ERNICA Consensus Conference on the Management of Patients with Long-Gap Esophageal Atresia: Perioperative, Surgical, and Long-Term Management
Conclusion This is the first consensus conference on the perioperative, surgical, and long-term management of patients with long-gap esophageal atresia. Substantial statements regarding esophageal reconstruction or replacement and follow-up were formulated which may contribute to improve patient care. [...] 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 - July 14, 2020 Category: Surgery Authors: Dingemann, Carmen Eaton, Simon Aksnes, Gunnar Bagolan, Pietro Cross, Kate M. De Coppi, Paolo Fruithof, JoAnne Gamba, Piergiorgio Goldschmidt, Imeke Gottrand, Frederic Pirr, Sabine Rasmussen, Lars Sfeir, Rony Slater, Graham Suominen, Janne Svensson, Jan F. Tags: Original Article Source Type: research

Health-Related Quality of Life in Pediatric Surgical Patients and their Caretakers
Eur J Pediatr Surg 2020; 30: 223-224 DOI: 10.1055/s-0040-1713596 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - July 11, 2020 Category: Surgery Authors: Dingemann, Jens Dellenmark-Blom, Michaela Quitmann, Julia H. Tags: Editorial Source Type: research

Health-Related Quality of Life in Biliary Atresia Patients with Native Liver or Transplantation
Eur J Pediatr Surg DOI: 10.1055/s-0040-1712932 Introduction We aimed to assess health-related quality of life (HrQoL) in biliary atresia (BA) patients, based on original data and a literature review, and to determine factors associated with their HrQoL. Materials and Methods We reviewed available studies describing HrQoL in BA patients. We assessed HrQoL in Dutch BA patients (6–16 years) using the validated Child Health Questionnaire. We compared HrQoL scores in BA patients with healthy peers and with children who had undergone major surgery in infancy or children with chronic conditions. We determine...
Source: European Journal of Pediatric Surgery - July 5, 2020 Category: Surgery Authors: Rodijk, Lyan H. Schins, Eke M. W. Witvliet, Marieke J. Verkade, Henkjan J. de Kleine, Ruben H. Hulscher, Jan B. F. Bruggink, Janneke L. M. Tags: Review Article Source Type: research

Long-Term Health-Related Quality of Life in Survivors of Congenital Diaphragmatic Hernia
The objective of this review was to determine what recent literature suggests regarding the HRQoL of CDH survivors. We reviewed all studies published between April 9, 2015, and April 6, 2020, that described the HRQoL of CDH survivors. Studies were identified using PubMed, and the references of the identified papers were searched for additional studies eligible for inclusion. Seven studies describing HRQoL in CDH survivors using validated measures of HRQoL for children, PedsQL (Pediatric Quality of Life Inventory), KIDSCREEN-52, and Comprehensive Quality of Life Scale – School Version were examined. The findings were ...
Source: European Journal of Pediatric Surgery - July 5, 2020 Category: Surgery Authors: Derraugh, Gabrielle Lum Min, Suyin A. Keijzer, Richard Tags: Review Article Source Type: research

Outcome of Very Low and Low Birth Weight Infants with Esophageal Atresia: Results of the Turkish Esophageal Atresia Registry
Eur J Pediatr Surg DOI: 10.1055/s-0040-1713663 Introduction The data of the Turkish Esophageal Atresia Registry (TEAR) was evaluated to define the outcome of very low birth weight (VLBW) and low BW (LWB) infants with esophageal atresia (EA). Materials and Methods The data registered by 24 centers between 2014 and 2018 were evaluated for demographic features, prenatal findings, associated anomalies, surgical treatment, and outcome. Patients were enrolled in three groups according to their BWs (VLBW 2,500 g). Results Among the 389 cases, there were 37 patients (9.5%) in the VLBW group, 165 pati...
Source: European Journal of Pediatric Surgery - July 5, 2020 Category: Surgery Authors: Oztan, Mustafa O. Soyer, Tutku Oztorun, Can I. Firinci, Binali Durakba şa, Çiğdem U. Dokumcu, Zafer Gollu, Gulnur Akkoyun, Ibrahim Demirel, Dilek Karaman, Ay şe Ciftci, Ilhan Ilhan, Huseyin Parlak, Ayse Ozden, Onder C ömert, Hatice S. Y. Oral, Akgun Tags: Original Article Source Type: research

Impact of Age of Patient and Experience of Surgeon on the Outcome after Kasai Portoenterostomy: Can We Delay the Surgery?
This study focused on the impact of age and surgeon factor on the short-term outcome after KPE within a single center. Materials and Methods Fifty-four consecutive infants (18 boys and 36 girls) who underwent KPE from January 2010 to January 2020 were reviewed. KPE was performed in the earliest available operative session once the initial work-up was completed. In group A (n = 41), KPE was performed by surgeon A. In group B (n = 13), KPE was performed by specialists under the supervision of surgeon B (who is the mentor of surgeon A) when surgeon A was not available for operation. The dem...
Source: European Journal of Pediatric Surgery - July 5, 2020 Category: Surgery Authors: Chan, Kin Wai Edwin Lee, Kim Hung Wong, Hei Yi Vicky Tsui, Siu Yan Bess Mou, Jennifer Wai Cheung Tam, Yuk Him Tags: Original Article Source Type: research

Health-Related Quality of Life and Psychosocial Morbidity in Anorectal Malformation and Hirschsprung's Disease
Eur J Pediatr Surg DOI: 10.1055/s-0040-1713597Anorectal malformations (ARM) and Hirschsprung's disease (HD) are the most common congenital colorectal anomalies. Despite advances in surgical techniques and improvements in postoperative clinical care, short- and long-term physical and psychosocial morbidity of these patients remains high. This review outlines the current literature on the physical and psychosocial aspects of health-related quality of life (HrQoL) and its confounders in patients with ARM/HD. Moreover, important coping strategies are summarized to further improve HrQoL of ARM/HD patients and their families. [....
Source: European Journal of Pediatric Surgery - June 25, 2020 Category: Surgery Authors: Feng, Xiaoyan Lacher, Martin Quitmann, Julia Witt, Stefanie Witvliet, Marieke J. Mayer, Steffi Tags: Review Article Source Type: research

A Nationwide Cohort Study of Outcome after Pediatric Appendicitis
Eur J Pediatr Surg DOI: 10.1055/s-0040-1712508 Introduction Children with appendicitis often present with complicated disease. The aim of this study was to describe the clinical management of pediatric appendicitis, and to report how disease severity and operative modality are associated with short- and long-term risks of adverse outcome. Materials and Methods A nationwide retrospective cohort study of all Swedish children (
Source: European Journal of Pediatric Surgery - June 25, 2020 Category: Surgery Authors: Omling, Erik Sal ö, Martin Saluja, Saurabh Bergbrant, Sanna Olsson, Louise Bj örk, Jonas Hagander, Lars Tags: Original Article Source Type: research

Comment: Oxidative DNA Damage and NOX4 Levels in Children with Undescended Testes
Eur J Pediatr Surg DOI: 10.1055/s-0040-1713132 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - June 25, 2020 Category: Surgery Authors: Karabulut, Ramazan Turkyilmaz, Zafer Sonmez, Kaan Tags: Letter to the Editor Source Type: research

Health-Related Quality of Life in Patients with the Bladder Exstrophy-Epispadias Complex and Relationship to Incontinence and Sexual Factors: A Review of the Recent Literature
Eur J Pediatr Surg DOI: 10.1055/s-0040-1713178The bladder exstrophy-epispadia complex (BEEC) includes malformations with midline closing defects of the lower abdomen and external genitalia. Long-term consequences with urinary incontinence and sexual dysfunction, in spite of multiple surgical interventions, are common and expected to affect the patient's health-related quality of life (HRQOL). The extent and the predictive factors are, however, not known. New patient-reported outcome research is emerging, but valid and reliable condition-specific HRQOL are still missing. The aim of this review is to summarize and discuss th...
Source: European Journal of Pediatric Surgery - June 20, 2020 Category: Surgery Authors: Holmdahl, Gundela Dellenmark-Blom, Michaela Nordenskj öld, Agneta Sj öström, Sofia Tags: Review Article Source Type: research

Laparoscopic Vascular Hitch for Polar Vessels in Pyeloureteric Junction Obstruction: Medium-Term Follow-up of a Monocentric Experience
Eur J Pediatr Surg DOI: 10.1055/s-0040-1713177 Introduction To evaluate medium-term results of the management of patients with pyeloureteric junction obstruction (PUJO) secondary to lower pole vessels managed by a laparoscopic vascular hitch technique. Materials and Methods We performed a retrospective monocentric study of all patients who were operated using this technique, transperitoneal laparoscopy (TL) or robotic surgery (RS), from 2011 to 2018. Description of the initial population, pre- and postoperative data was collected and analyzed. Results During the study period, 25 patients (11 males a...
Source: European Journal of Pediatric Surgery - June 20, 2020 Category: Surgery Authors: Al-Emadi, Ibrahim Juricic, M élodie Mouttalib, Sofia Galinier, Philippe Bouali, Ourdia Abbo, Olivier Tags: Original Article Source Type: research

Teens on Wheels and Consequences: A Six-Year Population-Based Study of Bicycle and Moped Injuries
Eur J Pediatr Surg DOI: 10.1055/s-0040-1712930 Introduction Road traffic accidents are a major contributor to morbidity and mortality in the pediatric and adolescent population. Among adolescents, bicycles and light motorized two wheelers are popular means of transportation and increase adolescents' autonomy. Most previous studies on injury risk and incidence have pooled different vehicles and age groups together but more distinct data are required to guide policy. Materials and Methods We gathered data on all 1,432 children and adolescents (age 7–15) who had been treated for injuries from bicycle(n&t...
Source: European Journal of Pediatric Surgery - June 10, 2020 Category: Surgery Authors: Unkuri, Jani Salminen, P äivi Kallio, Pentti Kosola, Silja Tags: Original Article Source Type: research

Does the Presence of a Hernia Sac Improve Survival in Newborns with Congenital Diaphragmatic Hernia? A United Kingdom Single-Center Experience
Conclusion In contrast to studies showing a survival advantage, albeit with smaller patient numbers, we report a statistical nonsignificant benefit of hernia sac. Better survival outcomes at this specialist center with CDH patients without a hernia sac than reported in other published studies are likely responsible for the lack of statistical significance observed, despite a larger cohort. National and international CDH registries yielding “big data” may provide further answers on the utility of a CDH hernia sac as a new prognostic scoring tool. [...] Georg Thieme Verlag KG Stuttgart · New YorkArtic...
Source: European Journal of Pediatric Surgery - June 10, 2020 Category: Surgery Authors: Jawaid, Wajid Sampat, Kit Losty, Paul D. Tags: Original Article Source Type: research

Ligaclip for Preauricular Skin Tags in the Newborn
Conclusion We believe that after a careful clinical examination, cases of skin tags in the preauricular area can be selected and treated with Ligaclip. This procedure can be considered rapid, safe, economical, and simple in the newborn patients. [...] 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 - June 7, 2020 Category: Surgery Authors: Shonauer, Fabrizio Guastafierro, Antonio Grasso, Elisabetta Izzo, Sara Nicoletti, Giovanni Francesco D'Andrea, Francesco Tags: Original Article Source Type: research

Health-Related Quality of Life in Patients after Repair of Esophageal Atresia: A Review of Current Literature
Conclusions of studies focusing on adults with EA are difficult to draw. Additional research is required. [...] 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 - May 28, 2020 Category: Surgery Authors: Dellenmark-Blom, Michaela Quitmann, Julia Dingemann, Carmen Tags: Review Article Source Type: research

Trends in the Treatment of Pectus Excavatum in the Netherlands
Conclusion The increase in correction of PE is not due to an increased incidence but to an increase of patient wishes. The use of MIRPE is gaining popularity over time. [...] 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 - May 25, 2020 Category: Surgery Authors: Zuidema, Wietse P. van der Steeg, Alida F. W. Oosterhuis, Jan W. A. van Heurn, Ernest Tags: Original Article Source Type: research

Redo Transanal Soave Pull Through with or without Assistance in Hirschsprung Disease: An Experience in 46 Patients
Conclusion Transanal Soave PT with or without assistance was effective in resolving different problems after initial PT, while soiling was the most common postoperative problem, especially patients with anastomotic complication. [...] 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 - May 25, 2020 Category: Surgery Authors: Peng, Chunhui Chen, Yajun Pang, Wenbo Zhang, Tingchong Wang, Zengmeng Wu, Dongyang Wang, Kai Tags: Original Article Source Type: research

Clinical Prediction Scores for Pediatric Appendicitis
Eur J Pediatr Surg DOI: 10.1055/s-0040-1710534 Introduction The rate of misdiagnosis of appendicitis in children is a challenge and clinical prediction scores could be part of the solution. However, the pediatric appendicitis score (PAS) and the Alvarado score have shown disappointing diagnostic accuracy in pediatric validation studies, while the appendicitis inflammatory response (AIR) score and the novel pediatric appendicitis risk calculator (pARC) have not yet been validated thoroughly. Therefore, the aim of the present study was to evaluate these four prediction scores prospectively in children with suspected ...
Source: European Journal of Pediatric Surgery - May 25, 2020 Category: Surgery Authors: Gudjonsdottir, Johanna Marklund, Emma Hagander, Lars Sal ö, Martin Tags: Original Article Source Type: research

Does Renal Function Remain Stable after Puberty in Children who underwent Ureteral Reimplantation due to Ureterovesical Junction Obstruction?
Eur J Pediatr Surg DOI: 10.1055/s-0040-1712172 Introduction Ureteric reimplantation due to ureterovesical junction (UVJ) obstruction enjoys high success in the short term. However, renal function after reimplantation must accommodate the numerous changes in the pediatric urinary tract that occur along with child development that may theoretically cause an occult loss of renal function. The purpose of this study was to evaluate whether improved renal function after ureter reimplantation for antenatal diagnosed UVJ obstruction remains stable after puberty. Materials and Methods Twenty-one children who underwe...
Source: European Journal of Pediatric Surgery - May 24, 2020 Category: Surgery Authors: Neeman, Binyamin B. Jaber, Jawdat Kocherov, Stanislav Farkas, Amicur Chertin, Boris Tags: Original Article Source Type: research

Basic Principles of Health-Related Quality of Life in Parents and Caregivers of Pediatric Surgical Patients with Rare Congenital Malformations —A Scoping Review
Conclusion So far, only a few studies with small sample sizes focus on parental HrQoL in pediatric surgical patients with rare congenital malformations. To gain a comprehensive understanding of the impact of a rare congenital malformation on HrQoL of all family members, it is necessary to consider three main aspects: (1) to use both generic- and disease-specific instruments measuring HrQoL of the young patient as well as his/her parents and siblings in larger sample sizes, (2) to collect longitudinal data, and (3) to consider a mixed-method approach. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in T...
Source: European Journal of Pediatric Surgery - May 17, 2020 Category: Surgery Authors: Witt, Stefanie Bl ömeke, Janika Bullinger, Monika Dingemann, Jens Quitmann, Julia Tags: Review Article Source Type: research

Treatment of Congenital Microgastria
Eur J Pediatr Surg DOI: 10.1055/s-0040-1710027 Introduction Congenital microgastria is an extremely rare birth defect. The aim of this study was to present an overview of existing literature on the treatment of microgastria. Materials and Methods The term “microgastria” was used in a PubMed and Medline search. Since merely case reports were found, only a narrative synthesis with limited statistical analysis can be given. Data of different treatment modalities were collected and divided into two groups: conservative or less invasive treatment (C/LT, i.e., modified diet or a gastrostomy/jejunostom...
Source: European Journal of Pediatric Surgery - May 17, 2020 Category: Surgery Authors: Ruczynski, Larissa I. A. Botden, Sanne M. B. I. Daniels-Scharbatke, Horst E. Schurink, Maarten de Blaauw, Ivo Tags: Review Article Source Type: research

Health-Related Quality of Life Assessment in Children and their Families: Aspects of Importance to the Pediatric Surgeon
This article will review the concept of health-related quality of life, its methodological challenges and the application, and the challenges of health-related quality of life instruments in pediatric practice and health services research. [...] 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 - May 17, 2020 Category: Surgery Authors: Bloemeke, Janika Witt, Stefanie Bullinger, Monika Dingemann, Jens Dellenmark-Blom, Michaela Quitmann, Julia Tags: Review Article Source Type: research

Fifteen-Year Single-Center Experience of Biliary Complications in Liver Trauma Patients: Changes in the Management of Posttraumatic Bile Leak
Conclusion Placement of IPD alone, as first-line treatment, is safe and effective in the management of intraperitoneal bile leaks, avoiding the costs and potential complications of ERCP. [...] 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 - May 17, 2020 Category: Surgery Authors: Stonelake, Stephen Ali, Sana Pinkey, Benjamin Ong, Evelyn Anbarasan, Ravindar McGuirk, Simon Perera, Thamera Mirza, Darius Muiesan, Paolo Sharif, Khalid Tags: Original Article Source Type: research

Feasibility of Nonanatomical Liver Resection in Diligently Selected Patients with Hepatoblastoma and Comparison of Outcomes with Anatomic Resection
Conclusion NAR is feasible with clear margins in carefully selected patients. It is not associated with more complications and outcomes are not inferior to AR. NAR is associated with lesser blood loss and operative time. [...] 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 - May 17, 2020 Category: Surgery Authors: Qureshi, Sajid S. Kembhavi, Seema A. Kazi, Mufaddal Smriti, Vasundhara Baheti, Akshay Vora, Tushar Chinnaswamy, Girish Prasad, Maya Amin, Nayana Ramadwar, Mukta Khanna, Nehal Laskar, Sidharth Tags: Original Article Source Type: research

A Continuous Suture Anastomosis Outperforms a Simple Interrupted Suture Anastomosis in Esophageal Elongation
Eur J Pediatr Surg DOI: 10.1055/s-0040-1710025 Introduction Long-gap esophageal atresia represents a distinct entity among the esophageal atresia spectrum. In many patients, achieving a reasonable anastomosis depends on some millimeters of tissue. We aimed to determine what effect the suturing technique would have on esophageal ex vivo elongation as it may determine the strength of a primary anastomosis. Materials and Methods In an analysis of porcine esophagi from animals for slaughter (100–120 days old with a weight of 100–120 kg), we determined esophageal length gain of simple continuo...
Source: European Journal of Pediatric Surgery - May 17, 2020 Category: Surgery Authors: Oetzmann von Sochaczewski, Christina Tagkalos, Evangelos Lindner, Andreas Lang, Hauke Heimann, Axel Muensterer, Oliver J. Tags: Original Article Source Type: research

The Quality of Web Sites' Health Information on Minimal Invasive Repair of Pectus Excavatum Using the DISCERN Instrument
Conclusion The overall quality of PE Web sites is low to moderate, with serious shortcomings. [...] 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 - May 11, 2020 Category: Surgery Authors: Zuidema, Wietse P. Graumans, Maarten J. Oosterhuis, Jan W. A. van der Steeg, Alida F. W. van Heurn, Ernest Tags: Original Article Source Type: research

Complementary Cast Immobilization Is Not Necessary after Intramedullary Fixation of Unstable Tibial Shaft Fractures in Pediatric Patients
Conclusion This study showed good outcomes in both treatment methods without any surgical deformity correction after operative treatment. Though we could not find any advantages in complementary casting. [...] 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 - April 14, 2020 Category: Surgery Authors: Stenroos, Antti Laihinen, Timo Lyb äck, Carl Puhakka, Jani Kosola, Jussi Tags: Original Article Source Type: research

A Nationwide Enumeration of Operations Performed for Pediatric Patients in Ghana
Eur J Pediatr Surg DOI: 10.1055/s-0040-1705130 Introduction Currently, there are no existing benchmarks for evaluating a nation's pediatric surgical capacity in terms of met and unmet needs. Materials and Methods Data on pediatric operations performed from 2014 to 2015 were obtained from a representative sample of hospitals in Ghana, then scaled up for national estimates. Operations were categorized as “essential” (most cost-effective, highest population impact) as designated by the World Bank's Disease Control Priorities versus “other.” Estimates were then compared with pediatric op...
Source: European Journal of Pediatric Surgery - April 1, 2020 Category: Surgery Authors: Gyedu, Adam Stewart, Barclay Gaskill, Cameron Salia, Emmanuella Wadie, Raymond Abantanga, Francis Donkor, Peter Mock, Charles Tags: Original Article Source Type: research

Is the Laparotomy Here to Stay? A Review of the Disadvantages of Laparoscopy
Eur J Pediatr Surg 2020; 30: 181-186 DOI: 10.1055/s-0040-1703009Minimally invasive procedures have seen increasing utilization in the pediatric patient population since the 1990s. Most thoracic and abdominal operations in pediatric surgery can be performed in a minimally invasive manner including those performed in neonates and infants. Thoracoscopic or laparoscopic operations can reduce hospital length of stay, minimize postoperative pain, and lead to more aesthetic results. However, it is important to be aware of the inherent risks, limitations, and adverse effects associated with these thoracoscopic and laparoscopic tec...
Source: European Journal of Pediatric Surgery - April 1, 2020 Category: Surgery Authors: Gulack, Brian C. Wong, Kaitlyn Sparks, Eric Ramjist, Joshua Zhu, Haitao Pierro, Agostino Tags: Review Article Source Type: research

Current Image-Guided Interventions in Pediatric Surgery
Eur J Pediatr Surg 2020; 30: 164-171 DOI: 10.1055/s-0040-1703013Traditionally, surgical technique has not included imaging modalities. Image guidance had largely been left to radiology specialties. However, in recent years, tremendous advances in imaging have taken place with improvements in image quality, portability, and accessibility. With these advances, surgeons have begun to realize the benefits of fusing image guidance with traditional surgical approaches. Subsequently, many novel surgical approaches utilizing image guidance have been developed that allow for precise, safe, and minimally invasive management of condi...
Source: European Journal of Pediatric Surgery - April 1, 2020 Category: Surgery Authors: Rubalcava, Nathan S. Jarboe, Marcus D. Tags: Review Article Source Type: research

Thoracoscopic Repair of Congenital Diaphragmatic Hernia
Eur J Pediatr Surg DOI: 10.1055/s-0040-1702222The surgical management of patients with congenital diaphragmatic hernia (CDH) is challenging and ever changing. It requires the highest expertise not only on the surgical level but also of neonatologists and anesthesiologists. In selected patients traditional open surgery is increasingly replaced by thoracoscopic CDH repair in many centers worldwide. Despite obvious and well-described advantages of the minimally invasive approach like a shorter ventilatory time, less pain, a shorter hospital length of stay, and a better cosmesis, important controversies remain. This review dis...
Source: European Journal of Pediatric Surgery - March 7, 2020 Category: Surgery Authors: Wagner, Richard Mayer, Steffi Feng, Xiaoyan Gosemann, Jan-Hendrik Zimmermann, Peter Lacher, Martin Tags: Review Article Source Type: research

Minimally Invasive Pediatric Surgery: The Learning Curve
Eur J Pediatr Surg DOI: 10.1055/s-0040-1703011The use of minimally invasive surgery (MIS) in pediatric patients has increased over the past decades. The process of mastering a new procedure is termed the learning curve, during which the ability to operate increases but poorer outcomes are produced. We aim to analyze the current evidence on learning curves in pediatric MIS and evaluate its impact on patient's clinical outcomes. A systematic literature search was performed for studies listed on PubMed that reported on the learning curve for MIS surgical procedures. Studies were included if they stated the number of procedure...
Source: European Journal of Pediatric Surgery - March 7, 2020 Category: Surgery Authors: Uecker, Marie Kuebler, Joachim F. Ure, Benno M. Schukfeh, Nagoud Tags: Review Article Source Type: research

The Current Thoracoscopic Management of Esophageal Atresia
This article will summarize the recent advancements in technique and knowledge in the thoracoscopic approach to this challenging neonatal congenital abnormality. [...] 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 - March 7, 2020 Category: Surgery Authors: Fraser, Jason D. St Peter, Shawn D. Tags: Review Article Source Type: research

Thoracoscopic Lobectomy for Congenital Pulmonary Airway Malformation: Where Are We in 2019?
Eur J Pediatr Surg DOI: 10.1055/s-0040-1702221Thoracoscopic surgery for congenital pulmonary airway malformation (CPAM) is still a matter of debate and used by approximately 50% of the surgeons in Europe. Several questions need to be addressed about CPAM. The adequate treatment, the surgical approach, and the follow-up are few of them. A review of recent articles published in the literature over the past 5 years is done in trying to respond to these questions. A multidisciplinary team is required to follow these patients since approximately 10 to 15% will develop a chronic lung disease and asthma. In the case of conservati...
Source: European Journal of Pediatric Surgery - March 7, 2020 Category: Surgery Authors: Bonnard, Arnaud Tags: Review Article Source Type: research

A Comparative Study on Short-Term Effects of Compression Orthosis and Exercises in the Treatment of Pectus Carinatum: A Randomized Controlled Pilot Feasibility Trial
Conclusion Compression orthosis use for 23 hours can be recommended rather than its use for 8 hours because 23 hours of orthosis use has better correction and similar adverse effects. [...] 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 - March 7, 2020 Category: Surgery Authors: Giray, Esra Ermerak, Nezih Onur Bahar-Ozdemir, Yeliz Kalkandelen, Melihat Yuksel, Mustafa Gunduz, Osman Hakan Akyuz, Gulseren Tags: Original Article Source Type: research

Publication Trends and Global Collaborations on Esophageal Atresia Research: A Bibliometric Study
Eur J Pediatr Surg DOI: 10.1055/s-0040-1702223 Introduction Research on esophageal atresia (EA) has been heavily published over the past decades. Herein, we aimed to study the quantity and quality as well as key topics in EA research with regards to global collaborations among countries and authors. Material and Methods Publications on EA from 1945 to 2018 were extracted from the Web of Science core collection database. Productivity (quantity) was assessed by the number of publications. Quality was estimated from the number of citations, citation rate per item and year, h-index, and impact index. Collaborat...
Source: European Journal of Pediatric Surgery - March 7, 2020 Category: Surgery Authors: Feng, Xiaoyan Martynov, Illya Suttkus, Anne Lacher, Martin Mayer, Steffi Tags: Original Article Source Type: research

The Role of Laparoscopy in Anorectal Malformations
Eur J Pediatr Surg DOI: 10.1055/s-0040-1701700The use of laparoscopy in the minimally invasive management of anorectal malformations (ARMs) continues to evolve, although the principles guiding the anatomic surgical repair and clinical follow-up remain unchanged. In this review, we detail the advantages, indications, contraindications, complications, and issues unique to the minimally invasive approach to ARM. A comprehensive search of the PubMed and Embase databases was performed (2014–2018). Full-text screening, data abstraction, and quality appraisal were performed of articles describing the use of laparoscopy in A...
Source: European Journal of Pediatric Surgery - March 3, 2020 Category: Surgery Authors: Rentea, Rebecca Maria Halleran, Devin R. Wood, Richard J. Levitt, Marc A. Tags: Review Article Source Type: research

Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children
Eur J Pediatr Surg DOI: 10.1055/s-0040-1702139Gastroesophageal reflux (GER) is common in infants generally resolving in early childhood. However, gastroesophageal reflux disease (GERD) is diagnosed when persistent troublesome symptoms and/or complications of GER develop. These symptoms and complications can significantly affect the quality of life, thus requiring medical or surgical treatment. Medical management is typically trialed, but operative treatment is indicated with severe symptoms such as aspiration pneumonia, apneic episodes, bradycardia, apparent life-threatening events, severe vomiting, failure to thrive, esop...
Source: European Journal of Pediatric Surgery - March 3, 2020 Category: Surgery Authors: Dekonenko, Charlene Holcomb, George W. Tags: Review Article Source Type: research

Omphalocele in Finland from 1993 to 2014: Trends, Prevalence, Mortality, and Associated Malformations —A Population-Based Study
Conclusion Omphalocele is a rare congenital anomaly, often associated with other malformations. Our data suggest that isolated cases may be more common than previously thought. In the absence of chromosomal defects, survival is reasonably good. Regardless, more than half of these pregnancies are often terminated. [...] 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 - March 3, 2020 Category: Surgery Authors: Raitio, Arimatias Tauriainen, Asta Syv änen, Johanna Kemppainen, Teemu L öyttyniemi, Eliisa Sankilampi, Ulla Vanamo, Kari Gissler, Mika Hyv ärinen, Anna Helenius, Ilkka Tags: Original Article Source Type: research

Current Opinions and Practices of Bariatric Surgery in Adolescents: A Survey among Pediatric Surgeons
Conclusion Although allowed in most European countries, bariatric surgery in adolescents is only practiced on a small scale, and the treatment is often excluded from regular health care reimbursement. The majority of PSs acknowledge the value of bariatric surgery, which should be performed by a combination of PS and bariatric surgeon. [...] 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 - February 17, 2020 Category: Surgery Authors: Roebroek, Yvonne G. M. Pruijssers, Suzanne R. Bouvy, Nicole D. van Heurn, Ernest L. W. E. Tags: Original Article Source Type: research

European Pediatric Surgical Association (EUPSA)
Eur J Pediatr Surg 2020; 30: 001-001 DOI: 10.1055/s-0040-1702272 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - February 17, 2020 Category: Surgery Authors: Pakarinen, Mikko Ure, Benno M. Tags: Editorial Source Type: research

A Delphi Analysis to Reach Consensus on Preoperative Care in Infants with Hypertrophic Pyloric Stenosis
Eur J Pediatr Surg DOI: 10.1055/s-0039-3401987 Introduction Infantile hypertrophic pyloric stenosis (IHPS) is a common gastrointestinal condition that can lead to metabolic alkalosis and, if uncorrected, to respiratory complications. A standardized approach to correct metabolic derangements and dehydration may reduce time until pyloromyotomy while preventing potential respiratory complications. Such an evidence-based policy regarding preoperative care is absent. We aim to formulate a recommendation about preoperative care for infants with IHPS using the Delphi technique. Materials and Methods The RAND/UCLA ...
Source: European Journal of Pediatric Surgery - January 19, 2020 Category: Surgery Authors: van den Bunder, Fenne A. I. M. Hall, Nigel J. van Heurn, L. W. Ernest Derikx, Joep P. M. Tags: Original Article Source Type: research

Lymphatic Leakage after Surgery for Neuroblastoma: A Rare Complication?
Conclusion We show that LL in neuroblastoma is a common complication of tumor resection and occurring more often than anticipated. Since, in our study cohort, all cases of LL were self-limiting, we question the indication for invasive therapy besides supporting measures. [...] 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 - January 19, 2020 Category: Surgery Authors: Froeba-Pohl, Alexandra Muehling, Jakob Vill, Katharina Grote, Veit Komm, Tim Seitz, Dorothee Kappler, Roland von Schweinitz, Dietrich Tags: Original Article Source Type: research

Classical but Not Rap Music Significantly Improves Transferability and Long-Term Acquisition of Laparoscopic Suturing Skills: A Randomized Controlled Trial
Conclusion Music during acquisition of complex motor skills, like laparoscopic suturing and knot tying, is superior to traditional training. Especially music considered nondisturbing significantly improved speed, knot quality, and performance. Thus, incorporation of pleasant music into surgical skills training and the OR should be considered. [...] 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 - January 6, 2020 Category: Surgery Authors: Mietzsch, Stefan Bergholz, Robert Boettcher, Johannes Klippgen, Lea Wenskus, Julia Reinshagen, Konrad Boettcher, Michael Tags: Original Article Source Type: research

Outcomes of Primary versus Multiple-Staged Repair in Hirschsprung's Disease in England
Eur J Pediatr Surg DOI: 10.1055/s-0039-3402712 Introduction The study aimed to compare 1-year outcomes for primary versus multiple-staged (three operations with colostomy) repairs in Hirschsprung's disease (HD). Materials and Methods Retrospective analysis of a large national administrative database (Hospital Episode Statistics) including all the neonates born with HD in England between 2003 and 2015. Main outcomes were: 1-year mortality, postoperative readmissions, and reoperations. Secondary outcomes: cumulative length of hospital stay (cLOS) and hospital volume–outcome relationship. Results&emsp...
Source: European Journal of Pediatric Surgery - January 6, 2020 Category: Surgery Authors: Giuliani, Stefano Honeyford, Kate Chang, Chieh-Yu Bottle, Alex Aylin, Paul Tags: Original Article Source Type: research

Management of Spontaneous Pneumothorax in Children: A Systematic Review and Meta-Analysis
Conclusion Given the lack of a standardized management of pediatric PSP, the present study seems to demonstrate a better outcome in children treated with surgery as first-line of management. Level of Evidence This is a Level III study. [...] 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 - January 2, 2020 Category: Surgery Authors: Miscia, Maria Enrica Lauriti, Giuseppe Lisi, Gabriele Riccio, Angela Lelli Chiesa, Pierluigi Tags: Review Article Source Type: research

Why Women Might Choose a Career in Pediatric Surgery and Ensuring There Are No Impediments to Selecting the Best
Conclusion Pediatric surgery is perceived as being less aligned to characteristics stereotypically associated with males and more with those characteristics associated with females. Overall, it seems to be more female friendly than other surgical specialties. It would behove the pediatric surgical community to better understand how it is perceived, so that perceptions can be aligned to reality and gender diversity can be increased. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European J...
Source: European Journal of Pediatric Surgery - December 31, 2019 Category: Surgery Authors: McGregor, Angela Dawn Beasley, Spencer Williman, Jonathan A. Tags: Original Article Source Type: research

Indications, Surgical Complications, and Long-Term Outcomes in Pediatric Esophageal Reconstructions with Pedicled Jejunal Interposition Graft
Conclusion PJIG was a functional option for a variety of conditions that required esophageal reconstruction. However, significant early and late complications required major surgical revisions. [...] 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 - December 31, 2019 Category: Surgery Authors: Koivusalo, Antti Suominen, Janne Salminen, Jukka Pakarinen, Mikko Tags: Original Article Source Type: research

Gastroschisis in Finland 1993 to 2014 —Increasing Prevalence, High Rates of Abortion, and Survival: A Population-Based Study
Conclusion Gastroschisis is usually an isolated anomaly with increasing birth prevalence and excellent survival rates. Regardless of the good prognosis, the abortion rates in Finland are higher than previously reported, and we hypothesize this to be due to lack of appropriate antenatal counselling. [...] 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 - December 30, 2019 Category: Surgery Authors: Raitio, Arimatias Lahtinen, Asta Syv änen, Johanna Kemppainen, Teemu L öyttyniemi, Eliisa Gissler, Mika Hyv ärinen, Anna Helenius, Ilkka Tags: Original Article Source Type: research

Laparoscopic Gastrostomy Placement in Children Has Few Major, but Many Minor Early Complications
This study evaluates early postoperative complications following LAPG and investigates risk factors for gastrostomy complications. Materials and Methods Retrospective study of patients
Source: European Journal of Pediatric Surgery - December 30, 2019 Category: Surgery Authors: Kvello, Morten Knatten, Charlotte Kristensen Bj ørnland, Kristin Tags: Original Article Source Type: research