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quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "These lesions are best resected within the first 24 h after birth, because the gut is usually not colonized in the first 24 h, reducing the risk of infection if the field is contaminated by stool during the resection. Perioperative antibiotics are given immediately before surgery commences and continued for 24–48 h postoperatively."

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "An abdominal ultrasound will determine the size and consistency of any pelvic or abdominal component. It may be necessary to fill the bladder with water to allow it to be used as a sonic window. MRI should clearly distinguish between sacrococcygeal teratoma and anterior meningocele, and may be able to detect the occasional extension of the tumour through the sacral hiatus into the spinal canal."

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Dermal sinuses must be differentiated from benign coccygeal pits, which end blindly and never extend intraspinally, and therefore do not require further imaging evaluation or treatment. Dermal sinus tracts are found above the natal cleft and are usually directed superiorly. By comparison, coccygeal pits are found within the natal cleft, below the top of the intergluteal crease, with a tract extending either straight down or inferiorly. Coccygeal pits occur over the lower sacrum and coccyx and are anatomically located below the level of the subarachnoid space. They are encountered in nearly 5% of newborns, and although they are present from birth, they rarely manifest themselves before adult life. In later years, these small pits or dimples may become pilonidal sinuses or abscesses."

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