Journal of Pediatric and Adolescent Surgery http://jpedas.org/ojs/index.php/jpedas <p> <img src="http://jpedas.org/ojs/public/site/images/blmirza/cover20201-web.jpg" alt="Journal of Pediatric and Adolescent Surgery" width="400" height="577" /></p> <p><strong>Journal of Pediatric and Adolescent Surgery</strong> (<a title="Journal of Pediatric and Adolescent Surgery" href="https://doi.org/10.46831/jpas">https://doi.org/10.46831/jpas</a>) a peer-reviewed and open access hybrid medium journal published both as an electronic and print version. The journal publishes original research articles, Systematic reviews, Meta-analysis, Narrative reviews, Evidence-based reports, Short communications, Case reports, Letter to the editor, Clinical images, Radiology quiz, etc. Detail of these publication types can be seen in <a title="Download" href="http://jpedas.org/setup/instructions.pdf" target="_blank" rel="noopener">Instruction to Authors</a>. Every manuscript will be peer-reviewed before reaching any decision. Please see the Peer review policy of the journal.</p> The Association of Paediatric Surgeons of Pakistan (APSP) en-US Journal of Pediatric and Adolescent Surgery 2708-6488 <h3>You are free to:</h3> <ul class="license-properties"> <li class="license share"><strong>Share</strong> — copy and redistribute the material in any medium or format</li> <li class="license remix"><strong>Adapt</strong> — remix, transform, and build upon the material for any purpose, even commercially.</li> </ul> <p><strong>Terms:</strong></p> <ul> <li><strong>Attribution</strong> — You must give <a id="appropriate_credit_popup" class="helpLink" style="background-color: #ffffff;" tabindex="0" title="" href="https://creativecommons.org/licenses/by/4.0/" data-original-title="">appropriate credit</a>, provide a link to the license, and <a id="indicate_changes_popup" class="helpLink" style="background-color: #ffffff;" tabindex="0" title="" href="https://creativecommons.org/licenses/by/4.0/" data-original-title="">indicate if changes were made</a>. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li> <li><span id="by-more-container"></span><strong>No additional restrictions</strong> — You may not apply legal terms or <a id="technological_measures_popup" class="helpLink" tabindex="0" title="" href="https://creativecommons.org/licenses/by/4.0/" data-original-title="">technological measures</a> that legally restrict others from doing anything the license permits.</li> </ul> <div id="deed-conditions" class="row"> </div> <div class="row"> </div> Corrosive ingestion in a 4 days old newborn http://jpedas.org/ojs/index.php/jpedas/article/view/86 <p><strong>Background:</strong> Corrosive ingestion in children is very important and sensitive issue which result in lot of morbidity and mortality corrosive ingestion is mostly in form of acid or alkali chemical. 5000 to 15000 caustic ingestion cases are reported annually in United States. Majority of cases are accidental and can occur in any age of children but in new born it occur very rarely.</p> <p><strong>Case Presentation:</strong> we are presenting a case of corrosive ingestion in 04 days old new born who was given a liquid bleed mixed with formula milk by mother considering the liquid bleed as water for the dilution of milk.</p> <p><strong>Conclusion:</strong> We conclude that legislation should be done for authorizes sale of corrosive chemical and awareness campaign should be lounge through social, print and electronic media about hazards of corrosive ingestion.</p> Muhammad Sharif Ahmad Hassan Asad Munir Fatima Naumeri Copyright (c) 2022 Muhammad Sharif, Ahmad, Asad, fatima https://creativecommons.org/licenses/by/4.0 2022-01-19 2022-01-19 2 1 10.46831/jpas.v2i1.86 Is the Snodgrass technique suitable for different types of hypospadias? Single-center experience http://jpedas.org/ojs/index.php/jpedas/article/view/jpas-101 <p><strong>Background:</strong> Hypospadias is a congenital penile defect and Tubularized Incised Plate (TIP) urethroplasty is a widely accepted option to repair this defect. Our experience about the outcome of hypospadias repair by this technique is discussed.</p> <p><strong>Methods:</strong> This is a retrospective analytical study consisting of 80 cases, conducted between May 2017 to December 2019 at the Department of Pediatric Surgery, Maternity, and Children’s Hospital Dammam. All the cases with anterior, middle, and posterior hypospadias, who underwent Snodgrass TIP urethroplasty, were included in the study. The same surgeon performed all the operations. The follow-up period lasted for 2 years, after surgery and the final outcome of the procedure was recorded, based on the observations.</p> <p><strong>Results:</strong> The age range of the patients varied between 1 to 9 years. Anterior hypospadias constituted 64 (80%) cases followed by middle hypospadias 13 (16.25%), and posterior hypospadias 3 (3.75%). By type, glanular hypospadias was the most common 30 (37.5%), followed by sub-coronal 19 (23.75%), coronal 15 (18.75%), mid-penile 11 (13.75%), proximal penile 2 (2.5%) and penoscrotal hypospadias 2(2.5%). Scrotal hypospadias was the least common type, 1 (1.25%). Overall complications that required re-intervention occurred in 16 (20%) cases. Urethrocutaneous fistula (UCF) which occurred in 7 (8.75) cases was the most common complication, followed by meatal stenosis in 4 (5%) and glans dehiscence and urethral stricture 2 in each (2.5% each). Total repair disruption was the least common complication that was noticed in 1 (1.25%) case. Functional and cosmetic results were judged as satisfactory.</p> <p><strong>Conclusion:</strong> For hypospadias repair, TIP urethroplasty is the procedure of choice for anterior hypospadias with excellent results. It is also quite suitable with middle hypospadias and acceptable for posterior hypospadias for selected cases. The overall complication rate is low and also offers very good functional and cosmetic results.</p> Muhammad Afzal Ghulam Ali Ansari Ahmed Tabash Reda Hussain Alghnnam Ammar Mustafa Ahmed Aqeel Salman Alkhazal Copyright (c) 2022 Dr. Muhammad Afzal Sipra, Dr. Ghulam Ali Ansari, Dr. Ahmed Tabash, IV. Dr. Reda Hussain Alghnnam, V. Dr. Ammar Mustafa Ahmed, VI. Dr. Aqeel Salman Alkhazal https://creativecommons.org/licenses/by/4.0 2022-01-20 2022-01-20 2 1 10.46831/jpas.v2i1.101 Itinerary of children in the management of intussusception: the true reasons of delayed medical care in a west African country http://jpedas.org/ojs/index.php/jpedas/article/view/jpas-108 <p><strong>Background</strong>: The delayed medical care of intussusception is still the reason for morbidity and mortality in many developing countries. The objective of this study is to take stock of the itinerary of children treated for intussusception, in order to to reduce the delay of the treatment.</p> <p><strong>Methods</strong>: This is a cross-sectional study, carried over three years (from 1<sup>st</sup> June 2016 to 31 May 2019), at a Paediatric Surgery department of Campus Teaching Hospital in Lomé (Togo). The medical record of 23 children whose median age was 12 months, were included. Symptoms, the average time before the first consultation, different health centres consulted and treatment received, and the average time before the admission in the specialised department were studied.</p> <p><strong>Results</strong>: In three years, 23 children were managed for intussusception. The average time before the first consultation from home in a health centre was 1.87 days. No patient was admitted to the Paediatric Surgery department directly from home. Twelve patients consulted one centre, eight patients 2 centres, and one patient 3 centres before admission. Before referral, these patients were misdiagnosis as gastro-enteritis in 8 cases (38.10%), malaria in 8 cases (38.10%), and digestive salmonellosis in 3 cases (14.29%). The time elapsed between the beginning of the disease and the admission in specialised service was on average 5.39 days and 3.52 days elapsed then between the first consultation from home and the admission to the Paediatric Surgery service.</p> <p><strong>Conclusion</strong>: Valuable time to manage intussusceptions is lost in other medical health services before admission to specialised services. Action on this route will have to be taken through an effective counter-referral system.</p> Missoki Azanlédji BOUME Kwami Edem Edoh BIKOR Amivi Alice DONOU Gamedzi Komlatsè AKAKPO-NUMADO Copyright (c) 2022 Missoki Azanlédji BOUME, Kwami Edem Edoh BIKOR, Amivi Alice DONOU, Gamedzi Komlatsè AKAKPO-NUMADO https://creativecommons.org/licenses/by/4.0 2022-01-26 2022-01-26 2 1 10.46831/jpas.v2i1.108