The Practice of Anal Dilations following Anorectal Reconstruction in Patients with Anorectal Malformations: An International Survey
Conclusion Anal dilations for ARM are performed worldwide according to different modalities. Prospective and randomized clinical trials could be useful to establish a standardized protocol.[...]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 14, 2016 Category: Surgery Authors: Brisighelli, GiuliaMorandi, AnnaDi Cesare, AntonioLeva, Ernesto Tags: Original Article Source Type: research

Voiding Cystourethrography in the Diagnosis of Anorectal Malformations
Conclusion VCU can be as accurate as distal colostogram in the evaluation of male patients with ARM. VCU uses a natural orifice, without the need of a colostomy. VCU can be performed as an initial modality to determine the type of malformation and to decide on the type of early surgical management.[...]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 11, 2016 Category: Surgery Authors: Karsten, KatharinaRothe, KarinMärzheuser, Stefanie Tags: Original Article Source Type: research

Cosmetic Outcomes of Sutureless Closure in Gastroschisis
Conclusion Sutureless closure of uncomplicated gastroschisis is a safe technique that reduces need of intubation and provides excellent cosmetic 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 - January 8, 2016 Category: Surgery Authors: Zajac, AndrzejBogusz, BartoszSoltysiak, PiotrTomasik, PrzemyslawWolnicki, MichalWedrychowicz, AndrzejWojciechowski, PiotrGorecki, Wojciech Tags: Original Article Source Type: research

Laparoscopic Sleeve Gastrectomy versus Gastric Bypass in Late Adolescents: What Is the Optimal Surgical Strategy for Morbid Obesity?
Discussion LSG showed significant better results than LRYGB in terms of %EWL after 2 years in this selected group of late adolescents. Considering these results in LSG patients and the theoretical advantages of LSG (normal diet options, preservation of an intact GI-tract, less vitamin disturbances, and better quality of life), LSG may be an appropriate bariatric technique to perform in morbidly obese 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 - January 8, 2016 Category: Surgery Authors: van Mil, Stefanie RamonaBiter, Laser UlasGrotenhuis, Brechtje AleidZengerink, Johannes FranciscusMannaerts, Guido Hein Huib Tags: Original Article Source Type: research

Dynamic Compression System: An Effective Nonoperative Treatment for Pectus Carinatum: A Single Center Experience in Basel, Switzerland
Conclusions Lateral expansion of the chest and the possibility to measure the applied pressure seemed to be the key to DCSs success. We propose the DCS as first choice in the treatment of chondrogladiolar PC in 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 - January 8, 2016 Category: Surgery Authors: Sesia, Sergio B.Holland-Cunz, StefanHäcker, Frank-Martin Tags: Original Article Source Type: research

The Usefulness of Combined B Mode and Doppler Ultrasonography to Guide Treatment of Appendicitis
Conclusion Even if US findings reveal swelling or an irregular submucosal layer, when power Doppler identifies abundant blood flow, inflammation may improve spontaneously. Decreased appendiceal wall blood flow indicates irreversible necrotic change. Doppler and B-mode US used together improve acute appendicitis 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 8, 2016 Category: Surgery Authors: Ohba, GoHirobe, SeiichiKomori, Koji Tags: Original Article Source Type: research

Misdiagnosis of Acute Appendicitis in Children Attending the Emergency Department: The Experience of a Large, Tertiary Care Pediatric Hospital
This study is a retrospective review of all ED children with proven appendicitis between January 2010 and December 2013. Historical, clinical, and laboratory features of patients missed and correctly diagnosed during their first ED visit were compared. The literature on this subject was also reviewed. Results A total of 400 patients were included in this study. Fifteen (3.75%) patients were considered to be misdiagnoses, the most common misdiagnosis being acute gastroenteritis (26.6%). Thirty-three percent of misdiagnosed patients had undergone an ultrasound compared with 87% of correctly diagnosed patients (p 
Source: European Journal of Pediatric Surgery - January 8, 2016 Category: Surgery Authors: Galai, TutBeloosesky, Osnat ZmoraScolnik, DennisRimon, AyeletGlatstein, Miguel Tags: Original Article Source Type: research

The Role of Ozone Therapy in Hepatic Fibrosis due to Biliary Tract Obstruction
Conclusion We suggest that ozone can decrease the hepatic destruction levels in experimental model of biliary obstruction.[...]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, 2016 Category: Surgery Authors: Kocaman, HakanErginel, BasakOnder, Semen YesilSoysal, Feryal GunKeskin, ErbugCelik, AlaaddinSalman, Tansu Tags: Original Article Source Type: research

What Is the Value of Pediatric Surgical Registries and Surveys?
Eur J Pediatr Surg 2015; 25: 467-468DOI: 10.1055/s-0035-1569153Georg 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 - December 30, 2015 Category: Surgery Authors: Zani, Augusto Tags: Editorial Source Type: research

Long-Term Outcomes of Patients with Tracheoesophageal Fistula/Esophageal Atresia: Survey Results from Tracheoesophageal Fistula/Esophageal Atresia Online Communities
Conclusion TEF/EA patients have long-term dysphagia and GERD that may be under reported. Retrospective studies of outcomes after TEF/EA repair may underestimate long-term esophageal dysmotility, dysphagia, GERD, and strictures that occur regardless of the type of repair and adversely affect quality of life. Fifteen percent of all TEF/EA patients surveyed required an antireflux procedure during childhood, and more than one-quarter of those required repeat surgery. These data demonstrate the need for long-term follow-up as pediatric patients transition to adult care.[...]Georg Thieme Verlag KG Stuttgart · New Yor...
Source: European Journal of Pediatric Surgery - December 21, 2015 Category: Surgery Authors: Acher, Charles WynnOstlie, Daniel J.Leys, Charles M.Struckmeyer, ShannonParker, MatthewNichol, Peter F. Tags: Original Article Source Type: research

Surgically Treated Pediatric Nonpapillary Thyroid Carcinoma
Conclusions Incidence of pediatric nonpapillary thyroid cancer is low. Females have a higher incidence but similar survival to males. Stage is the only independent prognostic indicator of survival for patients with medullary thyroid cancer.[...]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 18, 2015 Category: Surgery Authors: Golpanian, SamuelTashiro, JunSola, Juan E.Allen, CaseyLew, John I.Hogan, Anthony R.Neville, Holly L.Perez, Eduardo A. Tags: Original Article Source Type: research

Value of Surveys in Pediatric Surgery
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569465Surveys are an important research tool to evaluate the practice patterns of physicians. In the medical literature, practice surveys are increasingly used in specialties, such as pediatric surgery, characterized by the lack of sufficient evidence-based literature due to the rarity of the conditions treated. To maintain a level that yields to a meaningful scientific contribution the design, data collection and analysis of the survey have to be rigorous. Herein, we describe the general principles of survey methodology, we report the benefits and limitations of this statistical meth...
Source: European Journal of Pediatric Surgery - December 7, 2015 Category: Surgery Authors: Zani, AugustoZani-Ruttenstock, ElkeEaton, SimonPierro, Agostino Tags: Review Article Source Type: research

The Value of Trainee Networks in Pediatric Surgical Research
This article summarizes the history and evolution of the trainee collaborative surgical research. It examines the challenges which multicenter research entails and the steps the collaboratives have taken to overcome them. We describe some of the projects which have been successfully completed and the benefits that the trainee networks have for patients and surgeons alike.[...]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 7, 2015 Category: Surgery Authors: Skerritt, ClareHall, Nigel J. Tags: Review Article Source Type: research

National Esophageal Atresia Register
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569466National Esophageal Atresia was created in 2008 by the National Reference Center for Esophageal Congenital Abnormalities created in 2006. Primary goal was estimation of live birth prevalence in France. A national network of surgeons and pediatricians was initiated and entire teams dealing with esophageal atresia accepted to participate in an exhaustive national register. A questionnaire was validated by a national committee and data were centralized in our center. Scientific exploitation showed that such database is useful for health authorities as for medical professionals. Liv...
Source: European Journal of Pediatric Surgery - December 7, 2015 Category: Surgery Authors: Sfeir, RonyMichaud, LaurentSharma, DuytiRichard, FlorenceGottrand, Frédéric Tags: Review Article Source Type: research

Registries for Biliary Atresia and Related Disorders
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569152Most neonatal cholestatic disorders are rare diseases (RD), but they represent the leading indication for pediatric liver transplantation. From the pediatric surgical point of view, biliary atresia (BA) and choledochal cyst are from particular interest because diagnostic pathways and therapeutic algorithms are diverging as well as outcome parameters of follow-up studies. In addition, screening programs for BA are still at an early stage while transition of those patients with and without liver transplantation is not established yet. The newly created Web site www.bard-online.com...
Source: European Journal of Pediatric Surgery - December 7, 2015 Category: Surgery Authors: Petersen, ClausMadadi-Sanjani, Omid Tags: Review Article Source Type: research

The Congenital Diaphragmatic Hernia Study Group Registry
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569151Congenital diaphragmatic hernia (CDH) is a rare anomaly with an incidence between 1/2,500 and 1/3,000 live births. The rarity of the disease makes it difficult to design powerful studies leading to accurate and meaningful evidence. For rare diseases, the development of multicenter international registries may help in collecting data and give an overall picture of the disease. In this review, we will describe the development of the CDH study group, we will describe its work methodology, and the results obtained since its birth in 1995.[...]Georg Thieme Verlag KG Stuttgart ·...
Source: European Journal of Pediatric Surgery - December 7, 2015 Category: Surgery Authors: Morini, FrancescoLally, Pamela A.Lally, Kevin P.Bagolan, Pietro Tags: Review Article Source Type: research

The Challenges of the European Anorectal Malformations-Net Registry
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569149Anorectal malformations (ARM) have a low prevalence, patients need specialized surgical care, and in many cases, patients born with ARM even need life-long aftercare. Due to its low prevalence most patients are still treated in low-volume pediatric surgical centers without any adequate monitoring of the outcome. Data on prevalence, comparison of different surgical techniques, and prospective outcome measurements are still scarce and difficult to interpret. In 2010, a consortium was founded (ARM-Net consortium) including several European pediatric surgical centers to collaborate ...
Source: European Journal of Pediatric Surgery - December 7, 2015 Category: Surgery Authors: Jenetzky, Ekkehartvan Rooij, Iris A. L. M.Aminoff, DaliaSchwarzer, NicoleReutter, HeikoSchmiedeke, EberhardMidrio, Paolade Blaauw, Ivo Tags: Review Article Source Type: research

The Canadian Pediatric Surgery Network (CAPSNet): Lessons Learned from a National Registry Devoted to the Study of Congenital Diaphragmatic Hernia and Gastroschisis
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569477The Canadian Pediatric Surgery Network (CAPSNet) was created in 2005 by a geographically representative, multidisciplinary group of clinicians and researchers with the intent of establishing a national research registry for gastroschisis (GS) and congenital diaphragmatic hernia (CDH). Since then, CAPSNet has used this registry and its 16-center network to make contributions to the knowledge base informing best practices for GS and CDH care. More recently, CAPSNet has expanded its focus to include quality assurance and improvement at each of its sites, by issuing a benchmarked ou...
Source: European Journal of Pediatric Surgery - December 7, 2015 Category: Surgery Authors: Butler, Alison E.Puligandla, Pramod S.Skarsgard, Erik D. Tags: Review Article Source Type: research

Thoracoscopic Repair of Diaphragmatic Hernia in Infants: A New Modification of the Technique
Conclusion The new modified technique of thoracoscopic diaphragmatic hernia repair reduces the difficulty of intracorporal suturing under tension.[...]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 5, 2015 Category: Surgery Authors: Li, BingChen, Bing WeiWang, Qing ShouWang, Bo Ye Tags: Original Article Source Type: research

Mesohepatectomy for Centrally Located Tumors in Children
Conclusions In selected patients, MH is an alternative to trisegmentectomy and should be available in advanced pediatric hepatobiliary units.[...]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 4, 2015 Category: Surgery Authors: Amesty, Maria VirginiaChocarro, GloriaSánchez, Alejandra VilanovaCerezo, Vanesa Nuñezde la Torre, C. A.Encinas, Jose LuisArance, Manuel GamezHernández, FranciscoSantamaria, Manuel Lopez Tags: Original Article Source Type: research

Overall Quality of Life in Adult Biliary Atresia Survivors with or without Liver Transplantation: Results from a National Cohort
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569066Georg 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 16, 2015 Category: Surgery Authors: de Vries, WillemienLind, Robert C.Sze, Yuk-Kuengvan der Steeg, Alida F. W.Sieders, EgbertPorte, Robert JackVerkade, Henkjan J.Hulscher, Jan B. F.Hoekstra-Weebers, Josette E. H. M. Tags: Erratum Source Type: research

Quality of Life in Female Epispadias
Eur J Pediatr SurgDOI: 10.1055/s-0035-1569065Georg 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 16, 2015 Category: Surgery Authors: Amesty, Maria VirginiaChocarro, GloriaLobato, RobertoMonsalve, ShirleyMartinez-Urrutia, Maria JoseLopez-Pereira, Pedro CarlosJaureguizar, Enrique Tags: Erratum Source Type: research

Pediatric Bulbar and Posterior Urethral Injuries: Operative Outcomes and Long-Term Follow-Up
Conclusion Delayed end-to-end anastomosis for pediatric urethral injury is a safe operational option. However, high rate of short-term complications and reoperations should be expected. Penile shortening is one of the most severe long-term 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 5, 2015 Category: Surgery Authors: Trachta, JanMoravek, JiriKriz, JanPadr, RadekSkaba, Richard Tags: Original Article Source Type: research

The Role of Activin Receptor-Like Kinase 1 Signaling in the Pulmonary Vasculature of Experimental Diaphragmatic Hernia
Conclusion Upregulated gene and increased protein expression of ALK-1 in the pulmonary vasculature of nitrofen-induced CDH suggest that increased expression of ALK-1 may play a crucial role in the molecular pathogenesis of vascular remodeling induced PH in experimental CDH.[...]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 5, 2015 Category: Surgery Authors: Hofmann, Alejandro DanielZimmer, JuliaTakahashi, ToshiakiGosemann, Jan-HendrikPuri, Prem Tags: Original Article Source Type: research

Influence of Immobilization Time on Functional Outcome in Radial Neck Fractures in Children
Conclusion Aside from the severity of fracture displacement and treatment modality (conservative vs. operative, closed vs. open reduction), the duration of immobilization may also influence the functional outcome. Further prospective studies are required to confirm our 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 - November 5, 2015 Category: Surgery Authors: Badoi, AdinaFrech-Dörfler, MartinaHäcker, Frank-MartinMayr, Johannes Tags: Original Article Source Type: research

Surgical Rehabilitation Techniques in Children with Poor Prognosis Short Bowel Syndrome
Eur J Pediatr SurgDOI: 10.1055/s-0035-1567805Intestinal failure (IF) requires a multidisciplinary management based on nutritional support, surgical and medical rehabilitation, and transplantation. The aim of this study is to review our experience with surgical rehabilitation techniques (SRTs: enteroplasty, Bianchi, Serial Transverse Enteroplasty Procedure [STEP]) in patients with short bowel syndrome (SBS) and poor prognosis due to complex abdominal pathology.We performed a single-center retrospective study of patients with IF evaluated for intestinal transplantation in the Intestinal Rehabilitation Unit who underwent an S...
Source: European Journal of Pediatric Surgery - November 4, 2015 Category: Surgery Authors: Dore, MarielaJunco, Paloma TrianaAndres, Ane M.Sánchez-Galán, AlbaAmesty, Maria VirginiaRamos, EstherPrieto, GerardoHernandez, FranciscoSantamaria, Manuel Lopez Tags: Original Article Source Type: research

Two-Port Laparoscopic Descending Colostomy with Separated Stomas for Anorectal Malformations in Newborns
Conclusions This technique allows for the precise localization of the colostomy with direct visualization, provides for the inspection of the internal genitalia, eliminates the incision between the two stomas and its complications, allows for painless stoma bag changes immediately after surgery, avoids twisting of the colostomy, and permits a cosmetically pleasing incision at the colostomy closure.[...]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 3, 2015 Category: Surgery Authors: Gine, CarlosSantiago, SaioaLara, AlbaLaín, AnaLane, Victoria AlisonWood, Richard J.Levitt, Marc Tags: Special Report Source Type: research

Can Image-Defined Risk Factors Predict Surgical Complications in Localized Neuroblastoma?
In this study, we evaluated the IDRFs in localized NB patients to clarify the predictive capability of IDRFs for surgical complications, as well as the usefulness of the NG. Materials and Methods A total of 107 localized patients with NB were included in this study. The enhanced computed tomography and magnetic resonance images from the time of their diagnoses were evaluated by a single radiologist. We also analyzed the association of clinical factors, including the IDRFs (before and after applying the NG), with surgical complications. Results Of the 107 patients, 33 and 74 patients were diagnosed as ...
Source: European Journal of Pediatric Surgery - November 3, 2015 Category: Surgery Authors: Yoneda, AkihiroNishikawa, MasanoriUehara, ShuichiroOue, TakaharuUsui, NoriakiInoue, MasamiFukuzawa, MasahiroOkuyama, Hiroomi Tags: Original Article Source Type: research

Factors Conducive to Catch-Up Growth in Postoperative Jejunoileal Atresia Patients as Prognostic Markers of Outcome
Conclusions A higher RP ratio (approximately 84%) would appear to be conducive to CUG while a lower ratio (less than 70%) was not. Actual length of residual small intestine was not relevant to CUG. We recommend calculating the RP ratio in postoperative JIA patients and using 70% as a cutoff value to predict patients with poor potential for CUG who may benefit from more aggressive nutritional support to achieve normal growth.[...]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 3, 2015 Category: Surgery Authors: Shibuya, SoichiKoga, HiroyukiLane, Geoffrey J.Yamataka, Atsuyuki Tags: Original Article Source Type: research

Congenital Portosystemic Shunts: Clinic Heterogeneity Requires an Individual Management of the Patient
Conclusions Morphologically, the CPSS is extremely heterogeneous, with multiple possible connections established. CPSS has multiple clinical presentations, from asymptomatic patients to acute liver failure. The therapeutic approach should be individualized and therefore held in overspecialized centers.[...]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 3, 2015 Category: Surgery Authors: Chocarro, GloriaAmesty, María VirginiaEncinas, Jose LuisSánchez, Alejandra VilanovaHernandez, FranciscoAndres, Ane M.Gamez, ManoloTovar, Juan AntonioSantamaria, Manuel Lopez Tags: Original Article Source Type: research

Laparoscopy in Pediatric Abdominal Trauma: A 13-year Experience
In this study, we review our experience with laparoscopic exploration for trauma. We hypothesized that laparoscopy could be employed effectively in stable blunt or penetrating trauma patients in whom diagnostic uncertainty was unresolved by imaging. Material and Methods A retrospective review of the trauma database identified all children admitted to our Level I pediatric trauma center between January 1, 2000, and December 31, 2012, requiring surgical abdominal exploration. The utilization of laparoscopy and laparotomy was charted over the 13-year period. Negative laparoscopies and laparotomies and nontherapeuti...
Source: European Journal of Pediatric Surgery - October 29, 2015 Category: Surgery Authors: Tharakan, Sasha J.Kim, Aimee G.Collins, Joy L.Nance, Michael L.Blinman, Thane A. Tags: Original Article Source Type: research

Calretinin Variant in Hirschsprung Disease: Pretransitional Sign and Surgical Planning
Conclusion We confirmed our hypothesis of this varied pattern of calretinin being a pretransitional sign only visible on rectal suction biopsies in short segment HD and reliable enough to plan direct transanal pull through.[...]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, 2015 Category: Surgery Authors: Muller, Cecile OliviaHobeika, ChristianMontalva, LouiseBerrebi, DominiqueBonnard, Arnaud Tags: Original Article Source Type: research

Factors Predicting Testicular Atrophy after Testicular Salvage following Torsion
Eur J Pediatr SurgDOI: 10.1055/s-0035-1566096 Introduction Testicular atrophy (TA) is a significant complication in patients who undergo salvage procedures for testicular torsion. Studies on outcome focus on factors predicting testicular viability during scrotal exploration but few assess factors predicting TA in patients who undergo salvage procedures. We assess the incidence of TA after salvage and identify associated factors. Materials and Methods With ethical approval, we reviewed patients who underwent salvage for testicular torsion in our institution from 2001 to 2013. Data was collected on pati...
Source: European Journal of Pediatric Surgery - October 28, 2015 Category: Surgery Authors: Lian, Bertrand S. Y.Ong, Caroline C. P.Chiang, Li WeiRai, RambhaNah, Shireen Anne Tags: Review Article Source Type: research

Early Detection of Neonatal Cholestasis: Inadequate Assessment of Stool Color by Parents and Primary Healthcare Doctors
Eur J Pediatr SurgDOI: 10.1055/s-0035-1566101 Introduction Early diagnosis and surgery (
Source: European Journal of Pediatric Surgery - October 28, 2015 Category: Surgery Authors: Witt, MauriLindeboom, JeanetWijnja, CorryKesler, AnnekeKeyzer-Dekker, Claudia M. G.Verkade, Henkjan J.Hulscher, Jan B. F. Tags: Original Article Source Type: research

Growth Assessment and the Risk of Growth Retardation in Congenital Diaphragmatic Hernia: A Long-Term Follow-Up Study from the Japanese Congenital Diaphragmatic Hernia Study Group
This study aimed to assess the growth of patients with CDH during long follow-up periods, and to identify growth retardation (GR) risk factors. Patients and Methods A multicenter retrospective observational study was conducted in 2013. Of the 228 patients with CDH born between 2006 and 2010, 182 (79.8%) survived to discharge, and 174 cases were included in the study. Body weights and heights were measured at 1.5, 3, and 6 years of age. GR was defined as a Z-score relating to the weight or height of 
Source: European Journal of Pediatric Surgery - October 28, 2015 Category: Surgery Authors: Terui, KeitaNagata, KoujiHayakawa, MasahiroOkuyama, HiroomiGoishi, KeijiYokoi, AkikoTazuke, YukoTakayasu, HajimeYoshida, HideoUsui, Noriaki Tags: Original Article Source Type: research

Development of a Reproducible Model of Parenteral Nutrition-Associated Liver Disease in Rats
Eur J Pediatr SurgDOI: 10.1055/s-0035-1566098 Purpose For patients with intestinal failure, parenteral nutrition (PN) is a life-saving therapy. Unfortunately, hepatic dysfunction will occur in 40 to 60% of children on long-term PN. While the hepatic dysfunction is likely multifactorial, one important chemical component of the disease may be aluminum contamination of the PN. Previous studies have shown a reduction in liver injury by decreasing the aluminum concentration in PN in a pig model. We sought to develop a rat model of PN-associated liver disease (PNALD) with parenteral aluminum. Methods Adult ...
Source: European Journal of Pediatric Surgery - October 27, 2015 Category: Surgery Authors: Whitehead, AliaSchwartz, Marshall Z. Tags: Original Article Source Type: research

Clinical Features of Congenital Cystic Lung Diseases: A Report on a Nationwide Multicenter Study in Japan
Eur J Pediatr SurgDOI: 10.1055/s-0035-1566095 Aim The current study aimed to assess the perinatal risk of congenital cystic lung diseases (CCLD) and to establish a suitable surgical strategy in consideration of postoperative lung growth and problems during adulthood. Methods Among 874 CCLD patients identified in a nationwide survey, 428 patients were born between 1992 and 2012 and treated at 10 high-volume centers were retrospectively reviewed with statistical analysis. Results In the 194 patients who were prenatally diagnosed to have CCLD, 16.7% presented with fetal hydrops as observed usi...
Source: European Journal of Pediatric Surgery - October 27, 2015 Category: Surgery Authors: Kuroda, TatsuoNishijima, EijiMaeda, KosakuFuchimoto, YasushiHirobe, SeiichiTazuke, YukoNozawa, KumikoMatsuoka, KentaroUsui, Noriaki Tags: Original Article Source Type: research

Effectiveness of Rectal Suction Biopsy in Diagnosing Hirschsprung Disease
Conclusion The overall sensitivity of the RSB was 81%, with 12 false-negative results, in which cases extra biopsies had been necessary. The specificity was 97%, with four false-positive findings. We found that RSB can also be reliably and safely performed in preterm born infants, which implies there is no reason to postpone a RSB in those infants. New methods, such as calretinin staining, must be considered to achieve better effectiveness of the RSB for diagnosing HD.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  | ...
Source: European Journal of Pediatric Surgery - October 27, 2015 Category: Surgery Authors: Keyzer-Dekker, Claudia M. G.Sloots, Cornelius E.Linschoten, Irene K. Schokker-vanBiermann, KatharinaMeeussen, ConnyDoukas, Michael Tags: Original Article Source Type: research

Surgical Procedure Choice for Removing Hepatic Cysts of Echinococcus granulosus in Children
Conclusion CS is an effective method for liver CE cyst removal and RS is suitable for hepatic cysts in less risk position in pediatric 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 - October 19, 2015 Category: Surgery Authors: Ran, BoShao, YingmeiYimiti, YusfuAji, TuerganailiJiang, TiemingCheng, LujinLi, WanfuZhang, WenbaoWen, Hao Tags: Original Article Source Type: research

International Survey on the Management of Congenital Diaphragmatic Hernia
This study aims to define patterns in the management of congenital diaphragmatic hernia (CDH). Methods A total of 180 delegates (77% senior surgeons) from 44 (26 European) countries completed a survey at the 2014 European Pediatric Surgeons' Association meeting. Results Overall, 34% of the surgeons work in centers that treat  10 cases/y. Overall, 62% of the surgeons work in extra corporeal membrane oxygenation (ECMO) centers and 23% in fetal surgery centers. Prenatal work up and delivery: 47% surgeons request prenatal magnetic resonance imaging, 53% offer karyotyping, 22% perform a fetal...
Source: European Journal of Pediatric Surgery - October 14, 2015 Category: Surgery Authors: Zani, AugustoEaton, SimonPuri, PremRintala, RistoLukac, MarijaBagolan, PietroKuebler, Joachim F.Friedmacher, FlorianHoellwarth, Michael E.Wijnen, ReneTovar, Juan A.Pierro, Agostino Tags: Original Article Source Type: research

Evaluation of Gastroesophageal Reflux by Combined Multichannel Intraluminal Impedance and pH Monitoring and Esophageal Motility Patterns in Children with Esophageal Atresia
Eur J Pediatr SurgDOI: 10.1055/s-0035-1564715 Background Gastroesophageal reflux disease (GERD) and esophageal dysmotility are common in patients with esophageal atresia (EA). The aim of this study was to evaluate GERD and esophageal motility patterns in children with EA using combined multichannel intraluminal impedance and pH (MII-pH) monitoring and high-resolution esophageal manometry (HREM), respectively. The reflux patterns seen in EA patients were also compared with a control group of normal children with suspected GERD. Methods A retrospective chart review was done on 35 patients with EA and 35...
Source: European Journal of Pediatric Surgery - October 7, 2015 Category: Surgery Authors: Tong, StanleyMallitt, Kylie-annKrishnan, Usha Tags: Original Article Source Type: research

Training Significantly Improves Fetoscopy Performance: A Pilot Randomized Controlled Trial
Conclusion Training significantly improves fetoscopic performance and may indeed be the keystone for future complex fetoscopic interventions. It seems advisable to train rather fetoscopically than laparoscopically resulting in higher suture and knot-tying quality.[...]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 7, 2015 Category: Surgery Authors: Mietzsch, StefanBoettcher, JohannesYang, SisiChantereau, PierreRomero, PhilipBergholz, RobertReinshagen, KonradBoettcher, Michael Tags: Original Article Source Type: research

Morphological and Functional Hip Long-Term Results after Exstrophy Repair
Conclusion Despite EEC-specific hip morphology, long-term hip function is not impaired in patients after symphyseal approximation without osteotomy in the newborn period. The symphysis diastasis after this procedure is comparable to available postosteotomy data. The large majority of EEC patients did not show dysplastic or degenerative hip disease. Functional hip score results confirmed reasonable age-related hip function in nearly all examined patients. However, postnatal ultrasound hip screening is recommended to prevent and adequately treat potential co-occurring developmental hip dysplasia.[...]Georg Thieme Verlag...
Source: European Journal of Pediatric Surgery - October 7, 2015 Category: Surgery Authors: Kertai, Michael AmirRösch, Wolfgang H.Brandl, RolandHirschfelder, HorstZwink, NadineEbert, Anne Karoline Tags: Original Article Source Type: research

Early Detection and Treatment of Neuroblastic Tumor with Opsoclonus-Myoclonus Syndrome Improve Neurological Outcome: A Review of Five Cases at a Single Institution in Japan
Conclusion The interval between the onset of OMS and the detection and initial therapy of NT tended to be longer in patients with neurological sequelae than in those without neurological sequelae. This study suggested that early detection and treatment of NT with OMS might improve the neurological 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 - September 26, 2015 Category: Surgery Authors: Takama, YuichiYoneda, AkihiroNakamura, TetsuroNakaoka, TatsuoHigashio, AtsushiSanto, KenjiKuki, IchiroKawawaki, HisashiTomiwa, KiyotakaHara, Junichi Tags: Original Article Source Type: research

Internet Presentation of Departments of Pediatric Surgery in Germany and Their Compliance with Recommended Criteria for Promoting Services and Offering Professional Information for Patients
Conclusion We conclude that numerous of the investigated online presentations do not comply with recommended criteria for offering professional information for patients and for promoting services. Only less than one-third of the departments of pediatric surgery in Germany offer information about the medical conditions they treat. Features, which may influence the decision of patients and parents such as ranking, accessibility, use of social media, multilingual sites, navigation options, selected images, and contact information were differently lacking on many Web sites.[...]Georg Thieme Verlag KG Stuttgart · Ne...
Source: European Journal of Pediatric Surgery - September 26, 2015 Category: Surgery Authors: Farhat, NaimZoeller, ChristophPetersen, ClausUre, Benno Tags: Original Article Source Type: research

Range of Motion of the Upper Extremity in a Healthy Pediatric Population: Introduction to Normative Data
Conclusion Our study contributes normative data for upper extremity ROM in the pediatric population and presents a gender-related difference in certain joints. Clinical Relevance Normative data for the ROM of upper extremity joints in children is helpful for the evaluation of pediatric orthopedic patients and provides the framework for therapeutic resolution. Since a great number of traumatic injuries in children affect the upper extremity, this information may help the physician to estimate the impact of the injury and decide on the therapeutic management.[...]Georg Thieme Verlag KG Stuttgart · New ...
Source: European Journal of Pediatric Surgery - September 22, 2015 Category: Surgery Authors: Da Paz, Stephanie NunesStalder, AndreasBerger, SteffenZiebarth, Kai Tags: Original Article Source Type: research

Screening and Treatment of Tethered Spinal Cord in Anorectal Malformation Patients
Conclusions Tethered cord occurs in 9% of the ARM patients. Neonatal spinal ultrasonography has a sensitivity and specificity of 80 and 89%, respectively. Not in all patients an MRI was performed, but the vast majority remained clinically asymptomatic concerning TSC. Ultrasound screening seems an effective screening method, however, when ultrasonography is negative and the patient becomes symptomatic later in life, an MRI should be performed to exclude TSC. In our series, only 1 of 110 ARM patients had symptomatic tethered cord syndrome, and symptoms resolved postoperatively.[...]Georg Thieme Verlag KG Stuttgart &midd...
Source: European Journal of Pediatric Surgery - September 21, 2015 Category: Surgery Authors: van den Hondel, DesireeSloots, Corneliusde Jong, T. H. RobLequin, MaartenWijnen, Rene Tags: Original Article Source Type: research

Malrotation: Age-Related Differences in Reoperation Rate
Conclusions Malrotation surgery in older children is associated with a significantly higher emergency reoperation rate. The primary duodenal bypass procedure should always be considered with longstanding chronic intermittent obstruction associated with malrotation if the simple Ladd procedure is deemed inadequate.[...]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 21, 2015 Category: Surgery Authors: Raitio, ArimatiasGreen, Patrick A.Fawkner-Corbett, David W.Wilkinson, David J.Baillie, Colin Tennant Tags: Original Article Source Type: research

Our Experience in Transcrotal Orchidopexy in Children Affected by Palpable Undescended Testis
Conclusions In our experience, transcrotal approach is possible in almost 90% of pUDT. No major complication, such as recurrence or testicular atrophy, has been complained. Just 3 out of the 205 cases (1.5%) reported minor complications and 1 of which required a successful day-case procedure. Our data confirm that transcrotal orchidopexy can be considered effective, safe, and with a success rate being equivalent or better to classical inguinal approach.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text ...
Source: European Journal of Pediatric Surgery - September 21, 2015 Category: Surgery Authors: Arena, SalvatoreImpellizzeri, PietroPerrone, PatriziaScalfari, GianfrancoCentorrino, AntonioTuriaco, NunzioRusso, TizianaAntonuccio, PietroRomeo, Carmelo Tags: Original Article Source Type: research

Quality of Life and Anxiety in Parents of Children with an Anorectal Malformation or Hirschsprung Disease: The First Year after Diagnosis
Conclusion A negative influence on the QoL of parents having a child with ARM or HD, compared with the reference population was not seen in this population. QoL did not change significantly during the first year for both fathers and mothers. Anxiety levels of mothers did decline during this first year. The number of parents included in this study is still small, which might influence our results. Therefore, we will continue the KLANKbord-study indefinitely.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full t...
Source: European Journal of Pediatric Surgery - September 18, 2015 Category: Surgery Authors: Witvliet, Marieke J.Bakx, RoelZwaveling, Sandervan Dijk, Tonnis H.van der Steeg, Alida F. W. Tags: Original Article Source Type: research