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
European Pediatric Surgeons' Association Survey on Timing of Inguinal Hernia Repair in Premature Infants
Conclusion There is variation in the practice patterns of pediatric surgeons in the treatment of IH in premature infants. Due to the concern for the high risk of incarceration, IH repair before discharge was the most prevalent practice. Lower risk of postoperative apnea was cited as the most common reason for delaying surgery. Randomized studies are required to establish the optimal timing for IH repair in premature infants. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - April 22, 2024 Category: Surgery Authors: Soyer, Tutku Pio, Luca Gorter, Ramon Martinez, Leopoldo Dingemann, Jens Pederiva, Federica Dariel, Anne Zani-Ruttenstock, Elke Kakar, Mohit Hall, Nigel J. Tags: Original Article Source Type: research
Diagnosis and management of congenital diaphragmatic hernia: a 2023 update from the Canadian Congenital Diaphragmatic Hernia Collaborative
Conclusions
The 2023 Canadian CDH Collaborative’s clinical practice guideline update provides a management framework for infants and children with CDH based on the best available evidence and expert consensus. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition)
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - April 18, 2024 Category: Perinatology & Neonatology Authors: Puligandla, P., Skarsgard, E., Baird, R., Guadagno, E., Dimmer, A., Ganescu, O., Abbasi, N., Altit, G., Brindle, M., Fernandes, S., Dakshinamurti, S., Flageole, H., Hebert, A., Keijzer, R., Offringa, M., Patel, D., Ryan, G., Traynor, M., Zani, A., Chiu, P Tags: Editor's choice Original research Source Type: research
Arterial hypertension in infants with congenital diaphragmatic hernia following surgical repair
Conclusion: This study demonstrates a moderately high incidence of arterial hypertension in CDH infants at discharge and an independent association of creatinine values with arterial hypertension. Physicians should be aware of this risk and include regular BP measurements and test of renal function in CDH car e and follow-up.What is Known:• Due to decreasing mortality, morbidity is increasing in surviving CDH patients.• Pulmonary hypertension and cardiac dysfunction are well-known cardiovascular comorbidities of CDH.What is New:• There is a moderately high incidence of arterial hypertension in CDH infants at discha...
Source: European Journal of Pediatrics - April 6, 2024 Category: Pediatrics Source Type: research
Exercise-induced Pulmonary Hypertension in Long-term Survivors of Congenital Diaphragmatic Hernia
To determine the prevalence of exercise-induced pulmonary hypertension (PH) among long-survivors of congenital diaphragmatic hernia (CDH) repair. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - March 27, 2024 Category: Pediatrics Authors: Paul J. Critser, Terry L. Buchmiller, Kimberlee Gauvreau, Jill M. Zalieckas, Catherine A. Sheils, Gary A. Visner, Keri M. Shafer, Ming Hui Chen, Mary P. Mullen Tags: Original Articles Source Type: research
Early vs Late Inguinal Hernia Repair in Preterm Infants
This randomized clinical trial compares the safety of early (before discharge from the neonatal intensive care unit) vs later inguinal hernia repair among infants born prematurely who underwent the procedure near the end of their neonatal intensive care unit stay. (Source: JAMA)
Source: JAMA - March 26, 2024 Category: General Medicine Source Type: research
Laparoscopic Sac Disconnection and Peritoneal Closure of Pediatric Inguinal Hernia
Conclusion: Laparoscopic sac disconnection and peritoneal closure of pediatric inguinal hernia is a safe, feasible method with one of the lowest reported recurrence rate among the other laparoscopic methods.PMID:38526574 | DOI:10.1089/lap.2023.0425 (Source: Adv Data)
Source: Adv Data - March 25, 2024 Category: Epidemiology Authors: Fouad Youssef Anwar Abdul-Hadi Martinez Gilgamesh Eamer Ahmed Nasr Marcos Bettolli Source Type: research
Laparoscopic Sac Disconnection and Peritoneal Closure of Pediatric Inguinal Hernia
Conclusion: Laparoscopic sac disconnection and peritoneal closure of pediatric inguinal hernia is a safe, feasible method with one of the lowest reported recurrence rate among the other laparoscopic methods.PMID:38526574 | DOI:10.1089/lap.2023.0425 (Source: Adv Data)
Source: Adv Data - March 25, 2024 Category: Epidemiology Authors: Fouad Youssef Anwar Abdul-Hadi Martinez Gilgamesh Eamer Ahmed Nasr Marcos Bettolli Source Type: research
Age and Probability of Spontaneous Umbilical Hernia Closure
This cohort study of children younger than 6 years uses electronic health records to investigate whether a child ’s age is associated with the probability of spontaneous umbilical hernia closure and to refine guidelines for surgical repair. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - March 11, 2024 Category: Pediatrics Source Type: research
Laparoscopic Repair of Pediatric Femoral Hernias
Conclusion: Laparoscopy remains a viable tool in diagnosing and managing femoral hernias. Various technically feasible options for laparoscopy and minimally invasive techniques have been described with excellent results and limited recurrence. However, given the quality of the data, further studies are needed to investigate the long-term durability of such repairs.PMID:38442225 | DOI:10.1089/lap.2023.0372 (Source: Adv Data)
Source: Adv Data - March 5, 2024 Category: Epidemiology Authors: Alexander L Chen Spencer Wilhelm Michael Sobolic Pavan Brahmamdam Begum Akay Nathan M Novotny Source Type: research
Laparoscopic Repair of Pediatric Femoral Hernias
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - March 5, 2024 Category: Surgery Authors: Alexander L. Chen Spencer Wilhelm Michael Sobolic Pavan Brahmamdam Begum Akay Nathan M. Novotny Source Type: research
Diaphragmatic Defects in Infants
Congenital diaphragmatic hernia (CDH) is a complex and highly variable disease process that should be treated at institutions with multidisciplinary teams designed for their care. Treatment in the neonatal period focuses on pulmonary hypoplasia, pulmonary hypertension, and cardiac dysfunction. Extracorporeal membrane oxygenation (ECMO) can be considered in patients refractory to medical management. Repair of CDH early during the ECMO course seems to improve mortality compared with other times for surgical intervention. The choice of surgical approach to CDH repair should consider the patient ’s physiologic status and the...
Source: Thoracic Surgery Clinics - February 17, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Robert J. Vandewalle, Lawrence E. Greiten Source Type: research
Comparisons of fentanyl and sufentanil on recovery time after inguinal hernia repair in children: a randomized clinical trial
Inguinal hernia repair is a common pediatric procedure. We studied postoperative recovery times in children undergoing laparoscopic inguinal hernia repair with anesthesia induced by fentanyl versus sufentanil. (Source: BMC Surgery)
Source: BMC Surgery - February 14, 2024 Category: Surgery Authors: Wen Chen, Hongyun Guoyang, Hui Yu and Yutong Xu Tags: Research Source Type: research
Provincial review of adherence to age-specific guidelines for umbilical hernia repair and trends in management
Umbilical hernia (UH) is a common pediatric condition, for which delaying surgical repair for asymptomatic UH until after age 3 is recommended due to a high incidence of spontaneous closure. We aimed to determine the adherence to guidelines, rate of urgent surgical repair, outcomes, cost, and interinstitutional referral patterns of UH repair in the province of Quebec (Canada). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 3, 2024 Category: Surgery Authors: Shadi Hadj-Youssef, F élix Rondeau, Kossi Thomas Golo, Nizar Ghali, Maude Laberge, Patricia Li, Marc Beltempo, Guy Lacroix, Hussein Wissanji Source Type: research
Can inguinal hernia be a negative consequence of human evolution?
Surgical repair of inguinal hernia remain the most frequently performed procedure in children1. Despite the well-established facts regarding this congenital anomaly, certain aspects remain unresolved, familiar to pediatric surgeons. The statement, endorsed by numerous authors, "The final chapter of inguinal hernia is yet to be written," underscores the existence of unilluminated aspects alongside widely known facts. The incidence of inguinal hernia in term newborns varies from 1-5%, escalating to 30% in premature infants2. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - January 29, 2024 Category: Surgery Authors: Sinan K ılıç Source Type: research
