Special Pediatric Surgery Forums

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February 20Feb 20

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Consensus is building that the crucial step in postnatal germ cell maturation is transformation of neonatal gonocytes into type A spermatogonia in the second 6 months after birth; hence the current recommendation for orchidopexy is at 6 months of age. Prevention of germ-cell loss is the aim of surgery, although this effect remains unproven."

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February 17Feb 17

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The buried penis is an abnormality of peno-scrotal fusion, in which the penile corpora are also tethered to the deep fascia of the lower abdominal wall. It is associated with phimosis, and the appearance of the external skin suggests that the penis is small or even absent. Often the inner preputial space is enlarged and balloons during voiding, with dribbling from the preputial orifice—referred to as megaprepuce."

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February 17Feb 17

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The success rates of the P-L and the Cohen (transtrigonal) techniques are similar. The advantage of the P-L is that the ureter is much easier to catheterize for retrograde pyelography and ureteral endoscopy because the ureteral opening of the Cohen is on the opposite side of the bladder. The disadvantage is that in creating the new ureteral hiatus, there is a blind spot behind the bladder, and a peritoneotomy or even bowel injury may occur, particularly in reoperative cases."

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February 14Feb 14

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Medical management is based on the principles that VUR often diminishes or resolves over time, and maintaining sterile urine minimizes the risk of reflux nephropathy. Medical management includes bladder training (encouraging regular micturition and treating symptoms of bladder/bowel dysfunction) and possibly antibiotic prophylaxis with a daily dose of an antimicrobial such as nitrofurantoin, trimethoprim, or sulfatrim. Many children undergo regular follow-up assessment with a voiding cystourethrogram (VCUG) and renal ultrasonogram (US) every 12–18 months. Medical management is co…

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February 13Feb 13

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "In those patients who had prenatal diagnosis of hydronephrosis, ultrasonography is performed in the first week of life. If hydronephrosis is confirmed, radionuclide studies are undertaken when the child is 6–8 weeks old in order to assess renal function and rule out obstruction. In those patients who present with clinical symptoms, a renal ultrasound is performed, and if it shows hydronephrosis without dilated ureters, the diagnosis is confirmed with radionuclide studies. The most commonly used radionuclides are diethylenetriamine pentaacetate (DTPA) and mercaptoacetyltriglycine …

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February 12Feb 12

SAGESThe SAGES Safe Cholecystectomy Program - Strategies for M...This article shows 6 strategies surgeons can employ to adopt a universal culture for safe cholecystectomy and minimize the risk of bile duct injury.Please take care, This is unfortunate and highlights the importance of obtaining a critical view before clipping and taking down any structure. WhatsApp Video 2025-12-16 at 13.10.23.mp4

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December 16, 2025Dec 16

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Surgical problems with cystic choledochal cyst are most often encountered on the proximal side of the pathology, occurring as a result of anatomic variants of the common hepatic duct, uncertainty in relation to the excision level of the common hepatic duct, dilated IHBD, and debris and/or stenosis in the IHBD. In contrast, surgical problems with fusiform choledochal cyst most often arise on the distal side of the malformation and are due to uncertainty in relation to the excision level of the distal choledochus, debris in the common channel, and complicated PBMU." Quote from "Ped…

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November 29, 2025Nov 29