Anal canal duplication in children: a monocentric experience of 12 cases.

Purpose: Anal canal duplication is a rare malformation characterized by a second perineal opening positioned behind the anus, which is generally observed at 6 o'clock in the lithotomy position. The purpose was to describe six new cases of anal canal duplication (in addition to our previously reported series of six patients) with the aim of providing further clinical information about this anomaly.

Methods: We described 6 new cases of anal canal duplication in terms of symptoms, anatomical disposition, imaging results, and histopathology.

Study of abdominal wall muscle innervation applied to large-defect closure in congenital diaphragmatic hernia.

In large congenital diaphragmatic hernias (CDHs), direct suture of the diaphragm is impossible. Surgeons can use a triangular internal oblique muscle (IOM) plus transverse abdominis muscle (TAM) flap. Its caudal limit faces the medial extremity of the 11th rib.

A New Paradigm for the Management of Thoracolumbar Pediatric Spine Traumas.

Objectives: The transient breath holding sign (TBHS) is a clinical sign often associated with magnetic resonance imaging (MRI) spine traumatic lesions. The aims of this study were to prospectively evaluate the TBHS in the detection of thoracolumbar lesions in a large cohort of children and to establish a comprehensive strategy on the use of MRI in spine traumas in children.

Study Design: All conscious 5- to 16-year-old patients admitted for a spine trauma in our institution were prospectively included in the study.