Recurrence after laparoscopic high ligation in adolescents: A multicenter international retrospective study of ten hospitals.

Purpose: Inguinal hernia repairs are among the most common operations performed by pediatric surgeons. Laparoscopic high ligation is a popular technique, but its recurrence rate in adolescents is unknown. We hypothesized that recurrence after laparoscopic high ligation in adolescents would be similar to open repair (1.

The non-diagnostic ultrasound in appendicitis: is a non-visualized appendix the same as a negative study?

Purpose: The purpose of this retrospective study was to investigate outcomes in children who underwent a non-diagnostic ultrasound (US) evaluating for appendicitis and to identify predictors of a negative diagnosis.

Methods: An IRB-approved retrospective chart review was performed on patients age 0-18, who underwent an abdominal US evaluating for acute appendicitis from 2004 through 2013. Clinical data and specified outcomes were recorded, and exams were categorized into non-diagnostic studies and further separated into studies where the appendix was non-visualized.

Laparoendoscopic single site (LESS) splenectomy with a conventional laparoscope and instruments.

Background And Objectives: We present 2 cases of laparoendoscopic single site surgery (LESS) splenectomy performed with a conventional laparoscope and instruments, and the use of a novel internal retraction device.

Methods: One patient underwent LESS splenectomy for idiopathic thrombocytopenia purpura (ITP), and a pediatric patient with sickle cell disease underwent LESS splenectomy and cholecystectomy. In each case, a 2-cm vertical incision was made within the confines of the umbilical ring, and a SILS port (Covidien, Norwalk CT) inserted.

Metastatic osteosarcoma presenting as a single pulmonary microembolus.

There are only a few published reports of tumor emboli from osteosarcoma. We are reporting a 17-year-old adolescent boy with a history of localized osteosarcoma who developed a symptomatic pulmonary artery tumor embolus. He was initially diagnosed with a pulmonary thromboembolism.

Laparoscopic excision of a large hepatic cyst.

Benign congenital liver cysts are rare in the pediatric population and often present a challenge in the diagnosis. Therefore, with recent advances in the field of minimally invasive surgery, this technique may be ideal in achieving both diagnosis and curative resection. We describe the case of a 2-month-old female initially referred for an antenatal ultrasound in the third trimester revealing a 7-cm intraabdominal cystic lesion of unknown origin.

Laparoscopic removal of a large gastric trichobezoar in a 4-year-old girl.

Background: Standard treatment of large gastric bezoars not amenable to medical or endoscopic management is surgical removal. The optimal operative approach, laparotomy versus laparoscopy, is a contested subject. Though laparoscopic removal has been described, it remains a relatively new technique for surgical management with outcome literature limited to case reports.

Failure of appendectomy to resolve appendiceal intussusception.

Appendiceal intussusception is a rare entity that primarily affects children. The optimal surgical management is not known. We describe a child with appendiceal intussusception treated by simple appendectomy who suffered recurrent intussusception of the cecum at the base of the appendiceal stump.

Surgical management of cloacal malformations: a review of 339 patients.

Background/purpose: The aim of this study was to describe lessons learned from the authors' series of patients with cloaca and convey the improved understanding and surgical treatment of the condition's wide spectrum of complexity.

Methods: The medical records of 339 patients with cloaca operated on by the authors were retrospectively reviewed.

Results: A total of 265 patients underwent primary operations, and 74 were secondary.

A case confirming the progressive stages of pyomyositis.

A teenage boy presented in the early stage of pyomyositis. He had neck pain, tenderness, and fever. A computed tomography scan showed inflammation in the sternocleidomastoid muscle with no fluid collection.

Reoperative surgery for anorectal anomalies.

Complications occur during the repair of anorectal malformations relatively frequently. Unfortunately, these complications are often preventable. Furthermore, the consequences of these complications are significant.