Long-Term Results after Diversion Surgery in Extrahepatic Portal Vein Obstruction
Conclusion Diversion surgery in EHPVO, especially mesoportal shunt of Rex, improves hepatic function (prothrombin activity), reduces hypersplenism (platelets, leukocytes, and spleen size), and decreases gastrointestinal bleeding episodes. [...] 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 Alvarez, Ana 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

Implementation of a Quality Control System for Laparoscopic Pyloromyotomy in Hypertrophic Pyloric Stenosis: Hurdles and Pitfalls
Conclusion The increase in recorded images over the years is promising. The implementation of the quality control system did not contribute to a significant decrease in the complication rate, which was already very low. Still, reoperation or a protracted postoperative course could only be predicted with moderate accuracy from the operative images, therefore, for now the use of perioperative images in a medicolegal setting should be advised against. Improved compliance with image recording and better instructions for evaluating the images might improve the usefulness of perioperative images in, e.g., telementoring, edu...
Source: European Journal of Pediatric Surgery - August 7, 2018 Category: Surgery Authors: Ploeg, Mirjam Keyzer-Dekker, Claudia M. G. Sloots, Cornelius E. J. van de Ven, Cornelis P. Meeussen, Conny Wijnen, Rene M. H. Vlot, John Tags: Original Article Source Type: research

A National Long-Term Study of Neuroendocrine Tumors of the Appendix in Children: Are We Too Aggressive?
Conclusion We conclude from this study and from an extensive review of the literature that two criteria may point to the need for additional surgery, i.e., the possibility of regional lymph node involvement: tumor size > 20 mm and incomplete surgical resection margins. Childhood NET of the appendix has an excellent prognosis. [...] 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 1, 2018 Category: Surgery Authors: Sommer, Christelle Gumy Pause, Fabienne Diezi, Manuel Rougemont, Anne-Laure Wildhaber, Barbara E. Tags: Original Article Source Type: research

Why Do the Patients with Hirschsprung Disease Get Redo Pull-Through Operation?
In this study, we reviewed the causes and associated factors of redo PT. Materials and Methods We retrospectively reviewed medical charts of 657 patients with HD who underwent surgeries between September 1979 and January 2016. The indications for redo PT are as follows. First, there were persistent obstructive symptoms after the first operation, (1) with transition zone shown definitely on contrast study, (2) with anatomic problems, and (3) obstructive symptoms persist despite conservative or nonredo surgical treatment without (1) and (2). We analyzed the causes and associated factors of redo PT. Results A ...
Source: European Journal of Pediatric Surgery - August 1, 2018 Category: Surgery Authors: Han, Ji-Won Youn, Joong Kee Oh, Chaeyoun Kim, Hyun-Young Jung, Sung-Eun Park, Kwi-Won Tags: Original Article Source Type: research

Thromboelastometry as an Alternative Method for Coagulation Assessment in Pediatric Patients Undergoing Invasive Procedures: A Pilot Study
Conclusion Our data support using thromboelastometry method as an alternative coagulation test for the assessment of coagulation profile in pediatric patients undergoing surgical or other invasive procedures, especially using it as a POC test. All invasive procedures in our study were performed without severe bleeding despite prolonged values of PT/aPTT with normal ROTEM results. It seems that ROTEM assessment of coagulation may lead to decreased administration of fresh frozen plasma and shorten time of patient preparation for intervention. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJou...
Source: European Journal of Pediatric Surgery - August 1, 2018 Category: Surgery Authors: Durila, Miroslav Jonas, Jakub Durilova, Marianna Rygl, Michal Skrivan, Jiri Vymazal, Tomas Tags: Original Article Source Type: research

Accuracy of Suction Rectal Biopsy for Diagnosis of Hirschsprung's Disease in Neonates
Eur J Pediatr Surg DOI: 10.1055/s-0038-1667040 Purpose Recent publications have questioned the sensitivity of suction rectal biopsy (SRB) for diagnosis of Hirschsprung's disease (HD) in newborns. A recent European survey reported that 39% of pediatric surgeons performed full-thickness transanal biopsies due to concerns about the accuracy of SRB. We sought to examine our contemporary SRB experience in infants. Methods A review was performed (2007–2016) of patients under 6 months of age who had a SRB at our children's hospital. The cohort was subdivided by postmenstrual age at time of SRB: preterm ( 44 ...
Source: European Journal of Pediatric Surgery - August 1, 2018 Category: Surgery Authors: Allen, Ashley Rebekah Putnam, Angelica R. Presson, Angela P. Allen, Chelsea McCarty Barnhart, Douglas C. Rollins, Michael D. Tags: Original Article Source Type: research

Negative Pressure Wound Dressing Reduces Surgical Site Infections in Infants after Closed Abdominal Procedures: A Preliminary Report
Eur J Pediatr Surg DOI: 10.1055/s-0038-1660448 Introduction Negative pressure wound therapy (NPWT) is a novel tool to reduce surgical site infections (SSIs). Although SSIs are a common source of morbidity in infants undergoing laparotomy, the cost of the available NPWT devices has restricted its use to adult high-risk patients. We developed a low-cost method of NPWT in infants and analyzed its impact on the incidence of SSIs in infant patients. Patients and Methods A consecutive series of infants (age ≤ 12 months) who underwent a clean-contaminated, contaminated, or dirty abdominal procedure via laparoto...
Source: European Journal of Pediatric Surgery - June 19, 2018 Category: Surgery Authors: Zoeller, Christoph Yoshizawa, Emi Sethi, Mohammad V. Ure, Benno M. Kuebler, Joachim F. Tags: Original Article Source Type: research

Quality of Life in Parents of Children Born with Esophageal Atresia
Conclusion Parents of children with EA reported lower mental health compared with the general population, especially mothers, and parents of young children, with severe EA, and a frequent school/kindergarten absence. This shows that parents may experience substantial emotional burden and highlights the need for psychosocial support for EA parents, especially in the first years. [...] 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 19, 2018 Category: Surgery Authors: Witt, Stefanie Dellenmark-Blom, Michaela Dingemann, Jens Dingemann, Carmen Ure, Benno M. Gomez, Barbara Bullinger, Monika Quitmann, Julia Tags: Original Article Source Type: research

Review of Early Postoperative Metrics for Children Undergoing Resection of Congenital Pulmonary Airway Malformations and Report of Pleuropulmonary Blastoma at a Single Institution
Eur J Pediatr Surg DOI: 10.1055/s-0038-1661333 Purpose The purpose of this study is to describe a single institution's 11-year experience treating children with congenital pulmonary airway malformations (CPAMs) and pleuropulmonary blastoma (PPB). Methods An institutional database was sampled for all patients aged 0 to 18 years from January 1, 2005, to December 31, 2015. Patients with a pathologic diagnosis of CPAM or PPB during this period were reviewed. Results A total of 51 patients with a pathologic diagnosis of CPAM (n = 45; 88.2%) or PPB (n = 6; 11.8%) underwent surg...
Source: European Journal of Pediatric Surgery - June 19, 2018 Category: Surgery Authors: Vandewalle, Robert J. Easton, Joseph C. Burns, R. Cartland Gray, Brian W. Rescorla, Frederick J. Tags: Original Article Source Type: research

Repetitive Imaging following Minimally Invasive Repair of Pectus Excavatum Is Unnecessary
Conclusion These data suggest that increased repetitive imaging after an initial postoperative CXR does not affect clinical outcomes and may not be necessary after MIRPE. [...] 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 19, 2018 Category: Surgery Authors: Sola, Richard Yu, Yangyang R. Friske, Tyler C. Jamal, Abdur R. Rosenfeld, Eric H. Mazziotti, Mark V. Peter, Shawn D. St. Shah, Sohail R. Tags: Original Article Source Type: research

Institutional Experience with Spiral Intestinal Lengthening and Tailoring
Conclusion In our experience, SILT is a promising adjunct in the surgical management of SBS. It can be used to tailor and lengthen mildly dilated segments of the bowel where other procedures are technically challenging, with a view to reduce the risk of intestinal failure associated liver disease and thereby improving chances for quality survival. Further studies are needed to investigate long-term outcomes of SILT in pediatric SBS. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European ...
Source: European Journal of Pediatric Surgery - June 19, 2018 Category: Surgery Authors: Coletta, Riccardo Aldeiri, Bashar Morabito, Antonino Tags: Original Article Source Type: research

Upregulation of High Mobility Group Box 1 May Contribute to the Pathogenesis of Biliary Atresia
Conclusion HMGB1 may play a crucial role in the pathogenesis of BA. Additionally, the correlation of serum HMGB1 levels with gamma-glutamyl transferase levels may provide a novel marker for the diagnosis of BA. [...] 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 17, 2018 Category: Surgery Authors: Ye, Chun Jing Wang, Jiang Yang, Yi Fan Shen, Zhen Chen, Gong Huang, Yan Lei Zheng, Yi Jie Dong, Rui Zheng, Shan Tags: Original Article Source Type: research

Urinary Outcomes in Patients with Down's Syndrome and Hirschsprung's Disease
Conclusion Patients with DS appear to be a unique subset of HD patients who have a higher prevalence of urinary symptoms after surgery. In the postoperative care of patients with HD and DS, a strong focus should be placed on postoperative urinary care in addition to their bowel care. This could significantly ease care and contribute to the quality of life of the parents and the patient. [...] 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 17, 2018 Category: Surgery Authors: Dingemans, Alexander Johannes Martinus Reck-Burneo, Carlos Albert Fuchs, Molly Sanchez, Alejandra Vilanova Lane, Victoria Alison Hoover, Erin Maloof, Tassiana Weaver, Laura Levitt, Marc A. Wood, Richard J. Tags: Original Article Source Type: research

Traumatic Stress among School-Aged Pediatric Surgery Patients and Their Parents
Conclusion In view of the prevalence of PMTS among school-aged children following surgical intervention, it is necessary to promote increased awareness, preventive interventions, and early identification and treatment of this condition. [...] 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 17, 2018 Category: Surgery Authors: Ben Ari, Amichai Margalit, Daniella Udassin, Raphael Benarroch, Fortu Tags: Original Article Source Type: research

Erratum to: Current Management of Congenital Pulmonary Airway Malformations: A “European Pediatric Surgeons' Association” Survey
Eur J Pediatr Surg DOI: 10.1055/s-0038-1660778 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 5, 2018 Category: Surgery Authors: Morini, Francesco Zani, Augusto Conforti, Andrea van Heurn, Ernest Eaton, Simon Puri, Prem Rintala, Risto Lukac, Marija Kuebler, Joachim F. Friedmacher, Florian Wijnen, Rene Tovar, Juan Antonio Pierro, Agostino Bagolan, Pietro Tags: Erratum Source Type: research

Spinal Intramedullary Abscess Secondary to Dermal Sinus in Children
Conclusion Intramedullary abscess secondary to CDS is very rare. Complete sinus tract excision, myelotomy and drainage of abscess, and decompression of co-existent inclusion cysts with prolonged antibiotic therapy remain the standard treatment. Approximately 60% cases achieve good outcomes. Fever and limb weakness portend poorer outcomes than those without. [...] 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 1, 2018 Category: Surgery Authors: Prasad, G. Lakshmi Hegde, Ajay Divya, S. Tags: Review Article Source Type: research

Prospective Study on Several Urinary Biomarkers as Indicators of Renal Damage in Children with CAKUT
Conclusion These findings further support that CAKUT patients may, eventually, experience progressive renal damage and poor regenerative response. The increased urinary levels of MCP-1 in all groups of CAKUT patients suggested that the main factor responsible for the above effects is chronic renal inflammation mediated by local monocytes. [...] 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 4, 2018 Category: Surgery Authors: Bartoli, Fabio Pastore, Valentina Cal è, Isabella Aceto, Gabriella Campanella, Vittoria Lasalandra, Carla Magaldi, Simona Niglio, Francesco Basile, Angela Cocomazzi, Raffaella Tags: Original Article Source Type: research

Factors Known to Influence the Development of Necrotizing Enterocolitis to Modify Expression and Activity of Intestinal Alkaline Phosphatase in a Newborn Neonatal Rat Model
Conclusion Prematurity and formula feeding are associated with inhibition of IAP expression and activity. Both may increase the risk of NEC and early enteral supplementation of IAP to newborns at risk of NEC may be of therapeutic benefit. [...] 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 3, 2018 Category: Surgery Authors: Rentea, Rebecca Maria Rentea, Matthea J. Biesterveld, Ben Liedel, Jennifer L. Gourlay, David M. Tags: Original Article Source Type: research

Epidemiology and Outcome of Major Congenital Malformations in a Large German County
Conclusion Epidemiology and outcome of major congenital malformations in Hesse, Germany, are comparable to previously published data. In addition, our data revealed a volume–outcome association with regard to the length of hospital stay. [...] 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 1, 2018 Category: Surgery Authors: Wittekindt, Boris Schloesser, Rolf Doberschuetz, Nora Salzmann-Manrique, Emilia Grossmann, Jasmin Misselwitz, Bjoern Rolle, Udo Tags: Original Article Source Type: research

Update on the Role of Stem Cells in the Treatment of Hirschsprung Disease
Eur J Pediatr Surg DOI: 10.1055/s-0038-1646925Stem cells possess the ability of self-renewal and the potency to differentiate into multiple cell lineages. Somatic stem cells are present in adult tissues, but they usually exhibit limited differentiation capacity and life span. On the other hand, somatic cells from adult tissues can be reprogrammed into induced pluripotent stem cells (iPSCs) that retain a full differentiation capacity with unlimited self-renewal ability. Autologous origin of iPSCs makes them an ideal source of cells for regenerative medicine to replenish the missing or damaged cells in the patients. iPSCs no...
Source: European Journal of Pediatric Surgery - April 24, 2018 Category: Surgery Authors: Lui, Kathy Nga-Chu Tam, Paul Kwong Hang Ngan, Elly Sau-Wai Tags: Review Article Source Type: research

The Impact of Groin Surgery during Childhood on the Incidence of Inguinal Hernia Repair and Its Postoperative Complications in Adult Life
Conclusion Individuals undergoing surgery in the groin during childhood are at increased risk for acquired inguinal hernia surgery later in life. Inguinal surgery during childhood did not affect the outcome of hernia repair in adult age. [...] 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 13, 2018 Category: Surgery Authors: Sokratous, Arestis Österberg, Johanna Sandblom, Gabriel Tags: Original Article Source Type: research

Long-Term Outcome after Dynamic Graciloplasty for Treatment of Persistent Fecal Incontinence in Patients with Anorectal Malformations
Conclusion This study cannot confirm earlier reports in which DGP has an inferior outcome in patients with ARM. We therefore believe that the procedure should remain a treatment option for selected 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 - April 13, 2018 Category: Surgery Authors: Danielson, Johan Karlbom, Urban Wester, Tomas Graf, Wilhelm Tags: Original Article Source Type: research

Congenital Esophageal Atresia —Surgical Treatment Results in the Context of Quality of Life
In this study, 23% of children in the study group weighted below third percentile, 36% were born between 33rd and 37th week of gestation; 56% had at least one associated congenital anomalies. The QoL of children born before 37th week of gestational age was lower (p 
Source: European Journal of Pediatric Surgery - April 10, 2018 Category: Surgery Authors: Rozensztrauch, Anna Śmigiel, Robert Patkowski, Dariusz Tags: Original Article Source Type: research

Surgical Site Infection in a Tertiary Neonatal Surgery Centre
Eur J Pediatr Surg DOI: 10.1055/s-0038-1636916 Introduction Surgical site infection (SSI) is a key performance indicator to assess the quality of surgical care. Incidence and risk factors for SSI in neonatal surgery are lacking in the literature. Aim To define the incidence of SSI and possible risk factors in a tertiary neonatal surgery centre. Materials and Methods This is a prospective cohort study of all the neonates who underwent abdominal and thoracic surgery between March 2012 and October 2016. The variables analyzed were gender, gestational age, birth weight, age at surgery, preoperative stay...
Source: European Journal of Pediatric Surgery - March 26, 2018 Category: Surgery Authors: Woldemicael, Adiam Y. Bradley, Sarah Pardy, Caroline Richards, Justin Trerotoli, Paolo Giuliani, Stefano Tags: Original Article Source Type: research

Surgery of Neonates: What's New in Dealing with Perioperative Complications?
Eur J Pediatr Surg 2018; 28: 131-132 DOI: 10.1055/s-0038-1637767 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 - March 22, 2018 Category: Surgery Authors: Zani, Augusto Morini, Francesco Tags: Editorial Source Type: research

Subcutaneoscopic Excision of External Angular Dermoid Cysts: Our Covert Scar Approach in 11 Cases
Conclusion The subcutaneoscopic technique utilizing endoscopic instrumentation has the advantage of improved visualization of the cyst, greater precision of dissection, and excellent cosmesis. One disadvantage of this procedure is that this involves learning a new technique while the majority of surgeons are already comfortable with the open approach. Given the safety and efficacy observed for this subcutaneoscopic procedure, this technique can have tremendous possibilities. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract &nbs...
Source: European Journal of Pediatric Surgery - March 13, 2018 Category: Surgery Authors: Hsiao, Annie Pimpalwar, Ashwin Tags: Special Report Source Type: research

Perioperative Complications Following Surgery for Necrotizing Enterocolitis
Eur J Pediatr Surg DOI: 10.1055/s-0038-1636943Necrotizing enterocolitis (NEC) is a devastating condition that mainly affects premature infants. Advanced cases of NEC require surgical treatment, which in up to 70% of infants is associated with significant perioperative morbidity including anastomosis- or enterostomy-related complications, sepsis, peritonitis, and wound infections. Moreover, the perioperative complications may compromise the long-term gastrointestinal and neurodevelopmental outcome of patients requiring surgery for NEC. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Tabl...
Source: European Journal of Pediatric Surgery - March 13, 2018 Category: Surgery Authors: Mutanen, Annika Pierro, Agostino Zani, Augusto Tags: Review Article Source Type: research

Perioperative Complications of Esophageal Atresia
Eur J Pediatr Surg DOI: 10.1055/s-0038-1636941Current survival rate of infants with esophageal atresia with/without tracheoesophageal fistula (EA/TEF) exceeds 90% and great interest is dedicated to the long-term outcomes and complications. However, perioperative complications represent a significant burden to the EA/TEF infants and a technical challenge for the surgeon. In this review, we will focus on the most frequent perioperative complications specific of EA/TEF to describe their predisposing factors, possible preventive measures, and treatment options. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in...
Source: European Journal of Pediatric Surgery - March 13, 2018 Category: Surgery Authors: Morini, Francesco Conforti, Andrea Bagolan, Pietro Tags: Review Article Source Type: research

Perioperative Complications of Video-Assisted Thoracoscopic Pulmonary Procedures in Neonates and Infants
Conclusion Reports on major complications of pulmonary VATS in neonates and infants below 1 year of age are scarce. As severe complications such as accidental bronchus transection have been described, feasibility of neonatal/infant VATS cannot be unequivocally confirmed. No literature-based recommendation can be given on the treatment of complications. [...] 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 6, 2018 Category: Surgery Authors: Zoeller, Christoph Ure, Benno M. Dingemann, Jens Tags: Review Article Source Type: research

Perioperative Complications in Neonatal Surgery: Biliary Atresia and Choledochal Malformations
Eur J Pediatr Surg DOI: 10.1055/s-0038-1636929Biliary atresia (BA) and congenital choledochal malformations (CCM) are rare. Both pathologies must (BA) or may (CCM) be operated during the neonatal period or early infancy. We briefly describe the classical operative techniques for both pathologies, followed by the most common and severe perioperative complications encountered during and up to 30 days after surgery in children operated for BA and CCM early in life. For patients with BA, intestinal complications represent the most common and hazardous perioperative surgical complications. Cholangitis is the most frequently enc...
Source: European Journal of Pediatric Surgery - March 6, 2018 Category: Surgery Authors: Wilde, Jim C. H. Calinescu, Ana M. Wildhaber, Barbara E. Tags: Review Article Source Type: research

Perioperative Complications of Surgery for Hypertrophic Pyloric Stenosis
Eur J Pediatr Surg DOI: 10.1055/s-0038-1637016Pyloromyotomy is the tried and tested surgical procedure for successful operative treatment of pyloric stenosis. Over time, the operative approach has evolved to take advantage of cosmetically superior incisions and more recently minimally invasive surgery. During and following surgery, complications are uncommon. The specific complications of an inadequate pyloromyotomy requiring repeated procedure and mucosal perforation during an overzealous pyloromyotomy represent the ends of a spectrum within which sits the perfect procedure. Here, we discuss these specific complications t...
Source: European Journal of Pediatric Surgery - March 6, 2018 Category: Surgery Authors: Kelay, Arun Hall, Nigel J. Tags: Review Article Source Type: research

Treatment of Unstable Pediatric Tibia Shaft Fractures in Finland
Conclusion Internal fixation is used for the majority of tibia shaft fractures treated under anesthesia in university hospitals in Finland. Serious fracture or treatment related complications are very rare, but the percentage (6%) of re-operations because of unsatisfactory standard of treatment should be lower and could probably be improved by concentrating internal fixation to fewer hands. A prospective randomized controlled trial comparing non-operative treatment to intramedullary nailing in pediatric tibia fractures should be performed. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJour...
Source: European Journal of Pediatric Surgery - February 28, 2018 Category: Surgery Authors: Stenroos, Antti Jalkanen, Jenni Sinikumpu, Juha-Jaakko Palmu, Sauli Koskimies-Virta, Eeva Laaksonen, Topi Nietosvaara, Yrj änä Tags: Original Article Source Type: research

Role of Routine Dilatations after Anorectal Reconstruction —Comparison of Two Tertiary Centers
Conclusion The use of routine postoperative dilatations does not significantly improve surgical outcomes following PSARP in ARM. [...] 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 28, 2018 Category: Surgery Authors: Mullassery, Dhanya Chhabra, Sumita Babu, Ashik Muhamed Iacona, Roberta Blackburn, Simon Cross, Kate M. Decoppi, Paolo Baillie, Colin Tennant Kenny, Simon Curry, Joe I. Tags: Original Article Source Type: research

Modified Multivisceral Transplantation with Native Spleen Removal in Rats
Conclusion Long-term survival is reported after heterotopic MMVTx in rats. The heterotopic MMVTx with native spleen removal would potentially improve the existent models for transplant research. The usefulness of this model warrants further confirmation in allogeneic experiments. [...] 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 23, 2018 Category: Surgery Authors: Stringa, Pablo Arreola, Nidia Monserrat Moreno, Ane M. Andres Largo, Carlota Rumbo, Mart ín Hernandez, Francisco Tags: Original Article Source Type: research

Perioperative Complications of Transanal Pull-through Surgery for Hirschsprung's Disease
Eur J Pediatr Surg DOI: 10.1055/s-0038-1632393Transanal pull-through is currently one of the most commonly used operation to treat Hirschsprung's disease (HD) worldwide. It has undergone some technical modifications during the last decades and still contains variable surgical practices. As high quality comparative studies between different surgical approaches are missing, debate over the optimal operation for HD still continues. Transanal pull-through is associated with multiple potential complications, which may result in permanently impaired functional outcome, life-long morbidity, and significant social restrictions. Al...
Source: European Journal of Pediatric Surgery - February 19, 2018 Category: Surgery Authors: Pakarinen, Mikko Tags: Review Article Source Type: research

Perioperative Complications of Congenital Diaphragmatic Hernia Repair
Eur J Pediatr Surg DOI: 10.1055/s-0038-1632374Although improvements have been made, the management of congenital diaphragmatic hernia (CDH) remains a major challenge for perinatologists and neonatal surgeons. Many aspects of the disease remain unknown and, being a rare entity, evidence-based data are hard to find. Surgical morbidity is considerable and affects long-term quality of life. Perioperative complications have been reviewed focusing on thoracoscopic repair. Intraoperative acidosis was more severe during thoracoscopy when compared with open surgery (OS), though it is possible that later neurodevelopment was not aff...
Source: European Journal of Pediatric Surgery - February 19, 2018 Category: Surgery Authors: Barroso, Catarina Correia-Pinto, Jorge Tags: Review Article Source Type: research

Primary Closure versus Bedside Silo and Delayed Closure for Gastroschisis: A Truncated Prospective Randomized Trial
We report a prospective randomized trial comparing primary closure (PC) to bedside silo and delayed closure (DC) for babies with gastroschisis. Methods Patients were randomized to PC versus DC. We excluded those with atresia/necrosis,
Source: European Journal of Pediatric Surgery - February 19, 2018 Category: Surgery Authors: Poola, Ashwini S. Aguayo, Pablo Fraser, Jason D. Hendrickson, Richard J. Weaver, Katrina L. Gonzalez, Katherine W. St Peter, Shawn D. Tags: Original Article Source Type: research

Efficacy of Epidural Analgesia after Laparotomy in Children
Conclusion EDA after laparotomy positively contributed to postoperative pain treatment in two-thirds of children. Numbers of adverse effects and complications were low. It is important to optimize pain management after laparotomy in children; thus, further prospective studies should focus on optimizing EDA and comparing EDA with other techniques of analgesia. [...] 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 19, 2018 Category: Surgery Authors: Bravenboer-Monster, Klarieke Keyzer-Dekker, Claudia van Dijk, Monique Staals, Lonneke Leeuw, Tom de Wijnen, Rene Tags: Original Article Source Type: research

Impact of Short Bowel Syndrome on Quality of Life and Family: The Patient's Perspective
Conclusion Although advances have been made on the treatment of children with SBS, and improvements have been reached on home PN, this condition is still significantly affecting the quality of life of children and their families. The future quality control of medical care must have greater focus on psychosocial and emotional functioning, aiming for the best possible quality of life. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - January 30, 2018 Category: Surgery Authors: Pederiva, Federica Khalil, Basem Morabito, Antonino Wood, Sarah J. Tags: Original Article Source Type: research

Effect of N-Acetylserotonin on TLR-4 and MyD88 Expression during Intestinal Ischemia-Reperfusion in a Rat Model
Conclusion Treatment with NAS is associated with downregulation of TLR-4, MyD88, and TRAF6 expression along with a concomitant decrease in intestinal mucosal injury caused by intestinal IR in a rat. [...] 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 5, 2018 Category: Surgery Authors: Sukhotnik, Igor Ben Shahar, Yoav Halabi, Salim Bitterman, Nir Dorfman, Tatiana Pollak, Yulia Coran, Arnold Bitterman, Arie Tags: Original Article Source Type: research

Image Processing and Analysis of Mucosal Calretinin Staining to Define the Transition Zone in Hirschsprung Disease: A Pilot Study
Eur J Pediatr Surg DOI: 10.1055/s-0037-1618594 Purpose Quantification of calretinin-stained mucosal nerve fibers by image processing and analysis (IPA) may objectively define the transition zone (TZ) of Hirschsprung disease (HD). We tested the utility of IPA as an adjunctive tool in HD. Materials and Methods Calretinin immunostain was performed on 15 HD pull-through specimens, and multiple images were captured from the proximal aganglionic zone, TZ, and probable normal zone (NZ). Pixel count (PC), defined as the percentage of brown-stained pixels in the mucosa, was quantified and plotted against distance fr...
Source: European Journal of Pediatric Surgery - January 5, 2018 Category: Surgery Authors: Najjar, Saleh Ahn, Sangtae Kasago, Israel Zuo, Chunlai Umrau, Kavita Ainechi, Sanaz Whyte, Christine Sheehan, Christine E. Homan, Suzanne M. Lee, Hwajeong Tags: Original Article Source Type: research

Does Intravenous Acetaminophen Improve Postoperative Pain Control after Laparoscopic Appendectomy for Perforated Appendicitis? A Prospective Randomized Trial
Eur J Pediatr Surg DOI: 10.1055/s-0037-1615276 Introduction The recent increased awareness of the dangers of opioids in the United States has highlighted the need to minimize narcotics and identify nonopioid options for pain control after surgery. With evidence suggesting that intravenous acetaminophen (IVA) can be an opioid sparing option, we conducted a prospective, randomized trial that evaluated the effect of IVA on the postoperative pain course of children with perforated appendicitis. Materials and Methods After IRB approval, children with perforated appendicitis were randomized to receive postoperati...
Source: European Journal of Pediatric Surgery - January 2, 2018 Category: Surgery Authors: Sola, Richard Desai, Amita A. Gonzalez, Katherine W. Doyle, Nichole M. Weaver, Katrina L. Poola, Ashwini S. Fraser, Jason D. St Peter, Shawn D. Millspaugh, Daniel L. Tags: Original Article Source Type: research

Using Tissue Expanders as a Choice for the Treatment of Congenital Facial Nevus in the Young Child
Conclusion Tissue expansion has become in recent years the treatment of choice for facial nevus in children, obtaining the best aesthetic result because the defect is covered with similar characteristics in color, texture, and relief skin. It is essential that the reconstruction is done by specialized units and we recommend complete surgical excision before starting school. [...] 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, 2018 Category: Surgery Authors: Romo Mu ñoz, Martha Isabel S ánchez Galán, Alba Miguel, Miriam Nu ñez Cerezo, Vanesa Noriega Rebolledo, Bryant Dore, Mariela Triana Junco, Paloma Barrena, Saturnino Diaz, Mercedes Lopez-Gutierrez, Juan Carlos Tags: Original Article Source Type: research

Topical Mitomycin C Application in Pediatric Patients with Recurrent Esophageal Strictures —Report on Unfavorable Results
Conclusion We failed to confirm the high success rates of Mitomycin C treatment for recurrent ESs. Given the fact that there is limited data to prove the beneficial effect of Mitomycin C treatment, pediatric surgeons should carefully consider whether the advantages of this therapy outweigh the necessity of life-long endoscopic follow-ups. Further randomized controlled studies are recommended. [...] 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, 2017 Category: Surgery Authors: Madadi-Sanjani, Omid Zimmer, Julia Gosemann, Jan-Hendrik Ure, Benno M. Lacher, Martin Boehm, Roland Tags: Original Article Source Type: research

Effects of Neonatal Thoracoscopic Surgery on Tissue Oxygenation: A Pilot Study on (Neuro-) Monitoring and Outcomes
Conclusion Neonatal thoracoscopic repair of CDH and EA using CO2-pneumothorax leads to severe acidosis. Cerebral rSO2 remained within clinical acceptable limits during intraoperative periods of acidosis. Neurodevelopmental outcome was favorable within the first 24 months. The potential of NIRS to further improve perioperative care and long-term outcome in this specific patient group deserves further investigation. [...] 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, 2017 Category: Surgery Authors: Costerus, Sophie Vlot, John van Rosmalen, Joost Wijnen, Ren é Weber, Frank Tags: Original Article Source Type: research

Choledochal Cyst and Malignancy: A Plea for Lifelong Follow-Up
Eur J Pediatr Surg DOI: 10.1055/s-0037-1615275Previous research has confirmed that patients with choledochal cyst have an elevated risk of cholangiocarcinoma and gallbladder carcinoma. Current data suggest a risk of malignancy of 6 to 30% in adults with choledochal cyst. Malignancy has also occasionally been identified in children and adolescents. Multiple factors, including the age of the patient, cyst type, histological findings, and localization, have an impact on the prognosis. Information on long-term outcomes after cyst excision is limited. However, recent data suggest a lifelong elevated risk of up to 4% of cancer d...
Source: European Journal of Pediatric Surgery - December 19, 2017 Category: Surgery Authors: Madadi-Sanjani, Omid Wirth, Thomas C. Kuebler, Joachim F. Petersen, Claus Ure, Benno M. Tags: Review Article Source Type: research

Robot-Assisted Laparoscopic Fundoplications in Pediatric Surgery: Experience Review
Conclusion The robotic system appears to add many advantages for surgical ergonomic procedures. There is a potential benefit in operating time with a short technical apprenticeship period. The setting up system is easy with a short docking 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 - December 19, 2017 Category: Surgery Authors: Binet, Aur élien Fourcade, Laurent Amar, Sarah Alzahrani, Khalid Cook, Ann-Rose Bra ïk, Karim Cros, J érôme Longis, Bernard Villemagne, Thierry Lardy, Hubert Ballouhey, Quentin Tags: Original Article Source Type: research

Primary or Redo Posterior Sagittal Anorectoplasty without a Stoma: To Feed or Not to Feed?
Conclusion No increase in wound problems was noted in children receiving clear liquids or breast milk compared with the strict NPO group, and PICC line use was reduced. We believe this change in practice simplifies postoperative care without increasing the risk of wound complications. [...] 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 12, 2017 Category: Surgery Authors: Reck-Burneo, Carlos A. Skerrit, Clare Dingemans, Alexander Lane, Victoria A. Sanchez, Alejandra Vilanova Weaver, Laura Wagner, Andrea Jenkins, Nicole Wood, Richard J. Levitt, Marc A. Tags: Original Article Source Type: research

Puestow Procedure for the Management of Pediatric Chronic Pancreatitis
Conclusion In our experience, lateral pancreaticojejunostomy results in durable improvement or resolution of abdominal pain symptoms in nearly 60% of patients with chronic pancreatitis regardless of etiology. [...] 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 8, 2017 Category: Surgery Authors: Hodgman, Erica Megison, Steve Murphy, Joseph Thomas Tags: Original Article Source Type: research

Chewing Function in Children with Repaired Esophageal Atresia –Tracheoesophageal Fistula
Conclusion Chewing disorders can be observed in children with EA–TEF, and the type of repair and the delay in oral feeding may be related to chewing disorder. Therapeutic maneuvers are needed to improve the chewing function in children with EA–TEF. [...] 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 6, 2017 Category: Surgery Authors: Serel Arslan, Selen Demir, Numan Karaduman, Aynur Ay şe Tanyel, Feridun Cahit Soyer, Tutku Tags: Original Article Source Type: research