Articles

Preoperative topical testosterone for penile hypospadias repair `a comparative study`

Although the outcome of hypospadias repair has much improved, repair of a small-sized phallus is still challenging. Whether preoperative hormonal therapy is beneficial remains controversial.

Authors: Islam Mahmoud Wali, Amr Abdelhamid AbouZeid, Nehal Ahmed Radwan, Mohamed Abdel Sattar GadAllah, Wael Ahmed Ghanem and Osama El-Naggar

Virtual consultations: delivering outpatient clinics in paediatric surgery during the COVID-19 pandemic

The COVID-19 pandemic has resulted in many changes to clinical practice, including the introduction of remote clinics. Those familiar with remote clinics have reported benefits to their use, such as patient sa...

Authors: A. M. Charnell, E. Hannon, D. Burke, M. R. Iredale and J. R. Sutcliffe

The “branching external jugular vein”: an unreported clinically significant anatomic variation

The reported overall success rate for central venous catheter (CVC) insertion into the external jugular vein (EJV) is less than other central veins. A contributing factor for this might be the well-documented ...

Authors: Mohamed Sameh Shalaby

Insertion of central venous catheters in children undergoing bone marrow transplantation: is there a platelet level for a safe procedure?

Bone marrow transplantation (BMT) is a therapeutic procedure for the management of several hematological diseases and malignancies in pediatric population. Central venous catheters (CVCs) play a pivotal role d...

Authors: Ahmed Elgendy, Ahmed M. Ismail, Eslam Elhawary, Ahmed Badran and Mohammed Ramadan El-Shanshory

Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series

Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complicati...

Authors: Hisham A. Almetaher and Mohammed Awad Mansour

Multiple ileo-ileal intussusception associated with duodenal atresia in a 5-day-old infant: case report

Intussusception is the most common intestinal obstruction among infants and young children. Most of the pediatric cases are ileo-cecal, while jejuno-jejunal and ileo-ileal combined contribute only 2.5% of the ...

Authors: Gilang Vigorous Akbar Eka Candy and Supangat Supangat

Congenital giant Bednar tumor in a child: surgical challenges in a young infant: a case report

Bednar tumor is a pigmented variant of the uncommon dermatofibrosarcoma protuberans (DFSP). It is a disease of the middle aged and elderly and has been rarely described in the pediatric population.

Authors: Vidhya Gunasekaran, Nitin J. Peters and Ram Samujh

Laparoscopic splenectomy in children with sickle cell disease younger than 5 years old

The purpose of this paper is to evaluate the feasibility, safety, efficacy, benefits, and outcome of elective laparoscopic splenectomy for children younger than 5 years with sickle cell disease (SCD) who neede...

Authors: Taha Alkhatrawi, Radi Elsherbini and Waheed Turkistani

Laparoscopic two-port pre-tied peritoneal dialysis catheter insertion in children: a simple modification

Different laparoscopic approaches for insertion of a peritoneal dialysis catheter (PDC) have been adopted. Most of these techniques require 2–3 ports. One port laparoscopic technique for PDC placement was intr...

Authors: Nasir Bustangi and Mohammad Gharieb Khirallah

Multiple strictures of the small intestine demanding surgical intervention as a rare consequence of graft versus host disease – case report

Intestinal strictures are an extremely rare and life-threating complication in patients undergoing allogenic hematopoietic stem cell transplantation (allo-HSCT). We describe the case of a child operated for mu...

Authors: Agnieszka Sobkowiak-Sobierajska, Michał Błaszczyński, Przemysław Mańkowski and Jacek Wachowiak

Feminizing genitoplasty in childhood: aiming for achievable outcomes

Early genital reconstruction may be recommended in cases of congenital adrenal hyperplasia to avoid the stigma that can affect these individuals with variable degrees through different cultures. However, the s...

Authors: Amr Abdelhamid AbouZeid

Case report: Amyand hernia reincarnate and the utility of computed tomography

An Amyand hernia is a rare condition in which the vermiform appendix follows the bowel as it bulges through the inguinal canal. Originally described by Claudius Amyand in 1735 in an 11-year-old boy who had a p...

Authors: Joshua Fields, Kristen Quinn, Laura Hollinger and Richard Jones

Massive gastric necrosis associated with delayed presentation of congenital diaphragmatic hernia—is salvage possible?

Delayed presentation of congenital diaphragmatic hernia is an uncommon event. Occurrence of gastric volvulus with massive necrosis in this setting is unusual. In this difficult scenario, the surgeon is faced w...

Authors: G. Krishna Kumar, U. Mallikarjun and D. Reshma

Giant solid mesenchymal hamartoma of the liver in a neonate: case report

Mesenchymal hamartoma is the second most common benign liver tumor in children, with 20% of the cases diagnosed during the neonatal period. The exact etiology in still unclear, and most investigators believe t...

Authors: Moaied A. Hassan

Pyloric stenosis at a tertiary hospital in Uganda

Worldwide, infantile hypertrophic pyloric stenosis has an incidence of 3 in 1000 livebirths, with an unknown etiology. Even when babies present with characteristic symptoms, it is often misdiagnosed leading to...

Authors: Innocent Okello, Rovine Naluyimbazi, Alicia Massenga, Sarah Ullrich, Nasser Kakembo, Phyllis Kisa, John Sekabira and Stella Nimanya

Acute fulminant necrotizing amebic colitis in a pediatric patient: a rare complication of amebiasis with high mortality—a case report

The majority of amebic infections among humans remain asymptomatic. Rarely, the disease takes a fulminant acute course due to the development of necrotizing amebic colitis. This complication is usually found i...

Authors: Samantha Kiriwaththuduwa, Romola Gnanapragasam, Anjalie Amarasinghe, Yugantha Adikari, Shanika Ranasinghe, Rumala Morel, Chanuka Dharmaratne and Lakmalee Bandara

Management of postoperative fecal incontinence by pediatric surgeons in Nigeria: a pilot study

Fecal incontinence is a challenging problem in pediatric surgical practice as it occurs in 25 to 50% of patients who have undergone surgery for anorectal malformation and in 5 to 23% after transanal pull-throu...

Authors: Taiwo A. Lawal

The feasibility of urethral plate preservation in proximal and mid-penile hypospadias: sequential and anatomical approach to the repair

The assessment of a child having hypospadias with chordee/ventral curvature (VC) and meatal position that appears to be proximal/mid-penile can be challenging with regard to the choice of chordee correction an...

Authors: Vivek Parameswara Sarma

The posterior urethral valves revisited: embryological correlation, clinical classification, and risk stratification of the spectrum

The diagnosis of posterior urethral valves (PUV) encompasses a vast spectrum of disease with variable severity and clinical features. It is vital to understand the extent of developmental insult and to define ...

Authors: Vivek Parameswara Sarma

Neonatal and infantile appendicitis still confuses minds: report of two cases

Acute appendicitis is extremely rare in the neonatal and infantile periods. The number of cases published in the last century is just over 100. Mortality and morbidity are still high due to diagnostic problems...

Authors: Mustafa Okumuş and Adil Umut Zübarioğlu

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdom...

Authors: Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy and Hisham Mokhtar Hammouda

Structure of direct and indirect umbilical hernia and the implication on surgical repair in children

Umbilical hernia (UH) is one of the most common problems seen by paediatric surgeons. The recurrence rate after surgical repair is 1–2%. In this study, we examined the ring of umbilical hernia histologically t...

Authors: Mohamed Saber Mostafa, Mohamed AbdElrahman, Mohammed Elsherbeny and Hesham El-Safoury

What surgical approach would provide better outcomes in children and adolescents undergoing cholecystectomy? Results of a systematic review and meta-analysis

There is a lack of evidence on the surgical approach for children and adolescents undergoing cholecystectomy. Therefore, the aim of this systematic review is to compare the safety and efficacy of minimally inv...

Authors: Daniel Steffens, Kathryn Wales, Clare Toms, David Yeo, Charbel Sandroussi and Ashish Jiwane

Thoracoscopic excision versus radiofrequency ablation of the sympathetic chain as a treatment for palmar hyperhidrosis: comparative study

Hyperhidrosis is an excess sweat secretion. Various modalities of treatment exist for hyperhidrosis. Although medical treatment is the first line of treatment, its long-term outcome is not satisfactory. In thi...

Authors: Mohamed Saber Mostafa, Mohammed Elsherbeny, Ahmed Abdelbarr and Sameh Abdelhay

Lymphatic sparing laparoscopic varicocelectomy with or without testicular artery preservation: is there a difference?

Lymphatic sparing laparoscopic Palomo varicocelectomy is a safe and reliable technique for varicocele treatment in adolescents and children. The purpose of this study was to compare the outcomes of lymphatic s...

Authors: Abdelaziz Yehya, Mohamed Abdalrazek, Ibrahim Gamaan, Ahmed Fathy and Wael El Batal

The pattern of neonatal gastro-intestinal perforation in upper Egypt

Neonatal gastro-intestinal perforation [NGIP] is one of the major problems in pediatric surgical practice. Although the outcomes of neonatal surgery have improved markedly over the past decade the mortality ra...

Authors: Nezar Abd Elrouf Abo-Halawa, Mohamed Ahmed Negm and Mohamed Fathy

Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review

Urachal anomalies (UAs) are rare in children; the most encountered are urachal cysts, urachal sinus, and urachal diverticulum. Other associated anomalies have been reported to include renal and abdominal wall ...

Authors: Mohamad K. Abou Chaar, Tamador Al-Shamaileh and Mohammad M. Saleem

Spontaneous intestinal perforation followed by necrotizing enterocolitis in an extremely low birth weight neonate: case report and review of the literature

Spontaneous intestinal perforation (SIP) is usually an isolated perforation occurring most commonly in the terminal ileum of neonates with very low birth weight (VLBW) and extreme low birth weight (ELBW) of un...

Authors: Ashraf H. M. Ibrahim, Hamad A. Hader, Hatem Alsherbiny, Mahmoud R. A. Hussein and Safwan A. Khan

Professor Sidney Cywes obituary

Authors: Alp Numanoglu, Alastair J. W. Millar, Heinz Rode and Essam Elhalaby

Perineal canal repair using modified Tsuchida’s technique

The perineal canal is a rare variety of anorectal malformations, identified by different nomenclatures like H fistula, double termination of the alimentary canal, and anovestibular fistula. Various approaches ...

Authors: S. Manjiri, Jeevak Shetty, S. K. Padmalatha, Kush Luthra and Neehar Patil

Evaluation of the early outcomes of partial urogenital sinus mobilization in females with congenital adrenal hyperplasia

Congenital adrenal hyperplasia (CAH) is the most common cause of ambiguous genitalia with an incidence of 1 in 15,000 live births. Surgical reconstruction for girls with CAH and urogenital sinus (UGS) is a gre...

Authors: Ahmed Oshiba, Khaled Ashour, Ahmed Khairi, Sameh Shehata, Shaymaa ElSayed and Essam Elhalaby

Ultrasonography in diagnosis of appendicitis and its complications in pediatric patients: a cross-sectional study

Appendicitis is a common cause of acute abdomen in pediatrics. Although various criteria have been suggested in early diagnosis of appendicitis, these criteria are not as applicable for pediatric patients. Bec...

Authors: Parisa Hajalioghli, Soroush Mostafavi and Mohammad Mirza-Aghazadeh-Attari

Management of Amyand’s hernia in children: should appendectomy be mandatory or not?

Amyand’s hernia (AH) is defined as protrusion of the vermiform appendix within the sac of the inguinal hernia and usually misdiagnosed as obstructed hernia. It is more common in pediatric patients but there ar...

Authors: Hisham A. Almetaher, Mohammed A. Mansour and Mohamed A. Arafa

Laparoscopic-assisted repair of Morgagni hernia in children

Morgagni hernia (MH) is a rare diaphragmatic hernia with nonspecific symptoms and variable presentation. MH is managed surgically via laparotomy or a thoracotomy. Recently, laparoscopy was described for the re...

Authors: Osama A. Bawazir, Anies Mahomed, Amira Fayyad, Elham Bagaryn, Abdullah Bawazir and Rahaf Mandora

A combined medical/surgical appendicitis pathway decreases pediatric CT utilization, perforation, and negative appendectomy rates

We sought to improve the care of pediatric patients with possible appendicitis by decreasing unnecessary CT scanning. In an early QI initiative, we systematically emphasized the superiority of Ultrasonography ...

Authors: Sidney M. Johnson, Devin P. Puapong, Charles Peebles, Kelli Ishihara, Kenneth Bogenberger and Russell K. Woo

Duplicate vas deferens in a 3-year-old boy: a case report and review of paediatric literature

Congenital abnormalities of the vas deferens are very uncommon. Duplicate vas deferens is a rare abnormality. It is the presence of two separate vasa deferentia within one spermatic cord. It has been encounter...

Authors: Justina O. Seyi-Olajide and Emmanuel A. Ameh

Transpleural versus extrapleural approach in treatment of esophageal atresia

Surgery is the only curative treatment of patients with esophageal atresia and tracheoesophageal fistula. A lot of surgeons recommend transpleural repair while others prefer extrapleural approach for repair. T...

Authors: Mohamed Batikhe

Role of sagittal anorectoplasty in treating constipation in patients with recto-perineal fistula

Recto-perineal fistula is a common anorectal anomaly, affecting both males and females. The anus is abnormally anteriorly located and is usually stenotic. Management of recto-perineal fistula is a dialectic pr...

Authors: Moustafa Mohamed Mahmoud Bayoumi, Ayman Mostafa Allam and Amr Abdelhamid AbouZeid

Outcome of management of gastroschisis: comparison of improvised surgical silo and extended right hemicolectomy

Gastroschisis is onea of the major abdominal wall defects encountered commonly in pediatric surgery. Whereas complete reduction and abdominal closure is achieved easily sometimes, a daunting situation arises w...

Authors: Philemon E. Okoro and Charles Ngaikedi

A simplified laparoscopic-assisted gastrostomy technique: a single center experience

Although percutaneous endoscopic gastrostomy (PEG) is considered simple and effective, major complications have been reported because of the partly blind placement technique. Laparoscopic gastrostomy was descr...

Authors: Hesham M. Sheir, Tamer A. Wafa, Abdelrahman Elshafey and Mohamed Elzohiri

Case report of gastric teratoma masquerading as neonatal intestinal obstruction

Teratomas are rare in neonates. They are embryonic neoplasms containing elements from all the three germ layers. Commonly, they arise in the ovary and testis. Rarely do they arise from the gastrointestinal tra...

Authors: Rajib Chatterjee, Abhijit Singh and Vivek Gharpure

Persistent cloaca: persistence of the challenge

Persistent cloaca or cloacal anomalies represent a special category of anorectal anomalies affecting the female sex with a reported incidence of about one in 25,000 live birth.

Authors: Amr Abdelhamid AbouZeid, Ahmed Bassiouny Radwan, Mohamed Eldebeiky and Sameh Abdel Hay

Two-incision laparoscopic cholecystectomy performed via the “marionette” technique versus conventional laparoscopic cholecystectomy in pediatrics

Laparoscopic cholecystectomy (LC) has considered the gold standard for the treatment of symptomatic gallstones. The “marionette” technique is a surgical technique for performing a safe, two-incision laparoscop...

Authors: Mohamed A. Shehata, Abdelmotaleb E. Ebeid and Ashraf A. El Attar

Surgical excision: an effective initial therapeutic option in the management of giant macrocystic lymphatic malformations in children

Lymphatic malformations are rare benign cystic tumors that result from localized disordered embryologic development of the lymphatic system and can develop anywhere in the body, predominantly in the head and n...

Authors: Moaied A. Hassan, Hasan K. Gatea and Thura K. Ja’afar

Propranolol therapy in infantile hemangioma: correlation of age and duration of treatment to the outcomes

Infantile hemangioma (IH) is the commonest vascular tumor affecting children that appears in the first 2 weeks of life and follows a proliferative phase that continues during the first year of life. After then...

Authors: Ali Farooq Al-Mayoof, Ali Egab Joda and Osama Esmaeel Almushhadany

Five years’ experience of combined intralesional therapy in infantile hemangioma

Infantile hemangiomas (IHs) are common vascular tumors. Although it involutes spontaneously, outcomes are unpredictable. Intralesional therapy is one of its treatment modality. We present our experience with c...

Authors: Ahmed Abdelghaffar Helal and Mohammad Alsayed Daboos

Outcome of urethral mobilization and advancement after anterior hypospadias surgery

In hypospadias surgery, despite continued refinement of various surgical procedures, there is no completely satisfactory technique in terms of complications and cosmesis. In recent literature, urethral mobiliz...

Authors: Naveed Haider, Imran Hashim, Muhammad Asif Iqbal, Arsalan Raza Wasti, Soban Hameed Chaudhary, Armaghan Ahmad and Muhammad Saleem

Influence of workshop attendance on management of pediatric fecal incontinence in Nigeria

The care of children with fecal incontinence is suboptimal with inadequate support and training opportunities. The postgraduate training of pediatric surgeons on the management of fecal incontinence is inadequ...

Authors: Taiwo Akeem Lawal

Use of Maximum Surgical Order Schedule (MSBOS) among pediatric patients to optimize blood utilization

Evaluating blood ordering and subsequent development of a blood ordering schedule can decrease over-ordering of blood among pediatric surgical patients. The objective is to assess our practice of blood utiliza...

Authors: Johann Paulo S. Guzman, Leandro L. Resurreccion III and Maria Beatriz P. Gepte

Optimal resources to reduce the unmet surgical needs in low-resource settings

Authors: Taiwo A. Lawal