Tag Archives: Pediatric Surgery

General Surgery, Pediatrics, Print Release

PUBLISHED: Laparoscopic Percutaneous Extraperitoneal Closure (LPEC) for an Inguinal Hernia in a Pediatric Female

Laparoscopic Percutaneous Extraperitoneal Closure (LPEC) for an Inguinal Hernia in a Pediatric Female
Yuki Noguchi, MD, PhD; Shogo Saito, MD; Shohei Hiwatashi, MD, PhD; Satoshi Umeda, MD, PhD; Masahiro Zenitani, MD, PhD; Keigo Nara, MD, PhD
Osaka Women’s and Children’s Hospital

Pediatric inguinal hernias are indirect, resulting from a persistent patent processus vaginalis (PPV). These hernias will not spontaneously heal and carry a serious, persistent risk of incarceration. Consequently, surgical repair is typically advised soon after diagnosis to minimize the risk of incarceration.

This report details a 4-year-old girl with a reducible left inguinal hernia containing the greater omentum undergoing minimally invasive laparoscopic percutaneous extraperitoneal closure (LPEC). LPEC offers improved visualization, superior cosmetic results, and the ability to identify and repair contralateral PPV during the same procedure, which reduces the risk of metachronous hernia—particularly in girls, where the technique is technically straightforward.

Pediatrics, Print Release, Urology

PUBLISHED: Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome

Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome

J. Corbin Norton
Department of Urology, University of Arkansas for Medical Sciences

Amrit Singh, MD
Department of Pathology, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital

Laura L. Hollenbach, MD
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences

Georgia Gamble, MD
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences

Laura A. Gonzalez-Krellwitz, MD
Department of Pathology, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital

Stephen J. Canon, MD
Department of Pediatric Urology, Arkansas Children’s Hospital

The patient in this case is a 15-year-old female who presented with primary amenorrhea and who on work-up was found to have complete androgen insensitivity syndrome. Here, Dr. Canon at the University of Arkansas for Medical Sciences performs a prophylactic laparoscopic bilateral gonadectomy to reduce her future risk for intra-abdominal testicular malignancies. Final pathology results showed a rare case of bilateral germ cell neoplasia in situ and bilateral paratesticular leiomyomas and reinforced the decision to intervene early allowing for the removal of the gonads prior to their conversion to formal germ cell tumors.

General Surgery, Global Surgery, Pediatrics, Preprint Release

PREPRINT RELEASE: Colonic Interposition for Esophageal Atresia

Colonic Interposition for Esophageal Atresia
Mario Catarino Rivas Hospital, Honduras

Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport

Caroll Alvarado Lemus, MD
Pediatric Surgery, Mario Catarino Rivas Hospital, Honduras
San Pedro Sula, Honduras

Domingo Alvear, MD
Founder
World Surgical Foundation

The patient in this case is a 6-year-old boy who was born with Down syndrome and esophageal atresia. In this video article, Dr. Alvear performs a colonic interposition to replace the absent esophagus with part of the patient’s colon. This was performed during a global surgical mission in Honduras with the World Surgical Foundation.

General Surgery, Global Surgery, Pediatrics, Preprint Release

PREPRINT RELEASE: Pediatric Open Right Inguinal Herniorrhaphy: The Alvear Technique with High Ligation and Internal Ring Repair

Pediatric Open Right Inguinal Herniorrhaphy: The Alvear Technique with High Ligation and Internal Ring Repair
St. Catarina Hospital, Honduras

Domingo Alvear, MD
Founder, World Surgical Foundation

Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport

In this case, Dr. Alvear performs an open right inguinal herniorrhaphy on a 1-year-old male using his own technique involving high ligation of the hernia sac and internal ring repair. This was filmed during a surgical mission in Honduras with the World Surgical Foundation.

General Surgery, Global Surgery, Pediatrics, Preprint Release

PREPRINT RELEASE: Open Proctocolectomy for Hirschsprung’s Disease

Open Proctocolectomy for Hirschsprung’s Disease
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay performs a proctocolectomy on a 4-year-old male with Hirschsprung’s disease while on a surgical mission in the Philippines with the World Surgical Foundation.

General Surgery, Global Surgery, Pediatrics, Preprint Release

PREPRINT RELEASE: Pediatric Infant Bilateral Open Inguinal Hernia Repair – Twin B


Pediatric Infant Bilateral Open Inguinal Hernia Repair – Twin B
Romblon Provincial Hospital

Domingo Alvear, MD
Founder, World Surgical Foundation

Lissa Henson, MD
Philippine Society of Pediatric Surgeons

In this case, Dr. Alvear performs a bilateral open inguinal hernia repair on the second of two twin babies while on a surgical mission with the World Surgical Foundation in the Philippines. On one side, the ovary was trapped within the hernia sac. Here, Dr. Alvear demonstrates his technique for preserving the ovary in this setting, which is effective, much quicker, and much safer with fewer complications for anesthesia.

Pediatrics, Preprint Release

PREPRINT RELEASE: Posterior Sagittal Anorectoplasty (PSARP) for Imperforate Anus


Posterior Sagittal Anorectoplasty (PSARP) for Imperforate Anus
Romblon Provincial Hospital

Paulo Castillo, MD
World Surgical Foundation

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
Philippine Children’s Medical Center

In this case, Dr. Castillo with the World Surgical Foundation performs a posterior sagittal anorectoplasty (PSARP) on a 9-month-old male as the second of three operations to treat his imperforate anus. The first was an initial diversion sigmoid colostomy, and the third will be to close the colostomy 6-8 weeks following the PSARP.

General Surgery, Pediatrics, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Contracture Release and Full-Thickness Skin Graft to Volar Index Finger with K-Wire Insertion


Contracture Release and Full-Thickness Skin Graft to Volar Index Finger with K-Wire Insertion
Shriners Hospitals for Children – Boston

Jonathan Friedstat, MD
Plastic and Reconstructive Surgery
Shriners Hospitals for Children – Boston
Massachusetts General Hospital

Jonah Poster
Medical Student
Icahn School of Medicine at Mount Sinai

This case centers around a young male patient with a 1-year-old burn scar on his volar index finger that keeps the finger flexed and prevents it from being straightened. Here, Dr. Friedstat releases the contracture and places a full-thickness skin graft from the right groin crease. A K-wire was also used to prevent flexion of the finger during the healing process.

General Surgery, Pediatrics, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh


Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh
Shriners Hospitals for Children – Boston

Jonathan Friedstat, MD
Plastic and Reconstructive Surgery
Shriners Hospitals for Children – Boston
Massachusetts General Hospital

Jonah Poster
Medical Student
Icahn School of Medicine at Mount Sinai

In this case, a 5-year-old male with burn scars undergoes a bilateral dorsal foot scar contracture release with split-thickness skin grafts from the anterior thigh.

General Surgery, Global Surgery, Pediatrics, Preprint Release

PREPRINT RELEASE: Pediatric Bilateral Indirect Inguinal Herniotomy


Pediatric Bilateral Indirect Inguinal Herniotomy
Romblon Provincial Hospital

Beda Espineda, MD
Philippine Children’s Medical Center
World Surgical Foundation

In this case, Dr. Espineda performs a bilateral indirect inguinal herniotomy on a 12-year-old male in the Philippines while on a surgical mission with the World Surgical Foundation.