| Papers Presented at the 42nd Annual Meeting of the American Pediatric Surgical Association, Palm Desert, CA, May 22-25, 2011 |
| Presidential Address |
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Author(s) |
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Health care quality, access, cost, workforce, and surgical education: the ultimate perfect storm
Abstract: The discussions on health care reform over the past two years have focused on cost containment while trying to maintain quality of care. Focusing on just cost and quality unfortunately does ...
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Marshall Z. Schwartz
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1-9
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| Robert E. Gross Lecture |
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Article Title |
Author(s) |
Pages |
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Notes on the early development of pediatric surgery in the United States
Abstract: This lecture addresses the leadership roles in American surgery.
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Judson G. Randolph
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10-16
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| Jay and Margie Grosfeld Lecture |
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Article Title |
Author(s) |
Pages |
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Regenerative medicine strategies
Abstract: Applications of regenerative medicine technology may offer novel therapies for patients with injuries, end-stage organ failure, or other clinical problems. Currently, patients suffering from...
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Anthony Atala
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17-28
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| Journal of Pediatric Surgery Lecture |
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Article Title |
Author(s) |
Pages |
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The history of paediatric surgery in the United Kingdom and the influence of the national health service on its development
Abstract: Details of the modern history of paediatric surgery in the United Kingdom with particular emphasis on the 3 main training centres in England in the 1960s to 1970s are discussed. The genesis ...
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Lewis Spitz
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29-35
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| APSA Papers |
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Article Title |
Author(s) |
Pages |
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Microcystic congenital pulmonary airway malformation with hydrops fetalis: steroids vs open fetal resection
Abstract: Background/Purpose: Congenital pulmonary airway malformations (CPAM) are rare lesions often diagnosed during routine prenatal ultrasound. The presence of hydrops fetalis is an indicator of p...
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Kenneth C. Loh,
Eric Jelin,
Shinjiro Hirose,
Vickie Feldstein,
Ruth Goldstein,
Hanmin Lee
et al.
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36-39
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Defining hydrops and indications for open fetal surgery for fetuses with lung masses and vascular tumors
Abstract: Purpose: The aim of this study was to identify the most accurate prenatal predictors of outcomes and need for fetal surgery for fetuses with high-risk lung masses and vascular tumors. Method...
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Darrell L. Cass,
Oluyinka O. Olutoye,
Nancy A. Ayres,
Kenneth J. Moise,
Carolyn A. Altman,
Anthony Johnson,
Christopher I. Cassady,
David A. Lazar,
Timothy C. Lee,
M. Regina L. Lantin
et al.
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40-45
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Tracheoesophageal displacement index and predictors of airway obstruction for fetuses with neck masses
Abstract: Purpose: There are no established selection guidelines to determine which fetuses with giant neck masses may benefit from delivery using an ex utero intrapartum treatment procedure. The purp...
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David A. Lazar,
Christopher I. Cassady,
Oluyinka O. Olutoye,
Kenneth J. Moise,
Anthony Johnson,
Timothy C. Lee,
Darrell L. Cass
et al.
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46-50
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Long-term morbidity after fetal endoscopic surgery for severe twin-to-twin transfusion syndrome
Abstract: Background/Purpose: Severe twin-to-twin transfusion syndrome (TTTS) leads to 80% to 100% dual mortality. Endoscopic laser coagulation of connecting vessels improves outcome to 80% survival o...
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Benjamin Kowitt,
Richard Tucker,
Debra Watson-Smith,
Christopher S. Muratore,
Barbara M. O'Brien,
Betty R. Vohr,
Stephen R. Carr,
François I. Luks
et al.
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51-56
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The congenital diaphragmatic hernia composite prognostic index correlates with survival in left-sided congenital diaphragmatic hernia
Abstract: Purpose: We developed the congenital diaphragmatic hernia congenital prognostic index (CDH-CPI) to incorporate all known prognostic variables into a single composite index to improve prognos...
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Louis D. Le,
Sundeep G. Keswani,
Jacek Biesiada,
Foong-Yen Lim,
Paul S. Kingma,
Beth E. Haberman,
Jason Frischer,
Mounira Habli,
Timothy M. Crombleholme
et al.
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57-62
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Improved survival in venovenous vs venoarterial extracorporeal membrane oxygenation for pediatric noncardiac sepsis patients: a study of the Extracorporeal Life Support Organization registry
Abstract: Background/Purpose: There are few studies comparing venoarterial (VA) and venovenous (VV) extracorporeal membrane oxygenation (ECMO) in pediatric noncardiac sepsis patients. Methods: Followi...
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Sean C. Skinner,
Joseph A. Iocono,
Hubert O. Ballard,
Marion D. Turner,
Austin N. Ward,
Daniel L. Davenport,
Matthew L. Paden,
Joseph B. Zwischenberger
et al.
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63-67
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Extracorporeal membrane oxygenation cannulation trends for pediatric respiratory failure and central nervous system injury
Abstract: Background: Guidelines regarding arterial cannula site and cannula site-specific risks of central nervous system (CNS) injury for pediatric patients requiring extracorporeal membrane oxygena...
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Michael D. Rollins,
Ania Hubbard,
Luke Zabrocki,
Douglas C. Barnhart,
Susan L. Bratton
et al.
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68-75
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Utility of neuroradiographic imaging in predicting outcomes after neonatal extracorporeal membrane oxygenation
Abstract: Background: The need for routine neuroimaging after extracorporeal membrane oxygenation (ECMO) and the optimal radiographic study remains unclear. We sought to evaluate the correlation betwe...
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Michael D. Rollins,
Bradley A. Yoder,
Kevin R. Moore,
Douglas C. Barnhart,
Chris Jones,
Donald M. Null,
Robert J. DiGeronimo
et al.
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76-80
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Split abdominal wall muscle flap repair vs patch repair of large congenital diaphragmatic hernias
Abstract: Purpose: Large congenital diaphragmatic hernias are commonly repaired with a prosthetic patch. We hypothesized that a split abdominal wall muscle flap would reduce the risk of recurrence. Me...
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Douglas C. Barnhart,
Elisabeth Jacques,
Eric R. Scaife,
Bradley A. Yoder,
Rebecka L. Meyers,
Annette Harman,
Earl C. Downey,
Michael D. Rollins
et al.
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81-86
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Congenital lung anomalies: can we postpone resection?
Abstract: Background/Purpose: The management of asymptomatic congenital lung lesions is controversial. It is unclear whether elective resection provides a significant benefit. We sought to determine w...
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Nadja Colon,
Cameron Schlegel,
John Pietsch,
Dai H. Chung,
Gretchen Purcell Jackson
et al.
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87-92
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Pyloromyotomy: randomized control trial of laparoscopic vs open technique
Abstract: Purpose: Open pyloromyotomy remains as the criterion standard treatment for hypertrophic pyloric stenosis with the laparoscopic approach rapidly gaining adoption. We present a prospective, r...
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Sabina Siddiqui,
R. Eric Heidel,
Carlos A. Angel,
Alfred P. Kennedy
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93-98
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A novel antireflux procedure: gastroplasty with restricted antrum to control emesis (GRACE)
Abstract: Purpose: Nissen fundoplication is the most commonly performed operation to treat gastroesophageal reflux disease and vomiting in children with neurologic impairment. However, failure rates o...
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Lucas P. Neff,
Robert D. Becher,
Aaron U. Blackham,
Natalie A. Banks,
Erin L. Mitchell,
John K. Petty
et al.
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99-106
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Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes?
Abstract: Background/Purpose: The pediatric quality indicators (PDIs) were developed by the Agency for Healthcare Research and Quality to compare patient safety and quality of pediatric care. These ar...
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Daniel Rhee,
Yiyi Zhang,
Dominic Papandria,
Gezzer Ortega,
Fizan Abdullah
et al.
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107-111
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Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients
Abstract: Background: Intrahospital transfers are necessary but hazardous aspects of pediatric surgical care. Plan-Do-Study-Act processes identify risks during hospitalization and improve care systems...
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Don K. Nakayama,
Sally S. Lester,
Darla R. Rich,
Bryan C. Weidner,
Joshua B. Glenn,
Issam J. Shaker
et al.
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112-118
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The jury is still out: changes in gastroschisis management over the last decade are associated with both benefits and shortcomings
Abstract: Purpose: Management of gastroschisis has shifted from early primary closure to preformed silo placement and delayed closure. We aimed to identify how closure techniques have changed and how ...
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Brent R. Weil,
Charles M. Leys,
Frederick J. Rescorla
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119-124
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Long-term neurodevelopmental outcomes in children born with gastroschisis: the tiebreaker
Abstract: Purpose: We evaluated 2-year neurodevelopmental outcomes in children with gastroschisis. Methods: We reviewed the records of children with gastroschisis treated between August 2001 and July ...
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Adam S. Gorra,
Howard Needelman,
Kenneth S. Azarow,
Holly J. Roberts,
Barbara J. Jackson,
Robert A. Cusick
et al.
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125-129
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Pancreatic head resection and Roux-en-Y pancreaticojejunostomy for the treatment of the focal form of congenital hyperinsulinism
Abstract: Purpose: To determine the outcome of patients who underwent pancreatic head resection and Roux-en-Y pancreaticojejunostomy to the remaining normal pancreatic body and tail for the treatment ...
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Pablo Laje,
Charles A. Stanley,
Andrew A. Palladino,
Susan A. Becker,
N. Scott Adzick
et al.
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130-135
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Development of an endoluminal intestinal lengthening capsule
Abstract: Purpose: Prior studies demonstrated the ability of a spring to lengthen intestinal segments. We made two innovations to this device. First, we employed a degradable capsule to control the de...
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Rebecca Stark,
Mohanchandra Panduranga,
Gregory Carman,
James C.Y. Dunn
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136-141
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Evaluation of intestinal viability using 3–charge coupled device image enhancement technology in a pediatric laparoscopic appendectomy model
Abstract: Background: Intraoperative laparoscopic determination of intestinal viability is currently limited to subjective visible cues. Adjunctive modalities are neither widely available nor practica...
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Maridelle B. Millendez,
Nicole J. Crane,
Eric A. Elster,
Shawn D. Safford
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142-147
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Epidural vs patient-controlled analgesia for postoperative pain after pectus excavatum repair: a prospective, randomized trial
Abstract: Purpose: Management of postoperative pain is a challenge after the minimally invasive repair of pectus excavatum. Pain is usually managed by either a thoracic epidural or patient-controlled ...
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Shawn D. St. Peter,
Kathryn A. Weesner,
Eric E. Weissend,
Susan W. Sharp,
Patricia A. Valusek,
Ronald J. Sharp,
Charles L. Snyder,
George W. Holcomb,
Daniel J. Ostlie
et al.
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148-153
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Magnetic mini-mover procedure for pectus excavatum III: safety and efficacy in a Food and Drug Administration-sponsored clinical trial
Abstract: Purpose: The magnetic mini-mover procedure (3MP) uses magnetic force to gradually remodel pectus excavatum deformity. A magnet is implanted on the sternum and coupled with an external magnet...
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Michael R. Harrison,
Kelly D. Gonzales,
Barbara J. Bratton,
Darrell Christensen,
Patrick F. Curran,
Richard Fechter,
Shinjiro Hirose
et al.
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154-159
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Optoelectronic plethysmography demonstrates abrogation of regional chest wall motion dysfunction in patients with pectus excavatum after Nuss repair
Abstract: Purpose: We previously demonstrated that patients with pectus excavatum (PE) have significantly decreased chest wall motion at the pectus defect compared with the rest of the chest vs unaffe...
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Richard E. Redlinger,
Ashley Wootton,
Robert E. Kelly,
Donald Nuss,
Michael Goretsky,
M. Ann Kuhn,
Robert J. Obermeyer
et al.
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160-164
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Lessons from a liver hemangioma registry: subtype classification
Abstract: Purpose: A previously proposed classification of hepatic hemangioma postulated 3 types of lesions: focal, multifocal, and diffuse. A registry (www.liverhemangioma.org) was created to track p...
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Ann M. Kulungowski,
Ahmad I. Alomari,
Aditya Chawla,
Emily R. Christison-Lagay,
Steven J. Fishman
et al.
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165-170
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Circulating thyrotropin receptor messenger RNA for evaluation of thyroid nodules and surveillance of thyroid cancer in children
Abstract: Purpose: The aim of this study was to determine the role of thyrotropin receptor messenger RNA as a novel blood test for evaluation of thyroid nodules and cancer in children. Methods: We rev...
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Jesse Gutnick,
Oliver Soldes,
Manjula Gupta,
Mira Milas
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171-176
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Novel zebrafish model reveals a critical role for MAPK in lymphangiogenesis
Abstract: Purpose: Lymphatic disorders are poorly understood with few animal models. We designed a novel assay to measure lymphatic development using transgenic zebrafish with fluorescently labeled en...
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R. Dawn Fevurly,
Sean Hasso,
Alexander Fye,
Steven J. Fishman,
Joanne Chan
et al.
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177-182
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Rapamycin-induced tumor vasculature remodeling in rhabdomyosarcoma xenografts increases the effectiveness of adjuvant ionizing radiation
Abstract: Purpose: Rapamycin inhibits vascular endothelial growth factor expression. Vascular endothelial growth factor is a tumor-elaborated protein that stimulates neovascularization. This inhibitio...
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Adrianne L. Myers,
W. Shannon Orr,
Jason W. Denbo,
Catherine Y. Ng,
Junfang Zhou,
Yunyu Spence,
Jianrong Wu,
Andrew M. Davidoff
et al.
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183-189
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A multicenter evaluation of the role of mechanical bowel preparation in pediatric colostomy takedown
Abstract: Background: In response to studies in adults that have failed to demonstrate a benefit for mechanical bowel preparation in colonic surgery, we sought to evaluate the utility of mechanical bo...
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Katherine Serrurier,
Jie Liu,
Francine Breckler,
Nini Khozeimeh,
Deborah Billmire,
Cynthia Gingalewski,
Gerald Gollin
et al.
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190-193
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Hepatocyte growth factor and omega-3–enriched feeds have a synergistic effect on mucosal mass in an animal model of inflammatory bowel disease
Abstract: Background: Hepatocyte growth factor (HGF) decreases intestinal inflammation and cytokine levels in an animal model of inflammatory bowel disease (IBD). Luminal omega-3 (OM-3) is anti-angiog...
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Michael S. Katz,
Keith A. Thatch,
Marshall Z. Schwartz
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194-198
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Pediatric chronic ulcerative colitis: does infliximab increase post–ileal pouch anal anastomosis complications?
Abstract: Background: Total proctocolectomy with ileal pouch anal anastomosis (IPAA) is a common surgical approach to chronic ulcerative colitis (CUC). Preoperative use of Infliximab (IFX) has raised ...
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Raelene Kennedy,
D. Dean Potter,
Christopher Moir,
Abdalla E. Zarroug,
William Faubion,
Jeanne Tung
et al.
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199-203
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Restorative proctocolectomy without diverting ileostomy in children with ulcerative colitis
Abstract: Purpose: The safety of performing a restorative proctocolectomy (RP) and J-pouch ileoanal anastomosis (IPAA) without diverting ileostomy for children with ulcerative colitis (UC) is a subjec...
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Brian W. Gray,
Robert A. Drongowski,
Ronald B. Hirschl,
James D. Geiger
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204-208
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Is daily dilatation by parents necessary after surgery for Hirschsprung disease and anorectal malformations?
Abstract: Background/Purpose: Most surgeons recommend daily dilatation after surgery for Hirschsprung disease and anorectal malformations. Our goal was to critically evaluate the potential risks and b...
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Sara J. Temple,
Anna Shawyer,
Jacob C. Langer
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209-212
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Pediatric hernia repair: 1-stop shopping
Abstract: Purpose: Multiple visits for the evaluation, treatment, and follow-up of straightforward surgical problems are inconvenient, can result in lost work for the parents, and missed school for th...
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Sean J. Barnett,
Jason S. Frischer,
John A. Gaskey,
Frederick C. Ryckman,
Daniel von Allmen
et al.
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213-216
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Overnight observation in former premature infants undergoing inguinal hernia repair
Abstract: Background: Overnight observation for apneic events is standard practice in former preterm infants. However, the literature supporting current protocols is dated. Therefore, we retrospective...
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Carrie A. Laituri,
Carissa L. Garey,
Benjamin J. Pieters,
Peter Mestad,
Eric E. Weissend,
Shawn D. St. Peter
et al.
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217-220
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Using robotic telecommunications to triage pediatric disaster victims
Abstract: Purpose: During a disaster, hospitals may be overwhelmed and have an insufficient number of pediatric specialists available to care for injured children. The aim of this study was to determi...
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Rita V. Burke,
Bridget M. Berg,
Paul Vee,
Inge Morton,
Alan Nager,
Robert Neches,
Randall Wetzel,
Jeffrey S. Upperman
et al.
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221-224
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| Review Articles |
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Article Title |
Author(s) |
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Parenteral nutrition–associated cholestasis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review
Abstract: Objective: The aim of this study was to review evidence-based data addressing key clinical questions regarding parenteral nutrition–associated cholestasis (PNAC) and parenteral nutrition–ass...
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Shawn J. Rangel,
Casey M. Calkins,
Robert A. Cowles,
Douglas C. Barnhart,
Eunice Y. Huang,
Fizan Abdullah,
Marjorie J. Arca,
Daniel H. Teitelbaum,
For the 2011 American Pediatric Surgical Association Outcomes and Clinical Trials Committee
et al.
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225-240
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Probiotic supplement reduces risk of necrotizing enterocolitis and mortality in preterm very low-birth-weight infants: an updated meta-analysis of 20 randomized, controlled trials
Abstract: Purpose: Necrotizing enterocolitis (NEC) is the most common acquired disease of the gastrointestinal tract in preterm infants, whereas probiotic supplementation might reduce NEC risk and pot...
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Quanzhen Wang,
Jing Dong,
Yimin Zhu
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241-248
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Continuing Medical Education Program: Journal of Pediatric Surgery–CME featured articles in this issue
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249
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| Pediatric Surgical Image |
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Article Title |
Author(s) |
Pages |
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Trichoblastoma: management of a rare skin lesion
Abstract: A 15-year-old girl presented with a 2-year history of an enlarging parietal scalp lesion. Excisional biopsy revealed trichoblastoma, a benign secondary tumor arising from a nevus sebaceous. ...
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Kristen A. Zeller,
Deborah F. Billmire
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250-252
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| Operative Techniques |
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Article Title |
Author(s) |
Pages |
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Gastroportal shunt for portal hypertension in children
Abstract: Purpose: Extrahepatic portal venous obstruction is the most common cause of portal hypertension in children. The Rex shunt has been used successfully to treat patients with extrahepatic port...
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Jin-Shan Zhang,
Long Li,
Shu-Li Liu,
Wei Cheng,
Mei Diao,
Wen-Ying Hou,
Jun Zhang,
Sheng-Li Li,
Yao Liu,
Hai-Bin Wang,
An-Xiao Ming
et al.
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253-257
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Simplified technique for minimally invasive repair of congenital diaphragmatic hernia using hollow-needle snare and transthoracic traction stitches
Abstract: Background: Minimally invasive (MI) congenital diaphragmatic hernia (CDH) repair can be challenging. Placing rib-anchoring stitches without creating skin incisions and closing wider defects ...
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Ayman Al-Jazaeri
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258-263
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| Special Departments |
| International Abstracts of Pediatric Surgery |
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Article Title |
Author(s) |
Pages |
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Book review
The authors report their initial experience with propranolol, a nonselective β-blocker, used to treat subglottic hemangiomas (SGHs) in 10 patients referred to 1 of 2 pediatric teaching hospitals in Sy...
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A.J.A. Holland
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264
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Book review
Although common, supracondylar fractures result in pulse loss in less than 14% of cases and a white pulseless hand in just 1%. Optimal management of a warm but pulseless hand after reduction remains c...
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A.J.A. Holland
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265
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Book review
Self-filling, hydrogel-based osmotic tissue expanders have been successfully used for several years mainly in adult patients. The authors tested this novel device in pediatric plastic and reconstructi...
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Thomas A. Angerpointner
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265
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Book review
This article was written by the surgeon-in chief (Dr Wright) and coauthored by the pediatrician-in-chief, vice president of corporate strategy and performance, and chief of research, all at the Hospit...
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Sigmund H. Ein
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265
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Book review
Surgical repair of pectus excavatum (PE) in childhood is a well-established procedure. Previously used operative techniques to correct PE were largely based on the Ravitch technique. Since about 10 ye...
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Federico G. Seifarth
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265-266
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Book review
The authors report on their experience with a modified Spitz procedure using a Collis gastroplasty for the repair of long-gap esophageal atresia (EA).
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Thomas A. Angerpointner
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266
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Book review
Three boys with ultrasound-confirmed infantile hypertrophic pyloric stenosis presented with minimal electrolyte imbalance and mild clinical dehydration. All 3 had been treated for presumed gastroesoph...
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A.J.A. Holland
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266
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Book review
The aim of this study was to investigate the importance of the ileocaecal valve and its reconstruction in patients who are not having short bowel syndrome and Crohn disease. Case notes of 99 children ...
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Federico G. Seifarth
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266
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Book review
A link between factors governing brain development and the development of the enteric nervous system is not surprising because both processes are largely controlled by the same or similar neural growt...
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Federico G. Seifarth
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266
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Book review
The enteric nervous system (ENS) is a network of neurons and glia that lies within the gut wall. It is responsible for the normal regulation of gut motility and secretory activities. Hirschsprung dise...
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Federico G. Seifarth
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266-267
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Book review
The authors report a male infant with a left-sided, infradiaphragmatic mixed pulmonary sequestration (PS) and type II congenital cystic adenomatoid malformation.
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A.J.A. Holland
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267
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Book review
The aim of this study was to report the authors' experience with tubularized incised plate repair of hypospadias without placement of a postoperative urethral stent in 41 cases.
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Thomas A. Angerpointner
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267
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Book review
The aim of this study sparing was to explore the true efficacy and potential of advantages of lymphatic-sparing laparoscopic varicocelectomy (LSV) over lymphatic non-LSV (LNSV) in children and adolesc...
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Thomas A. Angerpointner
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267
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Book review
Since 1999, complete primary repair of bladder exstrophy has represented a valid alternative in the treatment for patients with exstrophy, offering 1-stage reconstruction for all components of this ma...
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Federico G. Seifarth
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267-268
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Book review
The authors report their experience with 61 consecutive fetuses with severe megacystis (MC) managed at a tertiary center in Victoria, Australia, between 1988 and 2008. Severe MC was defined as a fetal...
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A.J.A. Holland
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268
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| Correspondence |
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Article Title |
Author(s) |
Pages |
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A rare case of ovarian juvenile granulosa cell tumor without precocious pseudopuberty in an 11-month-old infant
Ovarian juvenile granulosa cell tumors (JGCTs) in children younger than 1 year are exceptional and generally present with isosexual precocious pseudopuberty . We describe a new case of JGCT occurring ...
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Mohamed Moncef Hamdane,
Rym Dhouib,
Lamia Charfi,
Raoudha Doghri,
Karima Mrad,
Khaled Ben Romdhane
et al.
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269-270
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