Abstract null null Background null New technology attracts necessary concerns regarding safety and effectiveness, including the risk and circumstances of conversions. This study analyses our 11-year experience of conversions from a dedicated pediatric robot-assisted laparoscopic surgery service. null null null Methods null Consecutive patients were evaluated from a prospective database for the period March 2006 to May 2017. Descriptive and quantitative data for conversions were analysed. Variabl...
ABSTRACT null null BACKGROUND null : Recent studies have focused on parent-reported health-related quality of life (HRQOL) in children with intestinal failure (IF). However, there is a paucity of data on HRQOL from the perspective of the child with IF. null null null METHODS null A prospective study of child self-reported HRQOL was performed in a regional intestinal rehabilitation program from 2015-2019. The PedsQL 4.0 Generic Core Scales were administered annually to children with IF ages five ...
Abstract null null Background null This study assessed inter-hospital variability in operative-vs-nonoperative management of pediatric adhesive small bowel obstruction (ASBO). null null null Methods null A multi-institutional retrospective study was performed examining patients 1–21 years-of-age presenting with ASBO from 2010–2019 utilizing the null P ediatric null H ealth null I nformation null S ystem. Multivariable mixed-effects logistic regression was performed assessing inter-hospital varia...
Abstract null null Background null The use of magnets for the treatment of long gap esophageal atresia or “magnamosis” is associated with increased incidence of anastomotic strictures; however, little has been reported on other complications that may provide insight into refining selection criteria for appropriate use. null null null Methods null A single-institution, retrospective review identified three cases referred for treatment after attempted magnamosis with significant complications. The...
ABSTRACT null null Aim null The safety and success of laparoscopic choledochal cyst surgery (LapCC) depends upon two critical elements during the hepaticojejunostomy anastomosis (HJA). These may be termed the Difficulty of Differentiation (DOD) and the Difficulty of Suturing (DOS). The type of imaging system (2K or 4K) used may influence either of these. We compared outcomes of LapCC using 2k or 4K imaging systems. null null null Methods null LapCC were performed at a single institution by the s...
ABSTRACT null null Aim of the Study null An assessment of the clinical data and outcome of patients with oesophageal atresia (OA) with very low birth weight (VLBW) was completed. null null null Method null With ethical consent, we reviewed the records of 327 successive patients with OA from 1980 to 2020. Main outcome measures survival and oesophageal repair were compared between patients with VLBW(≤1500g) and with BW>1500g. null null null Results null Thirty-four (10%) patients had VLBW. Gross t...
Abstract null null Background null Nutritional management of children with epidermolysis bullosa (EB) presents multiple challenges including reduced oral intake compounded by mucosal fragility. Gastrostomy tube feeding is effective in improving nutritional status however there is limited data on the safety and tolerance of this technique in EB children. We aim to review the effectiveness and morbidity of our minimally invasive two-port laparoscopic-assisted gastrostomy (LAG) approach using Seldi...
ABSTRACT null null Background / Purpose null To report telemedicine's feasibility and satisfaction rates for treating patients with pectus carinatum using a Dynamic Compressor System. We analyzed treatment adherence in comparison with the previous, non-pandemic year. null null null Materials and methods null Retrospective analysis including patients with pectus carinatum under treatment with a Dynamic Compressor System using telemedicine at the chest wall centers from two hospitals, private and ...
ABSTRACT null null Background null : One of the most competitive surgical sub-specialty fellowships remains Pediatric Surgery (PS), which requires candidates to develop a strong and research-oriented curriculum vitae. Although some objective factors of matriculation are known, factors for the interview selection and ranking per the program directors (PDs) have not been reviewed in over a decade. null null null Methods null : A web-based survey of US and Canadian PS program directors (PDs) (n=58)...
Introduction null : We previously developed an institutional, evidence-based fluid resuscitation protocol for neonates with infantile hypertrophic pyloric stenosis (HPS) based on the severity of electrolyte derangement on presentation. We aim to evaluate this protocol to determine its efficacy in reducing the number of preoperative lab draws, time to electrolyte correction, and overall length of stay. null null null Methods null : A single center, retrospective review of 319 infants with HPS pre...
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