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Mashup Score: 23Modified laparoscopic gastrostomy tube placement in children: Does subcutaneous suture type matter? - 2 day(s) ago
Laparoscopic gastrostomy tube (GT) placement is one of the most common procedures performed by pediatric surgeons. Several operative techniques are used for placement, and many utilize transabdominal tacking sutures to retract and stabilize the stomach during gastrotomy and tube insertion. The “modified” laparoscopic approach is a technique that employs such sutures and subcutaneously tunnels them in place, anchoring the stomach to the abdominal wall in the event of early dislodgement and need for GT replacement (Fig. 1) [1–5].
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Mashup Score: 17Minimally invasive repair of asymmetric pectus excavatum: An alternative technique to treating asymmetric morphology - 6 day(s) ago
Pectus Excavatum (PE) is the most common congenital anterior chest wall deformity, characterized by a depression of the sternum and costal cartilages. PE has an incidence ranging from 0.62 to 12.7 per 1000 [1]. About 60% of patients present with symmetric pectus excavatum and remaining 40% as asymmetric PE [10]. While the abnormality can be apparent at birth, it often progresses and becomes more noticeable starting from the age of one to the onset of puberty. With the growth of the patients, many patients with initial symmetric PE become right asymmetric in appearance as the position of the heart left shift over time [3].
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Mashup Score: 6
We are very excited for the Letter to the Editor sent by Bruna Aliotto Nalin Tedesco and colleagues from Botucatu Medical School, São Paulo, Brazil [1]. First of all, we would like to thank the authors for their positive feedback on our recently published study describing the utilization of the vacuum-assisted closure (VAC) therapy following posterior sagittal anorectalplasty (PSARP) [2]. Indeed, we showed that the use of VAC embedded in a perioperative treatment protocol (preoperative bowel preparation, +/- loperamide, intravenous antibiotics, and total parenteral nutrition) has a potential to prevent wound dehiscence of the neoanus and reconstructed perineal body after PSARP.
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Mashup Score: 8
Robotic-assisted vertical sleeve gastrectomy (VSG) in adolescent patients has been shown to have comparable outcomes to laparoscopic VSG. Recent data suggests that metabolic and bariatric surgery (performed using robotic and laparoscopic techniques) in patients with BMI ≥ 50 kg/m2 have a higher risk of adverse events compared to those with BMI < 50 kg/m2. The aim of this study was to compare the outcomes of robotic-assisted VSG in adolescents with a BMI above and below 50 kg/m2.
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Mashup Score: 2
Ulcerative colitis (UC) is a chronic inflammatory bowel disorder of the colonic mucosa that starts in the rectum, and generally extends proximally through the colon [1]. An estimated 20% of all patients with UC are diagnosed during childhood (< 18 years), with an incidence between 1 and 4 cases per 100,000/year. UC generally presents more severe in the pediatric population [2,3]. Medical management is typically first line therapy, however childhood-onset UC is less responsive to steroids compared to adult-onset UC [2].
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Mashup Score: 1
We thank Dudhani et al. for their interest and comments regarding our paper on ultrasound imaging for diagnosing malrotation [1].
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Mashup Score: 15Ultrasound is safe and highly specific for confirmation of proper gastrostomy tube replacement in pediatric patients - 23 day(s) ago
Gastrostomy tube (GT) placement is a common surgical procedure in pediatric patients [1]. High rates of hospital revisits are seen following GT placement in children [2,3]. Approximately 8.6% of pediatric patients return to the Pediatric Emergency Department (PED) within 30 days of initial GT placement for associated complications [1]. Not only are hospital visits of considerable incidence during the immediate post-operative period [1,4–7], but children with a GT visit the PED on average 1.25 times/year for GT-related complaints alone, the most common of which is dislodgement [2].
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Mashup Score: 20Operative repair in congenital diaphragmatic hernia: How long do we really need to wait? - 25 day(s) ago
Following the earliest reports of neonatal repair in the 1940′s, congenital diaphragmatic hernia (CDH) was considered one of the true surgical emergencies in the newborn and early repair was promoted [1]. However, delayed operative repair became more common as pre-operative stabilization with later intervention improved the deterioration in lung compliance and oxygenation often seen with early repair [2,3]. Several reports, including two small randomized trials, did not suggest a survival benefit with immediate versus delayed repair [4–11].
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Mashup Score: 13Ten-year experience with laparoscopic pedicled omental flap for cerebral revascularization in patients with Moyamoya disease - 25 day(s) ago
Moyamoya disease is an idiopathic chronic intracranial vasculopathy leading to progressive occlusion of bilateral distal internal carotid arteries. Fragile collateral vessels will form at the base of the skull to compensate for the ischemia associated with arterial stenosis. Groups of collateral vessels give the appearance of a hazy “puff of smoke” or Moyamoya in Japanese, which was first described in 1957 [1–3].
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Mashup Score: 17Operative repair in congenital diaphragmatic hernia: How long do we really need to wait? - 27 day(s) ago
Following the earliest reports of neonatal repair in the 1940′s, congenital diaphragmatic hernia (CDH) was considered one of the true surgical emergencies in the newborn and early repair was promoted [1]. However, delayed operative repair became more common as pre-operative stabilization with later intervention improved the deterioration in lung compliance and oxygenation often seen with early repair [2,3]. Several reports, including two small randomized trials, did not suggest a survival benefit with immediate versus delayed repair [4–11].
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Modified Laparoscopic Gastrostomy Tube Placement in Children: Does Subcutaneous Suture Type Matter? https://t.co/elYrkay3ak #SoMe4PedSurg #jpedsurg