Long-gap esophageal atresia: gastric transposition or esophageal lengthening with delayed primary anastomosis? A systematic review
ConclusionsThis systematic review highlights the morbidity associated with both surgical procedures and the variety in reporting outcomes. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 24, 2024 Category: Surgery Source Type: research

Comparison of postoperative urinary complications in laparoscopic-assisted anorectoplasty versus posterior sagittal anorectoplasty for anorectal malformation with rectourethral fistula
ConclusionsIt is important to check inflow angle preoperatively to prevent remnant fistula. For PSARP, meticulous dissection is required when separating fistula from urethra because they create common wall. The most contributing factor to neurogenic bladder is sacral anomalies. Preoperative evaluation and postoperative urinary drainage are important. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 20, 2024 Category: Surgery Source Type: research

Commentary to “Robot‑assisted laparoscopic varicocelectomy in a pediatric population’’
(Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 18, 2024 Category: Surgery Source Type: research

Current management of surgical neonates: is it optimal or do we need to improve? A national survey of the Italian Society of Neonatology
ConclusionSome critical issues emerged from this survey: the neonatologist involvement in PM, the spread of BS, and the availability of specific care protocols need to be implemented to optimize the care of this fragile category of patients. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 16, 2024 Category: Surgery Source Type: research

A new classification for surgical NEC during exploratory laparotomy: introduction and reproducibility assessment
ConclusionThe introduced classification system for surgical NEC shows high reliability, deepening the understanding of NEC's intraoperative exploration aspects. It promises to indicate operative strategies, enhance prognosis prediction, and substantially facilitate scholarly communication in pediatric surgery. Importantly, it explores the potential for a standardized report and may represent a step forward in classifying surgical NEC, if pediatric surgeons are open to change. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 15, 2024 Category: Surgery Source Type: research

Impact of Colorectal Nurse Specialist supervised parental administration of rectal washouts on Hirschsprung ’s disease outcomes: a retrospective review
ConclusionOur stoma rates are lower compared to recent UK data. This could potentially be due to emphasis on parental ability to perform effective rectal washouts at home under CNS supervision. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 13, 2024 Category: Surgery Source Type: research

Clinical characteristics and influence of  postoperative Hirschsprung-associated enterocolitis: retrospective study at a tertiary children’s hospital
ConclusionClassification of post-HAEC based on the first episode time and frequency was necessary. The earlier or more frequent episodes of post-HAEC have detrimental influences on long-term outcomes. Furthermore, risk factors for early and recurrent HAEC were different. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 13, 2024 Category: Surgery Source Type: research

Impact of Colorectal Nurse Specialist supervised parental administration of rectal washouts on Hirschsprung ’s disease outcomes: a retrospective review
ConclusionOur stoma rates are lower compared to recent UK data. This could potentially be due to emphasis on parental ability to perform effective rectal washouts at home under CNS supervision. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 13, 2024 Category: Surgery Source Type: research

Clinical characteristics and influence of  postoperative Hirschsprung-associated enterocolitis: retrospective study at a tertiary children’s hospital
ConclusionClassification of post-HAEC based on the first episode time and frequency was necessary. The earlier or more frequent episodes of post-HAEC have detrimental influences on long-term outcomes. Furthermore, risk factors for early and recurrent HAEC were different. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 13, 2024 Category: Surgery Source Type: research

Sternal cleft and pectus excavatum: an overlooked congenital association?
ConclusionOur findings suggest an underestimated association between PE and SC in the existing literature. SC patients may exhibit a predisposition to PE from birth, which may become more apparent with growth after SC repair. Consequently, PE prevention or treatment should be considered during SC repair procedures. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 11, 2024 Category: Surgery Source Type: research

Correlation between congenital pelvic floor muscle development assessed by magnetic resonance imaging and postoperative defecation
ConclusionA correlation exists between pelvic floor muscle development and postoperative defecation in children with Perineal fistula. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - April 10, 2024 Category: Surgery Source Type: research