Management of paediatric high-grade blunt renal trauma: a 10-year single-centre UK experience.

Objective: To report the management and outcome of paediatric patients sustaining high-grade blunt renal trauma.

Patients And Methods: Medical records were examined for all American Association for the Surgery of Trauma (AAST) grade III-V blunt renal trauma cases admitted to a paediatric trauma centre from 2005 to 2015. Data collected and analysed included: demographics, imaging modalities, management, length of hospital stay (LOS), complications, and follow-up outcomes.

A prospective randomized trial of the effect of a soluble adhesive on the ease of dressing removal following hypospadias repair.

Aim: To determine whether the use of a novel dressing removal technique resulted in shorter removal times, reduced the child's experience of pain and/or reduced parental anxiety when compared to a standard approach.

Methods: This prospective unblinded randomized controlled trial of 53 consecutive boys undergoing primary hypospadias repair was powered using data from a prior feasibility study. Children were randomized to a standard control dressing (A) or standard dressing plus Cavilontrade mark (B) group.