Tracheoscopic Findings and Their Impact on Respiratory Symptoms in Children with Esophageal Atresia
Conclusion Tracheomalacia tends to be present independently of surgical procedure. Tracheomalacia should be measured by tracheoscopy (in % of tracheal collapse). Patients with a tracheal collapse of>80%, a ventral pulsation, and obstructive apnea or cyanosis in combination, are at risk for life-threatening situations and further surgical treatment 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 - March 21, 2019 Category: Surgery Authors: Fischer, Janina Balleisen, Johannes Holzki, Josef Cernaianu, Grigore Alejandre Alc àzar, Miguel D übbers, Martin Tags: Original Article Source Type: research

The Outcome of the Single Step Questionnaire in Pectus Excavatum Patients is Phase Dependent
Eur J Pediatr Surg DOI: 10.1055/s-0039-1681025 Background Pectus excavatum (PE) is the most common chest wall deformity. Patients with PE may have cosmetic complaints, restricted physical capabilities, or both and may seek surgical correction. One method to assess satisfaction after surgery is the single step questionnaire (SSQ). Although the developers state that the SSQ produces a stabile score and only needs to be used once, we hypothesized that the score may depend on point in time after surgery. Patients and Methods One hundred and eight patients from a longitudinal cohort of patients undergoing a Nuss...
Source: European Journal of Pediatric Surgery - March 1, 2019 Category: Surgery Authors: Zuidema, Wietse P. van der Steeg, Alida F. W. van der Heide, Stefan Zijp, Gerda W. van Baren, Robertine Oosterhuis, Jan W. A. van Heurn, Ernest Tags: Original Article Source Type: research

Long-Term Effectiveness of Antireflux Surgery in Esophageal Atresia Patients
Conclusion In the long term, ARP is not effective in reducing GERD as measured as Ri in EA patients. The ARP group had significantly lower weight at 1 and 7 years of age than the non-ARP group, but this was not the case at the age of 15. [...] 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 1, 2019 Category: Surgery Authors: J önsson, Linus Dellenmark-Blom, Michaela Enoksson, Oskar Friberg, Lars G öran Gatzinsky, Vladimir Sandin, Anders Abrahamsson, Kate Tags: Original Article Source Type: research

Mechanical Bowel Preparation versus No Preparation in Duhamel Procedure in Children with Hirschsprung's Disease
Conclusion For young children with HSCR who were scheduled for Duhamel operation, we had found no clear benefit of MBP. However, a multicenter randomized controlled trial is needed to more definitely determine the best preoperative approach for children with HSCR. [...] 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 27, 2019 Category: Surgery Authors: Hosseinpour, Mehrdad Ahmadi, Bahareh Etezazian, Sanaz Tags: Original Article Source Type: research

Spaced Education Improves the Retention of Laparoscopic Suturing Skills: A Randomized Controlled Study
Conclusion The spaced learning concept is very suitable for long-term complex motor skill acquisition, like laparoscopic suturing and knot tying. It is superior to conventional training regarding speed and, most importantly, knot quality and stability, resulting in improved confidence and motivation. Thus, we strongly recommend to incorporate the spaced learning concept into training courses and surgical programs. [...] 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 27, 2019 Category: Surgery Authors: Boettcher, Johannes Klippgen, Lea Mietzsch, Stefan Grube, Friederike Krebs, Thomas Bergholz, Robert Reinshagen, Konrad Boettcher, Michael Tags: Original Article Source Type: research

Crystalloid Administration Is Associated with the Recovery of Pediatric Elective Roux-en-Y Hepaticojejunostomy
Conclusion Low crystalloid fluid administration was associated with favorable postoperative outcomes. [...] 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 21, 2019 Category: Surgery Authors: Tan, Xingqin Liu, Jianxia Guo, Chunbao Tags: Original Article Source Type: research

Current State of Neuromodulation for Constipation and Fecal Incontinence in Children: A Systematic Review
Conclusion Neuromodulation is a promising tool in the management of constipation refractory to medical treatment and fecal incontinence in children. Noninvasive techniques provide good results with no complications. A longer term follow-up will provide more information regarding patient compliance and sustainability of benefits of these new techniques. [...] 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 16, 2019 Category: Surgery Authors: Iacona, Roberta Ramage, Lisa Malakounides, Georgina Tags: Review Article Source Type: research

Impact of Capnoperitoneum on Renal Perfusion and Urine Production in Infant and Adolescent Pigs: Crystalloid versus Colloid Fluid Resuscitation
Conclusion Our data indicates that capnoperitoneum impairs renal perfusion and urine production in infants. In moderate-pressure capnoperitoneum, this effect cannot be compensated by application of crystalloids but with colloids. [...] 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 16, 2019 Category: Surgery Authors: Schukfeh, Nagoud Huber, Dirk Metzelder, Martin L. Vieten, Gertrud Keil, Oliver Dennhardt, Nils Suempelmann, Robert Ure, Benno M. Kuebler, Joachim F. Tags: Original Article Source Type: research

Esophageal Blood Flow May Not Be Directly Influenced by Anastomotic Tension: An Exploratory Laser Doppler Study in Swine
We examined esophageal blood flow pre- and postoperatively using laser Doppler flowmetry at the anastomosis and two predetermined proximal and distal points. Blood flow in relation to distance from the anastomosis was examined by multivariate linear regression. Results Thoracotomy alone did not influence perfusion at the carinal level in shams (Δ = 3.13 laser Doppler units, 95% confidence interval: −3.4 to 9.7, p = 0.2686). We constructed a (F[5,134] = 6.34, p 
Source: European Journal of Pediatric Surgery - January 4, 2019 Category: Surgery Authors: Oetzmann von Sochaczewski, Christina Heimann, Axel Linder, Andreas Kempski, Oliver Muensterer, Oliver J. Tags: Original Article Source Type: research

Ultrasound-Guided versus Conventional Caudal Block in Children: A Prospective Randomized Study
Eur J Pediatr Surg DOI: 10.1055/s-0038-1676980 Background Injection to the accurate area without any complications is the main factor for the efficiencies of caudal block. The aim of this study was to compare success and the complications of conventional and ultrasound method for caudal block in children. Materials and Methods Two-hundred sixty-six American Society of Anesthesiologists (ASA) category 1 children aged between 6 months and 6 years undergoing hypospadias, circumcision, or both surgeries were randomly allocated two groups (Group C or Group H, n = 133). About 0.25% bupivacaine with ...
Source: European Journal of Pediatric Surgery - January 2, 2019 Category: Surgery Authors: Karaca, Omer Pinar, Huseyin Ulas Gokmen, Zeynel Dogan, Rafi Tags: Original Article Source Type: research

Reliability of the Hirschsprung-Associated Enterocolitis Score in Clinical Practice
Conclusion There is no standardized definition for HAEC. The initial HAEC score cut-off is restrictive and might fail to identify milder episodes. The positive correlation with LOS and thus HAEC severity might aid in patient information and anticipation of treatment. [...] 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, 2019 Category: Surgery Authors: Dore, Mariela Vilanova Sanchez, Alejandra Triana Junco, Paloma Barrena, S. De Ceano-Vivas, Mar ía Jimenez Gomez, Javier Andres Moreno, Ane M. Lopez Santamaria, Manuel Martinez, Leopoldo Tags: Original Article Source Type: research

Developmental Status of Children Operated for Esophageal Atresia with or without Tracheoesophageal Fistula Along with Maternal Stress, Their Quality of life, and Coping Abilities at AIIMS, New Delhi
Conclusion Developmental delay was present in children operated for EA with or without TEF caused significant stress among mothers, affecting their QOL for which the emotional outlet was the most commonly used coping strategy. [...] 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, 2018 Category: Surgery Authors: Kumari, Vanita Joshi, Poonam Dhua, Anjan Kumar Sapra, Savita Srinivas, Maddur Agarwala, Sandeep Bhatnagar, Veereshwar Tags: Original Article Source Type: research

Predictors of Long-Term Pulmonary Morbidity in Children with Congenital Diaphragmatic Hernia
Conclusion Decreased pulmonary function of CDH survivors correlated with the use of patch repair and liver position. CDH lung disease should be monitored in adulthood. [...] 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 24, 2018 Category: Surgery Authors: Wigen, Robin B. Duan, Wenming Moraes, Theo J. Chiu, Priscilla P. L. Tags: Original Article Source Type: research

Diffuse Esophageal Leiomyomatosis in Pediatric Patients: A Systematic Review and Quality of Evidence Assessment
Conclusion DEL is an uncommon condition that typically occurs in the setting of AS. Esophagectomy with gastric transposition is the mainstay of treatment. Although complications develop in one-third of the patients, mortality rates are low. [...] 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 21, 2018 Category: Surgery Authors: Ziogas, Ioannis A. Mylonas, Konstantinos S. Tsoulfas, Georgios Spartalis, Eleftherios Zavras, Nikolaos Nikiteas, Nikolaos Schizas, Dimitrios Tags: Review Article Source Type: research

Prevalence and Predictive Factors of Histopathological Complications in Children with Esophageal Atresia
Conclusion Histopathologically proven complications with potential long-term consequences occurred in approximately 50% of children after EA-TEF repair. A history of recurrent anastomotic strictures is associated with the occurrence of these complications. The result of the first endoscopy does not predict the histopathological outcome. Children with EA-TEF warrant close and systematic long-term follow-up at specialized multidisciplinary clinics with endoscopic evaluation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  ...
Source: European Journal of Pediatric Surgery - December 19, 2018 Category: Surgery Authors: Petit, Laetitia-Marie Righini, Franziska Ezri, Jessica Jantchou, Prevost Aspirot, Ann Soglio, Doroth ée Dal Faure, Christophe Tags: Original Article Source Type: research

Technical Aspects in Esophageal Lengthening: An Investigation of Traction Procedures and Suturing Techniques in Swine
Conclusion Suture size and suture positioning do not affect mechanical stability in Foker's procedure and therefore can be adapted as needed according to patient's anatomy and size. [...] 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 19, 2018 Category: Surgery Authors: Oetzmann von Sochaczewski, Christina Tagkalos, Evangelos Lindner, Andreas Lang, Hauke Heimann, Axel Muensterer, Oliver J. Tags: Original Article Source Type: research

Too Many Biopsies Performed to Rule Out Hirschsprung's Disease: But It is Worth Doing Them
Conclusion A significant number of unindicated biopsies were performed, the majority of which were ganglionic. Rectal biopsies are generally safe and strict adherence to the NICE guidelines could have led to missed HSD diagnoses with potential significant morbidity and mortality. [...] 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 10, 2018 Category: Surgery Authors: Phillips, Laura A. F. Darwish, Ahmed A. Surana, Rajendra Tags: Original Article Source Type: research

Expression of Nitric Oxide Synthase Interacting Protein (NOSIP) is Decreased in the Pulmonary Vasculature of Nitrofen-Induced Congenital Diaphragmatic Hernia
Conclusion This study demonstrates for the first time decreased NOSIP expression in the pulmonary vasculature of the nitrofen-induced CDH. These findings suggest that NOSIP underexpression may interfere with NO production, contributing to abnormal vascular remodeling and PPH. [...] 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 10, 2018 Category: Surgery Authors: Nakamura, Hiroki Zimmer, Julia Friedmacher, Florian Puri, Prem Tags: Original Article Source Type: research

Esophageal Diameters in Children Correlated to Body Weight
Conclusion Although the variation in measurements is considerable, this evaluation gives a reliable hint to which extent esophageal stenoses should be dilated in relation to the body weight. To the best of our knowledge, this is the first investigation to evaluate the diameter of the esophagus in children in relation to the body weight. [...] 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 - November 26, 2018 Category: Surgery Authors: Bott, Thomas Sebastian von Kalle, Thekla Schilling, Alexander Diez, Oliver Heinz Besch, Sarah Mehlig, Ulrike Hetjens, Svetlana Wessel, Lucas Loff, Steffan Tags: Original Article Source Type: research

Ephrin-B1, -B2, and -B4 Expression is Decreased in Developing Diaphragms and Lungs of Fetal Rats with Nitrofen-Induced Congenital Diaphragmatic Hernia
Conclusion Decreased ephrin-B1, -B2, and -B4 expression may disrupt diaphragmatic development and lung branching morphogenesis by interfering with epithelial–mesenchymal interactions, thus causing diaphragmatic defects and PH. [...] 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 - November 23, 2018 Category: Surgery Authors: Takahashi, Toshiaki Friedmacher, Florian Zimmer, Julia Puri, Prem Tags: Original Article Source Type: research

Pneumonia after Repair of Esophageal Atresia –Incidence and Main Risk Factors
Conclusion Episodes of pneumonia occurred in one-third of patients with EA. After the final repair, the incidence of pneumonia was highest during the first 3 years of life. Patients with other acute respiratory infections and high number of dilatations were at the greatest risk. [...] 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 - November 23, 2018 Category: Surgery Authors: Nurminen, Paula Koivusalo, Antti Hukkinen, Maria Pakarinen, Mikko Tags: Original Article Source Type: research

Is Intraoperative Fluoroscopy Necessary for Central Venous Port System Placement in Children?
Conclusion The correlation between IF and USG and anatomically guided catheter tip placement is optimal. These results suggest that fluoroscopy and the radiation exposure it entails can be safely avoided in selected children. [...] 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 - November 23, 2018 Category: Surgery Authors: Dore, Mariela Barrena, S. Triana Junco, Paloma S ánchez Galán, Alba Jimenez Gomez, Javier Martinez, Leopoldo Tags: Original Article Source Type: research

Tracheal Replacement Using an In-Body Tissue-Engineered Collagenous Tube “BIOTUBE” with a Biodegradable Stent in a Beagle Model: A Preliminary Report on a New Technique
Conclusion This study demonstrated the usefulness of the BIOTUBE with a biodegradable stent as a novel scaffold for tracheal regeneration. [...] 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 - November 2, 2018 Category: Surgery Authors: Hiwatashi, Shohei Nakayama, Yasuhide Umeda, Satoshi Takama, Yuichi Terazawa, Takeshi Okuyama, Hiroomi Tags: Original Article Source Type: research

Can Freehand Elastosonography Be an Alternative to Renal Scintigraphy in Pediatric Vesicoureteral Reflux Cases?
Conclusion In this study, we could not find any significant difference in term of tissue tension values (ST and SI) measured by freehand elastosonography between renal units with and without scar formation in renal scan. [...] 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 31, 2018 Category: Surgery Authors: Karabulut, Bilge Bayram, Gulsah Oztorun, Can Ihsan Ozcift, Burak Tiryaki, Tu ğrul Hüseyin Tags: Original Article Source Type: research

Comparison of Corticosteroid and Vincristine in Treating Kaposiform Hemangioendothelioma and Tufted Angioma: A Systematic Review and Meta-Analysis
Conclusion The present profile shows that VCR is relatively more effective and safer in treating KHE/TA than corticosteroids are. So, we believe VCR could be used as a first-line medication agent in the treatment of KHE/TA. [...] 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, 2018 Category: Surgery Authors: Yao, Wei Li, Kai Wang, Zuopeng Pei, Jiahao Liu, Xiangqi Zheng, Shan Dong, Kuiran Tags: Review Article Source Type: research

Child Migrant Health: The Role of Pediatric Surgery in the Migrants' Route across Balkan Countries to North-West Europe
Conclusion Trauma, predominantly fractures and head injuries, was the leading cause of morbidity in migrant children treated in these two hospitals. [...] 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, 2018 Category: Surgery Authors: Marjanovic, Zoran Raicevic, Maja Slavkovic, Andjelka Zivanovic, Dragoljub Filipovic, Ivan Bojovic, Nikola Tags: Original Article Source Type: research

Plastic and Orthopaedic Interventions and Long-Term Sequelae in Children with Meningococcal Septicemia —40 Years of Experience at the University Children's Hospital Zurich
Conclusion Meningococcal septicemia can entail devastating long-term consequences in children surviving the acute phase of the disease. Sequelae may become apparent only years later and cause further damage. To prevent this, a systematic follow-up till adulthood is necessary. [...] 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, 2018 Category: Surgery Authors: Elrod, Julia Mannhard, Doris Mohr, Christoph Lienert, Christine Hagemann-Gysling, Kerstin Schiestl, Clemens Mazzone, Luca Tags: Original Article Source Type: research

Does Voiding Cystourethrogram Exclude Posterior Urethral Valves in Late Presenting Cases?
Conclusion Late-presented PUVs may be missed on VCUG. Whether a PUV might be present is crucial in boys with a history of recurrent urinary infection, persistent reflux, and repetitive daytime incontinence. Based on our results, we conclude that cystoscopic examination should be preferred for those cases to diagnose PUVs regardless of VCUG results. [...] 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 - September 28, 2018 Category: Surgery Authors: Özen, Mehmet Ali Ta şdemir, Mehmet G ündoğdu, Gökhan Bilge, Ilmay B üyükünal, Cenk Ero ğlu, Egemen Tags: Original Article Source Type: research

Facial Location and Operating Room Environment are the Risk Factors for Incomplete Excision of Melanocytic Nevi
Eur J Pediatr Surg DOI: 10.1055/s-0038-1672145 Introduction The management of melanocytic nevi involves many various practitioners with a high number of patients. Data on failure to achieve goals of treatment are scarce. We aimed to determine percentage of incompletely excised nevi and the risk factors responsible. Materials and Methods In this retrospective cohort study, histology reports of all melanocytic nevi excised within our department between January 2014 and June 2015 were considered. Those aimed for stage excision and those with inconclusive histology reports were excluded. Patients' age, sex, ana...
Source: European Journal of Pediatric Surgery - September 27, 2018 Category: Surgery Authors: Zgraj, Oskar Taczanowska-Niemczuk, Anna Gorecki, Wojciech Tags: Original Article Source Type: research

Generic Health-Related Quality of Life after Repair of Esophageal Atresia and Its Determinants within a German –Swedish Cohort
Eur J Pediatr Surg DOI: 10.1055/s-0038-1672144 Aim Despite advances of outcomes of esophageal atresia (EA), knowledge on patients' health-related quality of life (HRQoL) is sparse. Due to the heterogeneity of EA, larger cohorts need to be investigated to ensure reliability of data. Aim was to determine generic HRQoL after EA repair in a Swedish–German cohort. Methods Ethical approval was obtained. A total of 192 patients (2–18 years; 134 Swedish; 58 German) were included. Clinical data were reviewed. EA was classified in “severe” and “mild/moderate.” Pediatric Quality of ...
Source: European Journal of Pediatric Surgery - September 27, 2018 Category: Surgery Authors: Flieder, Sofie Dellenmark-Blom, Michaela Witt, Stefanie Dingemann, Carmen Quitmann, Julia H. J önsson, Linus Gatzinsky, Vladimir Chaplin, John E. Dammeier, Barbara G ómez Bullinger, Monika Ure, Benno M. Abrahamsson, Kate Dingemann, Jens Tags: Original Article Source Type: research

Andrew B. Pinter (1937 –2018)
Eur J Pediatr Surg 2018; 28: 383-383 DOI: 10.1055/s-0038-1672214 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 - September 26, 2018 Category: Surgery Authors: Ure, Benno M. Tags: Obituary Source Type: research

20-Year Jubilee of the Nuss Procedure: A New Era in Treating Thoracic Wall Deformities has been Heralded
Eur J Pediatr Surg 2018; 28: 303-303 DOI: 10.1055/s-0038-1669410 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 - September 26, 2018 Category: Surgery Authors: Petersen, Claus Tags: Editorial Source Type: research

Minor and Major Complications Related to Minimally Invasive Repair of Pectus Excavatum
Eur J Pediatr Surg DOI: 10.1055/s-0038-1670690The technique for minimally invasive repair of pectus excavatum (MIRPE) has been adopted by most surgeons as the preferred method for treatment of this condition. However, there is limited awareness about the complications related to the procedure. Most importantly, the prevalence and potential for life-threatening complications have frequently been underestimated. The purpose of this communication is to increase awareness of the risk of minor and major (life-threatening) complications, as well as the operative steps and modifications which have been developed to prevent them. ...
Source: European Journal of Pediatric Surgery - September 18, 2018 Category: Surgery Authors: Hebra, Andre Tags: Review Article Source Type: research

A Systematic Review of Prenatally Diagnosed Intra-abdominal Enteric Duplication Cysts
Conclusion The optimal approach to EDCs diagnosed prenatally is not supported by strong evidence in the literature. Our systematic review indicates that almost half of the infants diagnosed prenatally become symptomatic early and are resected. In asymptomatic patients, close observation and delayed prophylactic resection in infancy can 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 - September 18, 2018 Category: Surgery Authors: Fahy, Aodhnait S. Pierro, Agostino Tags: Original Article Source Type: research

Modifications and Further Development of the Original Nuss Procedure: Blessing or Curse?
This report reviews those modifications. [...] 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 - September 13, 2018 Category: Surgery Authors: Kelly Jr, Robert Edward Tags: Review Article Source Type: research

Surgery for Deformities of the Thoracic Wall: No More than Strengthening the Patient's Self-Esteem?
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668131In most cases, correction of a pectus deformity is performed for cosmetic reasons. The main indication for corrective therapy is impaired body image and self-esteem due to the deformity. In these instances, patients suffer from a lower quality of life that is not correlated with the severity of the chest wall deformity. After correction of a pectus excavatum (PE) or pectus carinatum (PC) patients experience a significant improvement in body image and self-esteem. For many, corrective surgery is life changing as it leaves patients feeling satisfied with the appearance of their c...
Source: European Journal of Pediatric Surgery - August 21, 2018 Category: Surgery Authors: Fortmann, Caroline Petersen, Claus Tags: Review Article Source Type: research

First Population-Based Report of Infants with Congenital Diaphragmatic Hernia: 30-Day Outcomes from the American College of Surgeons National Quality Improvement Program
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668563 Aim The American College of Surgeons has developed a registry, the National Quality Improvement Program Pediatric (NSQIP-P), that provides participating centers with high-quality surgical outcome data for children. Herein, we aimed to analyze for the first time the short-term outcomes of live-born infants with congenital diaphragmatic hernia (CDH) registered on this large North American database. Methods During 2015 to 2016, up to 101 participating centers uploaded 95 perioperative data points on the NSQIP-P database for patients that underwent surgical repair ...
Source: European Journal of Pediatric Surgery - August 21, 2018 Category: Surgery Authors: Zani-Ruttenstock, Elke Zani, Augusto Eaton, Simon Fecteau, Annie Tags: Original Article Source Type: research

What Happens after Kasai for Biliary Atresia? A European Multicenter Survey
Conclusion All surveyed European centers continue to perform an exclusively open KPE, but there is no consensus on a standard adjuvant drug regimen. Self-declared outcome post-KPE also appears to be variable though the reasons are obscure. [...] 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 - August 21, 2018 Category: Surgery Authors: Wong, Zeng Hao Davenport, Mark Tags: Original Article Source Type: research

10 Years' Experience in Balanitis Xerotica Obliterans: A Single-Institution Study
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668562 Introduction Balanitis xerotica obliterans (BXO) is uncommon in children. Diagnosis of the condition is almost always clinical and supported by histology. Our aim was to evaluate the outcomes of children undergoing circumcision for BXO and explore the correlation between surgical and histological findings. Materials and Methods A 10-year retrospective review (2007–2017) of all children, aged 16 and less, undergoing circumcision at a tertiary teaching hospital was conducted. Statistical analysis was performed using Fisher's exact test. Results BXO ...
Source: European Journal of Pediatric Surgery - August 21, 2018 Category: Surgery Authors: Pradhan, Akhilesh Patel, Radhika Said, A. J. Upadhyaya, Manasvi Tags: Original Article Source Type: research

Inpatient Admission versus Emergency Department Management of Intussusception in Children: A Systemic Review and Meta-Analysis of Outcomes
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668145 Introduction Recent literature advocates outpatient emergency department (ED) management of intussusception citing low recurrence rates and postreduction events after uncomplicated ileocolic reduction. However, few studies include both inpatient and outpatient cohorts. We performed a systematic review and meta-analysis to compare recurrence rates and length of hospital stay between the groups. Methods Studies published in English up to January 2018 were searched from Medline, Embase, Google Scholar, and Cochrane databases, using a combination of the terms &lsqu...
Source: European Journal of Pediatric Surgery - August 21, 2018 Category: Surgery Authors: Amuddhu, Sanjena Kumar Chen, Yong Nah, Shireen Anne Tags: Original Article Source Type: research

State of Play: Eight Decades of Surgery for Esophageal Atresia
Conclusion Including a full range of articles reflecting the heterogeneity of EA, mortality rate significantly decreased during the course of 80 years. Along with the decrease in mortality, there is a shift to the importance of major postoperative complications and long-term morbidity regardless of surgical technique. [...] 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 - August 15, 2018 Category: Surgery Authors: Zimmer, Julia Eaton, Simon Murchison, Louise E. Ure, Benno M. Dingemann, Carmen Tags: Review Article Source Type: research

Deformities of the Thoracic Wall: Don't Forget the Plastic Surgeon
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668129Surgical procedures for pectus excavatum (PE) repair, such as minimally invasive repair of pectus excavatum or similar interventions (modified open videoendoscopically assisted repair of pectus excavatum, for remodeling the anterior thoracic wall may finally not always achieve sufficiently pleasing aesthetic results. Particularly in the asymmetric and polymorphic cases, remnant deformities may still be present after any sophisticated remodeling attempt. On the other hand, some cases despite optimal surgical management develop mild recurrences with partial concavity or rib carti...
Source: European Journal of Pediatric Surgery - August 15, 2018 Category: Surgery Authors: Schwabegger, Anton Herbert Tags: Review Article Source Type: research

Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?
This article will discuss current options for the treatment of pectus carinatum, and some of the factors that should be taken into account when choosing the options available. Diagnosis and treatment of the pectus arcuatum variant will also be described. [...] 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 - August 15, 2018 Category: Surgery Authors: Emil, Sherif Tags: Review Article Source Type: research

European Paediatric Surgeons' Association Survey on the Management of Pediatric Appendicitis
Conclusion Some aspects of appendicitis management lack consensus, particularly appendix mass and intraperitoneal abscess. Evidence-based guidelines should be developed, which may help standardize care and improve clinical outcomes. [...] 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 - August 15, 2018 Category: Surgery Authors: Zani, Augusto Hall, Nigel J. Rahman, Abidur Morini, Francesco Pini Prato, Alessio Friedmacher, Florian Koivusalo, Antti van Heurn, Ernest Pierro, Agostino Tags: Original Article Source Type: research

Cardiogenic Necrotizing Enterocolitis: A Clinically Distinct Entity from Classical Necrotizing Enterocolitis
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668144 Aim The main purpose of this study was to investigate if necrotizing enterocolitis (NEC) has a different presentation and outcome in patients with congenital heart defect (CHD) (cardiogenic NEC) from those without (classical NEC). Materials and Methods A systematic review of the literature on the characteristics of infants with NEC and CHD was performed by three independent investigators using a defined strategy (PubMed, Cochrane, Embase, and Web of Science). A meta-analysis was conducted on studies comparing NEC in infants with CHD and non-CHD infants using Re...
Source: European Journal of Pediatric Surgery - August 15, 2018 Category: Surgery Authors: Siano, Elisa Lauriti, Giuseppe Ceccanti, Silvia Zani, Augusto Tags: Original Article Source Type: research

Surgery for Pediatric Ureteropelvic Junction Obstruction —Comparison of Outcomes in Relation to Surgical Technique and Operating Discipline in Germany
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668149 Introduction Surgery for ureteropelvic junction obstruction (UPJO) is performed by both pediatric surgeons (PS) and urologists (URO). The aim of this study was to analyze treatment modalities for UPJO and results in relation to the surgical technique and the operating discipline in Germany. Material and Methods Data of patients aged 0 to 18 years were extracted from a major public health insurance (covering ∼5.7 million clients) during 2009 to 2016 and were analyzed for sociodemographic variables, surgical technique, and treating discipline. Logistic regres...
Source: European Journal of Pediatric Surgery - August 15, 2018 Category: Surgery Authors: Goetz, G. Klora, M. Zeidler, J. Eberhard, S. Bassler, S. Mayer, S. Gosemann, J.-H. Lacher, M. Tags: Original Article Source Type: research

Cardiopulmonary Function in Thoracic Wall Deformities: What Do We Really Know?
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668130Patients with pectus excavatum (PE) frequently present with complaints of exercise intolerance and cardiopulmonary symptoms. There continues to be controversy regarding the physiologic benefits of repair. The aim of this review is to summarize and discuss recent data regarding the cardiopulmonary effects of PE deformity and the evidence for improvement obtained after surgical repair including (1) a greater efficiency of breathing (chest wall mechanics), (2) improvement in pulmonary restrictive deficits, (3) an increase in cardiac chamber size and output, with improved cardiac s...
Source: European Journal of Pediatric Surgery - August 13, 2018 Category: Surgery Authors: Jaroszewski, Dawn E. Velazco, Cristine S. Pulivarthi, Venkata Siva Krishna Kumar Arsanjani, Reza Obermeyer, Robert J. Tags: Review Article Source Type: research

Nonsurgical Treatment of Chest Wall Deformities: Contradiction or Complement?
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668128For decades, open surgical repair was the only available method to treat congenital and acquired chest wall deformities (CWDs). In 1998, D. Nuss described a minimally invasive procedure for surgical repair of pectus excavatum (PE), and a few years later H. Abramson reported on his experience with the “reversed Nuss technique” for surgical repair of pectus carinatum (PC). Both procedures are performed with increasing frequency worldwide.However, nonsurgical measures such as vacuum bell (VB) therapy for conservative treatment of PE and more differentiated bracing syst...
Source: European Journal of Pediatric Surgery - August 13, 2018 Category: Surgery Authors: H äcker, Frank-Martin Tags: Review Article Source Type: research

Proximity to the Diaphragm Predicts the Presence of Rhabdomyomatous Dysplasia in Congenital Pulmonary Airway Malformations
Eur J Pediatr Surg DOI: 10.1055/s-0038-1668140 Introduction Rhabdomyomatous dysplasia (RD) is a pathologic finding in CPAMs that was incorrectly attributed to their malignant potential. The increasing recognition of extrathoracic (intradiaphragmatic and intraabdominal) congenital pulmonary airway malformations (CPAMs) offers a clue to the origin of RD. We hypothesize that the presence of RD is related to the CPAM's anatomic location. Materials and Methods Retrospective review was performed of all children who underwent resection of a CPAM during a 10-year period. The age at the time of operation, location o...
Source: European Journal of Pediatric Surgery - August 13, 2018 Category: Surgery Authors: Monteagudo, Julie Dickinson, Catherine M. Wakeley, Michelle Mangray, Shamlal Wills, Hale E. Luks, Francois I. Tags: Original Article Source Type: research

Prognostic Factors for Liver Transplantation in Unresectable Hepatoblastoma
Conclusion Liver transplantation has increased hepatoblastoma survival in unresectable tumors. Probably due to these good results, we have not been able to find significant prognostic factors in this cohort. [...] 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 - August 7, 2018 Category: Surgery Authors: Triana Junco, Paloma Cano, Esther Mar ía Dore, Mariela Jimenez Gomez, Javier S ánchez Galán, Alba Vilanova-S ánchez, Alejandra Andres, Ane Encinas, Jose Luis Martinez, Leopoldo Hernandez, Francisco Lopez Santamaria, Manuel Tags: Original Article Source Type: research