Publications by authors named "Carmen S Chacon"

Introduction:  Late diagnosis of Hirschsprung's disease (LDHD) may carry a poor prognosis. Its definition remains unclear and its implication on HD-related core outcomes has not been fully reported.

Methods:  A single-center 20-year series was reviewed to include HD with follow-up of 1 year or more post pull-through (PT) and aged 5 years or older.

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Article Synopsis
  • Simulation training for paediatric surgery is growing, with a focus on assessing training needs among UK trainees to prioritize which procedures should be simulated, particularly oesophageal atresia and tracheo-oesophageal fistula (OA-TOF) repair.
  • A survey revealed that 79% of paediatric surgeons had monthly access to surgical simulation, with OA-TOF repair being highly rated for its utility in training.
  • A 3D-printed simulation model for OA-TOF repair was validated by 40 surgeons, showing high ratings for usefulness, anatomical realism, and the ability to differentiate between experienced and inexperienced surgeons.
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Due to the small space environment, the learning curve of pediatric laparoscopic procedures is steep and requires excellent procedural skills. These are mainly gained through an apprenticeship on real patients. Computer-based virtual reality (VR) simulators offer a safe, cost-effective, and configurable training environment free from ethical and patient safety issues.

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Introduction:  Most Hirschsprung's disease (HD) are diagnosed in young children with increased risk ("red flag"). Older children (>6 months) require open rectal biopsy (ORB) with its own impact on risk and resources. We investigated if "red flag", age, and sex used in combination could exclude HD.

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