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Children
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Diagnosis, Treatment and Prognosis of Surgical Diseases in Children
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Diagnosis, Treatment and Prognosis of Surgical Diseases in Children

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

Deadline for manuscript submissions: closed (25 October 2022) | Viewed by 13961

Special Issue Editors

Dr. Yi-Ting Yeh

E-Mail Website
Guest Editor
Pediatric Surgery Division, Taipei Veterans General Hospital, Taipei, Taiwan
Interests: laparoscopic surgery; abdominal surgery; surgical oncology; minimally invasive surgery; hernia surgery; gastrointestinal surgery; colorectal surgery; laparoscopic cholecystectomy; advance laparoscopic surgery; hepatobiliary surgery
Prof. Dr. Chin-Su Liu

E-Mail Website
Guest Editor
Division of Pediatric Surgery, Department of Surgery, National Yang-Ming University, Taipei, Taiwan
Interests: genitourinary surgery; pediatric thoracic surgery; abdominal surgery; general pediatric surgery; anal surgery; congenital malformation; liver transplant surgery

Special Issue Information

Dear Colleagues,

It is my great honor to serve as a guest editor of this Special Issue of Children entitled Diagnosis, Treatment, and Prognosis of Surgical Diseases in Children.

Surgical diseases in infancy and childhood encompass a wide range of conditions including congenital disorders, acquired/infectious diseases, trauma, and pediatric oncology. A thorough understanding of the presentation, diagnosis, treatment, post-operative management, and follow-up/transitional care is imperative for practitioners of various specialties to maintain a high standard of care, providing optimal outcomes for our patients.

The goal of this Special Issue is to present original research, reviews, clinical studies, brief reports, case reports, and editorials covering the advances and innovations in diagnostic approaches, multidisciplinary management, and translational and basic research regarding surgical diseases in infancy and childhood.

I look forward to receiving your contributions.

Dr. Yi-Ting Yeh
Prof. Dr. Chin-Su Liu
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric
  • pediatric surgery
  • diagnostic modalities
  • multidisciplinary management
  • transitional care
  • translational research

Published Papers (4 papers)

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Research

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15 pages, 1734 KiB  
Article
Comparison of Negative Pressure Wound Therapy (NPWT) and Classical Wet to Moist Dressing (WtM) in the Treatment of Complicated Extremity Wounds in Children
by Milan Slavkovic, Dragoljub Zivanovic, Siniša Dučić, Valentina Lasić, Nado Bukvić, Harry Nikolić and Vlatka Martinović
Children 2023, 10(2), 298; https://doi.org/10.3390/children10020298 - 03 Feb 2023
Cited by 2 | Viewed by 4383
Abstract
Treating complicated wounds in the pediatric population using traditional wet to moist wound dressing methods is not always appropriate due to the frequent need to change dressings daily or even a number of times a day, causing distress to the patient. Topical negative [...] Read more.
Treating complicated wounds in the pediatric population using traditional wet to moist wound dressing methods is not always appropriate due to the frequent need to change dressings daily or even a number of times a day, causing distress to the patient. Topical negative pressure is a method that allows for fewer dressings and provides localized benefits, thus accelerating wound healing. The merits of this therapy have been proven in studies on adults, but research on the pediatric population is scarce. Here we intend to present the results of negative pressure wound therapy (NPWT) on 34 pediatric patients (study group) and compare them with 24 patients (control group) treated with the traditional wet to moist dressing for complicated wounds. The results show that topical negative pressure wound therapy is a safe method that downgrades a wound from a complicated to a simple one and allows definitive coverage using a simpler technique with fewer wound dressings. The scars of the patients in the study group exhibited a better result on a visual scar scale. The patients in the control group had a shorter hospital stay. Based on the recorded results, we were able to make treatment recommendations. Full article
(This article belongs to the Special Issue Diagnosis, Treatment and Prognosis of Surgical Diseases in Children)
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12 pages, 624 KiB  
Article
Open Pyeloplasty in Infants under 1 Year—Proven or Meaningless?
by Franziska Vauth, Pirmin Zöhrer, Florian Girtner, Wolfgang H. Rösch and Aybike Hofmann
Children 2023, 10(2), 257; https://doi.org/10.3390/children10020257 - 31 Jan 2023
Viewed by 6058
Abstract
The use of minimally invasive surgery (MIS) to treat ureteropelvic junction obstruction (UPJO) in children has significantly increased. Nowadays, open pyeloplasty (OP) seems to lose importance. The aim of this study is to evaluate the safety and efficacy of OP in infants < [...] Read more.
The use of minimally invasive surgery (MIS) to treat ureteropelvic junction obstruction (UPJO) in children has significantly increased. Nowadays, open pyeloplasty (OP) seems to lose importance. The aim of this study is to evaluate the safety and efficacy of OP in infants < 1 year. Medical records of patients < 1 year with UPJO who had undergone retroperitoneal OP (January 2008–February 2022) at our institution were retrospectively analyzed. Included patients were operated on according to a modified Anderson–Hynes technique. All clinical, operative, and postoperative (1 month–5 years’ follow-up) data were collected. Additionally, a nonvalidated questionnaire was sent to the patients/parents. A total of 162 infants (124 boys) met the inclusion criteria. The median age at surgery was 3 months (range: 0–11 months). The median operation time was 106 min (range: 63–198 min). None of the patients had severe surgical complication (Clavien–Dindo > 3). The nonvalidated questionnaire showed a high impact of quality of life. Follow-up was in median 30.5 months (0–162 months). OP is still a reliable procedure with good long-term results especially in infants < 1 year of age, which can be performed in a variety of centers. Full article
(This article belongs to the Special Issue Diagnosis, Treatment and Prognosis of Surgical Diseases in Children)
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9 pages, 905 KiB  
Article
Postoperative Alanine Aminotransferase Levels Are Associated with Outcomes in Pediatric Patients Undergoing Total Cavopulmonary Connection
by Siyao Chen, Han Wang, Dandong Luo and Chongjian Zhang
Children 2022, 9(9), 1410; https://doi.org/10.3390/children9091410 - 17 Sep 2022
Viewed by 1276
Abstract
Background: This single-center, retrospective study aims to determine the association between alanine aminotransferase (ALT) and outcomes in pediatric patients undergoing total cavopulmonary connection (TCPC). Methods: In total, 256 pediatric patients undergoing TCPC were included and divided into a normal-ALT group and a high-ALT [...] Read more.
Background: This single-center, retrospective study aims to determine the association between alanine aminotransferase (ALT) and outcomes in pediatric patients undergoing total cavopulmonary connection (TCPC). Methods: In total, 256 pediatric patients undergoing TCPC were included and divided into a normal-ALT group and a high-ALT group. Clinical data were collected for comparisons between groups, and risk factors of high postoperative ALT were identified by univariate and multivariate analysis. A ROC analysis of the predictive value of postoperative ALT was conducted. Results: Compared to the normal-ALT group, the members of the high-ALT group were 1.6 years older and had significantly higher preoperative creatinine and direct bilirubin levels. The high-ALT group had increased fluid overload, higher vasoactive inotropic drug scores, and inferior central venous pressure. The short-term outcomes in the high-ALT group were markedly worse: they suffered a longer duration of mechanical ventilation (MV), had a higher ICU and hospital length of stay (LOS), and higher rates of mortality, infection, and reintubation. Prolonged ICU and hospital LOS, longer MV, and reintubation were identified as independent risk factors for high postoperative ALT. Postoperative ALT was of high value in predicting reintubation, MV, ICU LOS, and mortality. Conclusions: Elevated postoperative ALT levels are associated with poor short-term outcomes in pediatric patients undergoing TCPC. Full article
(This article belongs to the Special Issue Diagnosis, Treatment and Prognosis of Surgical Diseases in Children)
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8 pages, 906 KiB  
Case Report
A Pediatric Case of Inverted Meckel’s Diverticulum Presenting with Cyclic Vomiting-like Symptoms: A Case Report and Literature Review
by Yoshiko Endo, Keisuke Jimbo, Nobuyasu Arai, Takanori Ochi, Mitsuyoshi Suzuki, Atsuyuki Yamataka and Toshiaki Shimizu
Children 2022, 9(12), 1817; https://doi.org/10.3390/children9121817 - 24 Nov 2022
Cited by 2 | Viewed by 1724
Abstract
Asymptomatic Meckel’s diverticulum cases are not uncommon, leading to diagnostic difficulties in cases of atypical presentations with only gastrointestinal symptoms other than bloody stool. A nine-year-old boy diagnosed as having cyclic vomiting because of recurrent abdominal pain and vomiting for 6 months was [...] Read more.
Asymptomatic Meckel’s diverticulum cases are not uncommon, leading to diagnostic difficulties in cases of atypical presentations with only gastrointestinal symptoms other than bloody stool. A nine-year-old boy diagnosed as having cyclic vomiting because of recurrent abdominal pain and vomiting for 6 months was referred to our institute and hospitalized due to worsening symptoms. After admission, abdominal ultrasonography showed the multiple concentric ring sign and a pseudokidney sign at the lower ileum, leading to the diagnosis of ileo-ileal intussusception, but the gastrointestinal symptoms and ultrasonic findings disappeared spontaneously. Transanal, double-balloon, intestinal endoscopy demonstrated a pedunculated polyp-like structure, and surgical resection was performed. An inverted diverticulum was found in the resected intestinal lumen, and ectopic gastric mucosa was identified histologically, leading to the diagnosis of inverted Meckel’s diverticulum. In pediatric cases involving periodic attacks of vomiting and abdominal pain, unnecessary emergent surgery could be avoided by cautious imaging evaluation and consideration of ileo-ileal intussusception with advanced lesions of an inverted Meckel’s diverticulum as a differential diagnosis, without facilely diagnosing cyclic vomiting. In addition, previous reports of inverted Meckel’s diverticulum were reviewed, and the results were compared between adult and pediatric groups in each category. Full article
(This article belongs to the Special Issue Diagnosis, Treatment and Prognosis of Surgical Diseases in Children)
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