A Minimally Interventional Approach to Oesophageal Atresia Repair With Early Enteral Feeding is Safe, Optimises Neonatal Outcomes, and Reduces Resource use.

Purpose: Recent series of newborn Oesophageal Atresia (OA) repair continue to report widespread use of chest drains, gastrostomy, routine contrast studies and parenteral nutrition (PN) despite evidence suggesting these are superfluous. We report outcomes using a minimally interventional approach to post-operative recovery.

Methods: Ethically approved (15/WA/0153), single-centre, retrospective case-note review of consecutive infants with OA 2000-2022.

Does peritoneal lavage influence the rate of complications following pediatric Laparoscopic Appendicectomy in Children with Complicated Appendicitis? A Prospective Randomized Clinical Trial.

Background: There is ongoing debate concerning the use of peritoneal irrigation in the setting of complicated appendicitis (CA) in children. Our aim was to conduct a prospective randomized controlled trial for the treatment of CA during a laparoscopic appendicectomy in children.

Methods: Following ethical approval (REC10138B), pediatric patients (≤16 years old) were recruited from a single institution over a 3-year time period (2015-2018).

Peer-Led Academic Support for Pre-Arrival Students of the BVM&S Degree Program.

Mental health challenges are of growing concern to the veterinary community. Within veterinary education, there has been increasing focus on building resilience in students and identifying likely stressors, such as the transition into the veterinary curriculum for first-year students. In this study, we evaluated a peer-led project to provide pre-arrival materials to incoming students.

Esophageal replacement by gastric transposition: A single surgeon's experience from a tertiary pediatric surgical center.

Background: Many pediatric surgeons have limited experience of esophageal replacement. This study reports outcomes of esophageal replacement by gastric transposition performed by a single UK-based pediatric surgeon.

Methods: Consecutive patients were identified who underwent esophageal replacement by gastric transposition over a 28 year period.

The burden of excluding malrotation in term neonates with bile stained vomiting.

Purpose: To determine the number of term infants with bilious vomiting (BV) referred to a neonatal surgical centre for exclusion of malrotation by upper gastrointestinal contrast (UGI) examination.

Methods: Retrospective review of term (>37/40) neonates <28 days of age undergoing UGI for exclusion of malrotation between Jan 2010 and Dec 2014 in a neonatal network with 30,000 term deliveries annually. Only infants with BV in the absence of alternative clinical/radiological diagnosis were included.

One hundred years of pyloric stenosis in the Royal Hospital for Sick Children Edinburgh.

Aim: Pyloric stenosis was first reported in 1717 and was treatable from the start of the 1900s. Our hospital opened in 1860. In this study we report the historical account of the management of pyloric stenosis in Edinburgh from 1910 to 2013.

Bladder calculus formation on the tip of a migrated disused ventriculoperitoneal shunt.

Bladder stones in children are rare. They generally occur in children with one or more predisposing risk factors to stone formation. In this unique case report we discuss the formation and successful endoscopic treatment of a large stone in a neuropathic bladder on the tip of a migrated VP shunt.

Thoracoscopic pleural biopsy as an aid to diagnosis in pediatric tuberculosis with pleural involvement.

Introduction: Successful treatment of tuberculosis relies on microbiological diagnosis and drug sensitivities. Due to the pauci-bacillary nature of childhood infection, this is often not possible. We describe the successful microbiological diagnosis of tuberculosis using thoracoscopic pleural nodule biopsy.

Trend of severe abdominal injuries from bicycle accidents in children: a preventable condition.

Aim: Bicycle riding is a common recreational and sport activity enjoyed by many children. Bicycle accidents are a common cause of abdominal injuries. We aim to establish the trend and the associated risk factor(s) of bicycle-related abdominal injuries.

Double duodenal atresia with perforation: a case report.

Duodenal atresia is a common cause of neonatal bowel obstruction. Double duodenal atresia has been reported as a rare variation of duodenal atresia. This report discusses the importance of an appreciation of unusual anatomy in neonatal duodenal obstruction and highlights the importance of assessing bowel continuity intraoperatively.

Retractile testes: a review of the current literature.

The current evidence for the management of retractile testes is discussed in this review. Issues such as clinical definitions, natural history, possible outcomes and evidence for surgical intervention are evaluated. After reviewing the literature, the authors summarize that currently there is not enough evidence to warrant surgery for retractile testes, but rather a strategy of surveillance should be adopted.

Laparoscopic surgery for varicoceles in children: an audit in a single centre.

Background: Varicoceles are associated with a time dependent decline in testicular function. The pathophysiology and timing of this remains unclear. However surgery for adolescent varicoceles is a relatively common procedure.

Gastroschisis: the cost of an epidemic.

Background: The rising incidence of gastroschisis has been highlighted by the Department of Health as a growing concern. As well as the health implications for the increasing number of affected infants, this increase in incidence will have an impact of the costs of health care. This study was undertaken to estimate the financial cost of treating this condition in one tertiary neonatal surgical center.

Oesophageal atresia: improved outcome in high-risk groups?

Purpose: The Spitz classification of oesophageal atresia (OA) based on the birth weight and the presence of a major cardiac anomaly was proposed 1994. Advances in neonatal care have led us to question if these outcome figures are still valid. We tested the hypothesis that the outcome of neonates with OA has improved during the last decade.