Assessment of the testicular vascularity after inguinal herniotomy in children: a prospective color Doppler study.
CONCLUSION: The affection of testicular vascularity postoperatively is transient and returns to be near to the preoperative values in the late postoperative period (six months postoperatively). Additionally, no significant change in testicular volume postoperatively. PMID: 31091967 [PubMed - as supplied by publisher]
Publication date: Available online 8 October 2020Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Elize W. Lockhorst, Jasper van der Slegt, Eelco J. Veen, Dagmar I. Vos
ConclusionIn our hands, a significantly higher recurrence rate exists for children undergoing the PIRS method over LICPV techniques when treating inguinal hernias.
Congenital diaphragmatic hernias (CDH) are structural defects associated with significant mortality and morbidity. One-third are thought to have a genetic cause. Single gene associations are being explored with techniques such as whole-exome sequencing. We investigated whether fetuses with CDH at our institution had known or novel genetic mutation.
The recently published paper “Inguinal hernias in girls: A retrospective analysis of over 1000 patients”  inspires a few practical lessons for surgeons caring for girls with inguinal hernias so they will not miss cases of complete androgen insensitivity syndrome (CAIS) .
AbstractBackgroundBurnia is a suturless repair for inguinal hernias in girls. It is performed under laparoscopy by grabbing the sac, inverting it into the peritoneal cavity, and cauterizing. The aim of this study is to report our experience with single-site laparoscopic burnia (BURNIA) and compare them with open repair (OPEN).MethodsWith IRB approval, pediatric female patients younger than 18 years of age who underwent inguinal hernia repair between January 2015 and December 2017 were enrolled. Medical records were retrospectively reviewed. The patients were divided into two groups, BURNIA and OPEN.Results198 patient...
We describe 2 cases of TAWH due to blunt impact by bicycle handlebars that occurred in our department with a brief literature review. Our objectives are to describe the variable clinical presentations and management of these events. We hope to provide a useful tool for the clinician to increase early clinical suspicion and detection of this insidious injury.
Publication date: Available online 27 August 2020Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Melissa Wong, Patrick J. Javid
Conclusion Service provision has been severely affected by COVID-19 leading to an inevitable increase in untreated surgical pathology. Better understanding of extrapulmonary infectivity, the risk of asymptomatic carriage in children, and the reliability of testing for surgical scenarios may allow appropriate use of conventional surgery, including laparoscopy and endoscopy, and rational development of the novel care pathways needed during the pandemic. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
We examined a series of patients suffering TAWH to evaluate its frequency, rate of associated concurrent intraabdominal injuries (CAI) and correlation with CT, management and outcomes.
Background: It is still not clear if the contralateral side should be explored in children with unilateral inguinal hernias. The primary aim of the present study was to assess the incidence of metachronous contralateral inguinal hernias (MCIHs) in the pediatric population. The second aim was to assess factors associated with increased risk of MCIH development. Methods: Prospective studies including patients from 0-19 years undergoing unilateral inguinal hernia repair without surgical exploration of the contralateral side between 1947 and April 2020 with a minimal follow-up of one year were searched. Searches included ...