Surgical Treatment for Asymptomatic Congenital Pulmonary Airway Malformations in Children: Waiting or Not?
Conclusion In consideration of the high risk of infection, lower minimally invasive surgery rate, an increased rate of pulmonary lobectomy, and more blood loss in patients over 2 years old, our study also supports early surgical treatment. Therefore, we suggest that for asymptomatic patients with CPAM I and CPAM II, surgical treatment should be performed when they are less than 2 years old, providing more options for surgical strategies and monitoring of CPAM 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 - 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
Conclusion Delayed ED visit of children with AA during home confinement lead to an increased rate of complicated appendicitis. It is crucial to make parents aware of the importance of early diagnosis and treatment of abdominal pain. [...] 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 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  |  Abs...
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
Conclusion Negative rectal biopsy rate for HD is very high. The majority required ORB. Although “red flag” and gender, but not age, have strong predictive values, it is inadequate for excluding HD. This study supports the need for alternative strategies in excluding HD. [...] 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: 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  |  Abstract  |  Ful...
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?
Conclusion Our data show that QLB might serve as a viable alternative to CB in pediatric urological surgery. [...] 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 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  |  Abstract  |  Full text (Source: Euro...
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