Reply to Letter to the Editor on European Pediatric Surgeon' Association Survey on the Management of Short Bowel Syndrome
Eur J Pediatr Surg DOI: 10.1055/s-0041-1732374 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - July 26, 2021 Category: Surgery Authors: Dariel, Anne Faure, Alice Martinez, Leopoldo Morini, Francesco Pini Prato, Alessio Friedmacher, Florian Coste, Marie-Edith Tags: Letter to the Editor Source Type: research

Determination of Factors to Distinguish MIS-C from Acute Appendicitis in Children with Acute Abdominal Pain
Eur J Pediatr Surg DOI: 10.1055/s-0041-1732320 Introduction The aim of this study was to make the differential diagnosis between acute appendicitis and multisystem inflammatory syndrome in children (MIS-C) for patients presenting with the complaint of acute abdominal pain (AAP) and to identify the determining factors for the diagnosis of MIS-C. Materials and Methods Eighty-one children presenting with AAP/suspected AAP were evaluated. Of these, 24 (29.6%) were included in the MIS-C group (MIS-C/g) and 57 were included in the suspected appendicitis group (S-A/g), which consisted of two subgroups: appendiciti...
Source: European Journal of Pediatric Surgery - July 23, 2021 Category: Surgery Authors: Az ılı, Müjdem Nur G üney, Doğuş Oztorun, Can Ihsan Ert ürk, Ahmet Erten, Elif Emel Demir, Sabri Ertoy, Ay şe Emeksiz, Serhat Parlakay, Asl ınur Ozkaya Celikel, Banu Acar Senel, Emrah Tags: Original Article Source Type: research

Parental Presence during Induction of Anesthesia Improves Compliance of the Child and Reduces Emergence Delirium
Eur J Pediatr Surg DOI: 10.1055/s-0041-1732321 Introduction Preoperative stress and anxiety in pediatric patients are associated with poor compliance during induction of anesthesia and a higher incidence of postoperative maladaptive behaviors. The aim of our study was to determine which preoperative preparation strategy improves compliance of the child during induction and decreases the incidence and intensity of emergence delirium (ED) in children undergoing ambulatory pediatric surgery. Materials and Methods This prospective observational study included 638 pediatric American Society of Anesthesiologists ...
Source: European Journal of Pediatric Surgery - July 9, 2021 Category: Surgery Authors: Gil Mayo, Diego Sanabria Carretero, Pascual Gajate Martin, Luis Alonso Calder ón, Jose Hern ández Oliveros, Francisco Gomez Rojo, Mar ía Tags: Original Article Source Type: research

Comment on “European Pediatric Surgeon' Association Survey on the Management of Short-Bowel Syndrome”
Eur J Pediatr Surg DOI: 10.1055/s-0041-1731392 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - July 9, 2021 Category: Surgery Authors: Lauro, Augusto Coletta, Riccardo Morabito, Antonino Tags: Letter to the Editor Source Type: research

The Impact of COVID-19 Pandemic on Pediatric Surgery
Eur J Pediatr Surg 2021; 31: 303-304 DOI: 10.1055/s-0041-1731296 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - July 9, 2021 Category: Surgery Authors: Mutanen, Annika Gosemann, Jan-Hendrik Tags: Editorial Source Type: research

Virtual Education in Pediatric Surgery during the COVID-19 Era: Facing and Overcoming Current Challenges
This article highlights the challenges imposed by the pandemic and outlines the various learning modalities that can be implemented to ensure continued learning opportunities throughout the pandemic and beyond. Furthermore, it aims to show how the utilization and expansion of technologies maintain and further increase the communication, as well as the exchange of and access to knowledge among peers. Virtual education-, application-, and simulation-based learning and social media, as well as telemedicine and online conferences, will play a considerable role in the future of surgical specialties and surgical education. [...]...
Source: European Journal of Pediatric Surgery - June 27, 2021 Category: Surgery Authors: Aubert, Ophelia Wagner, Richard Gerardo, Rodrigo Tamaro, Gaia Zani, Augusto Ponsky, Todd Lacher, Martin Tags: Review Article Source Type: research

The Role of Exosomes in the Treatment, Prevention, Diagnosis, and Pathogenesis of COVID-19
Eur J Pediatr Surg DOI: 10.1055/s-0041-1731294The novel coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), continues to be a major health concern. In search for novel treatment strategies against COVID-19, exosomes have attracted the attention of scientists and pharmaceutical companies worldwide. Exosomes are small extracellular vesicles, secreted by all types of cells, and considered as key mediators of intercellular communication and stem-cell paracrine signaling. Herein, we reviewed the most recent literature about the role of exosomes as potential a...
Source: European Journal of Pediatric Surgery - June 23, 2021 Category: Surgery Authors: Zani-Ruttenstock, Elke Antounians, Lina Khalaj, Kasra Figueira, Rebeca L. Zani, Augusto Tags: Review Article Source Type: research

Impact of the Global COVID-19 Pandemic on the Incidence, Presentation, and Management of Pediatric Appendicitis: Lessons Learned from the First Wave
Eur J Pediatr Surg DOI: 10.1055/s-0041-1731295The fast-evolving nature of the coronavirus disease 2019 (COVID-19) pandemic has led to unprecedented clinical, logistical, and socioeconomical challenges for health-care systems worldwide. While several studies have analyzed the impact on the presentation and management of acute appendicitis (AA) in the adult population, there is a relative paucity of similar research in pediatric patients with AA. To date, there is some evidence that the incidence of simple AA in children may have decreased during the first lockdown period in spring 2020, whereas the number of complicated AA ...
Source: European Journal of Pediatric Surgery - June 23, 2021 Category: Surgery Authors: Saalabian, Kerstin Rolle, Udo Friedmacher, Florian Tags: Review Article Source Type: research

Surgical Perspectives for Pediatric Theater Teams during the SARS-CoV-2 Pandemic and Beyond: Narrative Review and Mandatory Tasks Guidelines
Eur J Pediatr Surg DOI: 10.1055/s-0041-1731293This is a narrative review during the ongoing coronavirus disease 2019 (COVID-19) pandemic to streamline workflow of pediatric surgical patients in operating theaters and for theater teams involved in their management. Pediatric patient anxiety in theaters, aspects of communication, and optimizing vision during surgery during the pandemic have also been addressed. The COVID-19 pandemic has led to the creation of pathways in the surgical management of patients. As the pandemic progressed, hospitals developed pathways to offer increased protection to staff during procedures. This...
Source: European Journal of Pediatric Surgery - June 20, 2021 Category: Surgery Authors: Iacona, Roberta Chima, Kiran Kotecha, Ami Saxena, Amulya Tags: Review Article Source Type: research

Analysis of Pulmonary Surgery in Children and Adolescents in Germany: Who Is doing What?
Eur J Pediatr Surg DOI: 10.1055/s-0041-1731030 Introduction In Germany, pediatric surgery is organized in a decentralized manner. A nationwide clinical registry does not exist. The aim of this research is to analyze the current status of pulmonary surgery in the country in respect of children and adolescents. Materials and Methods Claims data have been extracted from two health insurance databases representing 34% of the German population. Operative diagnoses and procedures, as well as patients' characteristics, were recorded from 2016 to 2019. Results The incidence of the four index diagnoses inves...
Source: European Journal of Pediatric Surgery - June 20, 2021 Category: Surgery Authors: B öckle, Carla E. Blaser, Jochen Schukfeh, Nagoud Zeidler, Jan Ure, Benno M. Dingemann, Jens Tags: Original Article Source Type: research

Patient-Reported Outcomes —The Value of Observational Assessments
Eur J Pediatr Surg DOI: 10.1055/s-0041-1729897 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - June 14, 2021 Category: Surgery Authors: Witt, Stefanie Bloemeke, Janika Bullinger, Monika Dingemann, Jens Dellenmark-Blom, Michaela Quitmann, Julia Tags: Reply to Letter to the Editor Source Type: research

The Epidemiology behind Pectus Excavatum: Clinical Study and Review of the Literature
Conclusion The described family histories indicate an underlying genetic cause for PE. Identification of the genetic factors may contribute to characterize patients who are at risk of inheriting isolated PE. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - June 14, 2021 Category: Surgery Authors: Kloth, Katja Klohs, Stefan Bhullar, Jasmin Boettcher, Michael Hempel, Maja Trah, Julian Reinshagen, Konrad Tags: Original Article Source Type: research

Objective Professionals, Subjective Patients? Unbiased Thinking Facilitates Better, Multidimensional Treatment
Eur J Pediatr Surg DOI: 10.1055/s-0041-1729899 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - June 14, 2021 Category: Surgery Authors: Schmiedeke, Eberhard Ohlms, Jutta Faiss, Martina Stamatopoulos, Electra Schwarzer, Nicole Widenmann-Grolig, Anke Aminoff, Dalia Haanen, Michel Cavalieri, Ducio Jenetzky, Ekkehart Tags: Letter to the Editor Source Type: research

Ultrasound Elastography in the Diagnosis of Malignant Cervical Lymphadenopathy in Children: Can It Replace Surgical Biopsy?
Conclusion Elastography is a useful tool that should be added to ultrasound modalities during the diagnosis of pediatric cervical lymphadenopathy. Surgical biopsy in eligible patients is imperative to commence proper therapy or to discharge the child. Despite favorable results of elastography, it cannot replace surgical biopsy or change its indications. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - June 6, 2021 Category: Surgery Authors: Elgendy, Ahmed Elhawary, Eslam Shareef, Mohamed M. Romeih, Marwa Ebeed, Ahmed Tags: Original Article Source Type: research

Role of Minimally Invasive Surgery in Management of Penetrating Abdominal Trauma in Children
Conclusion For management of PAT in children, MIS has 100% accuracy in defining the injured organs with zero percent missed injuries. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - March 23, 2021 Category: Surgery Authors: Mahmoud, Muhammad Abdelhafez Daboos, Mohammad Alsayed Bayoumi, Ahmed Said Sayed Helal, Ahmed Abdelghaffar Almaawi, Abdulrahman Hassab, Mohamed Hany Aldaraan, Khaled Zamel Tags: Original Article Source Type: research

Cysto-Vaginoscopy of a 3D-Printed Cloaca Model: A Step toward Personalized Noninvasive Preoperative Assessment in Patients with Complex Anorectal Malformations
Conclusion The results of our study indicate that patient-specific 3D-printed models might be a useful tool in the preoperative evaluation of complex anorectal malformations by simulation of cysto-vaginoscopy with an excellent view on anatomical structures to assess the whole spectrum of the individual cloacal malformation. Our model might be a valuable add-on tool for specialty training in pediatric colorectal surgery. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Sour...
Source: European Journal of Pediatric Surgery - March 23, 2021 Category: Surgery Authors: Krois, Wilfried Schm ölz, Lukas Wagner, Michael Gr öpel, Peter Unger, Ewald Berger, Angelika Metzelder, Martin Reck, Carlos Albert Tags: Original Article Source Type: research

Congenital Heart Defects in Patients with Classic Bladder Exstrophy: A Hitherto Neglected Association?
Conclusion This prospective systematic evaluation shows an even higher rate of CHD in patients with BE than assumed previously. Although peri- and postoperative outcome did not differ between patients with and without CHD, we consider TTE an important additional method for ensuring a safe peri- and postoperative courses and a short- and long-term care for patients with CHD. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - March 7, 2021 Category: Surgery Authors: Promm, Martin Gerling, Stephan Schepp, Carsten P. R ösch, Wolfgang H. Tags: Original Article Source Type: research

Lung Resection in Children with Necrotizing Pneumonia: Outcome and Follow-up
Eur J Pediatr Surg DOI: 10.1055/s-0041-1725188 Introduction The number of patients with necrotizing pneumonia has increased in recent years. The aim of this study is to review the incidence, management, and outcome of pediatric necrotizing pneumonia requiring surgical therapy and to prove that lung resection results in favorable development of patients. We hypothesize that overall lung function in children after lung resection does not differ from that of the healthy population. Materials and Methods A retrospective tertiary referral center study with a prospective follow-up spirometric study of patients wi...
Source: European Journal of Pediatric Surgery - March 7, 2021 Category: Surgery Authors: Frybova, Barbora Koucky, Vaclav Pohunek, Petr Cejnarova, Kristyna Coufal, Stepan Kokesova, Alena Dotlacil, Vojtech Petrasova, Natalia Pos, Lucie Snajdauf, Jiri Hlava, Stepan Polivka, Natali Rygl, Michal Tags: Original Article Source Type: research

Correlation between Common Channel Length and Urethral Length in Cloacal Malformations
Eur J Pediatr Surg DOI: 10.1055/s-0041-1725189 Introduction This research aimed to study the relationship between common channel length and urethral length in cloaca patients by different diagnostic modalities and the ability of common channel length to predict the urethral length. Materials and Methods The study was conducted on 30 cases of cloaca managed at Alexandria University Children Hospital and Cairo University Children Hospital from August 2018 to December 2019. Preoperative assessment included cystovaginoscopy and magnetic resonance imaging (MRI) studies with a recording of common channel length a...
Source: European Journal of Pediatric Surgery - March 7, 2021 Category: Surgery Authors: Abdelmalak Abokandil, Mohamed Waheeb, Saber Eltagy, Gamal Khairi, Ahmad Farghaly, Yasmine Aly, Salmaa Tags: Original Article Source Type: research

Bowel Lengthening Procedures in Children with Short Bowel Syndrome: A Systematic Review
Conclusion LILT and STEP are both valuable treatment strategies used in the management of pediatric SBS. However, currently it is not possible to advise surgeons on accurate patient selection and to predict the result of either intervention. Homogenous, prospective, outcome reporting is necessary, for which an international network is needed. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - March 4, 2021 Category: Surgery Authors: Nagelkerke, Sjoerd C. J. Poelgeest, M. Y. van Wessel, L. M. Mutanen, A. Langeveld, H. R. Hill, S. Benninga, M. A. Tabbers, M. M. Bakx, R. Tags: Review Article Source Type: research

Centralization of Biliary Atresia: Has Germany Learned Its Lessons?
Conclusion Our observation shows that KPE management requires improvement in Germany. Centralization of BA patients to German reference liver units is not yet mandatory. However, European and national efforts with regard to the centralization of rare diseases support our common endeavor in this direction. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - March 4, 2021 Category: Surgery Authors: Madadi-Sanjani, Omid Fortmann, David Rolle, Udo Rodeck, Burkhard Sturm, Ekkehard Pfister, Eva-Doreen Kuebler, Joachim F. Baumann, Ulrich Schmittenbecher, Peter Petersen, Claus Tags: Original Article Source Type: research

Hypospadias and the Use of the Ages and Stages Questionnaire to Evaluate Neurodevelopmental Status of Boys with Hypospadias
Conclusion Hypospadias and neurologic impairment may share common etiologic factors. Accordingly, physicians should keep in mind that if a boy presents with hypospadias, the possibility of having neurologic impairment is higher than normal population and early intervention has crucial importance. Every boy with hypospadias should be evaluated for neurodevelopmental status. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - March 4, 2021 Category: Surgery Authors: Cakmak, Murat Gollu, Gulnur Ates, Ufuk Ergun, Ergun Khanmammadov, Ferid Sozduyar, Sumeyye Telli, Onur Kose, Kenan Dilsiz, Habibe Cakmak, Aytul Kapci, Emine G. Kucuker, Sevgi Oner, Ozgur Bingol-Kologlu, Meltem Yagmurlu, Aydin Uslu, Rana I. Tags: Original Article Source Type: research

Surgical Treatment for Asymptomatic Congenital Pulmonary Airway Malformations in Children: Waiting or Not?
Eur J Pediatr Surg DOI: 10.1055/s-0040-1719057 Introduction Infection is undoubtedly the most important factor in influencing the timing and surgical strategy of congenital pulmonary airway malformation (CPAM) surgery. However, there have been no studies on the optimal timing of surgery for patients based on the probability of infection. The aim of this study was performed to explore the optimal timing of surgery of CPAM in children from the risk of infection. Materials and Methods The correlation of age distribution and pulmonary infection of 237 children diagnosed by pathology from January 2012 to January...
Source: European Journal of Pediatric Surgery - February 28, 2021 Category: Surgery Authors: Zeng, Jiahang Liang, Jianhua Li, Le Liu, Wei Tang, Jue Yin, Xiaoli Yin, Guocai Tags: Original Article Source Type: research

Complicated Acute Appendicitis during COVID-19 Pandemic: The Hidden Epidemic in Children
Eur J Pediatr Surg DOI: 10.1055/s-0041-1723992 Introduction Since home confinement for novel coronavirus disease 2019 (COVID-19) pandemic began, pediatric visits to the emergency department (ED) have decreased, including consultation for abdominal pain. Our aim is to investigate the incidence of complicated acute appendicitis (AA; peritonitis or appendicular mass) during confinement for COVID-19 pandemic and to compare it with the previous 5 years. Materials and Methods A retrospective study was performed in children with AA who underwent surgery between March 9 and April 13 from 2015 to 2020; patients were...
Source: European Journal of Pediatric Surgery - February 22, 2021 Category: Surgery Authors: Delgado-Miguel, Carlos Mu ñoz-Serrano, Antonio J. Miguel-Ferrero, Miriam De Ceano-Vivas, Mar ía Calvo, Cristina Mart ínez, Leopoldo Tags: Original Article Source Type: research

Surgical Management of Pediatric Inguinal Hernia: A Systematic Review and Guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee
Conclusion Laparoscopic repair may be beneficial for children with bilateral hernia and preterm infants may benefit using regional anesthesia and postponing surgery. However, no definite superiority was found and available evidence was of moderate-to-low quality. Evidence for other topics was less conclusive. For the optimal management of inguinal hernia repair, a tailored approach is recommended taking into account the local facilities, resources, and expertise of the medical team involved. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents...
Source: European Journal of Pediatric Surgery - February 10, 2021 Category: Surgery Authors: Morini, Francesco Dreuning, Kelly M.A. Janssen Lok, Maarten J.H. Wester, Tomas Derikx, Joep P.M. Friedmacher, Florian Miyake, Hiromu Zhu, Haitao Pio, Luca Lacher, Martin Sgr ó, Stefania Zani, Augusto Eaton, Simon van Heurn, L.W. Ernest Pierro, Agostino Tags: Review Article Source Type: research

The Use of an Inanimate Simulation Model for the Correction of an Anorectal Malformation in the Training of Colorectal Pediatric Surgery
Conclusion This affordable ARM model was regarded a suitable model for training during preclinical hands-on workshops and could be used for the specified steps of the procedure. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - February 10, 2021 Category: Surgery Authors: Joosten, Maja B ökkerink, Guus M. J. Levitt, Marc A. Diefenbach, Karen A. Reck, Carlos A. Krois, Wilfried de Blaauw, Ivo Botden, Sanne M.B.I. Tags: Review Article Source Type: research

A Critical Analysis of Rectal Biopsy to Exclude Hirschsprung's Disease
Eur J Pediatr Surg DOI: 10.1055/s-0041-1722858 Introduction Most Hirschsprung's disease (HD) are diagnosed in young children with increased risk (”red flag”). Older children (>6 months) require open rectal biopsy (ORB) with its own impact on risk and resources. We investigated if “red flag”, age, and sex used in combination could exclude HD. Materials and Methods “Red flags” are risk factors associated with HD, including neonatal bowel obstruction, genetic association, failure of passage of meconium in
Source: European Journal of Pediatric Surgery - February 7, 2021 Category: Surgery Authors: Tan, Yew-Wei Chacon, Carmen Sofia Sherwood, William Haddad, Munther Choudhry, Muhammad Tags: Original Article Source Type: research

Diagnostic Value of Clinical Prediction Scores for Acute Appendicitis in Children Younger than 4 Years
Conclusion The three scores can be of assistance in the suspicion of acute appendicitis. PAS markedly improved combined with positive ultrasonography, but none can be used in setting the diagnosis of acute appendicitis in young children. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - February 7, 2021 Category: Surgery Authors: Rassi, Ricardo Muse, Florencia S ánchez-Martínez, José Cuestas, Eduardo Tags: Original Article Source Type: research

European Pediatric Surgical Association
Eur J Pediatr Surg 2021; 31: 001-001 DOI: 10.1055/s-0040-1722224 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - February 2, 2021 Category: Surgery Authors: Rolle, Udo Ure, Benno M. Tags: Editorial Source Type: research

Increasing Trend of Calretinin-Positive Mucosal Innervation from Aganglionic Zone toward Transition Zone in Hirschsprung's Disease
Conclusion Based on our findings, the presence or absence of mucosal CI positivity and submucosal nerve hypertrophy may not reliably diagnose vsHD in rectal suction biopsy. While we acknowledge that the density of mucosal innervation in variable contexts and anatomical locations is unknown and yet to be explored, our study suggests that an increasing trend of positive mucosal CI from AZ toward TZ by IPA might prove to be a useful tool for the diagnosis of vsHD in the future. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |&nbs...
Source: European Journal of Pediatric Surgery - January 29, 2021 Category: Surgery Authors: Najjar, Saleh Ahn, Sangtae Umrau, Kavita Erdem Arslan, Mustafa Jennings, Timothy A. Whyte, Christine Lee, Hwajeong Tags: Original Article Source Type: research

Late Abdominal Reoperations after Surgery for Necrotizing Enterocolitis and Spontaneous Intestinal Perforation
Conclusion Late abdominal reoperations occurred in 15% of patients with NEC and SIP with nil mortality. SBO was the main indication. Risk of SBO was similar between NEC and SIP. Long PN and IFAC increased the risk of SBO. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - January 13, 2021 Category: Surgery Authors: Koivusalo, Antti Karila, Kristiina Pakarinen, Mikko Tags: Original Article Source Type: research

Is Ultrasound-Guided Single-Shot Quadratus Lumborum Block a Viable Alternative to a Caudal Block in Pediatric Urological Surgery?
Eur J Pediatr Surg DOI: 10.1055/s-0040-1722223 Objective To review our experience with quadratus lumborum block (QLB) in pediatric urology. Materials and Methods This mixed prospective-retrospective study included 41 patients who received QLB following induction of general anesthesia. Data collected included: the duration of block induction, surgery, hospitalization, postoperative pain score, and the use of rescue analgesia. The results were compared with a matched cohort of patients who received caudal block (CB) during similar surgeries from our retrospectively acquired data registry. Results Ther...
Source: European Journal of Pediatric Surgery - January 10, 2021 Category: Surgery Authors: Rotem, Shahar Raisin, Galiya Ostrovsky, Israel A. Kocherov, Stanislav Jaber, Jawdat Zeldin, Alexander Feldman, Elena Gozal, Yaacov Chertin, Boris Tags: Original Article Source Type: research

The Outcome of Blood Transfusions in Conservative and Surgical Necrotizing Enterocolitis and Spontaneous Intestinal Perforation
Conclusion In NECs, preoperative BT and BT given more than 48 hours before surgery were correlated with slightly increased 2-week mortality but not with small intestinal loss or duration of PN. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - December 30, 2020 Category: Surgery Authors: Karila, Kristiina Koivusalo, Antti Tags: Original Article Source Type: research

Hepatobiliary Scintigraphy to Evaluate Biliary Complications of Pediatric Liver Transplantation: An Account of an Experience
Conclusion The HS is a useful, noninvasive, and diagnostic procedure for the early diagnosis of biliary complications that may impact the evolution of disease in liver transplant patients. It allows the treating physician to make a more informed decision regarding expectant management, surgical management, or a less invasive course of action for transplantation complications. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - December 30, 2020 Category: Surgery Authors: Gutierrez-Villamil, Claudia Velez-Gutierrez, Camila Arevalo-Leal, Sinay Rivera-Baquero, Jairo Mar ín-Oyaga, Víctor Tags: Original Article Source Type: research

The Potential and the Limitations of Esophageal Robotic Surgery in Children
Conclusion Aside from accessibility issues with the robotic platform, the main limitation is still very much that the low body weight of children results in incompatibility between the size of the trocars and the size of the intercostal space. ERATS is clearly a feasible procedure with technical advantages for most pediatric cases with body weights more than 15 kg. A transdiaphragmatic abdominal approach should be considered for lower esophagus surgery. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstrac...
Source: European Journal of Pediatric Surgery - December 30, 2020 Category: Surgery Authors: Ferrero, Pierre Alexandre Blanc, Thomas Binet, Aur élien Arnaud, Alexis Abbo, Olivier Vatta, Fabrizio Bonnard, Arnaud Spampinato, Grazia Lardy, Hubert Fourcade, Laurent Ballouhey, Quentin Tags: Original Article Source Type: research

Impact of “Lateralizing” the Sigmoid Colostomy on Port Ergonomics in Laparoscopic Anorectoplasty for High Anorectal Malformations
Conclusion Lateralization of high-sigmoid colostomy should be preferred over left iliac fossa sigmoid colostomy for ARM, as it improves the port ergonomics and reduces the surgeon's discomfort for second stage LARP. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - December 30, 2020 Category: Surgery Authors: Agrawal, Vikesh Sulya, Deepak Acharya, Himanshu Tiwari, Abhishek Sharma, Dhananjaya Tags: Original Article Source Type: research

Surgeon-Level Variation in Outcome following Esophageal Atresia Repair Is Not Explained by Volume
Conclusion There are surgeon-level variations in outcomes for the procedure of EA repair, but they are not explained by volume. Surgeon performance can deteriorate. Our study would not support the concept that patient outcomes could be improved by concentrating the provision of this surgery to fewer hospitals or surgeons. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - December 27, 2020 Category: Surgery Authors: O'Connor, Elizabeth Jaffray, Bruce Tags: Original Article Source Type: research

Does Use of a Feeding Protocol Change Outcomes in Gastroschisis? A Report from the Midwest Pediatric Surgery Consortium
Conclusion Across this multi-institutional cohort of infants with uncomplicated gastroschisis, there were more SSIs in those fed without an institutional-based feeding protocol but no differences in other outcomes. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - December 27, 2020 Category: Surgery Authors: Dekonenko, Charlene Fraser, Jason D. Deans, Katherine Fallat, Mary E. Helmrath, Michael Kabre, Rashmi Leys, Charles M. Burns, R Cartland Corkum, Kristine Dillon, Patrick A. Downard, Cynthia Wright, Tiffany N. Gadepalli, Samir K. Grabowski, Julia Hernandez Tags: Original Article Source Type: research

An Important Risk Factor Affecting Hypercalciuria in Children: Vesicoureteral Reflux
In this study, we aimed to determine the effects of the presence and grade of vesicoureteral reflux (VUR) on hypercalciuria status in children. Materials and Methods Data for 165 patients who admitted to the Pediatric Urology Department were retrospectively analyzed. The patients were composed of following four different groups: (1) urinary stone patients, (2) VUR patients under follow-up, (3) corrected VUR patients, and (4) control. The demographic features, clinical data, and laboratory tests for the groups were compared. Results The mean age of the patients was 100.6 ± 54.69 months a...
Source: European Journal of Pediatric Surgery - November 22, 2020 Category: Surgery Authors: Haberal, Hakan Bahadir Artykov, Meylis Hazir, Berk Altan, Mesut Citamak, Burak Kahraman, Oguzhan Tekgul, Serdar Dogan, Hasan Serkan Tags: Original Article Source Type: research

Gastroesophageal Reflux Disease and Need for Antireflux Surgery in Children with Cystic Fibrosis: A Systematic Review on Incidence, Surgical Complications, and Postoperative Outcomes
Conclusion Approximately half of pediatric CF patients have GERD. Published data for children with CF are limited and heterogeneous in terms of GERD diagnosis and outcomes following ARS. However, ARS has shown to slow the deterioration of lung function in CF. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - November 17, 2020 Category: Surgery Authors: Ng, Jessica Friedmacher, Florian Pao, Caroline Charlesworth, Paul Tags: Original Article Source Type: research

European Pediatric Surgeon' Association Survey on the Management of Short-Bowel Syndrome
Conclusion Based on our survey, a minimum number of SBS patients treated yearly is required to manage this challenging disease according to up-to-date medical and surgical strategies. However, whatever their level of expertise is in managing SBS, most of pediatric surgeons are involved in the primary surgery. Medical education programs about SBS should be more largely available to pediatric surgeons. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal...
Source: European Journal of Pediatric Surgery - November 16, 2020 Category: Surgery Authors: Dariel, Anne Faure, Alice Martinez, Leopoldo Morini, Francesco Pini Prato, Alessio Friedmacher, Florian Coste, Marie-Edith Tags: Original Article Source Type: research

Diaphragmatic Hernia following Pediatric Liver Transplantation: An Underappreciated Complication Prone to Recur
We present eight additional cases, three of which reoccurred after surgical correction, and review the current literature with a focus on recurrence. Materials and Methods The study sample included children (
Source: European Journal of Pediatric Surgery - November 13, 2020 Category: Surgery Authors: Waldron, Lea Sibylle Cerisuelo, Miriam Cortes Lo, Denise Sayed, Blayne Amir Vilca-Melendez, Hector Magliocca, Joseph Lurz, Eberhard Baumann, Ulrich Vondran, Florian W. R. Richter, Nicolas von Schweinitz, Dietrich Guba, Markus Muensterer, Oliver J. Berger, Tags: Original Article Source Type: research

The Spaced Learning Concept Significantly Improves Acquisition of Laparoscopic Suturing Skills in Students and Residents: A Randomized Control Trial
Conclusion This study dispels any remaining doubt that the spaced learning concept might only work for medical students. It appears that the spaced learning concept is very suitable for residents in acquiring complex motor skills. It is superior to conventional training, resulting in improved procedural performance as well as knot quality and speed. Hence, tailored training programs should not only be integrated early on in students' curricula but also in surgical training programs. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents &nb...
Source: European Journal of Pediatric Surgery - November 13, 2020 Category: Surgery Authors: Boettcher, Johannes Mietzsch, Stefan Wenkus, Julia Mokhaberi, Nariman Klinke, Michaela Reinshagen, Konrad Boettcher, Michael Tags: Original Article Source Type: research

Epigastric Hernias in Children: A Personal Series and Systematic Review of the Literature
Eur J Pediatr Surg DOI: 10.1055/s-0040-1719056Epigastric hernias are relatively uncommon in children, and there is a paucity of literature on their incidence, presenting features, natural history, and surgical outcomes. A systematic review was conducted according to PRISMA guidelines. Articles describing the incidence, outcome, and interventions for pediatric epigastric hernias, both open and laparoscopic, were analyzed. Eight relevant articles published between 1975 and 2019 were included in the analysis. Of 81 children, 58% were females, 35% were symptomatic and 8% were multiple. All hernias contained preperitoneal fat o...
Source: European Journal of Pediatric Surgery - November 10, 2020 Category: Surgery Authors: Tinawi, Georges K. Stringer, Mark D. Tags: Review Article Source Type: research

The Dutch Incidence of Infantile Hypertrophic Pyloric Stenosis and the Influence of Seasons
Conclusion We found an average IHPS incidence of 1.28 per 1,000 LB in the Netherlands. Our results showed no changing trend in incidence and no seasonal variation. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - November 10, 2020 Category: Surgery Authors: van den Bunder, Fenne A. I. M. Allema, Jan Hein Benninga, Marc A. de Blaauw, Ivo van de Brug, Tim den Dulk, Marcel Hulscher, Jan B. F. Keyzer-Dekker, Claudia M. G. Witvliet, Marieke J. van Heurn, Ernest L. W. Derikx, Joep P. M. Tags: Original Article Source Type: research

A Review on Safety and Outcomes of Mucous Fistula Refeeding in Neonates
Conclusion Current evidence suggests benefits of MFR; however, an international consensus is yet to be reached on the optimal method. A large prospective study investigating the influence of MFR on the enteric system is required. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - November 10, 2020 Category: Surgery Authors: Ghattaura, Harmit Borooah, Manobi Jester, Ingo Tags: Original Article Source Type: research

30 Years of Flipping the Coin —Heads or Tails?
We describe our 30-year experience retrieving coins using a Foley catheter under fluoroscopy (“coin flip”). Materials and Methods Patients younger than 18 years who underwent the coin flip procedure from 1988 to 2018 were identified. Failure of fluoroscopic retrieval was followed by rigid endoscopic retrieval in the operating room. Detailed subanalysis of patients between 2011 and 2018 was also performed. Results A total of 809 patients underwent the coin flip procedure between 1988 and 2018. Median age was 3.3 years; 51% were male. The mean duration from ingestion to presentation was 19.8&thins...
Source: European Journal of Pediatric Surgery - November 3, 2020 Category: Surgery Authors: Svetanoff, Wendy Jo Dorman, Robert M. Dekonenko, Charlene Osuchukwu, Obiyo O. Hendrickson, Richard J. Fraser, Jason D. Oyetunji, Tolulope A. St Peter, Shawn D. Tags: Original Article Source Type: research

Routine Ultrasound Control after Successful Intussusception Reduction in Children: Is It Really Necessary?
Conclusion Performing routine ultrasound before restarting oral tolerance in asymptomatic patients after successful ICI reduction does not decrease the risk of re-intussusception and should not be routinely encouraged. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - October 29, 2020 Category: Surgery Authors: Delgado-Miguel, Carlos Garc ía, Antonella Delgado, Bonifacio Mu ñoz-Serrano, Antonio Jesús Miguel-Ferrero, Miriam Barrena, Saturnino Lopez Santamaria, Manuel Martinez, Leopoldo Tags: Original Article Source Type: research

Anorectal Malformations and the Risk of Colorectal Cancer —Is Early Routine Endoscopic Screening Indicated?
Conclusion In our study, the risk of CRC in early adulthood in patients with ARM is low. Our result does not support routine endoscopic follow-up for patients with ARM during the first decade of life. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - October 22, 2020 Category: Surgery Authors: Svenningsson, Anna Gunnarsdottir, Anna Wester, Tomas Tags: Original Article Source Type: research

Stoma Closure Improves Head Circumference Growth in Very Preterm Infants after Necrotizing Enterocolitis
Conclusion Our findings demonstrate poor growth in VPIs after NEC surgery and improved HC growth after stoma closure. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - October 20, 2020 Category: Surgery Authors: Honor é, Karina Dyrvig Johansen, Malene Nygaard Rasmussen, Lars Zachariassen, Gitte Tags: Original Article Source Type: research