Letters of Recommendation for Pediatric Surgery Fellowship: Analysis of Linguistic Differences Based on Gender of the Applicant
This study examined the presence of linguistic gender differences in LOR for Pediatric Surgery Fellowship. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 4, 2021 Category: Surgery Authors: Bryce Bludevich, Iris Irby, Henry Chang, Paul D. Danielson, Raquel Gonzalez, Christopher W. Snyder, Nicole M. Chandler Source Type: research

Use of cuffed endotracheal tubes in infants less than 5 kilograms: A retrospective cohort study
Airway management, including endotracheal intubation, is a key component of acute care during resuscitation, in the treatment of respiratory failure, and during intraoperative anesthetic care. With recent advancements in the understanding of airway anatomy in infants and children and improvements in equipment, the use of cuffed endotracheal tubes (ETT) in pediatric patients has increased since the late 1990 ’s.1,2 Uncuffed ETTs were traditionally preferred to cuffed ETTs in patients less than 8 years of age due to the previously held tenets that the pediatric airway was conical in shape and that the narrowest portion...
Source: Journal of Pediatric Surgery - March 4, 2021 Category: Surgery Authors: Zachary C. Williams, Stephani S. Kim, Aymen Naguib, Shabana Z. Shafy, Joseph D. Tobias Source Type: research

Letter to the Editor
We read with interest the article entitled: “Safety of Veress needle for laparoscopic entry in children: Myth or reality?” by Alessio Pini Prato, Federico Palo, Maria Grazia Faticato, Claudio Carlini, Girolamo Mattioli (1), which was published in the July 2, 2020, issue of the Journal of Pediatric Surgery. The article was very well develo ped for which I must congratulate you. However, I cannot let it pass that “Veress” is incorrectly spelled. I keep seeing this error with concern in several articles, and we must have respect for Dr. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 3, 2021 Category: Surgery Authors: Jorge Alejandro Oliveros Rivero Source Type: research

Management And Results Of Thyroidectomies In Pediatric Patients With Men 2 Syndrome
: To evaluate the outcome of prophylactic thyroidectomies (PT) in patients with MEN 2 syndrome in a tertiary center. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 3, 2021 Category: Surgery Authors: Javier Ord óñez, Laura Pérez-Egido, María Antonia García-Casillas, Agustín del Cañizo, María Fanjul, Manuel de la Torre, Isabel Bada, María Dolores Blanco, Julio Cerdá, Esther Molina, David Peláez, Juan Carlos de Agustín Source Type: research

Urine-Derived Extracellular Vesicle miRNAs as Possible Biomarkers for and Mediators of Necrotizing Enterocolitis: A Proof of Concept Study
Early-stage symptomology of necrotizing enterocolitis (NEC) is similar in presentation to non-NEC sepsis, though the treatment plans differ based on antibiotic administration and withholding of feeds. Improved diagnostics for NEC differentiation would allow clinicians to more rapidly set individual patients on a targeted treatment path. Extracellular vesicle-derived miRNAs, have previously demonstrated efficacy as disease biomarkers. To determine if these miRNAs are differentially-expressed in NEC infants, we performed transcriptomic analysis of urine-derived extracellular vesicle-derived miRNAs. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 2, 2021 Category: Surgery Authors: Jeffrey D. Galley, Pamela Mar, Yijie Wang, Rachel Han, Adrian Rajab, Gail E. Besner Source Type: research

Reply to Letter to the Editor: Staged repair of proximal hypospadias-Reporting outcome of staged tubularized autograft repair (STAG)
Thank you for the valuable comments and suggestions. We strongly believe that glanular dehiscence is more related to glanular size rather than to the fixation of the glans and catheter to abdominal wall. Yet, we support the catheter dorsally by the traction glanular stitch which is rolled around the catheter to prevent any pressure on suture lines however, glanular dehiscence still happens. All the important fine remarks stated by the authors to improve the technique are used in our practice repairing proximal cases of hypospadias. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 2, 2021 Category: Surgery Authors: Haytham Badawy, Waleed Dawood, Ashraf Soliman, Ahmed Fahmy, Waly Mahfouz, Ahmed Moussa, Akram Assem, Ahmed Eid, Shaymaa Elsayed, Ahmed Gawan, Ahmed Hanno, Mohammed Youssef Source Type: research

Commentary on Can Complex Surgical Interventions be Standardized? Reaching International Consensus on Posterior Sagittal Anorectoplasty Using a Modified-Delphi Method
This is a commentary on the manuscript entitled “Can Complex Surgical Interventions be Standardized? Reaching International Consensus on Posterior Sagittal Anorectoplasty Using a Modified-Delphi Method” by Hanke, R, Ponsky T, Garrison A, et al. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 1, 2021 Category: Surgery Authors: Russell K. Woo Source Type: research

Race Disparities in Genetic Alterations Within Wilms Tumor Specimens
: Wilms tumor (WT) affects Black children disproportionately. Genetic aberrations within WT specimens that contribute to this disparity have not been reported. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 26, 2021 Category: Surgery Authors: Annie Apple, Kevin E Neuzil, Hannah M Phelps, Bingshan Li, Harold N Lovvorn III Source Type: research

The “SHIFT” Technique: SupraHepatic IntraFalciform Tubing for Placement of Ventriculoperitoneal Shunts
Ventriculoperitoneal (VP) shunts in pediatric patients are an important aspect of management for patients with hydrocephalus and are fraught with complications. Surgical revision rates for VP shunts in the pediatric population are currently high, which necessitates innovation in operative techniques for placing VP shunts in attempt to decrease complication risks. Here we describe a novel approach for placement of VP shunts that we hypothesize can reduce potential morbidity among pediatric patients. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 26, 2021 Category: Surgery Authors: Cody Lendon Mullens, Joanna Twist, Hal S. Meltzer, Dan W. Parrish Tags: Operative Techniques Source Type: research

Table of Contents
(Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Source Type: research

Announcements of Future Meetings
(Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Source Type: research

Technical factors and outcomes in pediatric central venous port placement
Purpose: While central venous port placement is common, there remains variation in placement technique and rates of technical complications. The aim of this study was to assess variability in techniques and identify predictors of complications for children undergoing port placement.Methods: We retrospectively reviewed all 331 patients who underwent venous port placement at a single tertiary children's hospital from May 2018 to June 2020. The primary outcome was early revision or replacement (R/R) for complications occurring within 30 days. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Authors: Francesca M. Shilati, Mehul V. Raval, Timothy B Lautz Tags: case-control study Source Type: research

Correlation of anorectal malformation complexity and associated urologic abnormalities
Patients with anorectal malformations (ARM) commonly have associated urologic anomalies. Few large studies exist to accurately characterize the incidence or associations between severity of malformation and urologic diagnosis. The purpose of our study was to determine the incidence of urologic diagnoses in a large cohort of children with ARM and evaluate for any correlation between severity of ARM and the incidence and number of associated urologic diagnoses. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Authors: Molly E Fuchs, Devin R. Halleran, Tran Bourgeois, Yuri Sebasti ão, Laura Weaver, Nolan Farrell, Alejandra Vilanova-Sánchez, Alessandra Gasior, Ihab Halaweish, Venkata R Jayanthi, Richard J. Wood, Daniel G Dajusta Source Type: research

Biological versus synthetic patch for the repair of congenital diaphragmatic hernia: 8-year experience at a tertiary center
The aim of this study is to compare outcome between small intestinal submucosal (SIS) and polytetrafluoroethylene (PTFE) patches in patients with congenital diaphragmatic hernia (CDH) with large muscular defects. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Authors: Gonzalez R ührnschopf Camila, Reusmann Aixa, Giuseppucci Carlos, Boglione Mariano, Arbio Soledad, Salas Gisela, Giubergia Verónica, Barrenechea Marcelo Source Type: research

Contemporary Outcomes of the Foker Process and Evolution of Treatment Algorithms for Long-Gap Esophageal Atresia
: Esophageal growth using the Foker process (FP) for long-gap esophageal atresia (LGEA) has evolved over time. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Authors: Wendy Jo Svetanoff, Benjamin Zendejas, Kayla Hernandez, Kathryn Davidson, Peter Ngo, Michael Manfredi, Thomas E. Hamilton, Russell Jennings, C. Jason Smithers Source Type: research

Outpatient Parathyroidectomy in the Pediatric Population: An 18-year Experience
: Parathyroidectomy for primary hyperparathyroidism (pHPT) is safely performed in the outpatient setting in the adult population. However, concern that children and adolescents have higher complication rates and are unable to recognize and communicate symptoms of hypocalcemia has limited same-day discharges in the pediatric population. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Authors: Kimberly M. Ramonell, Jessica Fazendin, Kelly Lovell, Pallavi Iyer, Herbert Chen, Brenessa Lindeman, Sophie Dream Source Type: research

Central Line Placement at ECMO Decannulation: A Missed Opportunity
This study reviews the incidence and utility of central venous line (CVL) placement at pediatric ECMO decannulation. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 25, 2021 Category: Surgery Authors: Nathan S. Rubalcava, Richard E. Overman, Ronald B. Hirschl, Arul S. Thirumoorthi Source Type: research

Identifying Risk Factors for Enteral Access Procedures in Neonates with Congenital Diaphragmatic Hernia: A Novel Risk-Assessment Score
The purpose of this study was to evaluate the characteristics of neonates with congenital diaphragmatic hernia (CDH) undergoing enteral access procedures (gastrostomy or jejunostomy) during their initial hospitalization, and establish a clinical scoring system based on these characteristics. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: James M. Prieto, Matthew T. Harting, Richard Y. Calvo, Jeanne M. Carroll, Alicia G. Sykes, Romeo C. Ignacio, Ashley H. Ebanks, David A. Lazar, for the Congenital Diaphragmatic Hernia Study Group Source Type: research

Pediatric Adaptions Are Needed to Improve the Diagnostic Accuracy of Thyroid Ultrasound Using TI-RADS
Thyroid Imaging Reporting and Data System (TI-RADS) is validated in adults but not yet in children. The purpose of this study was to determine the sensitivity, specificity, and accuracy of TI-RADS in predicting thyroid malignancy for pediatric nodules, and to compare the diagnostic accuracy to the current American Thyroid Association (ATA) guidelines. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Hira Ahmad, Ameer Al-Hadidi, Adam Bobbey, Summit Shah, Joseph Stanek, Kathleen Nicol, Robert P. Hoffman, Jennifer H. Aldrink Tags: Clinical Research Paper Source Type: research

Utility of Skull Radiographs in Infants Undergoing 3D Head CT During Evaluation for Physical Abuse
Clinical practice guidelines recommend performing head CT and skull radiographs (SR) when evaluating infants for physical abuse. We compared the accuracy of 3-dimensional CT (3DCT) and SR for detecting skull fractures. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Christopher Pennell, Minal Aundhia, Archana Malik, Erica Poletto, Harsh Grewal, Norrell Atkinson Source Type: research

Analysis of the Pediatric Surgery Fellowship Application Process using the ThalamusTM Database
The pediatric surgery fellowship interview process is costly and time intensive. We hypothesized that the increasing number of interviews completed by applicants and programs have become inefficient over time. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Saunders Lin, Jason Reminick, Ephy Love, Benedict Nwomeh, Sanjay Krishnaswami Source Type: research

Novel Second-Generation Rexinoid Induces Growth Arrest and Reduces Cancer Cell Stemness in Human Neuroblastoma Patient-Derived Xenografts
The poor therapeutic efficacy seen with current treatments for neuroblastoma may be attributed to stem cell-like cancer cells (SCLCCs), a subpopulation of cancer cells associated with poor prognosis and disease recurrence. Retinoic acid (RA) is a differentiating agent used as maintenance therapy for high-risk neuroblastoma but nearly half of children treated with RA relapse. We hypothesized that 6-Methyl-UAB30 (6-Me), a second-generation rexinoid recently developed with a favorable toxicity profile compared to RA, would reduce cancer cell stemness in human neuroblastoma patient-derived xenografts (PDXs). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Raoud Marayati, Laura V. Bownes, Colin H. Quinn, Nikita Wadhwani, Adele P. Williams, Hooper R. Markert, Venkatram Atigadda, Jamie M. Aye, Jerry E. Stewart, Karina J. Yoon, Elizabeth A. Beierle Source Type: research

Elevated proBNP levels are associated with disease severity, cardiac dysfunction, and mortality in Congenital Diaphragmatic Hernia
: Cardiac dysfunction is a key determinant of outcome in congenital diaphragmatic hernia (CDH). Pro b-type natriuretic peptide (proBNP) is used as a prognosticator in heart failure and cardiomyopathy. We hypothesized that proBNP levels would be associated with ventricular dysfunction and high-risk disease in CDH. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Vikas S. Gupta, Neil Patel, Florian Kipfmueller, Pamela A. Lally, Kevin P. Lally, Matthew T. Harting Source Type: research

The Assessment of Microbiome Changes and Fecal Volatile Organic Compounds during Experimental Necrotizing Enterocolitis
Necrotizing enterocolitis (NEC) remains a devastating disease that affects the gastrointestinal tract of the preterm infant. Volatile organic compounds (VOCs) have emerged as a non-invasive biomarker in many diseases. We hypothesized that fecal VOC profiles would be significantly different between control and NEC pups in a NEC mouse model. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Brian Hosfield, Natalie Drucker, Anthony Pecoraro, William Shelley, Hongge Li, Niel Baxter, Troy Hawkins, Troy A. Markel Source Type: research

Increased Mortality in Very Young Children with Traumatic Brain Injury Due to Abuse: A Nationwide Analysis of 10,965 Patients
: Traumatic brain injury (TBI) is the leading cause of death and disability in young children; however, the impact of mechanism on outcomes has not been fully evaluated. We hypothesized that children with TBI due to abuse would have a higher mortality than children with accidental TBI due to motor vehicle collisions (MVC). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Christina M. Theodorou, Miriam Nu ño, Kaeli J. Yamashiro, Erin G. Brown Source Type: research

Trends in Fundoplication Volume for Pediatric Gastroesophageal Reflux Disease
Fundoplication for gastro-esophageal reflux disease (GERD) has been commonly performed by pediatric surgeons, however there are no recent data documenting fundoplication trends. Changes in fundoplication volume impact pediatric surgical training and may reflect changes in care for children with severe GERD. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Nathan L. Maassel, Matthew P. Shaughnessy, Daniel G. Solomon, Robert A. Cowles Source Type: research

Early Management of Meconium Ileus in Infants with Cystic Fibrosis: A Prospective Population Cohort Study
We describe these and explore factors associated with successful non-operative management. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2021 Category: Surgery Authors: Anna-May Long, Ian H Jones, Marian Knight, Janet McNally Source Type: research

Incidence and outcomes of patients with congenital diaphragmatic hernia and pulmonary sequestration
Bronchopulmonary sequestration (BPS) has long been identified in patients with congenital diaphragmatic hernia (CDH), however the reported incidence in the literature varies widely and is not based on large series. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Megan A. Coughlin, Vikas S. Gupta, Ashley H. Ebanks, Matthew T. Harting, Kevin P. Lally, for the Congenital Diaphragmatic Hernia Study Group Source Type: research

Enhancement of Transamniotic Stem Cell Therapy for Spina Bifida by Genetic Engineering of Donor Mesenchymal Stem Cells with an Fgf2 Transgene
We examined whether engineered overexpression of fibroblast growth factor-2 (Fgf2) in donor mesenchymal stem cells (MSCs) could enhance spina bifida coverage induced by transamniotic stem cell therapy (TRASCET). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Stefanie P Lazow, Daniel F Labuz, Ina Kycia, David Zurakowski, Dario O Fauza Source Type: research

Changes in FXR1 Expression After Chemotherapy for Rhabdomyosarcoma
We reported previously that Fragile-X-Related 1 (FXR1), essential to normal myogenesis, was highly expressed in RMS relative to other embryonal tumors. This current study explored FXR1 expression across RMS disease characteristics and treatment response. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Mark C. Xu, M. Owais Ghani, Annie Apple, Heidi Chen, Martin Whiteside, Scott C. Borinstein, Hernan Correa, Harold N. Lovvorn Source Type: research

PIM447 inhibits oncogenesis and potentiates cisplatin effects in hepatoblastoma
: Novel therapies are needed for patients with hepatoblastoma due to an increasing incidence of disease and poor prognosis for advanced, refractory, and recurrent disease. PIM kinases promote tumorigenesis in hepatoblastoma. A novel PIM inhibitor, PIM447, has shown promise in inhibiting oncogenesis in hematologic and lymphoid malignancies. We hypothesized that PIM inhibition with PIM447 would result in decreased tumorigenesis in hepatoblastoma. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Nikita Wadhwani, Hooper R. Markert, Raoud Marayati, Laura V Bownes, Colin H. Quinn, Jamie M. Aye, Jerry E. Stewart, Karina J. Yoon, Elizabeth A. Beierle Source Type: research

A Single Institution Experience with Laparoscopic Hernia Repair in 791 Children
We describe our outcomes using a percutaneous internal ring suturing technique. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Wendy Jo Svetanoff, James A. Fraser, Kayla B. Briggs, Jessica K. Staszak, Charlene Dekonenko, Rebecca M. Rentea, David Juang, Pablo Aguayo, Jason D. Fraser, Charles L. Snyder, Richard J. Hendrickson, Shawn D. St. Peter, Tolulope Oyetunji Source Type: research

Functional Fecal and Urinary Outcomes after Sacrococcygeal Mass Resection in Pediatric Patients
Sacrococcygeal masses (SCM) are uncommon in children. The purpose of this study is to review the functional fecal and urinary outcomes following resection of SCM and to determine the impact of a multidisciplinary clinic (MDC) on these outcomes. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Hira Ahmad, Devin R. Halleran, Jon Vardanyan, Wana Mathieu, Joseph Stanek, Mark Ranalli, Marc A. Levitt, Richard J. Wood, Jennifer H. Aldrink Source Type: research

9Does Speed Matter? A Look at NSQIP-P Outcomes based on Operative Time.
Appendicitis is a common pediatric surgical condition, comprising a large burden of healthcare costs. We aimed to determine if prolonged operative times were associated with increased 30-day complication rates when adjusting for pre-operative risk factors. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Bryce M. Bludevich, Paul D. Danielson, Christopher W. Snyder, Anh Thy H. Nguyen, Nicole M. Chandler Source Type: research

Fetal Hematogenous Routing of a Donor Hematopoietic Stem Cell Line in a Healthy Syngeneic Model of Transamniotic Stem Cell Therapy
In utero administration of hematopoietic stem cells (HSCs) has a variety of actual or potential clinical applications but is hindered by invasive, morbid administration techniques. We sought to determine whether donor HSCs could reach the fetal circulation after simple intra-amniotic delivery in a syngeneic rat model of transamniotic stem cell therapy (TRASCET). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Stefanie P. Lazow, Ina Kycia, Daniel F. Labuz, David Zurakowski, Dario O. Fauza Source Type: research

Commentary on Trends in Fundoplication Volume for Pediatric Gastroesophageal Reflux Disease
This is a commentary on the manuscript by Maassel N, Shaughnessy M, Solomon D, Cowles R titled “Trends in Fundoplication Volume for Pediatric Gastroesophageal Reflux Disease”. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Thomas T. Sato Source Type: research

Commentary on Early Management of Meconium Ileus in Infants with Cystic Fibrosis: A Prospective Population Cohort Study
This is a commentary on the manuscript titled “Early Management of Meconium Ileus in Infants with Cystic Fibrosis: A Prospective Population Cohort Study” by Long A-M, et al. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2021 Category: Surgery Authors: Professor Mark Davenport Source Type: research

Underrepresentation of Pediatric Operations in the Relative Value Unit Updating Process
Background: The Relative Value Unit (RVU) system was designed and implemented by Medicare to standardize physician payments for a given service. Because Medicare primarily cares for older adults, RVU assignments and updates may not consider pediatric-specific procedures, despite the fact that private insurers and Medicaid often base their payments on these RVU valuations.Methods: The CPT codes of index pediatric operations were retrieved from the ACGME. We categorized these procedures into "Peds-specific" (eg, Ladd Procedure) versus those that could be performed in both children and adults, or "Non-specific&...
Source: Journal of Pediatric Surgery - February 22, 2021 Category: Surgery Authors: Roxanne L. Massoumi, Christopher P. Childers, Steven L. Lee Source Type: research

Spatial-Temporal Clusters of Pediatric Perforated Appendicitis in California
Perforated appendicitis is a well-documented child health disparity. Geographic patterns in perforated appendicitis exist in several United States regions, but such patterns have not been described in California. We aimed to analyze spatial-temporal patterns of pediatric perforated appendicitis and identify population characteristics contributing to these cluster patterns. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 21, 2021 Category: Surgery Authors: Kristy Schwartz, Margaret Nguyen Tags: Ecological Source Type: research

Prolonged Postoperative Mechanical Ventilation (PPMV) in Children Undergoing Abdominal Operations: An Analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Database
Most children undergoing general surgical procedures do not require postoperative mechanical ventilation.[1] For the subset of patients with postoperative mechanical ventilation, the postoperative mechanical ventilation duration is a critical determinant of postsurgical outcomes, resource utilization, and cost. In general, prolonged postoperative mechanical ventilation (PPMV) is associated with increased length of stay (LOS), hospitalization costs, morbidity, and mortality.[2-5] (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 20, 2021 Category: Surgery Authors: Kristin N Partain, Christian Mpody, Brandon Rodgers, Brian Kenney, Joseph D Tobias, Olubukola O Nafiu Source Type: research

Does the timing of pouch creation in 2-stage operations for pediatric patients with ulcerative colitis matter?
: Children with fulminant ulcerative colitis(UC) traditionally undergo 2-stage operations: restorative-proctocolectomy(RP/IPAA) and ileostomy followed by ostomy closure. In the biologic era, surgeons have modified their strategy: initial subtotal-colectomy/diversion, followed by RP/IPAA without diversion. Yet, evidence on efficacy and functional outcomes with the “modified 2-stage” approach is limited in children. We sought to compare the timing of pouch creation in 2-stage operations to determine outcomes. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 20, 2021 Category: Surgery Authors: Nathan S. Rubalcava, Natalie A. Moreno, Jeremy Adler, James D. Geiger, Ronald B. Hirschl, Samir K. Gadepalli Source Type: research

Laparoscopic versus ultrasound-guided visualization of transversus abdominis plane blocks
This study seeks to determine whether laparoscopic-guided TAP blocks are as effective as US-guided TAP blocks among pediatric patients. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 20, 2021 Category: Surgery Authors: Modupeola Diyaolu, Jordan Taylor, John Austin, Michelle Gibson, RJ Ramamurthi, Ban Tsui, Stephanie D. Chao Tags: Treatment Study Source Type: research

A pediatric colorectal and pelvic reconstruction course improves content exposure for pediatric surgery fellows: a three-year consecutive study
Interactive courses play an important role in meeting the educational needs of pediatric surgical trainees. We investigated the impact of a multimodal pediatric colorectal and pelvic reconstruction course on pediatric surgery trainees. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 20, 2021 Category: Surgery Authors: Rebecca M. Rentea, Devin R. Halleran, Alessandra C. Gasior, Alejandra Vilanova-Sanchez, Hira Ahmad, Laura Weaver, Richard J. Wood, Marc A. Levitt Source Type: research

Primary Contributors to Gastrostomy Tube Placement in Infants with Congenital Diaphragmatic Hernia
: To identify factors associated with gastrostomy tube (GT) placement in infants with congenital diaphragmatic hernia (CDH). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 19, 2021 Category: Surgery Authors: Hannah Fleming, Allison G. Dempsey, Claire Palmer, Jack Dempsey, Sandra Friedman, Henry L. Galan, Jason Gien Source Type: research

The Value of Telemedicine for the Pediatric Surgery Patient in the Time of COVID-19 and Beyond
We examined the value of telemedicine for patients presenting to a pediatric surgery clinic before and after COVID-19 (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 19, 2021 Category: Surgery Authors: Gregory A. Metzger, Jennifer Cooper, Carley Lutz, Kris R. Jatana, Leah Nishimura, Katherine J. Deans, Peter C. Minneci, Ihab Halaweish Source Type: research

Long-term Impact of Abusive Head Trauma in Young Children: Outcomes at 5 and 11 Years Old
Abusive head trauma (AHT) involves injury to brain or skull, and can be inflicted by a variety of mechanisms, including vigorous shaking of the child. In the United States, AHT is a leading cause of physical child abuse deaths in children less than 5 years of age and accounts for about one-third of all child maltreatment deaths [1]. Incidence of AHT is estimated to occur in 3-4 per 10,000 infants a year and between 5-35% of infants or children who are AHT victims die from their AHT [2-5]. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 19, 2021 Category: Surgery Authors: Jordan E Jackson, Alana L Beres, Christina M Theodorou, Beatrice Ugiliweneza, Maxwell Boakye, Miriam Nu ño Source Type: research

Percutaneous Peritoneal Drain Placement: A Pilot Study of Pediatric Surgery Simulation-based Training for General Surgery Residents
: General surgery residents often feel unprepared to perform pediatric surgery procedures since case volume and experience may be low. Previously, we successfully implemented a simulation-based training (SBT) module for placement of a silastic silo for gastroschisis. Therefore, we designed a single institution pilot study to assess whether SBT for placement of a percutaneous peritoneal drain for perforated necrotizing enterocolitis (NEC) was feasible and lead to skill acquisition and increased confidence. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2021 Category: Surgery Authors: Nicholas J. Skertich, Gwyneth A. Sullivan, Miles W. Grunvald, Srikumar Pillai, Mary Beth Madonna, Scott W. Schimpke, Connie Rossini, Ami N. Shah Source Type: research

Letter to the Editor
In this study, the success rate and complication rate after the second stage repair which constructed the new urethra were 58.6% and 43.2%, respe ctively. Fistula formation and glanular dehiscence (GD) after second stage repair were the most common complications with a rate of 21.6% and 24.3%, respectively. Additionally, the authors stated that four patients who developed GD underwent repair for GD, and there were no successful outcomes in th ree of these patients [1]. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2021 Category: Surgery Authors: Ali Atan, Kaan Sonmez, Zafer Turkyilmaz, Ramazan Karabulut Tags: Correspondence Source Type: research

The association of inborn status and resource utilization among neonates who received extracorporeal membrane oxygenation
Extracorporeal membrane oxygenation (ECMO) was first described by Bartlett et al in 1976 as a rescue therapy for neonatal respiratory failure in term and near-term neonates [1,2]. Neonatal respiratory failure may arise from a variety of etiologies, including meconium aspiration syndrome (MAS), congenital diaphragmatic hernia (CDH), sepsis, persistent pulmonary hypertension (PPHN), and respiratory distress syndrome. ECMO has subsequently also been utilized in neonates for both respiratory and cardiac failure (primarily post-operatively) related to congenital heart disease (CHD) [3]. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2021 Category: Surgery Authors: Kathryn L. Fletcher, Vilma Contreras, Ashley Song, Ashwini Lakshmanan, Leah Yieh, Cynthia L. Gong, Lorraine I. Kelley-Quon, Philippe S. Friedlich, Rachel L. Chapman Tags: Clinical Research Paper Source Type: research

Reply to Letter to the Editor
We greatly appreciate Prof Dr Med Faruk Hadziselimovic and his colleagues ’ interest in reading our work and commenting on it [1]. We hope this reply to concerns and comments can be helpful. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2021 Category: Surgery Authors: Rosa Maria Vigueras, Margarita Ch ávez-Saldaña, Daniel Adrian Landero-Huerta, Julio César Rojas-Castañeda Tags: Correspondence Source Type: research