Journal of pediatric surgery
Audio Summaries

Foreign body ingestion in children: impact of a digital app on clinical decision-making

Jun 24, 2026

This study investigates the impact of a digital decision-support app on the management of foreign body ingestion (FBI) cases in children, aiming to assess adherence to standardized protocols and identify areas for improvement. The authors found significant deviations from recommended guidelines, particularly among interhospital transfers, suggesting that structured decision-support tools could enhance clinical decision-making and reduce unnecessary interventions. Overall, the findings highlight the need for improved adherence to evidence-based management strategies in pediatric emergency care.

Coexisting Pelviureteric and Vesicoureteric Junction Obstruction in Children: Diagnostic Challenges and Treatment Strategies - A Narrative Review

Jun 24, 2026

The authors aim to address the diagnostic and therapeutic challenges associated with coexisting pelviureteric junction obstruction (PUJO) and vesicoureteric junction obstruction (VUJO) in children. Through a narrative review of existing literature, they highlight the significant variability in diagnostic approaches and management strategies, emphasizing the need for individualized treatment that targets the predominant obstruction. The study concludes that further research is necessary to better understand and manage this rare condition.

Time to Spare: 1-Minute vs 2-Minute Intercostal Nerve Cryoablation During Minimally Invasive Repair of Pectus Excavatum

Jun 24, 2026

This study aimed to determine the optimal duration of intercostal nerve cryoablation (INC) during minimally invasive repair of pectus excavatum (MIRPE) by comparing outcomes between one-minute and two-minute INC applications. The findings suggest that one-minute INC does not negatively impact postoperative pain management while significantly reducing operative time, indicating it may be a viable alternative to the longer duration.

Non-Operative Treatment of Pectus Carinatum: Fifteen Years of Outcomes and Predictors from a National Paediatric Service

Jun 23, 2026

This study investigates the long-term outcomes of non-surgical bracing for pectus carinatum in patients under 20 years old, aiming to identify factors that predict successful correction. The authors found that wear-time adherence, chest wall flexibility, and patient motivation were significant predictors of treatment success, with 34.8% of patients achieving full resolution. The findings emphasize the importance of monitoring adherence and engaging patients in bracing programs to enhance treatment outcomes.

Preventable Pediatric Trauma Transfers in a Rural State

Jun 22, 2026

The authors aimed to evaluate the prevalence and predictors of potentially preventable transfers (PTs) among pediatric trauma patients in a rural state. Their study found that 25% of trauma transfers were classified as PTs, primarily characterized by lower injury severity scores, suggesting that enhanced pre-transfer triage, potentially through telemedicine consultations, could reduce unnecessary transfers.

Assessment of Postoperative Outcomes of LAT-HSL in the Treatment of Unilateral Inguinal Hernia in Boys: A Multicenter Prospective Randomized Controlled Study

Jun 19, 2026

The authors aimed to compare the efficacy, safety, and economic outcomes of Laparoscope-Assisted Trans-scrotal Hernia Sac ligation (LAT-HSL) versus traditional laparoscopic hernia needle extraperitoneal high ligation (LH) in treating unilateral indirect inguinal hernia in boys aged 1-3 years. Their findings indicate that both procedures have comparable short-term safety and efficacy, with LAT-HSL offering advantages such as shorter pneumoperitoneum duration and lower intraoperative hypocapnia risk, as well as reduced medical costs in specific settings.

A comparison of the modified Duckett versus conventional Duckett procedure for severe hypospadias: a retrospective single-centre cohort study

Jun 17, 2026

The authors aimed to compare the operative outcomes of the modified Duckett (M-Duckett) procedure versus the conventional Duckett procedure for severe hypospadias in pediatric patients. Their study found that the M-Duckett procedure resulted in a significantly lower incidence of postoperative urethral stricture and a higher proportion of patients exhibiting a bell-shaped urinary flow curve, without increasing the risk of other complications or negatively affecting penile appearance.

Clinicopathological Predictors of Cervical Lymph Node Metastases and Disease Persistence in Pediatric Papillary Thyroid Carcinoma: A Single-Center Cohort Study

Jun 17, 2026

The authors aimed to identify clinicopathological factors associated with cervical lymph node metastases and disease persistence in pediatric patients with papillary thyroid carcinoma (PTC). Their study found that tumor size, multifocality, extrathyroidal extension, lymphovascular invasion, and the diffuse sclerosing variant were significantly linked to nodal metastases, while lymphovascular invasion and central lymph node involvement were predictors of reduced disease-free survival. These findings may inform surgical management and postoperative surveillance strategies for this patient population.

Bedside predictors of in-hospital mortality in neonatal gastric perforation: development of a clinical scoring system

Jun 16, 2026

The authors aimed to develop and validate a clinical prediction model for in-hospital mortality in neonates with gastric perforation using readily available bedside variables at diagnosis. They identified three key predictors—delivery room intubation, onset-to-diagnosis interval, and shock at diagnosis—that effectively stratified patients into low- and high-risk groups. Additionally, the study highlighted significant differences in post-operative vasoactive inotropic score trajectories between survivors and non-survivors, indicating potential for improved clinical reassessment.

Epidemiology of Necrotizing Enterocolitis in Multi-Birth Preterm Infants: A 22-Year Retrospective Study in Switzerland (2000-2021)

Jun 15, 2026

The authors aimed to evaluate the incidence and mortality of necrotizing enterocolitis (NEC) in preterm multiple-birth infants in Switzerland over a 22-year period and to determine if multiple births contribute to NEC risk. They found that the overall NEC incidence was similar between multiple births and singletons, with no significant difference in mortality rates; however, if one twin developed NEC, the odds of the co-twin also developing the condition increased sixfold. This suggests that while multiple gestation itself is not a risk factor for NEC, there may be shared environmental or biological factors influencing the condition among twins.