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Mashup Score: 15Controlled long term outcome of pyloromyotomy for pyloric stenosis: No long-term adverse effect - 27 day(s) ago
Pyloromyotomy for pyloric stenosis is one of the more common surgical procedures performed on infants. The long-term effects of the procedure are however unclear. The purpose of this study was to study the effects into adult life, compare them with controls and to see if there is a need for structured follow up of patients.
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Mashup Score: 10
Neonatal gastric perforation (NGP) is a rare and life-threatening complication. It represents approximately 7% of all neonatal gastrointestinal perforations (GIP) [1,2]. Although some cases are idiopathic, several causes have been identified: iatrogenic (nasogastric tube insertion, mechanical ventilation), congenital abnormalities with a gastric outlet obstruction, necrotizing enterocolitis, and drugs like steroids, among others. Prematurity and low birth weight have also been identified as risk factors for NGP [1,2].
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Mashup Score: 0OHVIRA (Obstructed Hemivagina and Ipsilateral Renal Anomaly or Herlyn-Werner-Wunderlich syndrome): Is it time for age-specific management? - 1 month(s) ago
OHVIRA (Obstructed Hemivagina and Ipsilateral Renal Anomaly or Herlyn-Werner-Wunderlich syndrome) is a rare Müllerian malformation. Usually, symptoms begin with worsening dysmenorrhea in post-menarche adolescents. The management in pre-menarche period is controversial and has only recently been subject of study.
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Mashup Score: 1Racial/ethnic differences in receipt of surgery among children in the United States - 1 month(s) ago
Disparities in access to and the quality of healthcare cause inequitable distribution of optimal medical treatments. In perioperative health care, adult minorities have less access to surgery, lower satisfaction with surgical treatments, and poorer outcomes of surgery [1–3]. In pediatrics, African-American children who have surgical repair of congenital heart disease, neurosurgery, or treatment for traumatic injuries in the US have higher mortality than White children [4–7]. Similarly, minority children with distinct surgical pathologic processes, such as sarcoma and abdominal pain, have worse clinical outcomes [8–10].
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Mashup Score: 2Asa G Yancey: The first to describe a modification of the Swenson Technique for Hirschsprung disease - 1 month(s) ago
Hirschsprung disease is a common disease treated by surgeons using different approaches. One approach is eponymously ascribed to Franco Soave and Scott Boley involving a pull-through of ganglionated colon through a distal portion of aganglionated rectum. However, more recent evidence has shown that this same technique was described twelve years before by Asa Yancey, a black surgeon. A review of the evidence follows with a focus on why Yancey may not have rightly received the credit that was because of him.
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Mashup Score: 10
Osteosarcoma, the most common primary malignant bone tumor in children and adolescents [1], has a peak incidence in the second decade of life and is relatively rare in the first decade of life [1–11]. Due to the rarity of these tumors and the paucity of evidence, the optimal surgical treatment for patients with osteosarcoma who are <10 years old at the time of diagnosis has been a matter of debate. Notably, with the use of multiagent neoadjuvant chemotherapy and advances in surgical techniques and endoprosthetic technology, the use of limb-sparing procedures for malignant bone tumors has increased over time [3].
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Mashup Score: 11Hidden cardiovascular morbidity in children and young adults born with congenital diaphragmatic hernia: A population-based study - 1 month(s) ago
Congenital diaphragmatic hernia (CDH) is a severe malformation that affects approximately 2.5/10,000 live births [1]. It consists of a defect in the diaphragm that allows the abdominal contents to migrate into the thoracic cavity during fetal development. It has been suggested that the lack of space in the thoracic cavity affects the development of the lungs and the heart, partly because of the mechanical pressure [2]. This results in pulmonary hypoplasia with abnormal vascularity and also a risk of cardiac hypoplasia [2,3].
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Mashup Score: 10A shortened course of Amoxicillin/Clavulanate is the preferred antibiotic treatment after surgery for perforated appendicitis in children - 2 month(s) ago
Despite evidence supporting short course outpatient antibiotic treatment following appendectomy for perforated appendicitis, evidence of real-world implementation and consensus for antibiotic choice is lacking. We therefore aimed to compare outpatient antibiotic treatment regimens in a national cohort.
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Mashup Score: 7
To report the impact of the SARS-CoV-2 pandemic on management and outcomes of paediatric appendicitis in the UK and Ireland.
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Mashup Score: 10
A gastrostomy feeding button or tube can be an important aid for children with feeding difficulties [1]. Percutaneous endoscopic gastrostomy (PEG) has proven to be a safe and cost-effective technique [1,2]. Historically, the pull technique (PEG-P) has been preferred, but over the last decade, the push technique (PEG-T) has gained popularity [3,4]. With the PEG-Saf-T-pexy, the stomach is fixated to the abdominal wall using T-fasteners [5]. This push technique allows one-step insertion of a balloon gastrostomy tube or button, and reduces the need for sedation or anesthesia which is often required to replace a PEG-P tube with a low-profile button [1].
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Controlled long term outcome of pyloromyotomy for pyloric stenosis: No long-term adverse effect https://t.co/Xmyp9RmYiB #SoMe4PedSurg #jpedsurg