Spontaneous subdiaphragmatic bar migration after pectus excavatum treatment.

A case of an adolescent boy with persistent thoracic symptoms and recurrence of pectus excavatum (after previous treatment with the Nuss procedure) is presented. During thoracoscopic revision, subdiaphragmatic migration of the implant was noted. The bar was removed without damage to the intra-abdominal organs or other complications, and a new bar was placed and stabilised.

Reconsidering Diagnosis, Treatment, and Postoperative Care in Children with Cloacal Malformations.

Cloacal malformations are among the most complex types of anorectal malformation and are characterized by the urological, genital, and intestinal tracts opening through a single common channel in the perineum. Long-term outcome is affected by multiple factors, which include anatomical variants of the malformation itself, associated anomalies, and the surgical approach. Reconsidering these variables and their influence on "patient important" function might lead to strategies that are more outcome-driven than focused on the creation of normal anatomy.

Two versus five days of antibiotics after appendectomy for complex acute appendicitis (APPIC): study protocol for a randomized controlled trial.

Background: Acute appendicitis is one of the most common indications for emergency surgery. In patients with a complex appendicitis, prolonged antibiotic prophylaxis is recommended after appendectomy. There is no consensus regarding the optimum duration of antibiotics.

Urological and sexual outcome in patients with Hirschsprung disease: A systematic review.

Purpose: There is a paucity of recent evidence regarding long-term urological and sexual outcomes following surgery for Hirschsprung disease (HD). We aimed to undertake a systematic review of all HD literature to define these outcomes.

Materials And Methods: A systematic literature search was conducted on studies from 1966 to 2014.

Antenatally diagnosed right-sided stomach (dextrogastria): A rare rotational anomaly.

Aim: Antenatal detection of right-sided stomach (dextrogastria) is rare, and its significance in regards to intestinal rotation is unclear. We aimed to review all cases of antenatally-diagnosed dextrogastria in our regional fetal medicine unit over 10years.

Methods: A retrospective case-note review of patients identified from a prospectively-maintained database was performed.

Colectomy in pediatric ulcerative colitis: A single center experience of indications, outcomes, and complications.

Background/purpose: There is a paucity of data on outcomes and complications of colectomy for pediatric ulcerative colitis (UC). This study reports the experience of a regional center for 18years.

Methods: Patients were identified from a prospective database and data obtained by note review.

Perioperative Nutritional Management in Congenital Perineal and Vestibular Fistulas: A Systematic Review.

Background: Surgical advancements have led to improved outcomes for children with congenital anorectal malformations with vestibular and perineal fistulas. However, the effect of perioperative nutritional management is debated and guidelines have not yet been established.

Objective: The study aims to give an overview of available published evidence, regarding the impact of different perioperative nutritional management protocols on surgical outcome.

Effects of reconstructive surgery on bladder function in patients with anorectal malformations.

Purpose: Bladder dysfunction is common in patients with anorectal malformations and can be congenital or acquired as a consequence of surgery. We investigated the effects of surgical correction of anorectal malformations on bladder function.

Materials And Methods: The charts of all 341 patients who underwent surgery at our center between 1990 and 2010 were retrospectively analyzed for preoperative and postoperative videourodynamics.

Urogenital function after cloacal reconstruction, two techniques evaluated.

Objective: Current surgical techniques for cloacal reconstruction are posterior sagittal anorecto vagino urethroplasty (PSARVUP) and posterior sagittal anorectoplasty (PSARP) with total urogenital mobilization (TUM). The aim of this study was to explore the results of reconstructive cloaca surgery in the Netherlands and evaluate urogenital function after PSARVUP and TUM.

Patients And Methods: Medical records from five pediatric surgical departments in the Netherlands were studied for patients with cloacal malformations treated between 1985 and 2009.

Early versus late reconstruction of cloacal malformations: the effects on postoperative complications and long-term colorectal outcome.

Introduction: Patients with a cloacal malformation generally undergo reconstructive surgery within the first years of life. However, the ideal age for surgery has rarely been mentioned. The aim of this study was to report differences in outcome between early (<6 months) and late repair of cloacal malformations.

Long-term follow-up of functional outcome in patients with a cloacal malformation: a systematic review.

Background: Reconstructive surgery is performed in patients with cloacal malformations to achieve anorectal, urological, and gynecological function. The aim of this study was to evaluate the functional outcome of cloacal malformation repair as reported in literature.

Methods: A systematic literature search was conducted according to PRISMA guidelines using PubMed, EMbase, and Web-of-Science.

"This bicycle gives me a headache", a congenital anomaly.

Background: [corrected] The combination of a presacral mass, a sacral bone deformity, and an anorectal malformation are also known as the Currarino triad or Currarino syndrome. The syndrome is associated with a very high rate of severe and intractable constipation and urinary incontinence. However, it can also result in less common complaints and symptoms.

Treatment of adults with unrecognized or inadequately repaired anorectal malformations: 17 cases of rectovestibular and rectoperineal fistulas.

Study Objective: To analyze all cases of congenital rectovestibular and rectoperineal fistulas diagnosed and treated later in life, and to describe presenting complaints, treatment, and outcome.

Design: Retrospective cohort study.

Setting: Pediatric surgery departments of 3 major referral centers in the US and Europe.

Evaluation of HIV and AIDS knowledge in rural Cameroon men with the use of a questionnaire.

Introduction: HIV/AIDS, the most important health problem in Africa, is the leading cause of death on the continent. Ignorance on HIV/AIDS status will hamper treatment and prevention. To investigate the level of HIV/AIDS knowledge among men in a rural area, we performed a questionnaire study on HIV/AIDS knowledge in men living in Banga Bakundu, a rural village in Cameroon.