Quick Literature Updates Episode 7

Allen et al. studied 277 children with Hirschsprung's disease, approximately half had Soave procedure, one-third had Duhamel, and the rest had Swenson procedure.

217 of the 277 Hirschsprung's disease patients had long-term outcome data available.

Duhamel procedure has the lowest risk of incontinence but the highest risk of constipation in school age children with Hirschsprung's disease.

Peters et al. retrospectively reviewed 55 pediatric patients with small bowel syndrome to examine whether presence or absence of ileocecal valve and/or colon can predict enteral autonomy.

Infants with an ileocecal valve had significantly shorter duration on parenteral nutrition.

Patients with less than 50% of their colon had significantly less time on parenteral nutrition as long as they had their ileocecal valve.

Olsen et al. systematic review analyzed 10 studies with 6,430 patients examining surgeon volume and pediatric thyroid surgery outcomes.

The definition of a high volume surgeon varies widely, ranging from 9 thyroidectomies per year to over 200 thyroidectomies with at least 30 being in pediatric patients.

Thyroidectomies performed by high volume surgeons show shorter length of stays.

Tendon et al. conducted a prospective randomized control trial between 2017 and 2018 comparing three skin closure methods: sutures with tissue adhesive, sutures with adhesive tape, and sutures alone.

Wounds were assessed at two weeks, six weeks, and more than six months after operation by surveying clinicians and parents.

Wounds with tissue adhesive had poorer cosmesis at six weeks compared to other closure methods.

The cosmesis difference between tissue adhesive and other closure methods disappears by six months.

At six months, there was no difference in wound outcomes between the three closure groups for either clinicians or parents.