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Mashup Score: 3An enhanced recovery after surgery protocol in children who undergo nephrectomy for Wilms tumor safely shortens hospital stay - 5 day(s) ago
Wilms tumor is the most common malignant solid tumor that arises from the kidneys in children with approximately 500–600 new cases diagnosed yearly in the US. [1,2] Standard treatment includes chemotherapy and sometimes radiation therapy, but the cornerstone of treatment for unilateral tumors remains total nephrectomy and staging laparotomy with retroperitoneal lymph node sampling. While total nephrectomy is considered a major abdominal operation, it is often well tolerated within the pediatric Wilms tumor population and average length of stay continues to decrease, allowing for prompt oncologic follow-up and chemotherapy as recommended by the Children’s Oncology Group (COG) [3,4].
Source: www.jpedsurg.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 0Children from disadvantaged neighborhoods experience disproportionate injury from interpersonal violence - 7 day(s) ago
Injury is the leading cause of death and disability among children in the United States (US) [1]. A major cause of pediatric injury is violence. The World Health Organization defines violence as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation” [2]. Interpersonal violence is one type of violence, defined as the intentional use of physical force against others by another individual or small group, which results in considerable morbidity and mortality [3].
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Mashup Score: 12Sildenafil attenuates intestinal injury in necrotizing enterocolitis independently of endothelial nitric oxide synthase - 12 day(s) ago
Necrotizing enterocolitis (NEC) is a devasting intra-abdominal disease that occurs primarily in preterm neonates. Clinically, NEC presents as feeding intolerance, abdominal distention, and bloody stools, which can quickly progress to sepsis and intestinal perforation [1]. Mortality from NEC remains high and accounts for 10–21% of all deaths in premature babies [2]. Multiple factors have been shown to play a role in its development, including prematurity, formula feeds, and intestinal dysbiosis [3,4].
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Mashup Score: 13Modified technique for robot-assisted laparoscopic infantile ureteral reimplantation for obstructive megaureter - 14 day(s) ago
To describe a novel modification of technique to improve efficacy of robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV) in infants.
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Mashup Score: 0
Ronald Wilbur Cooke was born in Newport, RI, in 1919. His family moved to Windsor, CT, where he spent most of his childhood. After completing secondary school, he attended Yale University earning a Bachelor of Science degree in 1940 and a medical degree in 1943. An early interest in caring for children first led him to a pediatric residency at Strong Memorial Hospital in Rochester, NY (Fig. 1).
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Mashup Score: 8Post-operative ventilation strategies after surgical repair in neonates with esophageal atresia: A retrospective cohort study - 21 day(s) ago
Esophageal atresia is a rare congenital anomaly that affects 1 in 2600 live births [1]. Newborns with esophageal atresia with or without tracheoesophageal fistula (EA/TEF) are prone to respiratory diseases. They may require non-invasive ventilation (NIV) in the postoperative period after elective extubation or could present with extubation failure needing prolonged mechanical ventilation. In a recent report, rates of ventilation reached 90% in the post-operative management of infants with EA-TEF [2].
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Mashup Score: 4
Fetoscopic endoluminal tracheal occlusion (FETO) was recently shown to improve postnatal survival in a multicenter, randomized controlled trial of infants with severe congenital diaphragmatic hernia (CDH). However, the external validity of this study remains unclear given a lack of standardization in postnatal management approaches. The purpose of this study was to evaluate the impact of an integrated prenatal and postnatal care setting on survival outcomes in severe CDH after FETO.
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Mashup Score: 2
Traumatic injury remains the leading cause of mortality in children, and treatment at a pediatric trauma center has been shown to reduce the risk of mortality [1]. According to geographic information system (GIS) analyses conducted in 2008, nearly 50% of the pediatric population lived >50 miles from a pediatric trauma center. Fortunately, Ohio was 1 of 8 states where more than 80% of the pediatric population lived within 50 miles of a pediatric trauma center; however, in 16 states ≤20% of the pediatric population lived within 50 miles, which can make transport to pediatric trauma centers more challenging [2].
Source: www.jpedsurg.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 2
Traumatic injury remains the leading cause of mortality in children, and treatment at a pediatric trauma center has been shown to reduce the risk of mortality [1]. According to geographic information system (GIS) analyses conducted in 2008, nearly 50% of the pediatric population lived >50 miles from a pediatric trauma center. Fortunately, Ohio was 1 of 8 states where more than 80% of the pediatric population lived within 50 miles of a pediatric trauma center; however, in 16 states ≤20% of the pediatric population lived within 50 miles, which can make transport to pediatric trauma centers more challenging [2].
Source: www.jpedsurg.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 0A single centre experience using internal traction sutures in managing long gap oesophageal atresia - 30 day(s) ago
Thoracoscopically placed internal traction sutures (ITS) for the initial management of long gap oesophageal atresia (LGOA), not amenable to primary anastomosis, was first described in 2015. Here we describe our experience using ITS both thoracoscopically and at thoracotomy where the gap between upper and lower oesophagus is too wide for primary anastomosis.
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An Enhanced Recovery after Surgery Protocol in Children Who Undergo Nephrectomy for Wilms Tumor Safely Shortens Hospital Stay https://t.co/sIRoHy1M1V #SoMe4PedSurg #jpedsurg