Spine Growth Modulation in Early Adolescent Idiopathic Scoliosis: Two-Year Results of Prospective US FDA IDE Pilot Clinical Safety Study of Titanium Clip-Screw Implant.

Study Design: Prospective pilot clinical safety study of novel treatment, consecutive case series from first human use in patients with early adolescent idiopathic scoliosis (AIS).

Objective: The primary purpose was to determine the initial safety of a titanium clip-screw implant system for spine growth modulation. The secondary aim was to document curvatures to 2 years postoperatively.

Patients as partners in innovation.

As the culture of medical practice has evolved, so has the relationship between the physician and patient. This is decidedly true with regards to the introduction of innovative therapies, especially in the surgical arena. A critical challenge is identifying and defining innovative therapy.

Perioperative outcomes of adolescents undergoing bariatric surgery: the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study.

Importance: Severe obesity in childhood is a major health problem with few effective treatments. Weight-loss surgery (WLS) is being used to treat severely obese adolescents, although with very limited data regarding surgical safety for currently used, minimally invasive procedures.

Objective: To assess the preoperative clinical characteristics and perioperative safety outcomes of severely obese adolescents undergoing WLS.

Bariatric surgical management of adolescents with morbid obesity.

Purpose Of Review: Adolescent obesity continues to be a significant public health issue. To date, there are no medical therapies that provide significant, durable weight loss. Bariatric surgery has been shown in the adult and now the adolescent population to provide a reasonable alternative for weight loss.

Pediatric hernia repair: 1-stop shopping.

Purpose: Multiple visits for the evaluation, treatment, and follow-up of straightforward surgical problems are inconvenient, can result in lost work for the parents, and missed school for the child. We hypothesized that with proper previsit screening, patients with select diagnoses can be evaluated in an outpatient clinic setting and undergo operation the same day.

Methods: Criteria were developed to identify straightforward referrals to our surgical practice for umbilical, epigastric, or inguinal hernias.

Contemporary surgical management of the obese adolescent.

Purpose Of Review: Adolescent obesity is rapidly becoming a significant public health issue. To date, there are no medical therapies that provide significant and durable weight loss. The surgical treatment of adolescent obesity is a rapidly evolving field.

Distance to clinic and follow-up visit compliance in adolescent gastric bypass cohort.

Background: Regular follow-up after bariatric surgery is important to assess the clinical status. Various factors could influence retention (i.e.

Decompressive abdominal laparotomy for abdominal compartment syndrome in an unengrafted bone marrow recipient with septic shock.

Objective. To describe a profoundly immunocompromised (panleukopenia) child with septic shock who developed abdominal compartment syndrome (ACS) and was successfully treated with surgical decompression. Design.

Preserved vision without growth retardation after laparoscopic Roux-en-Y gastric bypass in a morbidly obese child with pseudotumor cerebri: 36-month follow-up.

A 12-year-old boy presented with a weight of 136 kg and a history of progressive vision loss associated with unremitting pseudotumor cerebri requiring bilateral optic nerve sheath decompression. He underwent laparoscopic Roux-en-Y gastric bypass (RYGBP) without complication. At 36 months post-RYGBP, he has grown 5 cm since the time of surgery, his weight is 6.

Long-term follow-up and the role of surgery in adolescents with morbid obesity.

Purpose: Obesity has become a health-care crisis in the United States. Adolescent obesity is now one of the most common childhood disorders, with 4.7 million American adolescents having a body mass index (BMI) greater than the 95th percentile.

Rat intubation and ventilation for surgical research.

Effective outcomes in cardiothoracic surgical research using rodents are dependent upon adequate techniques for intubation and mechanical ventilation. Multiple methods are available for intubation of the rat; however, not all techniques are appropriate for survival studies. This article presents a refinement of intubation techniques and a simplified mechanical ventilation setup necessary for intrathoracic surgical procedures using volatile anesthetics.

Pulmonary embolism associated with a vacuum-induced arm compartment syndrome: a setting for increased vigilance.

Vacuum injuries, otherwise known as negative pressure injuries, are unique mechanisms of traumatic injury. There are few reports of this mechanism in the literature and, although rare, familiarity with the presentation and management is essential to be life and limb saving. In addition, because of the severe inflammatory process, the potential is increased for life-threatening thrombosis and embolism.

Attenuated Salmonella typhimurium invades and decreases tumor burden in neuroblastoma.

Introduction: We have previously shown that Salmonella elicits an antitumor response against hepatic adenocarcinomatous metastases. In vitro studies have demonstrated both intracellular invasion and proliferation of Salmonella within cultured neuroblastoma cells. We sought to demonstrate in vivo invasion, proliferation, and a potential antitumor response.

Spontaneous liver rupture in a child with graft-versus-host disease.

Graft-versus-host disease (GVHD) is a common complication in the stem cell transplant (SCT) patient. The skin, gastrointestinal tract, and the liver are the most frequently affected organs. The authors present the first reported case of a spontaneous rupture of the liver in a child with GVHD after SCT.