Cavitron Ultrasonic Surgical Aspirator-Assisted Pancreatic Resection in Hyperinsulinism
Conclusion This report describes a useful technique of maximizing pancreatic resection for patients with diffuse congenital hyperinsulinemia which preserves adjacent vital structures. [...] 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 23, 2017 Category: Surgery Authors: Bond, Logan Murrell, Zaria Wright, Tiffany Bond, Sheldon Tags: Special Report Source Type: research

Primary versus Staged Closure of Exomphalos Major: Cardiac Anomalies Do Not Affect Outcome
Conclusion Infants whose defect can be closed primarily have a shorter length of stay, but other outcomes are similar. Infants with more significant abdominovisceral disproportion are managed with staged closure; the presence of major cardiac anomalies does not affect surgical outcome. [...] 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 23, 2017 Category: Surgery Authors: Rees, Clare M. Tullie, Lucinda Pierro, Agostino Kiely, Edward Curry, Joe I. Cross, Kate Yates, Robert Eaton, Simon Coppi, Paolo De Tags: Original Article Source Type: research

Safely Decreasing Rigid Bronchoscopies for Foreign-Body Aspiration in Children: An Algorithm for the Emergency Department
Conclusion Our current management of FBA allows us to avoid almost all negative rigid bronchoscopies. In addition, we identified some symptoms and clinical and radiologic signs whose absence was highly predictive of negative bronchoscopy. We propose a novel algorithm for management of FBA that will help decrease the number of negative bronchoscopies. [...] 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 23, 2017 Category: Surgery Authors: Haller, Layla Barazzone-Argiroffo, Constance Vidal, Isabelle Corbelli, Regula Anooshiravani-Dumont, Mehrak Mornand, Anne Tags: Original Article Source Type: research

Feeding Jejunostomy: Is It a Safe Route in Pediatric Patients? Single Institution Experience
Conclusion FJ, as an alternative means for enteral feeding, may require multiple readmissions and exposure to radiological procedures. The high risk of severe complications should be considered when offering this procedure. [...] 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 23, 2017 Category: Surgery Authors: Fascetti-Leon, Francesco El Agami, Hisham Gobbi, Dalia Clarke, Simon Haddad, Munther Choudhry, Muhammad Tags: Original Article Source Type: research

The Status of Junior Pediatric Surgeons in Europe: Old Challenges, New Opportunities
Eur J Pediatr Surg DOI: 10.1055/s-0037-1603085Despite the efforts to unite Europe under the same rules and regulations, for the medical profession, there are still big differences between the European countries in terms of type of postgraduate training, posttraining job opportunities, and the role that junior doctors have in the different health care systems. Junior pediatric surgeons face similar challenges to those of other junior doctors, especially those of junior surgeons in other specialties. The introduction of the European working time directive in 2003 has greatly reduced training hours and imposed a necessary cha...
Source: European Journal of Pediatric Surgery - May 15, 2017 Category: Surgery Authors: Zani, Augusto Tags: Review Article Source Type: research

Acute Idiopathic Scrotal Edema: Systematic Literature Review
Conclusion Acute idiopathic scrotal edema is a self-limiting condition that accounts for ≥ 10% of cases of acute scrotum in children and adolescents. [...] 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 15, 2017 Category: Surgery Authors: Santi, Maristella Lava, Sebastiano A. G. Simonetti, Giacomo D. Bianchetti, Mario G. Milani, Gregorio P. Tags: Review Article Source Type: research

Pediatric Surgery: Job or Vocation?
Eur J Pediatr Surg DOI: 10.1055/s-0037-1603083Pediatric surgery is a diverse specialty with unique challenges and high social importance. There is a wealth of opportunities for professional development and academic achievements in caring for children with complex and variable surgical conditions. Throughout time, surgical career pathways have exacted considerable demands for a multitude of skills and significant personal commitment, in which pediatric surgery is no exception. However, the rigors of the working environment are balanced by real opportunities for meaningful professional contributions and high levels of career...
Source: European Journal of Pediatric Surgery - May 15, 2017 Category: Surgery Authors: Kyrklund, Kristiina Tags: Review Article Source Type: research

Outcome after Hypospadias Repair: Evaluation Using the Hypospadias Objective Penile Evaluation Score
Conclusion The HOPE-Score is a good system to assess the severity of hypospadias and the cosmetic outcome after hypospadias repair. [...] 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 15, 2017 Category: Surgery Authors: Krull, Sarah Rissmann, Anke Krause, Hardy Mohnike, Klaus Roehl, Friedrich-Wilhelm Koehn, Andrea Hass, Hans-Juergen Tags: Original Article Source Type: research

Laparoscopic Pyloromyotomy: A Study of the Learning Curve
This study analyses the learning curve of LPM. Methods and Materials Seven surgeons were retrospectively evaluated on their 40 first LPM. Patient data were recorded, including peroperative data (operation length and complications) and postoperative recoveries (renutrition, vomiting, and complications). The learning curves were evaluated and each variable was compared with the different moments of the learning curve. Results The mean operative time is 25 ± 11 minutes. It significantly decreases with the learning curve (p 
Source: European Journal of Pediatric Surgery - May 15, 2017 Category: Surgery Authors: Binet, Aur élien Bastard, Fran çois Meignan, Pierre Bra ïk, Karim Touze, Anne Le Villemagne, Thierry Morel, Baptiste Robert, Michel Klipfel, Cl émence Lardy, Hubert Tags: Original Article Source Type: research

Incidence of Low-Grade Testicular Injury in Orchidectomy Specimens Post-testicular Torsion
Eur J Pediatr Surg DOI: 10.1055/s-0037-1603091 Introduction Following detorsion and orchidopexy for testicular torsion, predominantly animal studies have reported a risk of autoimmune and reperfusion injury to the contralateral testis. As a result, when testicular viability is compromised, orchidectomy is readily performed. This practice increases the likelihood of testes with potentially reversible injury being excised. We aim to determine the incidence of such occurrences and review the available evidence for and against early orchidectomy when testicular viability is doubtful. Materials and Methods Data ...
Source: European Journal of Pediatric Surgery - May 15, 2017 Category: Surgery Authors: Aworanti, Olugbenga Michael Hajduk, Piotr Devaney, Deirdre Quinn, Feargal Awadalla, Sami Tags: Original Article Source Type: research

Leadership in Pediatric Surgery from a Trainee's Perspective
This article aims to assess leadership qualities, character traits, challenges, and expectations in pediatric surgery from a trainee's perspective. [...] 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, 2017 Category: Surgery Authors: Zimmer, Julia Tags: Review Article Source Type: research

Role of New Media for the Young Pediatric Surgeon: Fighting Exponential Knowledge Growth with Moore's Law
This article first delves into the details of the problem in its current state and then draws on the authors' experience in innovations in medical education to prepare readers for the changing landscape of medical publishing as well as to inspire further modernization of the field. Included are a variety of interim solutions to the tremendous knowledge gap encountered. [...] 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, 2017 Category: Surgery Authors: Glenn, Ian C. Abdulhai, Sophia Ponsky, Todd A. Tags: Review Article Source Type: research

European Pediatric Surgical Training
Conclusion This study reveals that a uniform training schedule in pediatric surgery throughout Europe has not been achieved. This situation mandates urgent attempt to harmonize both training curricula and final exams at European level. [...] 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, 2017 Category: Surgery Authors: Schmedding, Andrea Rolle, Udo Czauderna, Piotr Tags: Original Article Source Type: research

Leadership in Pediatric Surgery from a Senior's Perspective
Eur J Pediatr Surg DOI: 10.1055/s-0037-1602250Management of a pediatric surgical group involves organization, coordination, and direction of human resources in an attempt to achieve the best results in an efficient way. However, true leadership of such group should also involve inspiring it with a purpose. The superior interest of the patients and their families will be better served by achieving excellence at all levels of care, research, teaching, and diffusion of the results. These values are the core of the leader's action and may be difficult to develop in a hospital framework in which the main decisions are not alway...
Source: European Journal of Pediatric Surgery - April 28, 2017 Category: Surgery Authors: Tovar, Juan A. Tags: Review Article Source Type: research

The Female Pediatric Surgeon
Eur J Pediatr Surg DOI: 10.1055/s-0037-1602251In medical schools throughout Europe, women make up an increasing proportion of graduates entering the medical profession. Even though this phenomenon is also found in the surgical profession, women are still clearly underrepresented. However, it has been demonstrated that women are equally qualified as men, and are as eager as men to aim for a surgical career.In general, a career in surgery has significant lifestyle implications for both men and women. In particular, women meet challenges such as pregnancy, maternity, and responsibility for childcare that compete with pressure...
Source: European Journal of Pediatric Surgery - April 28, 2017 Category: Surgery Authors: Dingemann, Carmen Tags: Review Article Source Type: research

The Role of Endoscopic Retrograde Cholangiopancreatography in the Diagnosis of Biliary Atresia: 14 Years' Experience
Eur J Pediatr Surg DOI: 10.1055/s-0037-1602260 Introduction Biliary atresia (BA) is a rare destructive inflammatory obliterative cholangiopathy of neonates. Early diagnosis is important in disease management. The aim was to evaluate the role of endoscopic retrograde cholangiopancreatography (ERCP) in diagnosing BA in a large cohort. In addition, we evaluated whether parameters such as bile trace, GGT, bilirubin, and laboratory values in combination can be used to develop a risk score that could indicate the referral to specialized centers. Materials and Methods All infants with neonatal cholestasis (2000&nd...
Source: European Journal of Pediatric Surgery - April 12, 2017 Category: Surgery Authors: Negm, Ahmed A. Petersen, Claus Markowski, Andrea Luettig, Birgit Ringe, Kristina I. Lankisch, Tim O. Manns, Michael P. Ure, Benno Schneider, Andrea S. Tags: Original Article Source Type: research

European Census on Pediatric Surgery
Conclusion The paper aims to offer a more grounded basis on which the future of PS in our Continent should be planned. Presented data will provide an invaluable help to all our colleagues, as well as national policy makers, to press for and to make better informed and well-grounded sound political choices in the field of PS. [...] 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 4, 2017 Category: Surgery Authors: Parigi, Gian Battista Czauderna, Piotr Rolle, Udo Zachariou, Zacharias Tags: Review Article Source Type: research

Pancreas Divisum in Children and Duodenum-Preserving Resection of the Pancreatic Head
Conclusion Patients with symptomatic PD are indicated for ERCP papillotomy attempt. If there is not improvement after ERCP, then recurrent bouts of severe pancreatitis are considered as an indication for surgical procedure. DPRPH is a safe and feasible surgical alternative. [...] 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 29, 2017 Category: Surgery Authors: Snajdauf, Jiri Petru, Ondrej Nahlovsky, Jiri Rygl, Michal Frybova, Barbora Bronsky, Jiri Mixa, Vladimir Keil, Radan Tags: Original Article Source Type: research

Early Nephrectomy in Unilateral Multicystic Dysplastic Kidney in Children Cures Hypertension Early: An Observation
Conclusion Early nephrectomy in recently diagnosed hypertension in UMCDK is advisable and can cure hypertension early. Levels of Evidence The level of evidence is Level IV (case series with no comparison group). [...] 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 27, 2017 Category: Surgery Authors: Kumar, Basant Upadhyaya, Vijai Datta Gupta, Manish Kumar Bharti, Laxmi Kant Rao, Ram Nawal Kumar, Sheo Tags: Original Article Source Type: research

Nonischemic Priapism in Childhood: A Case Series and Review of Literature
Conclusion In contrast to the literature, five out of six boys developed NIP without a previous perineal trauma. The etiology of idiopathic NIP in childhood remains unclear; however, circumcision may play a role as a conditional factor. One etiological thesis could be the release of the neurotransmitter nitric oxide after stimulation of the corpora cavernosa. Conservative treatment proved to be successful in all six patients. During a median follow-up of 55 months (3–87 months), none of the patients showed signs of erectile dysfunction. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJ...
Source: European Journal of Pediatric Surgery - March 27, 2017 Category: Surgery Authors: Hacker, Hans-Walter Schwoebel, Marcus G. Szavay, Philipp O. Tags: Original Article Source Type: research

Effect of Swallowing Rehabilitation Protocol on Swallowing Function in Patients with Esophageal Atresia and/or Tracheoesophageal Fistula
Conclusion SRP can be recommended to improve SF in patients with EA/TEF who have pharyngeal swallowing disorders. [...] 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 17, 2017 Category: Surgery Authors: Serel Arslan, Selen Soyer, Tutku Demir, Numan Yalc ın, Sule Karaduman, Ay şe Karnak, Ibrahim Tanyel, Feridun Cahit Tags: Original Article Source Type: research

Complications after Hypospadias Correction: Prognostic Factors and Impact on Final Clinical Outcome
Conclusion The complication risk after hypospadias correction is influenced by hypospadias severity and type and year of reconstruction. Certain, but not all complications diminish final clinical outcome. [...] 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 17, 2017 Category: Surgery Authors: Dokter, Elisabeth Maria Mou ës, Chantal M. Rooij, Iris A. L. M. van Biezen, Jan Jaap van der Tags: Original Article Source Type: research

The Importance of Facts and the Role of Academic Publishers in Today's World —A Publisher's View
Eur J Pediatr Surg 2017; 27: v-v DOI: 10.1055/s-0037-1601049 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 14, 2017 Category: Surgery Authors: Schiff, Daniel Tags: Publisher's Note Source Type: research

Classification of Esophageal Strictures following Esophageal Atresia Repair
In this study, 40 patients were included: 35 (87.5%) presented with Gross's type C EA, 3 (7.5%) type A, 1 (2.5%) type B, and 1 (2.5%) type D. The mean follow-up time was 101 ± 71.1 months (range: 7.8–232.5, median: 97.6). The mean SIXR was 0.56 ± 0.16 (range: 0.15–0.86). The mean SIEND was 0.45 ± 0.22 (range: 0.15–0.85). Twenty-four patients (60%) underwent a mean of 2 endoscopic dilations (range: 1–9). The number of dilations was poorly correlated with SIXR, while significantly correlated with SIEND. Patients who did not need dilations had a SIEND 
Source: European Journal of Pediatric Surgery - March 6, 2017 Category: Surgery Authors: Macchini, Francesco Parente, Giovanni Morandi, Anna Farris, Giorgio Gentilino, Valerio Leva, Ernesto Tags: Original Article Source Type: research

Erratum: Menstrual, Sexual, and Obstetrical Outcomes after Vaginal Replacement for Vaginal Atresia Associated with Anorectal Malformation
Eur J Pediatr Surg DOI: 10.1055/s-0037-1599160 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 2, 2017 Category: Surgery Authors: Skerritt, Clare Vilanova S ánchez, Alejandra Lane, Victoria Alison Wood, Richard J. Hewitt, Geri D. Breech, Lesley L. Levitt, Marc Tags: Erratum Source Type: research

Surgical Management of Congenital Abdominal Wall Defects in Germany: A Population-Based Study and Comparison with Literature Reports
Eur J Pediatr Surg DOI: 10.1055/s-0037-1598250 Introduction We aimed to analyze for the first time the characteristics, treatment modalities, and outcomes in infants with congenital abdominal wall defects (CAWDs) in Germany and to compare the results with current literature reports. Patients and Methods Data of a health insurance covering approximately 10% of the German population were analyzed. Patients who had undergone CAWD closure during a period of nearly 6 years were included. Surgical approach was categorized into primary versus secondary closure. Complications were defined as any reintervention with...
Source: European Journal of Pediatric Surgery - February 24, 2017 Category: Surgery Authors: Dingemann, Carmen Dietrich, Janine Zeidler, Jan Blaser, Jochen Gosemann, Jan Hendrik Lacher, Martin Ure, Benno Tags: Original Article Source Type: research

Prenatal and Postnatal Management of Gastroschisis in German-Speaking Countries: Is There a Standardized Management?
Conclusions There is no gold standard in German-speaking countries on how to manage fetuses and babies with gastroschisis. Moreover, this report unveils some questionable elements of daily practice for which there is no evidence at all and which can jeopardize outcome and even prove fatal (fetal therapy, preterm delivery, lack of abdominal pressure monitoring). Prospective randomized-controlled multicenter studies are needed to set a standard. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source...
Source: European Journal of Pediatric Surgery - February 9, 2017 Category: Surgery Authors: Schib, Katharina Schumacher, Marc Meuli, Martin Tharakan, Sasha Subotic, Ulrike Tags: Original Article Source Type: research

Gastrointestinal Basidiobolomycosis: An Emerging, and A Confusing, Disease in Children (A Multicenter Experience)
Conclusion We conclude that diagnosing GIB in children requires a high index of suspicion, awareness, and consideration of its possibility in the differential diagnosis in patients with abdominal masses and eosinophilia, particularly in areas where it is endemic. Increased awareness of this clinical entity, early surgical resection of the infected tissue, and prolonged treatment with itraconazole offer the best chance for curing the disease. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: ...
Source: European Journal of Pediatric Surgery - February 6, 2017 Category: Surgery Authors: Shreef, Khalid Saleem, Mervat Saeedd, Mayssa Adballah Eissa, Mohamed Tags: Original Article Source Type: research

European Paediatric Surgeons' Association (EUPSA) — 2016
Eur J Pediatr Surg 2017; 27: 001-001 DOI: 10.1055/s-0037-1598605 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 - January 25, 2017 Category: Surgery Authors: Wester, Tomas Ure, Benno Tags: Editorial Source Type: research

Early Commencement of Enteral Feeds in Gastroschisis: A Systematic Review of Literature
Conclusions Early CEF may be associated with early attainment of FEF in gastroschisis. RCTs comparing early versus delayed CEF are needed urgently. [...] 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 23, 2017 Category: Surgery Authors: Dama, Madhuri Rao, Uday Gollow, Ian Bulsara, Max Rao, Shripada Tags: Original Article Source Type: research

Temporary Vacuum-Assisted Closure of the Open Abdomen in Neonates
Conclusion Temporary VAC of the open abdomen is a safe method of temporary abdominal closure to prevent ACS in high-risk postoperative conditions in neonates of any gestational age and birth 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 - January 18, 2017 Category: Surgery Authors: Hattori, Kengo Numanoglu, Alp Cox, Sharon Tags: Original Article Source Type: research

Predicting Full Enteral Feeding in the Postoperative Period in Infants with Congenital Diaphragmatic Hernia
Conclusion Infants who survive congenital diaphragmatic hernia generally are able to achieve full enteral feedings after surgical repair. A longer time to full feeding is needed in the most severe cases, but some specific characteristics can be used to help identify patients at higher risk. Although some of these characteristics are unavoidable, others including rational antibiotic usage and active gastroesophageal reflux prevention and treatment are feasible and may improve enteral tolerance. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  ...
Source: European Journal of Pediatric Surgery - January 12, 2017 Category: Surgery Authors: Zozaya, Carlos Triana, Miryam Madero, Rosario Abrams, Steven Martinez, Leopoldo Amesty, Maria Virginia Pipa ón, Miguel Sáenz de Tags: Original Article Source Type: research

Birth Prevalence of Anorectal Malformations for the Western Cape Province, South Africa, 2005 to 2012
Conclusion This study has provided some recent data for ARMs for the WCP. There was no statistical significant change in the prevalence of ARMs over the 8-year period for the WCP as well as in any of the individual six municipal health districts (χ2 for trend, p = 0.52). The number of delayed diagnosis of ARM is of concern. [...] 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 12, 2017 Category: Surgery Authors: Theron, Andre Numanoglu, Alp Tags: Original Article Source Type: research

Hyperechogenic Bowel: Etiologies, Management, and Outcome according to Gestational Age at Diagnosis in 279 Consecutive Cases in a Single Center
Conclusion Detection of HB during the first trimester is associated with an increased risk for maternal comorbidities, intrauterine growth retardation, and adverse pregnancy outcome. Moreover, if HB is detected during the second trimester, it is associated with a favorable prognosis. Otherwise, HB detected during the third trimester is associated with a significant risk of gastrointestinal anomaly. [...] 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, 2016 Category: Surgery Authors: Catania, Vincenzo Davide Taddei, Alessandra Pellegrino, Marcella De Marco, Erika Adalgisa Merli, Laura Manzoni, Carlo Nanni, Lorenzo Masini, Lucia Tags: Original Article Source Type: research

Gartland Type II Supracondylar Humerus Fractures, Their Operative Treatment and Lateral Pinning Are Increasing: A Population-Based Epidemiologic Study of Extension-Type Supracondylar Humerus Fractures in Children
Eur J Pediatr Surg DOI: 10.1055/s-0036-1597270 Background Supracondylar humerus fractures are usual in children but their recent trends are unclear. Material and Methods A population-based study was performed to determine the epidemiology of childhood supracondylar humerus fractures during the decade, 2000 to 2009, in a geographic area of Oulu, Finland. Altogether, 565 extension-type supracondylar humerus fractures were included. The fractures and their treatment were analyzed according to the Gartland classification. Results Fracture incidence increased by 28%, from 50.9 to 65.2 per 100,000 during ...
Source: European Journal of Pediatric Surgery - December 9, 2016 Category: Surgery Authors: Sinikumpu, Juha-Jaakko Pokka, Tytti Sirvi ö, Minna Serlo, Willy Tags: Original Article Source Type: research

Neurodevelopment and Health-Related Quality of Life in Infants Born with Gastroschisis: A 6-Year Retrospective French Study
Conclusion Our analyses confirm the idea that cases of complex gastroschisis and preterm delivery may lead to poorer outcome. Such hindsight (40 months in mean) allowed for an interesting assessment of development long after the patient's initial hospitalization and to confirm these results, a standardized neuropsychological evaluation of patients should be done when at least 6 years old. An accurate assessment of the social environment and its impact on the development and QoL of children will be fundamental to avoid selection bias. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: ...
Source: European Journal of Pediatric Surgery - December 8, 2016 Category: Surgery Authors: Tosello, Barthelemy Zahed, Meriem Guimond, Floriane Baumstarck, Karine Faure, Alice Michel, Fabrice Claris, Olivier Massardier, Jerome Gire, Catherine Merrot, Thierry Tags: Original Article Source Type: research

Transition Risk Assessment Score to Stratify Health Care Needs and Interventions in Adolescents with Anorectal Malformations: A Pilot Study
Conclusion Preliminary data suggest that the TRAS is a holistic and effective clinical tool to help to objectively stratify ARM patients, identify active problems, and select those who may require intensive multidisciplinary input and interventions during the transition to adult health care services. [...] 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 30, 2016 Category: Surgery Authors: Connor, Martin J. Springford, Laurie Rigueros Giuliani, Stefano Tags: Original Article Source Type: research

European Paediatric Surgeons' Association Survey on the Management of Hirschsprung Disease
Conclusions Most aspects of HD management lack consensus with wide variations in obtaining a diagnosis. Transanal Soave PT is the most common technique in standard segment HD. Guidelines should be developed to avoid such variability in management and to facilitate research studies. [...] 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 29, 2016 Category: Surgery Authors: Zani, Augusto Eaton, Simon Morini, Francesco Puri, Prem Rintala, Risto Heurn, Ernest van Lukac, Marija Bagolan, Pietro Kuebler, Joachim F. Friedmacher, Florian Wijnen, Rene Tovar, Juan A. Hoellwarth, Michael E. Pierro, Agostino Tags: Original Article Source Type: research

Isolated Fetal Ascites, Neonatal Outcome in 51 Cases Observed in a Tertiary Referral Center
Conclusion A wide range of etiologies have been found to be associated with isolated fetal ascites. A systematic diagnostic workup and multidisciplinary prenatal counseling can improve the accuracy of prenatal identification of associated pathologies. The early detection of fetal ascites, before the 24th week of GA, is associated with a significant risk of perinatal death; otherwise, a late diagnosis of fetal ascites is associated with an increased risk of gastrointestinal diseases, especially with meconium peritonitis. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of conte...
Source: European Journal of Pediatric Surgery - November 28, 2016 Category: Surgery Authors: Catania, Vincenzo Davide Muru, Alessia Pellegrino, Marcella Marco, Erika Adalgisa De Paradiso, Filomena Valentina Manzoni, Carlo Nanni, Lorenzo Masini, Lucia Tags: Original Article Source Type: research

Menstrual, Sexual, and Obstetrical Outcomes after Vaginal Replacement for Vaginal Atresia Associated with Anorectal Malformation
Conclusion Vaginal atresia is often missed in association with ARMs. Management should be in collaboration with pediatric gynecologists. Due to a lack of long-term outcome data, no definite conclusion can be drawn for the best technique, tissue, or timing of vaginal replacement. The opportunity to perform vaginal replacement in conjunction with the rectal repair may be worth considering because of a shallower pelvis, nonscarred tissue planes, and the excellent surgical exposure. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract ...
Source: European Journal of Pediatric Surgery - November 15, 2016 Category: Surgery Authors: Skerritt, Clare S ánchez, Alejandra Vilanova Lane, Victoria Alison Wood, Richard J. Hewitt, Geri D. Breech, Lesley L. Levitt, Marc Tags: Review Article Source Type: research

Laparoscopic Splenectomy in Children: A Modified Technique with Joint Sealing of Segmental Splenic Arteries and Veins Favorably Compared with the Classic Technique
Conclusions The joint sealing of segmental splenic artery and vein appeared safe, efficient and quicker for LS, with no increased risk of operative bleeding and postoperative 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 - November 15, 2016 Category: Surgery Authors: Silvaroli, Sara Montalembert, Marianne De Sauvat, Fr édérique Brousse, Valentine Sarnacki, Sabine Irtan, Sabine Tags: Original Article Source Type: research

Spontaneous Intestinal Perforation: The Long-Term Outcome
Conclusion The most important risk factor for SIP is ELBW (75%). The distal ileum is the most frequent site of perforation (88%). Approximately 40% develop IVH most often prior to the SIP. Moderate to severe neurologic disabilities are seen in more than a quarter of the children. Disability and mortality affect mostly the male sex. Long-term risks of surgical complications are very 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 - November 15, 2016 Category: Surgery Authors: Houben, Christoph Heinrich Feng, Xiang-Nan Chan, Kin Wai Edwin Mou, Jennifer Wai Cheung Tam, Yuk Him Lee, Kim Hung Tags: Original Article Source Type: research

Jay L. Grosfeld, MD (1935 –2016)
Eur J Pediatr Surg DOI: 10.1055/s-0036-1594233 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 - November 4, 2016 Category: Surgery Authors: Holcomb, George W. Ure, Benno Tags: In Memoriam Source Type: research

Surgical Management of Functional Constipation: Preliminary Report of a New Approach Using a Laparoscopic Sigmoid Resection Combined with a Malone Appendicostomy
Conclusion Only a minority of patients with functional constipation are medically unmanageable. This preliminary report shows that laparoscopic colon resection combined with antegrade flushes is an effective surgical technique to treat that group. A laparoscopic approach, guided by contrast enema and colonic manometry, allows for a defined resection of the abnormal segment of colon with the advantages of minimally invasive surgery including allowing for an extensive rectal resection (an improvement over open sigmoid resection) and avoidance of overstretching of the anal canal and removal of the rectal reservoir (an im...
Source: European Journal of Pediatric Surgery - October 25, 2016 Category: Surgery Authors: Gasior, Alessandra Brisighelli, Giulia Diefenbach, Karen Lane, Victoria Alison Reck, Carlos Wood, Richard J. Levitt, Marc Tags: Original Article Source Type: research

Risk Factors for Anastomotic Strictures after Esophageal Atresia Repair: Prophylactic Proton Pump Inhibitors Do Not Reduce the Incidence of Strictures
Eur J Pediatr Surg DOI: 10.1055/s-0036-1593607 Background Since 2005, infants with esophageal atresia (EA) in our unit are given prophylactic proton pump inhibitors (PPI) after repair until 1 year of age. The aims of this study were to identify risk factors for anastomotic strictures (AS) and to assess the efficacy of postoperative PPI prophylaxis in reducing the incidence of AS compared with symptomatic PPI. Methods Patients who underwent EA repair from 1994 to 2013 in our unit were included in this retrospective observational study approved by the local ethics review board. They were divided into t...
Source: European Journal of Pediatric Surgery - October 21, 2016 Category: Surgery Authors: Donoso, Felipe Lilja, Helene Engstrand Tags: Original Article Source Type: research

Role of Intraluminal Esophageal Impedance Baseline in the Diagnosis of Esophagitis in Children
Eur J Pediatr Surg DOI: 10.1055/s-0036-1593609 Introduction Low values of esophageal impedance baseline (EIB) have been related to esophagitis. The aim of this study was to evaluate the diagnostic performance of EIB for erosive esophagitis (ErE) and histological esophagitis (HiE) in children studied for gastroesophageal reflux. Material and Methods Children who underwent esophageal multichannel intraluminal impedance-pH monitoring (MII-pH) and upper-endoscopy with esophageal biopsies were studied retrospectively. EIB values were obtained by MII-pH. ErE was assessed by endoscopy following the Hetzel-Dent cla...
Source: European Journal of Pediatric Surgery - October 21, 2016 Category: Surgery Authors: Couselo, Miguel Ib áñez, Vicente Lluna, Javier Vila, Juan Jos é Tags: Original Article Source Type: research

Inguinal Hernia Development in Very Low-Birth-Weight Infants: A Case –Control Study
Conclusion Preterms with respiratory distress syndrome and those reach full enteral feeding on or after the 10th day should be monitored carefully for IH development. Bearing in mind that a significant amount of IH cases exhibit symptoms after discharge, neonatologists should inform the parents of premature infants of the issue and close attention should be paid in postdischarge follow-up examinations. [...] 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 18, 2016 Category: Surgery Authors: Unal, Sezin Isik, Dilek Ulubas Bas, Ahmet Yagmur Arslan, Zehra Demirel, Nihal Tags: Original Article Source Type: research

Hepatocellular Carcinoma: Referral to a Transplantation Unit
Conclusions HCC is a rare, very aggressive tumor in children who has a very poor prognosis. Our results suggest the need for new strategies. Early referral of all cases to highly specialized centers with a liver transplant unit and perhaps a more liberal use of LT, even for selected, apparently resectable cases, are possible options. [...] 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 10, 2016 Category: Surgery Authors: Triana, Paloma Dore, Mariela Romo, Martha Mu ñoz Gomez, Javier Jimenez Gal án, Alba Sánchez Hernandez, Francisco Moreno, Ane M. Andres Encinas, Jose Luis Martinez, Leopoldo Santamaria, Manuel Lopez Tags: Original Article Source Type: research

Sirolimus in the Treatment of Vascular Anomalies
Conclusion Sirolimus has become a new therapeutic option for patients with vascular anomalies that do not respond to other treatments. Unfortunately, important questions as what is the most appropriate dosage and for how long should the patient be treated remain unanswered. An international registry followed by customized controlled trials is mandatory to clarify the future of this therapy. [...] 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 10, 2016 Category: Surgery Authors: Triana, Paloma Dore, Mariela Cerezo, Vanesa Nu ñez Cervantes, Manuel S ánchez, Alejandra Vilanova Ferrero, Miriam Miguel Gonz ález, Mercedes Díaz Lopez-Gutierrez, Juan Carlos Tags: Original Article Source Type: research

Antenatally Detected Congenital Pulmonary Airway Malformations: The Oxford Experience
Eur J Pediatr Surg DOI: 10.1055/s-0036-1593379Congenital airway pulmonary malformations are increasingly being diagnosed, but their management continues to remain controversial. Our approach has been to offer surgery to mitigate the risk of infection and possible malignancy. All patients routinely undergo a CT scan of the chest postnatally and once the diagnosis is confirmed, minimal access surgery is offered. Our anesthetists provide single-lung ventilation to enhance the operative view. We conducted a retrospective review over a 10-year period, during which 91 patients were prenatally suspected to have a cystic lung lesi...
Source: European Journal of Pediatric Surgery - October 10, 2016 Category: Surgery Authors: Thakkar, Hemanshoo Sudhir Durell, Jonathan Chakraborty, Subhasis Tingle, Bianca-Lea Choi, Arnwald Fowler, Darren J. Gould, Steve J. Impey, Lawrence Lakhoo, Kokila Tags: Original Article Source Type: research