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Pediatric Omphalocele and Gastroschisis

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Decentralized surgery of abdominal wall defects in Germany.

Andrea Schmedding, Boris Wittekind, Emilia Salzmann-Manrique, Rolf Schloesser, Udo Rolle,

PURPOSE:Neonatal surgery for abdominal wall defects is not performed in a centralized manner in Germany. The aim of this study was to investigate whether treatment for abdominal wall defects in Germany is equally effective compared to international results despite the decentralized care. METHODS:All newborn patients who were clients of the ... Read more >>

Pediatr. Surg. Int. (Pediatric Surgery International)
[2020, :]

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Major abdominal wall defects in the low- and middle-income setting: current status and priorities.

Lofty-John Chukwuemeka Anyanwu, Niyi Ade-Ajayi, Udo Rolle,

Major congenital abdominal wall defects (gastroschisis and omphalocele) may account for up to 21% of emergency neonatal interventions in low- and middle-income countries. In many low- and middle-income countries, the reported mortality of these malformations is 30-100%, while in high-income countries, mortality in infants with major abdominal wall reaches less ... Read more >>

Pediatr. Surg. Int. (Pediatric surgery international)
[2020, :]

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Sex differences in surgically correctable congenital anomalies: A systematic review.

Anna J Black, Daphne Yd Lu, Leeor S Yefet, Robert Baird,

PURPOSE:This study aims to compare the prevalence and outcomes of surgically correctable congenital anomalies between sexes. METHODS:Upon registration on PROSPERO (CRD42019120165), a librarian aided in conducting a systematic review using PRISMA guidelines. The five largest relevant studies were included for each anomaly. Cumulative prevalence differences and confidence intervals were calculated, ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2020, :]

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Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair.

Ryuichiro Hirose, Satoshi Obata, Manabu Tojigamori, Masatoshi Nakamura, Shohei Taguchi, Toru Arima,

BACKGROUND:Esophageal hiatal hernia and gastroesophageal reflux have been recognized as inevitable complications after the definitive gastroschisis operation. Patients with refractory gastroesophageal reflux require anti-reflux surgery; however, the surgical adhesions may complicate subsequent surgical therapy, especially in the cases treated by staged repair. CASE PRESENTATION:A male infant who showed a severe ... Read more >>

Surg Case Rep (Surgical case reports)
[2019, 5(1):167]

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Population-based birth defects data in the United States, 2012-2016: A focus on abdominal wall defects.

Erin B Stallings, Jennifer L Isenburg, Tyiesha D Short, Dominique Heinke, Russell S Kirby, Paul A Romitti, Mark A Canfield, Leslie A O'Leary, Rebecca F Liberman, Nina E Forestieri, Wendy N Nembhard, Theresa Sandidge, Eirini Nestoridi, Jason L Salemi, Amy E Nance, Kirstan Duckett, Glenda M Ramirez, Xiaoyi Shan, Jing Shi, Philip J Lupo,

BACKGROUND/OBJECTIVES:In this report, the National Birth Defects Prevention Network (NBDPN) examines and compares gastroschisis and omphalocele for a recent 5-year birth cohort using data from 30 population-based birth defect surveillance programs in the United States. METHODS:As a special call for data for the 2019 NBDPN Annual Report, state programs reported ... Read more >>

Birth Defects Res (Birth defects research)
[2019, 111(18):1436-1447]

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Antenatal and postnatal diagnoses of visible congenital malformations in a sub-Saharan African setting: a prospective multicenter cohort study.

Igor Kamla, Nelly Kamgaing, Serge Billong, Joel Noutakdie Tochie, Paul Tolefac, Vincent de Paul Djientcheu,

BACKGROUND:Visible congenital malformations (VCMs) are one of the principal causes of disability in the world. Prenatal diagnosis is a paramount mandatory integral part of the follow up of pregnancies with VCM of the foetus in high-income setting. We aimed to determine the incidence of prenatal diagnosis of VCMs in a low-resource ... Read more >>

BMC Pediatr (BMC pediatrics)
[2019, 19(1):457]

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Use of Human Umbilical Cord and Its Byproducts in Tissue Regeneration.

Francesca Velarde, Verónica Castañeda, Emilia Morales, Mayra Ortega, Edwin Ocaña, Jose Álvarez-Barreto, Michelle Grunauer, Luis Eguiguren, Andrés Caicedo,

The fresh or cryopreserved human umbilical cord (HUC) and its byproducts, such as cells and extracts, have different uses in tissue regeneration. Defining what HUC byproduct is more effective in a particular application is a challenge. Furthermore, the methods of isolation, culture and preservation, may affect cell viability and regenerative ... Read more >>

Front Bioeng Biotechnol (Frontiers in Bioengineering and Biotechnology)
[2020, 8:117]

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Epidemiology and mortality of pediatric surgical conditions: insights from a tertiary center in Uganda.

Maija Cheung, Nasser Kakembo, Nensi Rizgar, David Grabski, Sarah Ullrich, Arlene Muzira, Phyllis Kisa, John Sekabira, Doruk Ozgediz,

INTRODUCTION/PURPOSE:The burden of pediatric surgical disease is largely unknown in low- and middle-income countries such as Uganda where access to care is limited. METHODS:Implementation of a locally led database in January 2012 at a Ugandan tertiary referral hospital, and review of 3465 prospectively collected pediatric surgical admissions from January 2012 ... Read more >>

Pediatr. Surg. Int. (Pediatric surgery international)
[2019, 35(11):1279-1289]

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Gestational Outcomes of Pregnancies with Prenatally Detected Gastroschisis and Omphalocele.

Fatih Aktoz, Ozgur Ozyuncu, Atakan Tanacan, Erdem Fadiloglu, Canan Unal, Tutku Soyer, Tolga Celik, Mehmet Sinan Beksac,

Objective: To evaluate and compare the outcomes of pregnancies with prenatally detected gastroschisis and omphalocele. Materials and Methods: We retrospectively evaluated prenatally detected gastroschisis and omphalocele cases. Cases were compared in terms of maternal demographic and clinical characteristics as well as pregnancy and neonatal outcomes. Results: This study consisted of ... Read more >>

Fetal Pediatr Pathol (Fetal and pediatric pathology)
[2019, 38(4):282-289]

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A Systematic Review of Current Consensus on Timing of Operative Repair Versus Spontaneous Closure for Asymptomatic Umbilical Hernias in Pediatric.

Waseem Almeflh, Ahmad AlRaymoony, Mohammad Mulifi AlDaaja, Baha Abdullah, Ahmad Oudeh,

Introduction:Umbilical hernia is a common pediatric disorder that pediatric surgeons are usually asked to manage. Most cases will be closed spontaneously during the first 4-5 years of life. Low number of studies regarding umbilical defects in children does not allow a definitive guideline to be drawn about their natural history, ... Read more >>

Med Arch (Medical archives (Sarajevo, Bosnia and Herzegovina))
[2019, 73(4):268-271]

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Insights into embryology and development of omphalocele.

Faraz A Khan, Asra Hashmi, Saleem Islam,

Congenital abdominal wall defects are one of the most common human birth defects with an incidence of about 1 in 2000 live births. While often discussed together abdominal wall defects consist mainly of two distinct entities namely gastroschisis and omphalocele. There is no clear consensus explaining the precise embryological mechanisms ... Read more >>

Semin. Pediatr. Surg. (Seminars in pediatric surgery)
[2019, 28(2):80-83]

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Surgical repair of a sternal cleft malformation.

Rıza Doğan, Serkan Uysal, Ulaş Kumbasar, Selman Kesici, Benan Bayrakçı,

Sternal cleft is a unique congenital chest wall malformation that results from failure of sternal fusion early in the embryological development. Surgical correction is advised both to protect mediastinal structures and to restore respiratory dynamics. Early surgical correction, preferably in the neonatal period, is recommended in order to benefit from ... Read more >>

Turk Gogus Kalp Damar Cerrahisi Derg (Turk gogus kalp damar cerrahisi dergisi)
[2019, 27(4):597-600]

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Outcome of Care Provided in Neonatal Surgery Intensive Care Unit of a Public Sector Tertiary Care Teaching Hospital of India.

Vijaydeep Siddharth, Shakti Kumar Gupta, Sandeep Agarwala, Sidhartha Satpathy, Prabudh Goel,

Aims:There is limited literature on the outcome of care in intensive care units (ICUs), especially when it comes to neonatal surgical units. Hence, this study was aimed to observe the outcome of care provided in the neonatal surgery ICU (NSICU) at an apex tertiary care teaching institute of North India. ... Read more >>

J Indian Assoc Pediatr Surg (Journal of Indian Association of Pediatric Surgeons)
[2019, 24(4):257-263]

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Is There a Need for Bowel Management after Surgery for Isolated Intestinal Malrotation in Children?

Martin Salö,

Purpose:Few studies have reported non-acute long-term morbidity rates in children with intestinal malrotation. The aim of this study was to investigate the rate of constipation in children undergoing Ladd's procedure for isolated intestinal malrotation. Methods:This retrospective study included children aged <15 years who underwent Ladd's procedure for intestinal malrotation between ... Read more >>

Pediatr Gastroenterol Hepatol Nutr (Pediatric gastroenterology, hepatology & nutrition)
[2019, 22(5):447-452]

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Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review.

Lena Naffaa, Andrew Barakat, Amro Baassiri, Lamya Ann Atweh,

The dilemma of acute non-traumatic abdominal pathologies in the pediatric population depends on the age of the patients and symptoms. Surgical etiologies in patients younger than 2 years of age include intussusception, pyloric stenosis, malrotation and midgut volvulus. In older patients, considerations become closer to differential etiologies in adults including ... Read more >>

J Radiol Case Rep (Journal of radiology case reports)
[2019, 13(7):29-43]

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Management and outcomes of gastrointestinal congenital anomalies in low, middle and high income countries: protocol for a multicentre, international, prospective cohort study.

Naomi Jane Wright, ,

INTRODUCTION:Congenital anomalies are the fifth leading cause of death in children <5 years of age globally, contributing an estimated half a million deaths per year. Very limited literature exists from low and middle income countries (LMICs) where most of these deaths occur. The Global PaedSurg Research Collaboration aims to undertake the ... Read more >>

BMJ Open (BMJ open)
[2019, 9(8):e030452]

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A Retrospective Analysis of the Effect of Combination of Pure Fish Oil with Third Generation Lipid Emulsion on Liver Function in Children on Long-Term Parenteral Nutrition.

Mikołaj Danko, Aleksandra Żyła-Pawlak, Janusz Książyk, Katarzyna Olszewska-Durkacz, Marta Sibilska, Joanna Żydak, Katarzyna Popińska,

BACKGROUND:Deterioration of liver function, or intestinal failure-associated liver disease, is often observed in long-term parenterally fed children. Fish oil-based intravenous lipids have been reported to play a role in the prevention and treatment of intestinal failure associated liver disease. METHODS:This retrospective analysis included 40 pediatric patients, (20 male and 20 ... Read more >>

Nutrients (Nutrients)
[2019, 11(10):]

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Minimally Invasive Repair of Pediatric Morgagni Hernias Using Transfascial Sutures with Extracorporeal Knot Tying.

Lian Lim, Sarah M Gilyard, Roman M Sydorak, Stanley T Lau, Edward Y Yoo, Donald B Shaul,

BACKGROUND:Morgagni hernias are rare, with a reported incidence of 2% to 5% of congenital diaphragmatic hernias. OBJECTIVES:To review a laparoscopic technique to repair Morgagni hernias in pediatric patients. METHODS:Retrospective chart review of pediatric patients who underwent minimally invasive repair of a Morgagni hernia from November 2009 to September 2017 within ... Read more >>

Perm J (The Permanente journal)
[2019, 23:]

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Evaluation of Clinical Outcomes of Sutureless vs Sutured Closure Techniques in Gastroschisis Repair.

Russell G Witt, Michael Zobel, Benjamin Padilla, Hanmin Lee, Tippi C MacKenzie, Lan Vu,

Importance:Sutureless gastroschisis repair offers an alternative to the traditional sutured method and has been associated with decreased intubation time. Published study results are inconsistent regarding the advantages of sutureless closure. Objective:To compare the clinical outcomes of sutureless and sutured gastroschisis repair. Design, Setting, and Participants:A single-center cohort review was performed ... Read more >>

JAMA Surg (JAMA surgery)
[2019, 154(1):33-39]

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Intrapericardial diaphragmatic hernia in a 6-month-old girl: A case report and review of the literature.

Matchecane Cossa, Tyler D Robinson,

INTRODUCTION:Intrapericardial congenital diaphragmatic hernia (IPCDH) is extremely rare: only 18 cases in children have been reported in the literature since 1981. We report the 19th case of infantile IPCDH in a 6-month-old girl and compare with previous reports. PRESENTATION OF CASE:Our patient initially presented with four days of dyspnea and ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 60:49-52]

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Gastroschisis at school age: what do parents report?

Annelieke Hijkoop, André B Rietman, René M H Wijnen, Dick Tibboel, Titia E Cohen-Overbeek, Joost van Rosmalen, Hanneke IJsselstijn,

Children with gastroschisis are at high risk of morbidity in early life, which could affect long-term outcomes. We determined parent-reported outcomes in school-aged children born in 2000-2012, using paper questionnaires. Parent-perceived child vulnerability and motor function were compared with the Dutch reference data; parent-rated data on cognition, health status, quality ... Read more >>

Eur. J. Pediatr. (European journal of pediatrics)
[2019, 178(9):1405-1412]

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Changes in maternal age and prevalence of congenital anomalies during the enactment of China's universal two-child policy (2013-2017) in Zhejiang Province, China: An observational study.

Xiaohui Zhang, Lijin Chen, Xuemiao Wang, Xiaoyan Wang, Menghan Jia, Saili Ni, Wei He, Shankuan Zhu,

BACKGROUND:China implemented a partial two-child policy (2013) followed by a universal two-child policy (2015), replacing the former one-child policy mandated by the government. The changes affect many aspects of China's population as well as maternal and infant health, but their potential impact on birth defects (BDs) remains unknown. In this ... Read more >>

PLoS Med. (PLoS medicine)
[2020, 17(2):e1003047]

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The need for Paediatric Emergency Laparotomy Audit (PELA) in the UK.

C K Sinha, E Rye, R Sunderland, D Rex, E Nicholls, B Okoye,

INTRODUCTION:The National Emergency Laparotomy Audit (NELA) has raised serious concerns about the processes of care and outcomes in adult emergency laparotomies in the UK. To date, no comparable data have been published for children. The aim of this study was to investigate the need for a similar audit in children. ... Read more >>

Ann R Coll Surg Engl (Annals of the Royal College of Surgeons of England)
[2020, 102(3):209-213]

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Laparoscopic 'steering wheel' derotation technique for midgut volvulus in children with intestinal malrotation.

Vikesh Agrawal, Abhishek Tiwari, Himanshu Acharya, Rajesh Mishra, Dhananjaya Sharma,

Introduction:Since the first description by William Ladd, the Ladd's procedure has been the surgery of choice for the correction of malrotation. The laparoscopic Ladd's procedure is becoming popular with the advent of minimal access surgery and is described in the literature. Various techniques of the Ladd's procedure have been described ... Read more >>

J Minim Access Surg (Journal of minimal access surgery)
[2019, 15(3):219-223]

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Low and decreased prevalence of congenital abdominal wall defect in Taiwan.

Ming-Chun Chen, Jian-Han Chen, Yun Chen, Ya-Hui Tsai, Cheng-Hung Lee,

PURPOSE:This study aims to identify the prevalence of Congenital abdominal wall defects (AWD), hospital outcomes, and related congenital abnormalities in Taiwan by using the National Health Insurance Research Database (NHIRD). MATERIALS AND METHODS:From 1998 through 2013, all pediatric patients with AWD were collected via ICD-9-CM diagnostic code 756.7x ("congenital anomalies ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2019, 54(9):1958-1964]

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