Pushing the boundaries of ECLS: Outcomes in <34 week EGA neonates.

Purpose: Extracorporeal life support (ECLS) is usually reserved for infants ≥34weeks estimated gestational age (EGA) owing to concerns about increased mortality and incidence of intracranial hemorrhage (ICH). We sought to characterize survival, rates of ICH, and complications in <34week EGA neonates placed on ECLS.

Methods: 752 neonates of EGA 29-34weeks were identified in the Extracorporeal Life Support Organization (ELSO) Registry (1976-2008).

Risk of incomplete pyloromyotomy and mucosal perforation in open and laparoscopic pyloromyotomy.

Background: Despite randomized controlled trials and meta-analyses, it remains unclear whether laparoscopic pyloromyotomy (LP) carries a higher risk of incomplete pyloromyotomy and mucosal perforation compared with open pyloromyotomy (OP).

Methods: Multicenter study of all pyloromyotomies (May 2007-December 2010) at nine high-volume institutions. The effect of laparoscopy on the procedure-related complications of incomplete pyloromyotomy and mucosal perforation was determined using binomial logistic regression adjusting for differences among centers.

Neonatal circumcision: is feeding behavior altered?

Background: The effect of circumcision on feeding behavior in the newborn period is unknown. We hypothesized that circumcision would not have a significant effect on newborn feeding.

Methods: This prospective study analyzed the effect of circumcision on neonatal feeding behavior.

Newborn circumcision outcomes: are parents satisfied with the results?

Background/purpose: Although physician-reported complications following circumcision are very low, parental satisfaction is not well documented. This study examined parental opinions and compared these with those of the medical professional.

Methods: Physicians independently assessed complications and cosmetic outcome following the circumcision.