimally invasive surgery (MIS). Other points discussed include the current management of particular aspects of these pathologies such as bilateral hernias; contralateral patency of the peritoneal processus vaginalis; hernias in premature infants; direct, femoral and other rare hernias; and the management of incarcerated or recurrent hernias. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 10, 2016 Category: Pediatrics Authors: Ciro Esposito, Maria Escolino, Francesco Turrà, Agnese Roberti, Mariapina Cerulo, Alessandra Farina, Simona Caiazzo, Giuseppe Cortese, Giuseppe Servillo, Alessandro Settimi Source Type: research
The undescended testis: Clinical management and scientific advances
Undescended testes (UDT), where one or both testes fail to migrate to the base of the scrotum, can be congenital (2–5% of newborn males) or acquired (1-2% of males). The testis may be found in any position along its usual line of descent. Cryptorchidism affects the developing testicular germ cells and increases the risk of infertility and malignancy. Clinical management aims to preserve spermatogenesis and prevent the increased risk of seminoma. Examination to document the testicular position will guide the need for imaging, medical management and the surgical approach to orchidopexy. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 10, 2016 Category: Pediatrics Authors: Jaya Vikraman, John M. Hutson, Ruili Li, Jorgen Thorup Source Type: research
Overview and diagnosis of acute appendicitis in children
Appendicitis represents the most common abdominal surgical emergency in the pediatric age group. Despite being a relatively common condition, the diagnosis of appendicitis in children can prove to be challenging in many cases. The goal of this article is to review the predictive utility for presenting signs and symptoms, laboratory tests, and imaging studies in the diagnostic work-up of appendicitis. Furthermore, we sought to explore the predictive utility of composite measures based on multiple sources of diagnostic information, as well as the utility of clinical pathways as a means to streamline the diagnostic process. (...
Source: Seminars in Pediatric Surgery - May 9, 2016 Category: Pediatrics Authors: Charity C. Glass, Shawn J. Rangel Source Type: research
Role of non-operative management in pediatric appendicitis
Appendectomy is currently considered the standard of care for children with acute appendicitis. Although commonly performed and considered a safe procedure, appendectomy is not without complications. Non-operative management has a role in the treatment of both uncomplicated and complicated appendicitis. In uncomplicated appendicitis, initial non-operative management appears to be safe, with an approximate 1-year success rate of 75%. Compared to surgery, non-operative management is associated with less disability and lower costs, with no increase in the rate of complicated appendicitis. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 9, 2016 Category: Pediatrics Authors: Dani O. Gonzalez, Katherine J. Deans, Peter C. Minneci Source Type: research
Operative management of appendicitis
Appendectomy has been the standard of care for appendicitis since the late 1800s, and remains one of the most common operations performed in children. The advent of data-driven medicine has led to questions about every aspect of the operation —whether appendectomy is even necessary, when it should be performed (timing), how the procedure is done (laparoscopic variants versus open and irrigation versus no irrigation), length of hospital stay, and antibiotic duration. The goal of this analysis is to review the current status of, and avai lable data regarding, the surgical management of appendicitis in children. (Source: Se...
Source: Seminars in Pediatric Surgery - May 9, 2016 Category: Pediatrics Authors: Shawn D. St. Peter, Charles L. Snyder Source Type: research
Contemporary management of pyloric stenosis
This article reviews the aetiology and pathophysiology of hypertrophic pyloric stenosis, its clinical presentation, the role of imaging, the preoperative and postoperative management, current surgical approaches and non-surgical treatment options. Contemporary postoperative feeding regimens, outcomes and complications are also discussed. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 9, 2016 Category: Pediatrics Authors: Matthew Jobson, Nigel J. Hall Source Type: research
Overview and diagnosis of acute appendicitis in children
Appendicitis represents the most common abdominal surgical emergency in the pediatric age group. Despite being a relatively common condition, the diagnosis of appendicitis in children can prove challenging in many cases. The goal of this article is to review the predictive utility for presenting signs and symptoms, laboratory tests, and imaging studies in the diagnostic work-up of appendicitis. Furthermore, we sought to explore the predictive utility of composite measures based on multiple sources of diagnostic information, as well as the utility of clinical pathways as a means to streamline the diagnostic process. (Source...
Source: Seminars in Pediatric Surgery - May 9, 2016 Category: Pediatrics Authors: Charity C. Glass, Shawn J. Rangel Source Type: research
Role of non-operative management in pediatric appendicitis
Appendectomy is currently considered the standard of care for children with acute appendicitis. Although commonly performed and considered a safe procedure, appendectomy is not without complications. Non-operative management has a role in the treatment of both uncomplicated and complicated appendicitis. In uncomplicated appendicitis, initial non-operative management appears to be safe, with an approximate 1-year success rate of 75%. Compared to surgery, non-operative management is associated with less disability and lower costs, with no increase in the rate of complicated appendicitis. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 9, 2016 Category: Pediatrics Authors: Dani O. Gonzalez, Katherine J. Deans, Peter C. Minneci Source Type: research
Operative management of appendicitis
Appendectomy has been the standard of care for appendicitis since the late 1800s, and remains one of the most common operations performed in children. The advent of data-driven medicine has led to questions about every aspect of the operation: whether appendectomy is even necessary, when it should be performed (timing), how the procedure is done (laparoscopic variants versus open, irrigation versus no irrigation), length of hospital stay and antibiotic duration. The goal of this analysis is to review the current status of, and available data regarding, the surgical management of appendicitis in children. (Source: Seminars ...
Source: Seminars in Pediatric Surgery - May 9, 2016 Category: Pediatrics Authors: Shawn D St. Peter, Charles L. Snyder Source Type: research
