Validation of clinical prediction scores for pediatric appendicitis – update with new cutoff values for the AIR2 score
Eur J Pediatr Surg DOI: 10.1055/a-1932-8468Gudjonsdottir et al validated four clinical prediction scores for appendicitis in children. The AIR score and pARC had the best performance. A recent validation of the AIR score (AIR2) recommended an adjustment of the low risk interval. With the new risk interval the PAS and AIR2 score assign about half of the no appendicitis patients to the low risk group with very high sensitivity for advanced appendicitis (0.97-0.99). Expectant management with planned reexamination, can thus safely be considered for this group. The AIR2 score and pARC both assign a smaller proportion of patie...
Source: European Journal of Pediatric Surgery - October 12, 2022 Category: Surgery Authors: Gudjonsdottir, Johanna Andersson, Roland E Tags: Letter to the Editor Source Type: research

Systematic Review of Definitions and Outcome Measures for Postoperative Ileus and Return of Bowel Function after Abdominal Surgery in Children
Eur J Pediatr Surg DOI: 10.1055/s-0042-1745779This review aims to objectify which definitions and outcome measures are used for the return of bowel function and postoperative ileus in children. PubMed and Embase were systematically searched from inception to December 17, 2020. Prospective studies conducted in children (aged 0–18 years) undergoing gastrointestinal surgery which reported on definitions and/or outcome measures for post-operative ileus or return of bowel function were evaluated. Definitions and outcome measures were extracted. From 4,027 references, 71 articles were included. From the 17 articles mentioning ...
Source: European Journal of Pediatric Surgery - September 15, 2022 Category: Surgery Authors: Eeftinck Schattenkerk, Laurens D. Shirinskiy, Igor J. Musters, Gijsbert D. de Jonge, Wouter J. de Vries, Ralph van Heurn, L.W. Ernest Derikx, Joep P.M. Tags: Review Article Source Type: research

Internal Spermatic Vein to Superficial Epigastric Vein Microsurgical Bypass in Varicocele Treatment
Conclusion Testicular vein to superficial epigastric vein anastomosis is a useful and simplified venous bypass technique that reroutes the blood from the pampiniform plexus to the femoral vein. It can be done as an adjunct to microsurgical varicocelectomy in selected patients through a standard incision. [...] 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 - September 14, 2022 Category: Surgery Authors: Papes, Dino Cavar, Stanko Sabolic, Ivana Pasini, Miram Jurca, Ivana Antabak, Anko Luetic, Tomislav Tags: Original Article Source Type: research

A Promising Future for Hands-On At-Home Training in Pediatric Surgery
Conclusion Participating trainees and pediatric surgeons were of the opinion that simulation models and at-home training have added value. This implies that simulation-based training may be used more often in pediatric surgical training. [...] 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 - September 1, 2022 Category: Surgery Authors: Joosten, Maja Wijnen, Rene de Blaauw, Ivo Botden, Sanne M. B. I. Tags: Original Article Source Type: research

Congenital Hepatopulmonary Fusion
Eur J Pediatr Surg DOI: 10.1055/s-0042-1749213Congenital hepatopulmonary fusion (HPF) is a rare anomaly characterized by a fusion between the liver and lung parenchyma. HPF cases have been scarcely reported in the literature. An extensive search of publications was performed in the PubMed and Google Scholar databases without a time limit. In total, 34 clinical case reports were found in the literature, and a study by the Congenital Diaphragmatic Hernia (CDH) Study Group reported data on 10 patients with HPF. Of these 44 infants, 20 were male, 20 were female, and four were reported without gender specification. Nineteen (43...
Source: European Journal of Pediatric Surgery - August 26, 2022 Category: Surgery Authors: Rocha, Gustavo M. D. Tags: Review Article Source Type: research

Synthetic versus Biological Patches for CDH: A Comparison of Recurrence Rates and Adverse Events, Systematic Review, and Meta-Analysis
Conclusion Biological patches appear to have higher recurrence rates than synthetic patches, while skeletal deformities are associated more commonly with synthetic patches. Results of biological patches are mainly using SIS and this may overestimate complications of current superior biological patches. [...] 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 - August 26, 2022 Category: Surgery Authors: Kamal, Tasnim Rowshan Tyraskis, Athanasios Ghattaura, Harmit Fitchie, Angus Lakhoo, Kokila Tags: Original Article Source Type: research

Patients' Quality of Life is Severely Impacted by Mere Discussions without Realization of the Imperative Centralization of Specialist Surgery and Subsequent After-Care
Eur J Pediatr Surg DOI: 10.1055/s-0042-1750052 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 - August 25, 2022 Category: Surgery Authors: Schmiedeke, Eberhard Schwarzer, Nicole Widenmann-Grolig, Anke Aminoff, Dalia Slater, Graham Tags: Letter to the Editor Source Type: research

Clinical Characteristics and Management of Colorectal Vascular Malformation in Children: A Retrospective Study of 23 Cases
Conclusion The identification of CRVM in children often is delayed. Colonoscopy, CT, and MRI are essential in making the correct diagnosis. The modified Soave procedure is safe and feasible to treat CRVM in children. Endoscopic sclerotherapy and/or electrocautery can be used for residual lesions. [...] 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 - August 13, 2022 Category: Surgery Authors: Huang, Yanbing Zhuang, Peijun Chen, Gong Huang, Yanlei Dong, Kuiran Xiao, Xianmin Zheng, Shan Sun, Song Tags: Original Article Source Type: research

Parent-Reported Health-Related Quality of Life of Pediatric Burn Patients 5 to 7 Years after Burn Injuries: A Multicenter Study
Conclusion Five to seven years postburn, the majority of children in our study (76%) did not experience long-term problems with HRQL. In a minority of the children, burns showed to have a prolonged negative impact, especially in those being severely burned and who had to undergo surgery for their burns. Most experienced problems were related to anxiety/depression. These important insights could be used to inform children and their parents about the expected long-term HRQL after pediatric burns. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  ...
Source: European Journal of Pediatric Surgery - July 26, 2022 Category: Surgery Authors: Spronk, Inge Trommel, Nicole Baartmans, Martin Polinder, Suzanne van Baar, Margriet Tags: Original Article Source Type: research

Differences in the Outcome of Colonic Atresia with and without Abdominal Wall Defects
Conclusion The long-term outcome of CA is related to short bowel and need for initial gastrostomy but not related to AWD, prematurity, or associated anomalies. [...] 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 - July 26, 2022 Category: Surgery Authors: Schmedding, Andrea Hutter, Martin Gfroerer, Stefan Rolle, Udo Tags: Original Article Source Type: research

European Pediatric Surgeons' Association Survey on the Use of Splenic Embolization in Blunt Splenic Trauma in Children
Conclusion Two-thirds of respondents have access to SE. For SE respondents, SE is used even in stable patients when CE showed on initial CT scan and its use increased with the concomitant need for spinal surgery. There is currently a variation in the use of SE and antibiotics/immunizations following SE. [...] 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 - July 26, 2022 Category: Surgery Authors: Dariel, Anne Soyer, Tutku Dingemann, Jens Pini-Prato, Alessio Martinez, Leopoldo Faure, Alice Oumarou, Mamane Hassid, Sophie Dabadie, Alexia De Coppi, Paolo Gorter, Ramon Doi, Tkashi Antunovic, Sanja Sindjic Kakar, Mohit Morini, Francesco Hall, Nigel J. Tags: Original Article Source Type: research

Detection of Traumatic and Postoperative Nerve Lesions following Upper Extremity Fractures in a Pediatric Cohort Using MR Neurography
Conclusion MRN as a noninvasive procedure can help in the evaluation of nerve injury, especially for the identification of lower grade nerve damage and to objectify suspected nerve damage in case of uncertain clinical examination results; thus, can help in decision making whether surgical revision or conservative treatment is preferable. [...] 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 - July 19, 2022 Category: Surgery Authors: Sondermann, Stefan B äumer, Tobias Suss, Joachim Bohn, Boy Fieseler, Katharina Schramm, Peter Tueshaus, Ludger Boppel, Tobias Tags: Original Article Source Type: research

Complex Bench Surgery Does Not Increase the Risk of Vascular Complications after Pediatric Kidney Transplantation
Conclusion Complex BS did not compromise survival of the graft and did not put the allograft at risk of vascular complications, such as bleedings or thrombosis. [...] 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 - July 19, 2022 Category: Surgery Authors: Ghidini, Filippo Fascetti Leon, Francesco De Corti, Federica Meneghesso, Davide Longo, Germana Sgr ò, Alberto Michelon, Stefania Metrangolo, Salvatore Meneghini, Luisa Castagnetti, Marco Benetti, Elisa Gamba, Piergiorgio Dall'Igna, Patrizia Tags: Original Article Source Type: research

Nomogram for the Estimation of Intestinal Necrosis Risk in Incarcerated Inguinal Hernia in Infants under 6 Months
Conclusion The nomogram can be used to predict intestinal necrosis in IIH, and allow us to estimate the severity of IIH more accurately and arrange the treatment process more reasonably. [...] 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 - July 19, 2022 Category: Surgery Authors: Chen, Pengfei Xiong, Haiyi Cui, Mengying Cao, Jian Hou, Jinfeng Liu, Wei Tags: Original Article Source Type: research

Anal Botulinum Toxin in Children with Hirschsprung Disease and Functional Constipation: A Prospective Cohort study
Conclusion Anal sphincter BTIs can be effective in the treatment of constipation in both HD and FC patients. [...] 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 - July 19, 2022 Category: Surgery Authors: Baaleman, Desiree F. Hallagan, Alexandra Halleran, Devin R. Orsagh-Yentis, Danielle K. Levitt, Marc A. Wood, Richard J. Benninga, Marc A. Bali, Neetu Vaz, Karla H. Yacob, Desale Di Lorenzo, Carlo Lu, Peter L. Tags: Original Article Source Type: research