European Journal of Pediatric Surgery Reports

European Journal of Pediatric Surgery Reports The European Journal of Pediatric Surgery & Reports publish research articles and case reports

🫁 Giant & Pulmonary Complications — What does the evidence show?A highlights the significant burden of in newbor...
29/04/2026

🫁 Giant & Pulmonary Complications — What does the evidence show?

A highlights the significant burden of in newborns with giant omphalocele (GO):

🔍 23 studies analyzed (PRISMA-based review)
📊 Key findings (median values):
• Pulmonary hypoplasia : 26%
• Persistent pulmonary hypertension: 38.5%
• Mortality: 23.5%
• Associated syndromes/anomalies: 58%

⚠️ In case series, outcomes were even more severe — with mortality reaching 55.5%.

💡 Key insight:
The combination of associated anomalies and significantly increases mortality risk.

🚨 Take-home message:
Despite heterogeneity across studies, the burden of pulmonary complications in GO is alarmingly high.

➡️ There is an urgent need for:
• Standardized diagnostic criteria
• Improved prenatal counseling
• Management in specialized centers

Read the whole article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2649-0781

27/04/2026

📢 Call for Manuscripts | EUPSA Congress Issue - Deadine June 7th!

Looking forward to an inspiring EUPSA Congress in Vienna, we now invite all presenters to take the next step and turn their work into a full publication.

📝 The European Journal of Pediatric Surgery (EJPS) will give first priority to manuscripts based on abstracts presented at the congress (oral & poster).

👉 If your abstract was accepted and presented, you are strongly encouraged to submit your manuscript for consideration in the official congress issue.

🔍 Key information:
• Submission via Thieme Manuscript Central: https://mc.manuscriptcentral.com/ejps
• Please identify your submission as an EUPSA manuscript during the process
• ⏳ Deadline: June 7th (submissions possible up to 2 weeks after the congress)
• Final selection will be made by the Publication Committee

📚 Case report abstracts can be submitted to EJPS Reports (selected papers published free of charge):
👉 http://mc.manuscriptcentral.com/ejpsreports

💡 Detailed author guidelines:
European Journal of Pediatric Surgery – Instructions for Authors (Thieme Connect)

This is a great opportunity to showcase your work, contribute to the field, and gain visibility within the paediatric surgical community.

For questions:
📩 EJPS: Martin Lacher
📩 EJPS Reports: Carmen Mesas Burgos
📩 Scientific queries: Annika Mutanen

Let’s continue the scientific exchange beyond the congress — we look forward to your submissions!

20/04/2026

🎥 Can magnets transform ureteric reconstruction?
The most delicate step of a remains the pyeloureteral . What if this step could be simplified?
In this experimental study, the authors explored a novel concept:
🧲 The Magnetic Anastomosis Device (PUMA)
Using a stepwise large-animal model in domestic pigs, they evaluated feasibility and extended prior short-term data to achieve longer follow-up.

🔬 Study approach:
- Laparoscopic ureteral ligation to create obstruction
- Delayed implantation of the magnetic device
- Follow-up with imaging and device retrieval

📊 Key findings:
- Successful after iterative adaptation
- Even with device dislocation, anastomotic patency was maintained

💡 Why this matters:
The findings suggest that magnetic compression anastomosis may offer a simplified, minimally invasive alternative for ureteric reconstruction, with potential to improve reproducibility in a technically demanding step.

👇 Read the whole article here: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2507-8135

A successful, innovative by Dr. Gallego Fernàndez and colleagues from Granada.Case highlights:• Patient: 12-year-old g...
15/04/2026

A successful, innovative by Dr. Gallego Fernàndez and colleagues from Granada.

Case highlights:
• Patient: 12-year-old girl with sternal and pulmonary metastases after prior chemo, proton therapy, and partial sternal resection/reconstruction.
• Recurrence: Two subpleural nodules in right lung segments 6 and 9.
• Innovation: Preoperative nebulization of via endotracheal tube
• Intraoperative result: Thoracoscopic fluorescence clearly delineated metastatic nodules from surrounding fibrotic/inflammatory tissue, enabling safe wedge resections of both lesions.
• Outcome: Uneventful recovery; patient continuing postoperative chemotherapy.

Why this matters:
• Inhaled ICG-F enabled targeted resection with enhanced visual discrimination of pathology at the lung surface.

Read the whole Case Report here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2780-3527 .moreno117

09/04/2026

New video out now 🎥

Can uroflowmetry help us reliably detect urethral strictures after hypospadias repair in children?

In this study, outcomes from 62 patients undergoing TIP and non-TIP urethroplasty were evaluated for diagnostic performance of uroflowmetry—focusing on key parameters like Qmax and Qave.

🔍 Key findings:
• Qmax outperformed Qave in detecting strictures
• Excellent diagnostic accuracy in non-TIP repairs (AUC 0.94)
• More limited utility in TIP cases (AUC 0.80)
• Strong correlation between Qmax and urethral calibration
• Qmax ≤ −3 SD is a useful predictor for strictures in non-TIP patients

💡 Takeaway:
Uroflowmetry—especially Qmax—shows strong potential as a noninvasive screening tool after hypospadias repair, but its performance differs depending on surgical technique.

Read the article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2536-4549

🧠🤖 Latest Developments in AI & in General Pediatric Surgery by .hesh & colleagues.🚀AI is transforming healthcare—enhan...
28/03/2026

🧠🤖 Latest Developments in AI & in General Pediatric Surgery by .hesh & colleagues.

🚀AI is transforming healthcare—enhancing 🖼️ imaging, 📊 prediction, 🧬 personalized care, and 🧑‍⚕️ intraoperative guidance.�👉 But adoption in pediatric surgery remains limited.

⚠️ Key barriers
�• Rare & complex diseases
�• Small, heterogeneous datasets
�• Limited AI training among surgeons

🔍 AI applications across 5 key conditions have been explored:
�• Appendicitis
�• Necrotizing enterocolitis
�• Hirschsprung’s disease
�• Congenital diaphragmatic hernia
�• Biliary atresia

📊 Current reality�Promising results—but…�❗ Need for external validation�❗ Lack of standardization

🌍 A possible path forward�🤝 Multicenter collaboration�🗄️ Shared, large datasets�🎓 AI education for surgeons

✨ has the potential to contribute in pediatric surgery—but success depends on collaboration, data, and education.
Read the whole article here: https://www.thieme-connect.com/products/ejournals/html/10.1055/a-2689-8280

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

🔬👩‍⚕️ How involved are pediatric surgeons in worldwide?A global survey of 526 pediatric surgeons explored research par...
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

⚠️ Musculoskeletal Pain in Pediatric Surgeons: An Underrecognized Occupational Hazard📊 3 out of 4 pediatric surgeons rep...
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

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