Progress in Neonatal Surgical Diseases and Minimal Invasive Treatment

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Surgery".

Deadline for manuscript submissions: closed (5 October 2022) | Viewed by 3845

Special Issue Editors


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Guest Editor
Pediatric Surgery Unit, Department of Clinic and Surgical Science, University of Foggia, 71122 Foggia, Italy
Interests: neonatal; pediatric surgery

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Guest Editor
Pediatric Surgery Unit, Sant’Orsola University-Hospital, University of Bologna, 40138 Bologna, Italy
Interests: neonatal and pediatric surgery; minimal invasive techniques
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The Special Issue of Journal “Children” should focus on the advances in Neonatal Surgery. The manuscripts, including original articles, reviews, and case reports, can address pathophysiology, diagnosis, and treatment (medical and surgical) of neonatal disease cases of surgical interest. Of particular interest is neonatal enterocolitis, congenital megacolon, congenital anomalies of the urinary tract, oesophageal atresia, diaphragmatic hernia, lung and chest malformations, etc. Original manuscripts dealing with minimal invasive treatment, bio-markers and prognostic factors are particularly of interest. Pediatric surgeons, pediatric urologists, anesthesiologists, pediatricians and, of course, neonatologists are welcome to make contributions that pay special attention to the most advanced diagnostic and therapeutic approaches.

Dr. Fabio Bartoli
Prof. Dr. Mario Lima
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

  • neonatal congenital malformation
  • surgery
  • prognostic markers
  • minimal invasive technique
  • preterm related diseases

Published Papers (2 papers)

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17 pages, 1709 KiB  
Article
Pediatric Minimally Invasive Surgery—A Bibliometric Study on 30 Years of Research Activity
by Boshen Shu, Xiaoyan Feng, Illya Martynov, Martin Lacher and Steffi Mayer
Children 2022, 9(8), 1264; https://doi.org/10.3390/children9081264 - 21 Aug 2022
Cited by 4 | Viewed by 2173
Abstract
Background: Pediatric minimally invasive surgery (MIS) is a standard technique worldwide. We aimed to analyze the research activity in this field. Methods: Articles on pediatric MIS (1991–2020) were analyzed from the Web of Science™ for the total number of publications, citations, journals, and [...] Read more.
Background: Pediatric minimally invasive surgery (MIS) is a standard technique worldwide. We aimed to analyze the research activity in this field. Methods: Articles on pediatric MIS (1991–2020) were analyzed from the Web of Science™ for the total number of publications, citations, journals, and impact factors (IF). Of these, the 50 most cited publications were evaluated in detail and classified according to the level of evidence (i.e., study design) and topic (i.e., surgical procedure). Results: In total, 4464 publications and 53,111 citations from 684 journals on pediatric MIS were identified. The 50 most cited papers were published from 32 institutions in the USA/Canada (n = 28), Europe (n = 19), and Asia (n = 3) in 12 journals. Four authors (USA/Europe) contributed to 26% of the 50 most cited papers as first/senior author. Hot topics were laparoscopic pyeloplasty (n = 9), inguinal hernia repair (n = 7), appendectomy, and pyloromyotomy (n = 4 each). The majority of publications were retrospective studies (n = 33) and case reports (n = 6) (IF 5.2 ± 3.2; impact index 16.5 ± 6.4; citations 125 ± 39.4). They were cited as often as articles with high evidence levels (meta-analyses, n = 2; randomized controlled trials, n = 7; prospective studies, n = 2) (IF 12.9 ± 22.5; impact index 14.0 ± 6.5; citations 125 ± 34.7; p > 0.05). Conclusions: Publications on laparoscopic pyeloplasty, inguinal hernia repair, appendectomy, and pyloromyotomy are cited most often in pediatric MIS. However, the relevant number of studies with strong evidence for the advantages of MIS in pediatric surgery is missing. Full article
(This article belongs to the Special Issue Progress in Neonatal Surgical Diseases and Minimal Invasive Treatment)
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9 pages, 2177 KiB  
Brief Report
Laparoscopic Assisted Percutaneous Anterior Gastropexy for the Management of Acute and Chronic Gastric Volvulus in Infants
by Roberta Valentina Iacona, Francesco Grasso, Silvia Antonia Grimaldi, Massimo Lebet and Sebastiano Cacciaguerra
Children 2022, 9(9), 1275; https://doi.org/10.3390/children9091275 - 24 Aug 2022
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Abstract
Acute and chronic gastric volvulus (ACGV) is a rare event in infants and children. Its prompt treatment is needed to avoid gastric ischemia and perforation. A laparotomy or a laparoscopic/endoscopic reduction with or without the gastrostomy formation has been described to treat this [...] Read more.
Acute and chronic gastric volvulus (ACGV) is a rare event in infants and children. Its prompt treatment is needed to avoid gastric ischemia and perforation. A laparotomy or a laparoscopic/endoscopic reduction with or without the gastrostomy formation has been described to treat this condition. We wanted to report our experience and describe the surgical technique used to perform the percutaneous laparoscopic assisted anterior gastropexy in neonates presenting with this condition. We perform a retrospective review of a single institution’s experience with laparoscopic assisted percutaneous anterior gastropexy over a seven-year period (2015–2022). Procedures were performed under general anesthesia and the anterior gastropexy was performed using a modified extracorporeal knotting technique as described for the laparoscopic assisted repair of inguinal hernias via percutaneous internal ring suturing. Thirteen patients underwent surgery for ACGV at our institution over a seven-year period. The median age at diagnosis was 57 days, 7/13 patients presented with acute vomiting and regurgitation (54%), 1/13 (8%) presented with mainly feeding difficulties and 1/13 (8%) presented with acute abdominal distension. Data were not available for 4/13 patients. All of the patients underwent laparoscopic assisted anterior gastropexy using extracorporeal knotting technique; no gastrostomy insertion was needed. The median operative time was 50 min (40–95 min). No intraoperative complications were reported. Post-operatively patients were started on feeds on day 3 (2–5 days). Only one patient (8%) developed a postoperative complication: subcutaneous granuloma at the extracorporeal knot site. Although rare, acute GV is an important cause of gastric outlet obstruction with a detrimental outcome if not promptly recognized and treated. Laparoscopic assisted percutaneous anterior gastropexy is an attractive and safe alternative for the management of this condition in both infants and older children. This technique does not require gastrostomy placement and it has a very low morbidity rate with no mortality reported. Full article
(This article belongs to the Special Issue Progress in Neonatal Surgical Diseases and Minimal Invasive Treatment)
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