Journal of Pediatric and Adolescent Surgery <p> <img src="" 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=""></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="" 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="" 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="" 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="" 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> Human tail- a rare anatomical mystery: A case report <p><strong>Background: </strong>Human tails are rare entities and can be classified as true tails and pseudotails. True tails are composed of adipose tissue, connective tissue, muscles, vessels, nerves and mechanoreceptors whereas pseudotails may be an anomalous prolongation of the coccygeal vertebra, lipoma, teratoma, chondrodystrophy or parasitic fetus.</p> <p><strong>Case Report: </strong>A 3-month-old male baby had a tail like appendage since birth which was gradually increasing in size. After complete workup, an elective resection was done under general anesthesia. Postoperative recovery was uneventful.</p> <p><strong>Conclusion: </strong>Surgical excision of the tail is the ultimate and may be the only surgical intervention required in these patients.</p> Asrar Ahmad Masooma Hasnain Bangash Irum Saleem Copyright (c) 2020 Masooma Hasnain Bangash, Asrar Ahmed, Irum Saleem 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.3 Peutz-Jeghers syndrome associated with eventration of left hemidiaphragm in a child: A case report <p><strong>Background: </strong>Peutz–Jeghers syndrome (PJS) is a rare genetic disorder. PJS with ileo-ileal intussusception and left-sided eventration of the diaphragm is an extremely rare presentation and not been reported so far.</p> <p><strong>Case Presentation: </strong>An 8-year-old child of PJS presented with acute intestinal obstruction. Examination and investigations of the child revealed intussusception with left side elevated hemidiaphragm. Surgical correction of both conditions was done.</p> <p style="text-align: justify;"><strong>Conclusion: </strong>PJS with intestinal obstruction due to intussusception needs surgical correction. Sometimes these cases may present with other associated surgical conditions that too need simultaneous surgical correction.</p> Jiledar Rawat Sudhir Singh Copyright (c) 2020 Jiledar Rawat, Sudhir Singh 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.22 Frequency and outcome of complicated appendicitis in toddlers and pre-schoolers <p><strong>Background: </strong>Acute appendicitis is a frequent indication of emergency abdominal surgery in the pediatric population. In younger children, especially toddlers, and preschoolers, the presentation is comparatively late resulting in complicated appendicitis. This study was done to determine the frequency and outcome of complicated appendicitis in toddlers and preschoolers.</p> <p><strong>Methods:</strong> This is a cross-sectional study done at the Department of Pediatric Surgery, Lady Reading Hospital Peshawar, during August 2018 and February 2019. The medical records of 144 toddlers and preschoolers who presented with acute appendicitis were reviewed for demography, clinical presentation, operative findings, and outcome. Frequency and types of complicated appendicitis were recorded.</p> <p><strong>Results:</strong> The mean age of study participants was 3 years (±2.84), including 46(32%) toddlers and 98(68%) preschoolers. Overall 62% of patients were male while 38% of patients were female. Complicated appendicitis was documented in 75% of patients. The common types of complicated appendicitis were perforation of the appendix with a localized abscess in 68 patients, gangrenous appendicitis in 4 patients, generalized peritonitis in 24 patients, and mass formation in 12 patients. All patients did well after surgery, except one who succumbed to complications of leukemia.</p> <p><strong>Conclusion:</strong> In our study, a great deal (75%) of toddlers and preschoolers had complicated appendicitis especially perforated appendicitis with localized peritonitis.</p> Naseem Khan Muhammad Ayub khan Jehangir Khan Sajjad Ali Imran Khattak Anwar Masood Copyright (c) 2020 Naseem Khan, Muhammad Ayub khan, Jehangir Khan; Sajjad Ali, Imran Khattak, Anwar Masood 2020-07-13 2020-07-13 1 1 10.46831/jpas.v1i1.5 Resuming elective surgeries in Corona pandemic from the perspective of a developing country <p>Since the COVID-19 pandemic, healthcare facilities have entered into a “crisis mode”. One of the measures used to allow hospitals to surge their capacity and serve the patient population with COVID-19 infection was the suspension of elective activity, most importantly elective surgery and other procedures. Now as the infection is fading, efforts are being made to resume elective surgical services keeping in mind the safety of the patient and health care workers. Resuming surgical services in developing countries is an uphill task.&nbsp;</p> Yogesh Kumar Sarin Copyright (c) 2020 Yogesh Kumar Sarin 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.27 Leadership role of pediatric surgeon during COVID-19 Pandemic <p>NA</p> Sameh Shehata Copyright (c) 2020 Sameh Shehata 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.15 COVID-19 Pandemic: Advisory and Consensus Statement for the provision of surgical services from The Association of Paediatric Surgeons of Pakistan (APSP) <p>This is an advisory and consensus statement of the Association of Paediatric Surgeons of Pakistan (APSP) regarding guidelines for providing surgical services to the children. This can be implemented for other surgical services as well.</p> Muhammad Saleem Nabila Talat Imran Hashim Muhammad Javed Khan Asif Iqbal Copyright (c) 2020 Muhammad Saleem, Nabila Talat, Imran Hashim, Muhammad Javed Khan, Asif Iqbal 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.26 Pediatric Anesthesia Advisory: What should we know as a pediatric anesthetist when a COVID-19 patient needs an operation? <p>We are living in a developing country with limited resources in the context of PCR testing, personal protective equipment, and negative pressure operating room availability; so facing a serious challenge for the continuation of surgical services especially in the context of anesthesia services and personnel safety during this COVID pandemic. As anesthesia provision is highly aerosol-generating thus predisposes both surgical and anesthesia teams to COVID. This demands a change in our anesthesia practice to provide a safe and comfortable atmosphere for the continuation of surgical services, as anesthesia is the backbone of surgery. We have developed this advisory for pediatric anesthetists especially relating to developing countries to guide them for providing safe anesthesia services keeping in mind the limited resources based on our practices and experiences gained during this pandemic along with reviewing national and international literature.</p> Saira Usman Muhammad Saleem Aima Zahid Azka Saleem Uzma Ather Muhammad Ali Copyright (c) 2020 Saira Usman, Saleem, Aima Zahid, Azka , Uzma Ather, Muhammad Ali 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.17 Rapunzel Syndrome with a gastric ulcer Sajid Iqbal Nayyar Hamza Malik Allah Ditta Muhammad Bilal Mirza Nabila Talat Copyright (c) 2020 Sajid Iqbal Nayyar, Hamza Malik, Allah Ditta, Muhammad Bilal Mirza, Nabila Talat 2020-07-13 2020-07-13 1 1 10.46831/jpas.v1i1.6 Cecal volvulus in a child with Cornelia de Lange syndrome Dhanasekhar Kesavelu Prakash Agarwal Raj Kishore Bagdi Copyright (c) 2020 Dhanasekhar Kesavelu 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.12 The Association of Paediatric Surgeons of Pakistan (APSP): A platform for improving pediatric surgical services in Pakistan Inayat Ur Rehman Muhammad Saleem Sajjad Ali Copyright (c) 2020 Inayat Ur Rehman, Muhammad Saleem, Sajjad Ali 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.25 Journal of Pediatric and Adolescent Surgery: Why do we need another journal? Muhammad Bilal Mirza Nabila Talat Muhammad Saleem Copyright (c) 2020 Muhammad Bilal Mirza, Nabila Talat, Muhammad Saleem 2020-07-10 2020-07-10 1 1 10.46831/jpas.v1i1.16