https://www.frontiersin.org/journals/surgery/sections/pediatric-surgery RSS Feed for Pediatric Surgery section in the Frontiers in Surgery journal | New and Recent Articles en-us Frontiers Feed Generator,version:1 2026-05-13T06:37:53.133+00:00 60 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1837176 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1837176 2026-05-13T00:00:00Z Case Report Hengjing ZouGuangyi LaiYanping LuShan Ou https://www.frontiersin.org/articles/10.3389/fsurg.2026.1779069 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1779069 2026-04-29T00:00:00Z Original Research Mohammad AladailehSaleh A. Ba-ShammakhJoud Al RamadnehYousef BadranMusab Al-A’athalAlmu’atasim KhameesTayseer Al-tawarahAnas AljaiuossiBassem Al BatainehMohammad AL-Smirat  0.05).ConclusionsOpen deroofing plus albendazole in Northern Jordanian children was associated with low recurrence and acceptable morbidity. Expanded ultrasound screening, community zoonosis education, and WHO-aligned protocols are needed.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1740978 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1740978 2026-04-24T00:00:00Z Original Research Sirui DingXiaolong ChenTienan FengXuequn HuangLi ShenHaifa Hong https://www.frontiersin.org/articles/10.3389/fsurg.2026.1814772 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1814772 2026-04-24T00:00:00Z Original Research Wenbin GaoXianpu SongYanhua FengChuo Liu  0.05). The sedation failure rate in the study group was 8.0% (8/100), and all 8 cases achieved effective sedation after rescue dosing with one additional spray (15μg for 10.7–19.4 kg, 25 μg for 19.4–28.0 kg) intranasal dexmedetomidine hydrochloride; no sedation failure was observed in the control group. No serious adverse reactions were observed in either group. Preoperative and intraoperative cooperation in the study group was significantly better than that in the control group, and the incidence of agitation was significantly lower (P < 0.01), 95%CI: 0.0–0.2. No serious adverse reactions were observed in either group. Preoperative heart rate, respiratory rate, oxygen saturation, and mean arterial pressure were comparable between the two groups (P > 0.05). Intraoperatively, the study group maintained more stable vital signs, with significantly lower heart rate and mean arterial pressure than the control group (P < 0.05), 95%CI for heart rate: 8.2–15.7; 95%CI for mean arterial pressure: 5.1–10.3, all within normal physiological ranges.ConclusionPreoperative intranasal dexmedetomidine hydrochloride is an effective and safe regimen for improving intraoperative cooperation, stabilizing vital signs, reducing agitation, and enhancing cosmetic suture quality and family satisfaction in children with emergency facial trauma.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1808700 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1808700 2026-04-23T00:00:00Z Original Research Siyuan WangWeihong XuBin JiMenglian SunJianhu HuangJiwen SunNanping Shen 1 month and ≤1 year who underwent elective congenital heart surgery with CPB. Patients were randomly divided into a development cohort (n = 277) and a validation cohort (n = 120). Early postoperative CDEs were assessed using near-infrared spectroscopy monitoring at cardiac intensive care unit admission. Prespecified perioperative variables measured before or during CPB were entered into a multivariable logistic regression model to construct a nomogram. Model performance was evaluated using discrimination, calibration, and decision curve analysis, with internal validation.ResultsEarly postoperative CDEs occurred in 16.88% of the overall cohort, with comparable incidences in the development (18.1%) and validation (14.2%) cohorts. The final model included body surface area, RACHS-1 category, CPB duration, hematocrit during CPB, and CPB temperature strategy. The nomogram demonstrated good discrimination in the development cohort [C-statistic 0.798, 95% confidence interval (CI) 0.729–0.857] and the validation cohort (0.767, 95% CI 0.629–0.886), with satisfactory calibration. The decision curve analysis suggested potential clinical usefulness across clinically relevant threshold probabilities.ConclusionsAn internally validated, infant-specific nomogram based on routinely available perioperative variables was developed to predict early postoperative cerebral desaturation following congenital heart surgery with CPB. External validation is required before clinical implementation.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1797606 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1797606 2026-04-22T00:00:00Z Original Research Girolamo MattioliMaria Stella CiprianiStefano AvanziniMichela Cing Yu WongValentina RossiMaria Grazia Faticato https://www.frontiersin.org/articles/10.3389/fsurg.2026.1789037 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1789037 2026-04-20T00:00:00Z Original Research Yuliang JiangMenglei ZhuJianlei ChenZhenwei ZhuHaowei ZhaoQi WangZiang WangJie ZhuPeng Cai https://www.frontiersin.org/articles/10.3389/fsurg.2026.1810768 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1810768 2026-04-17T00:00:00Z Case Report Simone FredianiLorenzo NanniMartina GranelloIlaria BuconiAngelo ZarfatiFilomena Valentina ParadisoAntonella AccinniSara SilvaroliArianna BertocchiniFederico BeatiSilvia MadafferiCristina MartucciValerio PardiIvan Pietro Aloi https://www.frontiersin.org/articles/10.3389/fsurg.2026.1780883 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1780883 2026-04-07T00:00:00Z Original Research Ahmed ArafaAbdelhafeez Mohamed AbdelhafezOmar N. AbdelhakeemAhmed M. AkoulaAhmed S. RagabAhmed E. Arafat 2 cm: 4 cases with long common channels (>3 cm) had one-stage laparoscopic rectal and vaginal pull-through; 6 cases with short channels (<3 cm) underwent posterior sagittal rectal pull-through 2 partial urogenital mobilization (PUM),4 total urogenital mobilization (TUM). For staged procedures: 3 cases with long channels and rectal endings below the coccyx underwent rectal pull-through followed by vaginal pull-through; 5 short-channel cases had laparoscopic rectal pull-through followed by TUM (2) or PUM (3). Vaginal depth <2 cm required colon replacement in 2 cases.ConclusionSurgical management of cloacal malformations requires individualized approaches based on anatomical factors.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1762703 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1762703 2026-03-11T00:00:00Z Original Research Maria Grazia FaticatoSerena RealiMichela Cing Yu WongStefano AvanziniGirolamo Mattioli https://www.frontiersin.org/articles/10.3389/fsurg.2025.1562039 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1562039 2026-03-09T00:00:00Z Systematic Review Chao ZhangFeng JiangJunrong LiHaiyan ShenHuiping WangYanfen Huang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1773691 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1773691 2026-03-04T00:00:00Z Mini Review Ahmed ArafaAhmed S. RagabAbdelhalem Showkat MohamedMahmoud Tarek MohamedAhmed E. ArafatAbdelhafeez Mohamed Abdelhafeez https://www.frontiersin.org/articles/10.3389/fsurg.2025.1704284 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1704284 2026-01-21T00:00:00Z Case Report Haitong XuYongkai QinLiyang ZhangJiahong ChenBo LiJunfei HanZhengwei HuangYingchao Jing https://www.frontiersin.org/articles/10.3389/fsurg.2025.1687868 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1687868 2026-01-05T00:00:00Z Case Report Xinxing LiuTingliang FuDonghua LiLei GengShuai Sun https://www.frontiersin.org/articles/10.3389/fsurg.2025.1735389 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1735389 2025-12-11T00:00:00Z Case Report Jianqing WuLin YeXiqin WangHeng Zhang https://www.frontiersin.org/articles/10.3389/fsurg.2025.1711870 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1711870 2025-12-03T00:00:00Z Methods T. Connor McCorkellDaniela Espinosa SeoaneElke Zani-RuttenstockFabian DoktorRebeca FigueiraMelissa SinclairAlex zur LindenMarta HornaLucciana RecchiAlice DefargesLina AntouniansAndreana BütterAugusto ZaniJudith Koenig https://www.frontiersin.org/articles/10.3389/fsurg.2025.1622547 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1622547 2025-11-26T00:00:00Z Systematic Review Ayoola AwosikaTirath PatelShree RathFathimathul HennaUmama AlamAizaz AliMayowa Jeremiah Adeniyi https://www.frontiersin.org/articles/10.3389/fsurg.2025.1638718 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1638718 2025-10-30T00:00:00Z Case Report M. E. BartoliG. CassanelliG. L. Natali https://www.frontiersin.org/articles/10.3389/fsurg.2025.1688702 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1688702 2025-10-21T00:00:00Z Original Research Yufeng WangJingxia BianYang YuanCong LiYang Liu  0.05). The IHSO-optimized algorithm outperformed controls in 91.67% of CEC2022 benchmark functions. AutoML model performance significantly surpassed conventional methods: training set ROC-AUC: 0.9667, test set ROC-AUC: 0.9247 (PR-AUC: 0.8350). Decision curves demonstrated clinical net benefit across 6%–99% risk thresholds. Key feature importance ranked as: age > operative duration > fibrinogen > fracture classification > APTT > CRP > BMI > D-dimer. SHAP analysis revealed: 1) Increasing age significantly attenuates the risk contribution of surgery duration; 2) FIB >4.0 g/L + elevated CRP indicated coagulation-inflammation cascade; 3) AO-C type fractures carried highest risk.ConclusionThis AutoML model, validated through explainability techniques, confirms the core predictive value of age, operative duration, and coagulation-inflammation networks for adolescent tibial fracture risk management. Though requiring prospective validation, the three-tier warning system establishes a stepped framework for individualized intervention. Future studies should advance multicenter collaborations integrating dynamic monitoring indicators to optimize clinical applicability.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2025.1660354 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1660354 2025-10-06T00:00:00Z Case Report Ghaith AdiFelicitas EckoldtIlmi Alhussami