Acute appendicitis in children: is preoperative hyponatremia a predictive factor of perforation/gangrene? A prospective study.

Purpose: Distinguishing between perforated/gangrenous from uncomplicated appendicitis in children helps management. We evaluated hyponatremia as a new diagnostic marker for perforated/gangrenous appendicitis in children.

Methods: A prospective study including all children with acute appendicitis who underwent appendectomy at our institution from May 2021 to May 2023.

Transanal recto-anal anastomosis for treatment of rectal atresia: a review of 4 cases.

Introduction: Rectal atresia is a rare subtype of anorectal malformations in which the patients are born with a normal anal canal but have complete atresia located few centimeters proximal to the dentate line. We present the transanal end-to-end rectoanal anastomosis as a surgical technique for the management of these patients, highlight the outcomes, and emphasize on some clinical tips.

Methods: Four patients were diagnosed as having rectal atresia on clinical and radiological basis.

Needlescopic Disconnection and Peritoneal Closure for Pediatric Inguinal Hernia Repair: A Novel Technique.

Background: There are many laparoscopic techniques for pediatric congenital inguinal hernia repair. Needlescopic surgery was introduced recently in pediatric patients aiming at getting excellent cosmetic outcomes.

Purpose: The aim of this study was to describe a novel technique for needlescopic inguinal hernia repair in children.

Optimism for the Single-stage Transanal Swenson in Neonates.

Background: Hirschsprung's disease (HD) has been traditionally treated from infancy onward and different techniques have been used including Swenson, Soave, and Duhamel procedures. The purpose of this study was to evaluate the transanal Swenson's procedure for classical rectosigmoid HD in neonates.

Patient And Methods: This was a prospective study in which neonates diagnosed with HD were recruited from January 2017 to December 2018.