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Mashup Score: 0Impedance planimetry (EndoFLIP) assisted laparoscopic esophagomyotomy in pediatric population - 1 month(s) ago
Functional lumen imaging probe (EndoFLIP) is a diagnostic technology that assesses esophageal cross-sectional area via impedance planimetry during controlled volumetric distention. The purpose of this study is to evaluate the utility of EndoFLIP intraoperatively during laparoscopic esophagomyotomy.
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Mashup Score: 3The financial implications of telemedicine practice patterns across pediatric surgical specialties - 1 month(s) ago
The coronavirus disease 2019 (COVID-19) pandemic spurred rapid adoption of digital distribution of health-related services via telemedicine in order to limit transmission of the lethal virus [1–3]. Although utilization of telemedicine has exponentially grown, it has been a widely available tool in clinical practice for several decades with varying degrees of implementation across specialties [4]. In the realm of surgery, proponents argue both for and against its use [5–8]. Some authors criticize telemedicine for lower reimbursement compounded by longer working hours, yet others support its use in the postoperative setting, where telemedicine has been shown to incur lower costs for both the patient and the healthcare system [5–8].
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Mashup Score: 9Characteristics of pediatric non-cardiac eCPR programs in United States and Canadian hospitals: A cross-sectional survey - 1 month(s) ago
First proposed in the 1960s [1], assisted circulation for cardiopulmonary arrest (eCPR) has become increasingly available in select adult and pediatric institutions [2–6]. The Extracorporeal Life Support Organization (ELSO) registry reports that in the past 5 years, 677 neonates and 2015 pediatric patients have undergone eCPR in North America alone, with survival to discharge rates of 44% and 40%, respectively [7]. The registry does not, however, include many data points that address operational issues around staffing, decision-making and resources.
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Mashup Score: 8
Multiple studies have recently demonstrated that physician prescribed opioids serve as a key driver to the current opioid epidemic [1–3]. Between 1999 and 2018, nearly 9000 children and adolescents died from opioid-related causes, with the yearly mortality tripling during this period [4]. Opioid prescription rates, while slowly decreasing [5], continue to be prevalent among children and adolescents. In 2018, one in 10 girls and one in 12 boys had at least one prescription filled for an opioid within the previous year [6].
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Mashup Score: 2Letter to Editor in response to: Association of operative approach with outcomes in neonates with esophageal atresia and tracheoesophageal fistula - 2 month(s) ago
We read with great interest the article by Etchill, et al., who discussed the operative approach for esophageal atresia with tracheoesophageal fistula (EA/TEF) in the United States [1].
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Mashup Score: 2
Children with severe constipation and a neurodiverse disorder (Autism and/or developmental delay) represent a challenging bowel management group. Treatment outcomes with laxative or enema therapy remain limited and are often complicated by patient/caregiver compliance. We hypothesized that children with neurodiverse disorders and severe constipation would benefit from a bowel management program (BMP) that includes early use of antegrade enemas.
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Mashup Score: 6Response to: Laparoscopic versus open appendicectomy for complicated appendicitis in children: A systematic review and meta-analysis - 2 month(s) ago
We read the article by Neogi et al. [1] with great interest about “Laparoscopic versus open appendicectomy for complicated appendicitis in children: A systematic review and meta-analysis.” (doi: 10.1016/j.jpedsurg.2021.07.005.). The research included four randomized controlled trials (266 LA versus 354 OA) and thirty-six case-controlled trials (2580 LA versus 3043 OA). After analyzing, they concluded that laparoscopy has a better overall complication profile compared to OA and should be the procedure of choice in children with complicated appendicitis.
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Mashup Score: 6Letter to Editor in response to: CT scans for pediatric injury in a middle-income country trauma center: Are we repeating past mistakes? - 2 month(s) ago
We have read the article published by Michael D. Traynor Jr, et al., entitled “CT scans for pediatric injury in a middle-income country trauma center: Are we repeating past mistakes” in the Journal of Pediatric Surgery December 2021 issue [1]. We thank the authors for sharing their valuable experiences.
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Mashup Score: 4Health-related quality of life in children with Hirschsprung disease and children with functional constipation: Parent-child variability - 2 month(s) ago
Long term outcomes are of important clinical interest for children with Hirschsprung Disease (HD). Studies on long term outcomes demonstrate that 10% to 78% of children continue to experience persistent bowel symptoms, with constipation commonly reported [1,2]. Bowel symptoms may contribute to impairments in physical, emotional and social functioning, which are concerns for long term adult health and functional outcomes. Health-related quality of life (HRQOL), or the subjective perception of the impact of disease on daily life (e.g., physical, psychosocial functioning) is an important outcome domain in children with HD [3–5].
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Mashup Score: 0Primary and secondary vaginal reconstruction with autologous buccal mucosa and intravaginal wound vacuum therapy - 2 month(s) ago
Vaginal reconstruction may be required for complex congenital vaginal defects, disorders of sexual development, and congenital vaginal agenesis, as well as in secondary repair of post-surgical vaginal stricture or stenosis [1]. The aims of vaginoplasty include constructing a low maintenance vaginal replacement with minimal morbidity, acceptable cosmesis, and excellent long-term function [2,3]. Multiple surgical techniques have been developed, including the Vecchietti technique, Davydov procedure, bowel vaginoplasty, and the McIndoe vaginoplasty, though no one approach has emerged as the preferred procedure [4].
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Impedance planimetry (EndoFLIP) assisted laparoscopic esophagomyotomy in pediatric population https://t.co/VCnPHl2d5C #jpedsurg #SoMe4PedSurg