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APSP J. of Case Reports     Open Access   (Followers: 3)
J. of Neonatal Surgery     Open Access   (Followers: 4)
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Journal of Neonatal Surgery
Number of Followers: 4  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2226-0439
Published by EL-MED-Pub Publishers Homepage  [2 journals]
  • Congenital scaphoid megalourethra

    • Authors: Omar A Ajaj
      PubDate: Sun, 18 Sep 2022 00:00:00 -040
       
  • Risk factors for Hickman-Broviac catheter complications: An experience
           from a Tunisian hospital

    • Authors: Manel Kammoun; Anouar Jarraya, Hend Ketata, Saloua Ammar, Mohamed Zouari, Chiraz Regaieg, Nadia Hentati, Mahdi Ben Dhaou, Riadh Mhiri
      Abstract: Background: Hickman-Broviac catheters have improved the care of young children needing frequent and prolonged venous access, but at the same times it has substantial morbidity, particularly in a resource-constrained setup. Our study aims to describe the experience of a Tunisian hospital and investigate the main risk factors for complications. Methods: In this study, we included all the neonates and infants who underwent Broviac catheter insertion in the pediatric surgery department. The patients were divided into 2 groups according to the presence of complications. We compared these two groups and univariate logistic regression analyses were used to determine the risk factors for complications. Results: Forty-three children were included in the study. The incidence of complicated catheters was 60.4%. The following factors were significantly associated with an increased risk of complications: age 6 months [OR 3.5, 95% CI: 0.6-19.3], weight 6 kg [OR 1.54, 95% CI: 0.46-5.2], emergency circumstances [OR 1.62, 95% CI: 0.8-5.4], and antibiotic-therapy as an indication for Broviac catheter insertion [OR 1.8, 95% CI: 0.5-6.2]. Conclusion: Complications seem to be more frequent in patients younger than 6 months and those with a weight of less than 6Kg. To reduce the morbidity related to the catheters, the indications should be carefully chosen.
      PubDate: Fri, 02 Sep 2022 00:00:00 -040
       
  • Primary neonatal sacrococcygeal neuroblastoma masquerading as a teratoma:
           A case report

    • Authors: Obay A Edan; Nazar MT Jawhar
      Abstract: Background: Neonatal tumors comprise about 2% of all pediatric malignancies, with neuroblastoma having the highest incidence. Neuroblastoma involving the adrenal medulla and sympathetic ganglia is the most typical scenario in infancy, while the pelvic variant is rare. We report this case because of the unusual and rare presentation of neuroblastoma in a newborn baby mimicking sacrococcygeal teratoma. Case Presentation: A newborn male baby presented with a firm sacral mass, about 5 x 7 cm, with normal overlying skin. MRI revealed an intrapelvic mass extending to the sacral region encasing the coccyx. After preparation, complete tumor excision was performed, and the diagnosis of neuroblastoma was confirmed by histological and immunohistochemical study. Conclusion: Primary neonatal neuroblastoma presenting as a sacrococcygeal mass is a rare and atypical clinical finding of neuroblastoma. It is hard to diagnose this sort of tumor preoperatively unless the mass is subjected to histological and immunohistochemical analysis after tumor excision.
      PubDate: Thu, 25 Aug 2022 00:00:00 -040
       
  • Dismal outcome of gastroschisis in a resource-limited country in West
           Africa: Relevant issues and what to expect'

    • Authors: Cedric Bignon Assouto; Amoussou Sedjro Clotaire Romeo Houegban, Beaudelaire Romulus Assan, Nicole Enianloko Tchiakpe , Michel Armand Fiogbe, Antoine Seraphin Gbenou
      Abstract: Background: Gastroschisis often has a fatal outcome in developing countries. Its outcome is taken as an indicator of the level of healthcare in a particular healthcare facility. The aim was to study the outcome of the management of gastroschisis and to identify the main challenges of its treatment in a country with limited resources. Methods: This is a prospective and descriptive study conducted over a period of 4 years (2016-2020). It included all the neonates admitted to the two referral hospitals of our country with the diagnosis of gastroschisis. Each of the university hospitals had a neonatology unit. Parenteral nutrition and assisted ventilation were not available. Results: Twenty patients were admitted to our hospitals with an annual frequency of five cases. The sex ratio (M:F) was 1.5. Only one of the 20 mothers (5%) of the patients had an antenatal diagnosis and was the only one born in a university hospital. The remaining (19-95%) were referred to a university hospital after their birth. None of the 20 patients had received parenteral nutrition. Surgically, seven babies (35%) had benefited from the placement of a silo with progressive reduction of the bowels. The mortality of gastroschisis was 100% and the average life span of the patients was 4.5 days [1-20 days]. Conclusion: It is important to act appropriately on the whole chain of management of gastroschisis from antenatal diagnosis to treatment so that this pathology is no longer fatal for newborns in countries with limited resources.
      PubDate: Tue, 23 Aug 2022 00:00:00 -040
       
  • Mucormycosis of the colon in a premature neonate

    • Authors: Pradeep Kajal; Namita Bhutani, Kirti Saini, Anjali Sindhu
      PubDate: Sun, 17 Jul 2022 00:00:00 -040
       
  • Heteropagus parasitic twins – a case of omphalopagus with major
           omphalocele and congenital heart disease

    • Authors: Sofia Morão; Filipa Marujo, Petra Loureiro, Daniel Virella, Rui Alves
      PubDate: Sat, 09 Jul 2022 00:00:00 -040
       
  • Managing sacrococcygeal teratoma in a resource constrained setting

    • Authors: Jean de Dieu Tumusifu Manegabe; Florent Tshiwid A Zeng, Ghislain Maheshe Balemba, Bijoux Safi Matabaro, Etienne Kijibwami Birindwa, Léon-Emmanuel Mubenga Mukengeshai, Fabrice Cikomola Gulimwentuga
      PubDate: Tue, 28 Jun 2022 00:00:00 -040
       
  • Large defect size is associated with 30-day mortality following surgical
           repair of congenital diaphragmatic hernia

    • Authors: Mohamed Zouari; Hana Ben Ameur, Emna Krichen, Najoua Kraiem, Mahdi Ben Dhaou, Riadh Mhiri
      PubDate: Sun, 26 Jun 2022 00:00:00 -040
       
  • Risk factors for early surgical intervention in neonates with
           gastroesophageal reflux disease

    • Authors: Shady S Shokry; Khaled M El-Asmar, Mohamed M Dahab, Tarek A Hassan
      Abstract: Background: Surgical intervention in neonates with Gastro-esophageal Reflux Disease (GERD) is usually reserved for failure of medical management or those having life-threatening complications of GERD. The optimal timing of intervention is still debatable. We aimed to identify the high-risk neonates with GERD requiring early surgical intervention. Methods: This prospective cohort study was conducted at NICU and Pediatric Surgery Department, Ain Shams University, from June 2017 to June 2020, and enrolled the neonates and infants below 2 months with symptoms and signs suggestive of GERD. Demographic data, clinical history, medical management, need for antireflux surgery, and outcomes were recorded. Results: In this study, 40 patients were enrolled and all were started on medical treatment. After the failure of medical management or life-threatening complications, 12 of these underwent anti-reflux surgery. In the medical group, six patients suffered from major complications (bronchopulmonary dysplasia and sepsis) and four mortalities. In the surgical group, three mortalities related to the development of bronchopulmonary dysplasia due to prolonged ventilation prior to surgery were recorded. The need for surgical intervention was significantly associated with younger gestational age (p = 0.001), younger age at presentation (p = 0.006), and lower weight at presentation (p = 0.034). Conclusion: Medical treatment of more than 35 days with unsatisfactory response, low birth weight, gestational age (≤32 weeks), and NICU admission in the first 10 days of life are considered high-risk factors for early anti-reflux surgery in neonates.
      PubDate: Fri, 24 Jun 2022 00:00:00 -040
       
  • Coblator assisted marsupialization of vallecular cyst

    • Authors: Pradeep Kumar; Lakshmi Venkitaraman
      PubDate: Tue, 14 Jun 2022 00:00:00 -040
       
  • Acetylcholinesterase histochemistry: A very useful technique in the
           diagnosis of Hirschsprung’s disease

    • Authors: Brijesh K Tripathi; Amrita Ghosh, Vaibhav Pandey, Ajay N Gangopadhyay, Sarita Chawdhary, Shiv P Sharma
      Abstract: Hirschsprung’s disease (HD) is a common congenital paediatric disorder. The gold standard for its diagnosis is the demonstration of the absence of ganglion cells on H&E stained sections from a spastic segment of the bowel, still at times; conclusive diagnosis of HD is difficult. This study was done to assess the accuracy of rapid Hematoxylin & Eosin (H&E) staining and AChE histochemistry in combination for the diagnosis of HD, especially in frozen section specimens. Samples from 36 clinically suspected HD cases were evaluated for the presence or absence of ganglion cells on H&E staining on both fresh-frozen and paraffin-embedded sections, whereas AChE staining was done on frozen sections only. Of the 36 cases of frozen section specimens from the spastic region of the colon, GCs were absent in 28 cases on H&E staining while positive staining patterns on AChE histochemistry were observed in 29 cases. Formalin-fixed paraffin-embedded sections showed the absence of GC on H&E staining in 28 cases. The sensitivity and specificity of frozen sections with rapid H&E were 77.78% and 81.82% while the sensitivity and specificity of AChE histochemistry were 80.56% and 81.82% respectively in the diagnosis of HD. Application of AChE histochemistry as an ancillary technique on frozen sections specimens of HD in combination with rapid H&E staining is very useful for definitive diagnosis of HD.
      PubDate: Tue, 07 Jun 2022 00:00:00 -040
       
  • Neonatal abdominal cocoon arising from atypical sequelae of intestinal
           malrotation: A case report

    • Authors: LO Abdur-Rahman; OA Ojajuni , TK Raji
      Abstract: Background: Abdominal cocoon (AC) is the partial or complete encasement of the intestines and sometimes other abdominal organs by a fibro-collagenous sac causing varied presentations of intestinal obstruction. It has been found in all age groups from neonates to the elderly although neonatal AC is quite rare and only very few cases have been reported. In neonates, the presentation could mimic other causes of partial or complete intestinal obstruction and preoperative diagnosis is usually difficult. Case Presentation: We report an atypical sequela of intestinal malrotation causing neonatal intestinal obstruction due to omental encasement of the small and large bowel. The diagnosis was made intraoperatively though contrast gastrointestinal series suggested the partial obstruction at the duodenal-jejunal level. The patient made a good postoperative recovery after extraction of the bowel from the cocoon (omental sac), partial omentectomy, and Ladd’s procedure. Conclusion: A neonatal abdominal cocoon caused by an omental encasement in a malrotated intestine is a unique presentation and a rare cause of neonatal intestinal obstruction.
      PubDate: Tue, 07 Jun 2022 00:00:00 -040
       
  • Ruptured giant sacrococcygeal teratoma

    • Authors: Omar Ajaj
      PubDate: Tue, 24 May 2022 00:00:00 -040
       
  • Pulmonary lymphangiectasia a rare cause of chylothorax: A case report

    • Authors: James Conner; Richard Mahon, Juan Camps
      Abstract: Background: Pulmonary lymphangiectasia (PL) is a rare disease characterized by dilation of the pulmonary lymphatic vessels. PL should be considered in the differential diagnosis in infants with pleural effusion, especially in the presence of chylothorax. Case Presentation: A 3-week-old neonate presented with tachypnea, cough, and reluctance to feed. Work-up found bilateral chylous pleural effusion. The patient was initially managed conservatively with bilateral tube thoracostomies and octreotide, however output from chest tubes did not subside. A left thoracotomy was performed with wedge biopsy of the apical segment of the left inferior lung lobe and multiple titanium clips were used to control thoracic duct. Postoperatively the patient continued to have high chest tube output, despite placement of clips. Histology of the biopsy confirmed the diagnosis of congenital pulmonary lymphangiectasia. Conclusion: Pulmonary lymphangiectasia is a rare cause of chylothorax. The treatment is often challenging as found in the index case.
      PubDate: Sun, 10 Apr 2022 00:00:00 -040
       
  • Functional Intestinal Obstruction of Prematurity (FIOP): Short term
           management results: A case series

    • Authors: Daniel Acosta Farina; Verónica Polit-Guerrero, Johan Aguayo-Vistin, Cristhian Cedeño-Moreira, Vicente Salinas-Salinas, Daniel Acosta-Bowen, jorge Oliveros-Rivero
      Abstract: Background: Functional Intestinal Obstruction of Prematurity (FIOP) is the delay or failure of meconium evacuation in premature neonates. It is associated with hypomotility in the developing intestine. It mostly presents with signs of intestinal obstruction in very low (VLBW) or extremely low birth weight (ELBW) neonates. Case Series: We present short-term results regarding the management of 8 premature newborns with FIOP treated with Awolaran O. et al [1] algorithm in a pediatric hospital, two of them required a surgical procedure due to conservative management failure. Conclusion: Early conservative management is successful in most patients with FIOP, related to symptom resolution. Surgical management should be kept for those with conservative management failure.
      PubDate: Tue, 29 Mar 2022 00:00:00 -040
       
  • The 30-day outcome of neonates operated for esophageal atresia

    • Authors: Corné de Vos; L van Wyk, D Sidler, P Goussard
      Abstract: Background: Despite great advances in the overall management of neonates with esophageal atresia (EA), many complications leading to morbidity still occurs. Most complications can be treated conservatively, but effective management is needed to reduce long-term morbidity. Methods: A retrospective cohort study was performed on neonates treated for EA with/without a tracheoesophageal fistula (TEF) between 2001 and 2020. Data were collected from patient records, discharge summaries, and surgical notes. The information recorded included: maternal and neonatal demographics, information regarding the diagnosis, and details surrounding the surgery. Results: During the 19-year study period, 53 neonates with a mean gestational age of 36.7 weeks were included for analysis. Forty-nine percent presented with an associated anomaly (most commonly, complex cardiac lesions). The majority (83%) had a primary repair on a median of day 3 of life. Nineteen neonates had a surgical complication 30 days post-repair: 7 minor (contained leaks and a chylothorax) and 12 major complications including anastomotic strictures, major anastomotic breakdowns, a recurrent TEF, and 5 surgery-related mortalities. Conclusions: This study showed less morbidity and mortality of neonates born with EA, despite a high incidence of associated anomalies, in a resource-restricted hospital. It is important to highlight that even with limited resources, centers in low- or middle-income countries can have good outcomes.
      PubDate: Thu, 17 Mar 2022 00:00:00 -040
       
  • Muscle-sparing posterolateral thoracotomy for esophageal atresia Vogt Type
           3b

    • Authors: Rahul Gupta
      Abstract: Background: Posterolateral muscle cutting thoracotomy is the gold standard approach to repair esophageal atresia with distal tracheoesophageal fistula. This technique is associated with morbidities in terms of poor motor and aesthetic outcomes. We aim to share our experience with muscle-sparing skin crease incision posterolateral thoracotomy for esophageal atresia Vogt type 3b. Methods: It was a retrospective observational study conducted over a period of 3 years and 6 months from January 2016 to June 2019 at two tertiary care teaching institutes. All patients with esophageal atresia having distal tracheoesophageal fistula were included. Results: Fifty-nine neonates underwent muscle-sparing thoracotomy, with 23 males and 36 females. The 34 (58%) neonates had low birth weight. Anorectal malformation (ARM) was the most common (6) associated major malformation(18). Intraoperative findings included long gap EA (6), right aortic arch (RAA, 3), aberrant vessels (1), and long upper pouch (1). Conversion to muscle cutting approach (during early learning curve) was performed in 8 cases i.e. long gap EA (3), RAA (2), Subglottic stenosis (2), others (1). No intraoperative complication was encountered; postoperative seroma formation (related to the approach) was observed in 2 (3.4%) neonates. Most of the patients achieved satisfactory functional and aesthetic outcomes. Conclusions: Muscle-sparing skin crease incision posterolateral thoracotomy is a viable approach for repair of esophageal atresia with distal tracheoesophageal fistula. The technique is easy to perform with adequate exposure and provides satisfactory functional and aesthetic outcomes with relatively minimum morbidity.
      PubDate: Fri, 11 Mar 2022 00:00:00 -050
       
  • Initial management of omphalocele using negative pressure wound therapy
           (NPWT) in Ecuador: A case series

    • Authors: Daniel Acosta-Farina; Johan Aguayo-Vistin, Cristhian Cedeño-Moreira, Vicente Salinas-Salinas, Verónica Polit-Guerrero, Jorge Oliveros-Rivero, Daniel Acosta-Bowen
      Abstract: Background: Omphalocele is an abdominal wall defect. Herniated organs can be small or large intestine, liver, and stomach. The use of conventional techniques has always been a challenge for the surgeon. The goal of using NPWT is to provide a quick, simple, and effective method to reduce the eviscerated content and enlarge the visceral continent. Case Presentation: The record of 3 patients with omphalocele was reviewed. There were two females and one male neonate. All the babies were born by C-section and were antenatally diagnosed for omphalocele. In all cases, NPWT was applied. Two cases were discharged in good condition while one patient with complex cardiac defects succumbed. Conclusion: NPWT is an effective and safe alternative for omphalocele management.
      PubDate: Mon, 28 Feb 2022 00:00:00 -050
       
  • Congenital intrinsic duodenal obstruction: Clinical study and predictors
           of neonatal surgical mortality

    • Authors: Dr. Prmila Sharma; Dr. Naresh Pawar, Dr. Arun Kumar Gupta
      Abstract: Background: This study was aimed to analyze the clinical profile and the predictors of neonatal surgical mortality of congenital intrinsic duodenal obstruction (CIDO). Methods: This is a case series of 67 patients with CIDO (duodenal atresia and stenosis) admitted at our teaching institute, from October 2018 to June 2020. The demographic data, clinical presentation, diagnostic methods, location & type of duodenal atresia, the operative procedure performed, and neonatal surgical mortality (NSM) predictors such as birth weight, age on presentation, associated anomalies, duration of surgery, extubation after surgery, sepsis, and vasopressors support were analyzed. Results: Of 67 patients, 40(60%) were premature; mean weight and age at presentation were 2.06±0.6 (1-8 kg) and 6.7(1-240days), respectively. The majority of patients (59, 88%) presented with vomiting, and the most common finding on the x-ray abdomen was a double bubble sign (54, 81%). Twenty-four (36%) were associated with congenital heart disease and 19(28%) had Down’s syndrome. Type 3 duodenal atresia was the commonest finding in 43(64%) followed by type 1 in 22 (33%), and type 2 in 2(3%). In 49 (73%) Kimura’s duodenoduodenostomy, excision of web & duodenoplasty in 13 (19%), and side to side duodenoduodenostomy in 4 (6%), were performed. The mean hospital stay of survivors was 9 days. Overall survival was 63%. Conclusion: Type 3 duodenal atresia is the commonest variety observed. The prematurity, low birth weight, associated major congenital anomalies, surgery >90 minutes, delayed extubation after surgery, sepsis, and need for vasopressors support are significant predictors of NSM.
      PubDate: Sun, 20 Feb 2022 00:00:00 -050
       
  • Safety and feasibility of delivery room cuddles in infants with surgical
           defects: A quality improvement project

    • Authors: Rebecca Evans; Thomas Hogan, Ranganna Ranganath
      Abstract: Background: Delivery Room Cuddles (DRC) is a growing practice with recognized benefits for parent-infant bonding, breastfeeding rates, and infant stress responses. Methods: We introduced DRC at St. Mary’s NICU, Manchester, in October 2020. As part of a formal QI process, we have been continuously collecting data on all babies admitted to our NICU from the delivery suite to review rates of DRC and monitor for any beneficial effects / adverse events. From October 2020 to May 2021, we admitted 41 babies with known surgical defects; 56% of whom had a DRC, including intubated babies with congenital diaphragmatic hernias, and babies with open surgical defects. Results: There have been no adverse incidents directly related to DRC and more babies who had a DRC received breast milk than those who did not Conclusion: Our study demonstrates that DRC can be implemented safely in surgical babies.
      PubDate: Mon, 17 Jan 2022 00:00:00 -050
       
  • Right retrocolic intrasaccular duodenum: Is it a novel variant of isolated
           duodenal nonrotation' A case report

    • Authors: Mirzaman Huseynov
      Abstract: Background: Almost all of the studies on anomalies of the midgut rotation and fixation in the literature and related sections in textbooks were designed according to Dott's classification. Focusing only on common rotation anomalies has led to the exclusion and neglect of other rare variants. Isolated pure duodenal nonrotation is such a variant. Case Presentation: We report a case of an unusual form of isolated pure duodenal nonrotation, in a 3-day-old newborn presenting with bilious vomiting. Ultrasonographic examination revealed the sign of 'whirlpool'. When this finding was evaluated together with bilious vomiting, midgut volvulus was considered and the patient was operated on urgently. Peroperatively, it was observed that the jejunum entered between the leaves of the terminal ileum mesentery. Proximally, the duodenum was located posterior to the right colon in a "sack". This "sack" was surrounded by thick Ladd's bands laterally, mesentery of the ascending colon medially, the posterior surface of the cecum and ascending colon anteriorly, and by the posterior abdominal wall posteriorly. Conclusion: In isolated duodenal nonrotation, the duodenum may be completely retro-colic. Consequently, the duodenojejunal junction and the ileocecal region may almost overlap. Unlike isolated duodenal nonrotation cases, in the surgical treatment of this variant, separation of Ladd bands alone is not sufficient, additionally, the right colon should be placed in a nonrotation position and care should be taken not to kink the terminal ileum under the cecum.
      PubDate: Fri, 14 Jan 2022 00:00:00 -050
       
  • Jejunal ectopic pancreas in a neonate

    • Authors: Daniel Acosta-Farina; Jorge Oliveros-Rivero, Manuel Cabrera-Viteri, Vicente Salinas-Salinas, Daniel Acosta-Bowen
      PubDate: Fri, 14 Jan 2022 00:00:00 -050
       
  • Starting from scratch: The primary hyperacidity theory of the cause of
           pyloric stenosis of infancy

    • Authors: Ian Munro Rogers
      Abstract: The early observations of those who first described babies with pyloric stenosis (PS) are used as a backdrop for the development of the Inherited Primary Hyperacidity theory of cause. Those early truths, uncomplicated by modern technology, have acted as a springboard for pathogenesis. Hyperacidity, male predominance, family history, self-cure, enhanced appetite, and time-sensitive presentation were all well known to the early pioneers. Any system of pathogenesis must explain all these clinical features. The Inherited Primary Hyperacidity theory does this and is a credible explanation for all the clinical features established by these early pioneers. The evidence which supports a delay in maturation of the negative feedback between gastrin and gastric acidity is presented. Such a phenomenon further supports the Primary Hyperacidity theory.
      PubDate: Fri, 14 Jan 2022 00:00:00 -050
       
  • Burden and outcome of neonatal surgical conditions in Nigeria: A
           countrywide multicenter cohort study

    • Authors: Hyginus Okechukwu Ekwunife; Emmanuel Ameh , Lukman Abdur-Rahman , Adesoji Ademuyiwa , Emem Akpanudo , Felix Alakaloko
      Abstract: Background: Despite a decreasing global neonatal mortality, the rate in sub-Saharan Africa is still high. The contribution and the burden of surgical illness to this high mortality rate have not been fully ascertained. This study is performed to determine the overall and disease-specific mortality and morbidity rates following neonatal surgeries; and the pre, intra, and post-operative factors affecting these outcomes. Methods: This was a prospective observational cohort study; a country-wide, multi-center observational study of neonatal surgeries in 17 tertiary hospitals in Nigeria. The participants were 304 neonates that had surgery within 28 days of life. The primary outcome measure was 30-day postoperative mortality and the secondary outcome measure was 30-day postoperative complication rates. Results: There were 200 (65.8%) boys and 104 (34.2%) girls, aged 1-28 days (mean of 12.1 ± 10.1 days) and 99(31.6%) were preterm. Sepsis was the most frequent major postoperative complication occurring in 97(32%) neonates. Others were surgical site infection (88, 29.2%) and malnutrition (76, 25.2%). Mortality occurred in 81 (26.6%) neonates. Case-specific mortalities were: gastroschisis (14, 58.3%), esophageal atresia (13, 56.5%) and intestinal atresia (25, 37.2%). Complications significantly correlated with 30-day mortality (p <0.05). The major risk predictors of mortality were apnea (OR=10.8), severe malnutrition (OR =6.9), sepsis (OR =7. I), deep surgical site infection (OR=3.5), and re-operation (OR=2.9). Conclusion: Neonatal surgical mortality is high at 26.2%. Significant mortality risk factors include prematurity, apnea, malnutrition, and sepsis.
      PubDate: Sun, 09 Jan 2022 00:00:00 -050
       
  • Congenital short bowel syndrome

    • Authors: Aditya Musham; Vikram Khanna, Kashish Khanna, Srishti Goel, Sushma Nangia, Hiramani Pathak
      PubDate: Sat, 08 Jan 2022 00:00:00 -050
       
  • Improving neonatal surgical outcome: My vision

    • Authors: Yogesh Kumar Sarin
      PubDate: Thu, 06 Jan 2022 00:00:00 -050
       
 
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