https://www.thieme-connect.com/products/ejournals/journal/10.1055/s-00024358

European Journal of Pediatric Surgery Reports, Bandipora (2026)

16/03/2026

New research by and colleagues highlights promising surgical outcomes for children with symptomatic .
In their study, Phrenic in Pediatric Diaphragm Paralysis, pediatric patients treated between 2012–2022 were reviewed to evaluate the safety and effectiveness of phrenic nerve reconstruction in both unilateral and bilateral cases.
🔬 Key Findings
• 100% of patients with unilateral paralysis improved, reporting reduced dyspnea, orthopnea, fatigue, and fewer respiratory infections.
• 80% demonstrated recovery of diaphragm motion and meaningful improvements in pulmonary function (FEV1 and FVC).
• Among patients with bilateral paralysis, 75% showed improvement in diaphragm function and ventilator requirements.
• No postoperative complications were observed during follow-up.
💡 Why it matters:
Phrenic nerve reconstruction may offer a safe and effective surgical option for children with symptomatic diaphragm paralysis. Early intervention appears especially beneficial and may help facilitate ventilator weaning in select patients.
Read the whole article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2536-4405

08/03/2026

🔬👩‍⚕️ How involved are pediatric surgeons in worldwide?
A global survey of 526 pediatric surgeons explored research participation, activity, and funding opportunities.
📊 Key Findings
• Only 23% are actively involved in research
• 77% conduct research in their own time
• 73% have attended at least one scientific conference
• 84% had no funding for at least one conference
📄 Academic output
• 69% have presented a scientific paper at a conference
• Only 20% have published at least one paper
⚖️ Gender differences
• Full compensation for research: 10% women vs. 29% men
• Women more frequently reported doing research outside paid working hours
💡 What could help?
✔ Structured research training
✔ Mentorship programs (especially for women)
✔ Protected research time
✔ Equitable access to funding
📢 Take-home message:
Research engagement among pediatric surgeons remains limited globally, with significant funding gaps and unequal support structures. Strengthening institutional support and mentorship may help close these gaps. Read the whole article here: https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2649-0566

04/03/2026

🏥🧒 Access Matters: Pelvic Floor Physical Therapy in Disease by Dr. Srinivas et al.

Pelvic floor physical therapy (PFPT) is recommended for children with Hirschsprung disease (HD) who struggle with persistent or — but how many actually receive it?

📊 Study Overview
83 children with HD referred to PFPT (2020–2023)
✔ PFPT included exercises + biofeedback
✔ Compared those who attended ≥1 session vs. those who did not

👀 Access Findings
Only 44.6% saw PFPT
• 50% attended just one visit
• 20% completed the full series
📅 Most common barrier: scheduling difficulties

💰 Who faced barriers?
Children who did not see PFPT were more likely to have:
• Financial stressors (42.5% vs. 16.1%, p=0.02)
• Need for formal support systems (28.2% vs. 3.3%, p=0.02)

Importantly, there were no clinical differences between groups (age, disease characteristics, prior interventions).

✨ Does PFPT work?
Yes.
Incontinence improved significantly:
81.1% before → 40.5% after PFPT (p=0.001)

🎯 Take-Home Message
PFPT improves symptoms in children with HD — but access is unequal.

Improving integration (e.g., embedding PFPT within colorectal clinics) may reduce barriers and improve outcomes.

Healthcare delivery matters as much as treatment efficacy.
Read the whole article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2536-4328

19/02/2026

📢 New Study: Outcomes and Complications of Chait Trapdoor in Pediatric Patients with Therapy-Resistant Constipation and F***l : A 14-Year Retrospective Study

In this 14-year retrospective analysis, et al. evaluated outcomes of the Chait Trapdoor™ cecostomy (CTC) in 62 pediatric patients with therapy-resistant constipation or f***l incontinence.

🔎 Key findings:
• Median age: 12 years
• Median follow-up: 4 years
• 79% experienced CTC-related complications
• 47% had minor complications (most commonly granulation tissue)
• 32% required surgery for major complications
• Despite this, 65% reported satisfaction due to partial or complete symptom resolution

💡 Take-home message:
While complication rates are substantial, the majority of patients report meaningful clinical benefit. These data reinforce the importance of:
✔ Careful patient selection
✔ Thorough preoperative counseling
✔ Individualized postoperative management

This study contributes valuable long-term data to the ongoing discussion on optimal ACE strategies for children with complex bowel dysfunction.

Read the whole article at: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2511-9184
kopp

14/02/2026

⚠️ Musculoskeletal Pain in Pediatric Surgeons: An Underrecognized Occupational Hazard

📊 3 out of 4 pediatric surgeons report musculoskeletal pain.

🔎 Study Overview
📨 Nationwide cross-sectional survey in Germany
📝 59-item questionnaire (including the validated Nordic Musculoskeletal Questionnaire)
👥 152 pediatric surgeons participated:
• 🎓 21% trainees
• 58% attendings
• 🏥 21% chiefs of service
• ⏳ Median 18 years in practice

📈 Key Findings 💥 75% reported musculoskeletal pain
📍 Most affected regions:
• 🧠 Neck/cervical spine (80%)
• 🦴 Lower back/lumbar spine (71%)
• 💪 Shoulders (56%)
⚡ The only significant risk factor: years in practice

🚨 Why This Matters
Chronic pain doesn’t just affect surgeons—it can impact:
🎯 Surgical precision
👶 Patient outcomes
📆 Career longevity
💼 Workforce sustainability
Even though many surgeons adopt ergonomic strategies, prevention is far from universal.

💡 Take-Home Message
📌 pain in is common.
📌 Risk increases with years in practice.
📌 Ergonomic awareness and structured prevention are urgently needed.
Taking care of surgeons = taking care of patients ❤️
Read the article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2685-1328

11/02/2026

✨ Fluorescence-guided surgery in pediatric care ✨
In this prospective study (2021–2022), Jayakumar et al. evaluated the safety and feasibility of in 17 pediatric hepatobiliary cases, including biliary atresia, choledochal cysts, and cholelithiasis.

🔎 Key findings:
• Real-time fluorescence enhanced visualization of the biliary anatomy
• Supported safer dissection in choledochal cysts and cholecystectomy
• Provided depth guidance during excision in biliary atresia
• ✅ No ICG-related adverse events observed

Takeaway: ICG fluorescence-guided surgery appears safe and beneficial in children, with potential to improve intraoperative navigation and reduce complications.

Further studies with standardized protocols and quantitative assessment will help define its full impact on outcomes.

Read the full article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2509-4463

07/02/2026

🍼 Cotside in Critically Ill Neonates: Safe and Feasible?
performing emergency abdominal surgery directly in the NICU—is often done for our tiniest, sickest patients. But how does it compare to traditional theatre-based surgery?

A systematic review of 18 studies (418 cotside vs. 453 theatre laparotomies) sheds light:

✅ Mortality & adverse events were similar between cotside and theatre groups
✅ Cotside babies were smaller and more premature
✅ Risks of transfer—like tube dislodgement and hypothermia—highlight potential benefits of NICU-based surgery

⚠️ Challenges include limited space and disruption of Hashtag workflow
📊 Only 33% of studies reported formal guidelines for cotside surgery

Bottom line: Emergency cotside laparotomy is safe, feasible, and may reduce transfer-related risks, even in higher-risk neonates. More large-scale studies are needed to define clear indications.

Read the full article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2767-4700

European Paediatric Surgeons' Association
Iain Yardley Simran Sehdev Benjamin Blaise Geraint Lee Andrew Selman

03/02/2026

🧪 Urine dipstick in pediatric appendicitis—
Diagnosing in children remains challenging. In this prospective cohort of 311 children with suspected appendicitis:
🔹 62% were diagnosed with appendicitis
🔹 41% had complicated appendicitis
🔹 62% of children with appendicitis had abnormal urine results.

📌 While urine dipstick did not differentiate appendicitis vs no appendicitis, abnormal results were significantly associated with:
- Female s*x
- Retrocecal appendix position
- Complicated appendicitis

⚠️ Sensitivity and specificity for detecting complicated appendicitis were modest (AUC 0.62), but findings suggest urine dipstick may offer useful contextual information, not diagnostic certainty.

🩺 Take-home: Abnormal urine dipstick findings are common in pediatric appendicitis and may hint at severity or appendix position—interpret with caution, but don’t ignore them.

Read the whole article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2490-1156

31/01/2026

🔍🫁 Thoracoscopic (EA) Repair in Germany
Thoracoscopic EA repair offers clear long-term benefits 💎
…but how often is it actually used?
📊 Nationwide insurance claims analysis (2020–2024)

👶 149 EA reconstructions analyzed
🏥 Data from 6 insurance providers (~28.5 million people)

🔧 Surgical approach
🔹 Thoracoscopic repair: 7% (11 cases)
🔹 Open repair: 93%
🔹 ⭐ only in specialized centers

⏱️ Length of stay
📍 Open: 76 days
📍 Thoracoscopic: 79 days
❌ No significant difference

Treatment costs
💰 Open: 142,741 €
💰 Thoracoscopic: 150,238 €
❌ No significant difference

🚨 Thoracoscopic EA repair remains the exception

🏥 Centralization means access to expertise
⭐ Specialized centers may help extend benefits to more patients

🔗 https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2676-2933

.wnmn

27/01/2026

What happens after a Kasai procedure may matter more than the Kasai itself.

For years, the conversation around biliary atresia has felt binary:
👉 Kasai first.
👉 Transplant later.

But what if there’s a meaningful middle ground?

Our recent review takes a systematic look at post-Kasai “salvage procedures” — interventions aimed not at replacing the liver, but at prolonging native liver survival (NLS) and optimizing transplant timing.

🔍 What was analyzed
• 15 studies | 794 patients
• Evidence levels IIc–IV
• Salvage strategies spanning infancy to adulthood

🛠️ Procedures reviewed
• Redo-Kasai for secondary bile flow failure
• Surgical & radiological interventions for bile lakes and recurrent cholangitis
• Shunt surgery & TIPS for portal hypertension

📌 Key takeaway
While transplantation remains inevitable for most patients, selected salvage procedures can buy meaningful time — particularly in patients with relatively stable liver function but specific, treatable complications.

💡 Bottom line
Post-Kasai management should not be passive.
Decision-making must be multidisciplinary, individualized, and dynamic — balancing complications, liver function, quality of life, and transplant timing.

📄 Madadi-Sanjani O, et al.
Optimizing Post-Kasai Management in Biliary Atresia: Balancing Native Liver Survival and Transplant Timing.
Eur J Pediatr Surg. 2025;35(4):261-268.

27/01/2026

What happens after Kasai matters more than we admit.

This review systematically explores post-Kasai “salvage procedures” in biliary atresia—interventions aimed at prolonging native liver survival (NLS) rather than moving straight to transplantation.

🔍 What’s inside the paper:
• 15 studies | 794 patients
• Evidence levels IIc–IV
• Salvage strategies across infancy to adulthood

🛠️ Procedures reviewed:
• Redo-Kasai for secondary bile flow failure
• Surgical & radiological interventions for bile lakes and recurrent cholangitis
• Shunt surgery & TIPS for portal hypertension

📌 Key message:
While transplantation remains inevitable for most patients, selected salvage procedures can buy meaningful time—especially in patients with stable liver function but specific complications.

💡 Decision-making must be multidisciplinary, individualized, and dynamic.

20/01/2026

“It’s not just the chest wall.”

Caption:
Pectus excavatum is often measured in millimeters —
but experienced in emotions.

In a cohort of 215 patients, over 55% reported psychosocial distress.

🔍 Using 3D optical surface imaging, we found:
• Greater depth and longer deformities were associated with higher distress
• Yet, morphology alone had only moderate predictive power

📉 AUC values ranged from 0.58–0.66, reminding us that:
👉 visible severity ≠ lived experience

🧠 Psychosocial distress is shaped by more than anatomy —
personality, neuropsychological factors, and social context matter.

📖 Published in European Journal of Pediatric Surgery
Janssen N, et al. Beyond the Chest Wall: Examining the Relationship between Morphological Features and Psychosocial Distress in Pectus Excavatum Patients. Eur J Pediatr Surg. 2025 Jun;35(3):247-254. https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2507-8195

European Journal of Pediatric Surgery Reports

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