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Mashup Score: 12Letter to Editor in regard to: Pediatric massive transfusion protocols applied to intraoperative complications of common pediatric surgeries - 30 day(s) ago
To the Editor,
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Mashup Score: 21
Anorectal malformations (ARMs) are common congenital colorectal defects in newborns. The ultimate goal of reconstructive surgery for ARMs is to obtain a good defecatory function. Currently, the three-staged procedures are still the mainstay for the high and intermediate ARMs [1–3]. However, the timing of anorectoplasty is also essential for long-term bowel function [4,5]. There have been attempts to carry out a one-stage posterior sagittal anorectoplasty (PSARP) at birth and achieve better results than three-stage PSARP [6,7].
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Mashup Score: 14
Dear Editor:
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Mashup Score: 11Letter to Editor in regard to: Ultrasound imaging as the first line of investigation to diagnose intestinal malrotation in children: Safety and efficacy - 1 month(s) ago
Dear Editor,
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Mashup Score: 10
Adhesions are an inevitable consequence of abdominal surgery and can cause small bowel obstruction (SBO) in young children. Although the incidence of SBO depends on the type of surgery and age, the incidence varies between 1–13% in children [1–7]. Whilst it seems that the incidence in young children is higher than in older children, most studies in paediatric patients included children of wide age ranges [1,2,7-9]. Moreover, although in recent years a shift has taken place from open procedure to laparoscopic treatment, most studies did not include patients treated by laparoscopy [1,2,5,7-9].
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Mashup Score: 11
Endorectal pull-through (ERPT), either total transanal (TERPT) or laparoscopic assisted (LERPT), are currently the two most common operative procedures to treat rectosigmoid Hirschsprung’s disease (HD) [1,2]. TERPT is the least invasive procedure with no transabdominal dissection and no visible scars. Furthermore, TERPT is suggested to have shorter operative time and faster recovery as well as being less expensive than LERPT [3,4]. However, there are concerns that TERPT causes more anal sphincter damage because the exposure of the anal canal is longer and more forceful when the whole operation is performed through the anus [5–7].
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Mashup Score: 6Reply to Letter to the Editor: Regular body imaging screening should be required for all children following anorectal malformation repair - 2 month(s) ago
Thank you for your valuable comments on our article.
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Mashup Score: 7Surgeon perceptions of volume threshold and essential practices for pediatric thyroidectomy✰ - 2 month(s) ago
The prospect of sub-specialization within pediatric surgery has become increasingly debated over the past 10 years. Particularly within large groups or practices, some pediatric surgeons are choosing to narrow their clinical focus toward a particular subset of pathologies [1]. Further, in the past few years, additional clinical fellowships have been developed to provide board certified pediatric surgeons concentrated training in pediatric colorectal surgery, fetal surgery, critical care, and pediatric transplant surgery [1].
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Mashup Score: 21
Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.
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Mashup Score: 5
Over the last 30 years, healthcare payment reform and legislature such as the Stark Law, Centers for Medicare and Medicaid regulations, the Health Insurance Portability and Accountability Act of 1996, and the Affordable Care Act have altered the practice environment for many physicians. Individual providers have migrated toward larger physician groups or become employees with health care systems. In addition, third-party payers have markedly decreased reimbursements as costs, both to the patient and to the management of surgical practice, have continued to increase.
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