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Letter to the editor: The unit-of-analysis error in meta-analysis: Why univariate tests cannot substitute for robust methodological synthesis

Meta-analytic modelling has long been a source of debate and continuous refinement, precisely because it must account for multiple interrelated...

📅 Oct 23, 2025 articles
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Article

Evaluation of isolated skull fractures in children

The Brain Injury Guidelines (BIG) was recently adapted to pediatric patients by developing a pediatric-specific risk stratification algorithm, BIG...

📅 Oct 24, 2025 articles
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Exploring the power of virtual reality in reducing pain and stress in pediatric surgery

We would like to commend the authors of the study “Effects of virtual reality distraction on pain, stress, and heart rate during pediatric ingrown...

📅 Oct 29, 2025 articles
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Article

Letter to the editor regarding “Operating without direct supervision during pediatric surgery fellowship: When, how, and why”

We read with great appreciation the article “Operating Without Direct Supervision During Pediatric Surgery Fellowship: When, How, and Why” by...

📅 Oct 23, 2025 articles
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Article

Efficacy, Safety and Predictive Factors for Outcomes and Adverse Events in Sclerotherapy for Venous Malformations in Children

Percutaneous sclerotherapy is an established treatment for venous malformations (VM), while data on its use in children remain limited. This study...

📅 Oct 24, 2025 articles
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Article

Topical Lidocaine or not for laser follicle ablation in pilonidal disease: a prospective, randomized, double-blinded trial

Laser follicle ablation is a significant component of the care in pilonidal disease, but may be uncomfortable secondary to absorption of the light...

📅 Oct 22, 2025 articles
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Article

The carbon footprint of pediatric surgical care: Towards a standardized surgical sustainability index

Pediatric surgery has long been admired for its precision and restraint—small patients, delicate anatomy, minimal trauma. Yet, in the pursuit of...

📅 Oct 22, 2025 articles
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Article

Letter to the editor: Challenges and opportunities of early plasma administration in Pediatric Severe Traumatic Brain Injury: A response to Furman et al.'s study

I am writing in response to the article titled “Impact of Early Plasma Resuscitation in Pediatric Severe Traumatic Brain Injury” by [1], published...

📅 Oct 22, 2025 articles
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Article

Thoracoscopic hiatoplasty in congenital diaphragmatic hernia is safe and less invasive: a prospective propensity-matched short-term study

Background Methods Results Conclusion

📅 Oct 21, 2025 articles
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Article

Intestinal fatty acid binding protein (I-FABP) as a sensitive and specific biomarker for necrotizing enterocolitis (NEC) in pre-term infants

Intestinal fatty acid binding protein (I-FABP) levels have been shown to be elevated in infants with necrotizing enterocolitis (NEC). We...

📅 Nov 03, 2025 articles
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Article

Strengthening inclusive disaster preparedness for medically complex children: Advancing equity and integrated response systems

We read with great interest the article [1]“Bridging the Gap: Disaster Preparedness for Medically Complex Pediatric Patients.” The authors offer a...

📅 Oct 22, 2025 articles
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Article

Integrating acceptance and commitment therapy to enhance wellbeing in adults born with congenital diaphragmatic hernia

Im Apreciated with the result study by Pulvirenti et al. (2025) provides an important contribution to understanding the long-term quality of life...

📅 Oct 21, 2025 articles
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Article

Congenital diaphragmatic hernia repair: Patches, muscle flaps, and the search for the ideal technique

There is a variable defect size in both left and right-sided congenital diaphragmatic hernia. The majority can be repaired using primary...

📅 Oct 21, 2025 articles
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Unveiling the hidden danger: A comprehensive analysis of pediatric aortic trauma and its mortality risk

I am writing to share my reflections on the article "Pediatric Aortic Trauma: National Database Analysis of Trauma Outcomes in Pediatric...

📅 Oct 18, 2025 articles
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Article

Environment matters: Understanding the social and built environment's role in pediatric surgical outcomes

I would like to commend the authors for their thorough and insightful systematic review, which offers a comprehensive examination of the impact of...

📅 Oct 18, 2025 articles
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Article

Comment on “The effect of age and symptom duration on the accuracy of twist score for testicular torsion in boys”

We read with great interest the recent paper by Eswaravaka and colleagues assessing how age and symptom duration influence the diagnostic accuracy...

📅 Oct 21, 2025 articles
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Article

Laparoscopic versus open splenectomy in non-traumatic pediatric patients: a systematic review and meta-analysis

Background Methods Results Conclusion

📅 Oct 17, 2025 articles
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Article

Prenatal risk stratification and novel treatments for abdominal wall defects: Insights From the APSA fetal diagnosis and treatment committee on evolving practice

Gastroschisis and omphalocele are congenital abdominal wall defects frequently diagnosed prenatally. Both occur in ∼1 in 4000 live births,...

📅 Oct 17, 2025 articles
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Article

Comparative outcomes of primary ureteral reimplantation vs. staged cutaneous ureterostomy in infants under one with primary obstructive megaureters and vesicoureteral reflux: a multi-center analysis

Purpose Methods Results Conclusions

📅 Oct 16, 2025 articles
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Article

Prognostic Value of Fetal Left Ventricular Myocardial Performance Index for Mortality or ECMO in Congenital Diaphragmatic Hernia

We aimed to determine whether fetal left ventricular myocardial performance index (LV MPI) at 30–34 weeks’ gestation predicts mortality or need...

📅 Oct 16, 2025 articles
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Article

Impact of VACTERL Association and Chromosomal Anomalies on Outcomes After Esophageal Atresia Repair: Insights from the EUPSA Registry

Although VACTERL association is a recognized entity in patients with esophageal atresia (EA), its impact on surgical outcomes remains unclear....

📅 Oct 16, 2025 articles
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Article

High-volume hospitals experience fewer postoperative complications after neonatal surgery: Analyses of the National Clinical Database Pediatric Surgical Registry in Japan

Previous studies on volume–outcome relationships suggest pediatric surgical procedures could potentially improve their clinical outcomes. However,...

📅 Oct 15, 2025 articles
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Article

Survival Differences in Pulmonary Metastatic Osteosarcoma Between Pediatric and Adult Institutions

Prognosis for osteosarcoma with pulmonary metastases remains poor at all ages. Pediatric surgeons often employ a more aggressive approach to...

📅 Oct 15, 2025 articles
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Article

New insights into the management of complicated pneumonia in children: A Systematic Review of Randomized Controlled Trials

Complicated parapneumonic effusions and empyema are serious complications of pneumonia in children and often require invasive management. The...

📅 Oct 16, 2025 articles
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Article

Laparoscopic-Assisted Resection with Adjunct Sclerotherapy for Abdominal Lymphatic Malformations: Long-term Outcomes from a Large Cohort Study

Abdominal cystic lymphatic malformations are rare congenital anomalies in children, often requiring surgical intervention due to the risk of...

📅 Oct 15, 2025 articles
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Article

Enhancing pediatric surgery outcomes: Integrating solution-focused brief counseling and cognitive behavioral therapy Into Virtual Reality interventions

We would like to express our appreciation for the insightful article “Exploring the Effectiveness of Virtual Reality in Pain and Stress Management...

📅 Oct 14, 2025 articles
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Article

Lichen Sclerosus: A black hole in current knowledge and management

We read with interest the study by Neville et al. [1], “Clinical and Histological Predictors of Disease Severity in Boys with Lichen Sclerosus”....

📅 Oct 13, 2025 articles
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Article

ADOPTION AND IMPLEMENTATION OF EVIDENCE-BASED PRACTICES INTO PEDIATRIC APPENDECTOMY CARE

Many children’s hospitals have implemented elements of evidence-based practice (EBP) for the diagnosis and management of uncomplicated and...

📅 Oct 13, 2025 articles
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Article

Balancing Sustainability and Safety: Reducing HVAC Air Exchange Rates in Operating Rooms Without Increasing Infection Risk

Compared to other industries, the healthcare sector disproportionately contributes to negative environmental burdens. Operating rooms (ORs) are...

📅 Oct 11, 2025 articles
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Article

Letter to the Editor: Incidence of recurrent laryngeal nerve palsy in thoracic surgery in neonates

We commend Tabaa et al. for drawing attention to recurrent laryngeal nerve (RLN) injury after neonatal thoracic surgery [1]. Their prospective...

📅 Oct 14, 2025 articles
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Article

Letter to the Editor “Early postoperative fever in pediatric oncology patients undergoing solid tumor resection”

We read with great interest the recent study “Early postoperative fever in pediatric oncology patients undergoing solid tumor resection” by...

📅 Oct 10, 2025 articles
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Article

Response to “Perinatal prognostic factors of recurrence or functional sequelae in neonatal sacrococcygeal teratoma, and implications for prenatal counselling: A multicenter retrospective study”

We read with great interest the article entitled “Perinatal prognostic factors of recurrence or functional sequelae in neonatal sacrococcygeal...

📅 Oct 10, 2025 articles
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Article

Clinical features and surgical management of pilomatrixoma in children: a 332-case retrospective study

Objective Methods Results Conclusion

📅 Oct 09, 2025 articles
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A Randomised Study Examining the Utility of Lauromacrogol Foam Sclerotherapy vs Pingyangmycin in Treatment of Pediatric Lymphatic Malformations --A Single Center Report From China

To evaluate the efficacy and safety of ultrasound-guided percutaneous lauromacrogol foam sclerotherapy for lymphatic malformations in children.

📅 Oct 09, 2025 articles
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Article

Right-Sided Congenital Diaphragmatic Hernia: Characterization, Utility of Prenatal Imaging Predictors and Outcomes

Identify the most accurate prenatal predictor of survival for infants with right-sided congenital diaphragmatic hernia (R-CDH), analyze management...

📅 Oct 09, 2025 articles
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Article

Pediatric genitourinary trauma in combat zones: Insights and lessons from military healthcare

I am writing to share my thoughts on the article "Combat-related Genitourinary Trauma in Pediatric Patients: Data from the Department of Defense...

📅 Oct 09, 2025 articles
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