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Thoracoscopic versus conventional open repair of tracheoesophageal fistula in neonates: A short-term comparative study.

Published in Journal of pediatric surgery

Esophageal atresia with or without a tracheo-esophageal fistula is a challenging anomaly in neonates. Thoracoscopic repair is gaining popularity now in pediatric surgery community. The present study aims at comparing the short term outcomes of thoracoscopy versus classic thoracotomy for repair of such conditions. Thirty neonates with tracheoesophag...

Quantifying postoperative sleep loss associated with increased pain in children undergoing a modified Nuss operation.

Published in Journal of pediatric surgery

The presence of pain may interrupt sleep and impede normal postoperative recovery; however, no prior studies have quantified sleep loss due to pain in children undergoing inpatient surgery. Wearable accelerometers objectively measure sleep patterns in children. We aimed to quantify sleep loss associated with patient reported pain scores after a Mod...

The adherence of adult trauma centers to American Pediatric Surgical Association guidelines on management of blunt splen...

Published in Journal of pediatric surgery

Nonoperative management (NOM) is commonly utilized in hemodynamically stable children with blunt splenic injuries (BSI). Guidelines published by the American Pediatric Surgical Association over the past 15 years support this approach. We sought to determine the rates and outcomes of NOM in pediatric BSI and compare trends between pediatric (PTC), m...

Radiological and surgical differences between congenital end-to-side (Abernethy malformation) and side-to-side portocava...

Published in Journal of pediatric surgery

Distinguishing retrohepatic end-to-side portocaval shunts (ES-PCS) and side-to-side portocaval shunts (SS-PCS) can be difficult, but it is essential for determining the treatment strategy. Our experience with retrohepatic PCS is analyzed. Since 2007, 9 children (5/9 ES-PCS and 4/9 SS-PCS) were surgically treated. Radiology studies included Doppler-...

Letter to the Editor.

Published in Journal of pediatric surgery

Postfundoplication retching: Strategies for management.

Published in Journal of pediatric surgery

Retching is a common symptom in children following antireflux surgery, particularly in those with neurodisability. There is now a strong body of evidence that implicates retching as a major cause of wrap breakdown. Retching is not a symptom of gastroesophageal reflux disease; it is a component of the emetic reflex. In addition to causing wrap break...

Association of Hirschsprung's disease with anorectal malformations: the early alarming signs for diagnosis and comorbidi...

Published in Journal of pediatric surgery

The association of Hirschsprung's disease (HD) and anorectal malformation (ARM) is rare. The aim of this study is to highlight the frequency of this rare association and comorbidity that may be related to this association. Eleven cases out of four hundred forty six cases (2.5%) with ARM found to have HD association presented to Assiut University Ch...

Histopathological perspective of the pulled-through colon in Hirschsprung disease: Impact on clinical outcome.

Published in Journal of pediatric surgery

The outcome in HD has not been always satisfactory even after a technically sound operation. To define the characteristic histopathological features of the pulled-through colon in patients with HD, and it is impact on clinical outcome. The study included patients with HD who underwent surgical repair between 2010 through 2016. The proximal margin o...

Short-term parent reported recovery following open and laparoscopic fundoplication.

Published in Journal of pediatric surgery

It is assumed that children recover faster after laparoscopic (LF) than after open fundoplication (OF). As this has not been confirmed in any randomized study (RCT), we have in a subsection of a larger RCT compared parent reported recovery of children after LF and OF. Postoperative symptoms, use of analgesics, overall well-being, and time to return...

Am I out of control? The application of statistical process control charts to children's surgery.

Published in Journal of pediatric surgery

To illustrate the construction of statistical control charts and show their potential application to analysis of outcomes in children's surgery. Two datasets recording outcomes following esophageal atresia repair and intestinal resection for Crohn's disease maintained by the author were used to construct four types of charts. The effects of alterin...