Journal of Indian Association of Pediatric Surgeons This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

An unusual case of type a posterior cloaca associated with 46xx disorder of sexual differentiation with y duplication of urethra
We report an infant reared as a girl who presented with ambiguous genitalia and urine coming per rectum. On examination, she had minimal clitoromegaly with labial fusion and Y urethral duplication. On investigations, genetic, metabolic, and endocrine causes for disorder of sexual differentiation were ruled out. This girl was operated via a posterior sagittal approach. This case was unique in that the urogenital sinus was deviated posteriorly and opened in the anterior rectal wall and the accessory urethra opened in clitoris, along with ambiguity of external genitalia, thus making it a rare variant of the posterior cloaca. ...
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Rahul K Gupta Pooja Tiwari Sandesh V Parelkar Beejal V Sanghvi Kedar P Mudkhedkar Satej S Mhaskar Rujuta S Shah Source Type: research

Unusual manifestations of Peutz-Jegher & #39;s syndrome in children
In this report, we discuss two children of PJS with uncommon presentations, one presented with retrograde intussusception and another with gastric outlet obstruction. The first child underwent laparoscopy and another required open surgery with intraoperative enteroscopy. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Sravanthi Vutukuru Shailesh Solanki Prema Menon Ram Samujh Sadhna B Lal Source Type: research

Triple diversion technique in complete duodenal transaction following blunt trauma abdomen: A time-tested method in a very rare injury
Shishir Kumar, Shasanka Shekhar Panda, Sujoy Neogi, Simmi K Ratan, Ashish KumarJournal of Indian Association of Pediatric Surgeons 2022 27(2):245-247 Duodenal injury following blunt abdominal trauma is extremely rare in children and many times, it has delayed presentation, leading to increased morbidity and mortality. A patient with complete duodenal transaction is a surgical challenge and management involves the time of presentation and extent of visceral damage. A 10-year-old boy was brought with features of bowel perforation after road traffic accident and underwent emergency laparotomy which revealed complete transact...
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Shishir Kumar Shasanka Shekhar Panda Sujoy Neogi Simmi K Ratan Ashish Kumar Source Type: research

Primary repair of pediatric posttraumatic complete bladder neck horizontal transection: Our experience
We present two such cases with associated pelvic fracture following trauma. Both underwent early primary vesicourethral anastomosis with no postoperative complications and are continent in the follow-up. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Sandeep Singh Sen Prema Menon Shailesh Solanki Ram Samujh Source Type: research

Influence of parental awareness drive on preoperative fasting compliance in pediatric day care surgery
Conclusion: Parents are misinformed and ignorant about optimum preoperative fasting. Adequate education and awareness to improve their knowledge was associated with increased compliance for optimal fasting. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Kriti Puri Raksha Kundal Vijay Kundal Jayadatta Gurudatta Pawar Ajai Kumar Subhasis Roy Choudhury Source Type: research

Serum matrix metalloproteinase 7 as a diagnostic and prognostic biomarker for extrahepatic biliary atresia
Conclusions: MMP-7 has a diagnostic value in differentiating EHBA from NH and may also be used as a prognostic biomarker in the follow-up of these patients. MMP-7 levels in controls may be used as a baseline for future studies. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Teg Rabab Singh Prabudh Goel Minu Bajpai Devasenathipathy Kandasamy Rohan Malik Rajni Yadav Shyam Prakash Kalaivani Mani Madhavi Tripathi Devendra Kumar Yadav Anjan Kumar Dhua Vishesh Jain Sandeep Agarwala Source Type: research

Early feeding versus traditional feeding in children with ileostomy closure
Conclusions: This comparison between early oral feeding and traditional oral feeding suggests that various benefits exist when enteral nutrition is initiated early after ileostomy closure in pediatric patients. The benefits and importance of initiating early oral feeding in adults have been reported, but there are few studies on pediatric populations (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Manuel Gil-Vargas Mary Sol Saavedra-Pacheco Miguel & #193;ngel Coral-Garc & #237;a Source Type: research

Laparoscopic-Assisted Modified Posterior Sagittal Anorectoplasty for Rectobulbar Urethral Fistula of Anorectal Malformation: A Prospective Study
Conclusion: Laparoscopy-assisted modified posterior sagittal approach is better for RBUF and offers better surgical outcome. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Vikesh Agrawal Saurabh Gupta Nguy & #7877;n Thanh Li & #234;m Himanshu Acharya Dhananjaya Sharma Source Type: research

Pediatric neuroblastoma - Impact of nutritional status on complications and outcomes
Conclusion: Neuroblastoma has poor outcome in Indian children, and there does not appear to be a major role played by nutrition in determining the response to treatment and survival. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Ruchira Nandan Shilpa Sharma Minu Bajpai Vishesh Jain Prabudh Goel Devendra Kumar Yadav Source Type: research

The outcome of late versus early ileostomy closure at low body weight ( & #60;1500 g) in babies with necrotizing enterocolitis
Conclusions: Ileostomy reversal at a lower weight and within 6 weeks was not associated with an increased risk of complications. Early stoma reversal may help in weight gain. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Pradyumna Pan Source Type: research

Does early upper tract diversion and delayed undiversion in megaureters secondary to severe posterior urethral valves lead to better renal outcomes ?
Conclusions: In severe PUVs, early PDRU with delayed undiversion is a reliable surgical option that may ensure better renal outcomes in the long-term. Nonrefluxing renal units recover better than the refluxing. APD measurements also are shown to improve favorably. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Somnath Prathap Sarath Kumar Narayanan Source Type: research

Ethics on the learning curve
Sanjay RaoJournal of Indian Association of Pediatric Surgeons 2022 27(2):191-195 Advances in surgical techniques and technologies require surgeons to constantly retrain and adopt these into their practices. Until the surgeon gains proficiency in the new technique, he is said to be on the learning curve. During this time, the patient is at higher risk of adverse outcomes. This poses significant ethical challenges. Several factors impact the surgeon's decision-making and ability to obtain a truly informed consent. These factors include personal bias – both the surgeons and the patients, absence of hi...
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Sanjay Rao Source Type: research

Correlation of the position of the anal dimple with the caudal termination of the striated muscle complex in patients with anorectal malformations
Conclusions: In the majority of cases AD and SMC were 'well developed' and the location of the SMC does not correlate with that of the AD. This has significant practical value in the important step of optimizing the placement of the rectum through the center of the SMC during repair. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Amit Kumar Vipan Bangar Niyaz Ahmed Khan Jigar N Patel Amit Gupta Partap Singh Yadav Rajiv Chadha Subhasis Roy Choudhury Source Type: research

Electronic medical record system-based teleconsultations in pediatric surgery: An initiative from a tertiary care public-funded hospital in North India to alleviate the COVID-19 imposed hospital visit restrictions
Conclusion: In the current as well as postpandemic phase, teleconsultation can act as a potent triaging tool and can help in better utilization of resources alongside helping in the maintenance of social distancing by decreasing the number of physical visits to the hospital. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Sachit Anand Anjan Kumar Dhua Apoorv Singh Nellai Krishnan Subramonian Ajay Verma Vishesh Jain Devendra Kumar Yadav Aparajita Mitra Sandeep Agarwala Prabudh Goel Minu Bajpai Source Type: research

Reverse gastric tube esophagoplasty with and without lower esophageal stump wrap & #8211; Comparison of outcome
Conclusion: We have described a novel method of using the LE as a “fundoplication” wrap following RGTE. Vagi should be preserved. Those with complete esophageal wrap may develop dysphagia to solids and this is, therefore, not recommended. Lower esophageal wrap patients appeared to have a better outcome in terms of growth and less reflux. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Prema Menon Katragadda Lakshmi Narasimha Rao Ram Samujh Sandhya Yaddanapudi Source Type: research