Objective: Early elective caesarean (EEC) for patients with gastroschisis is controversial. Our objective was to compare gastroschisis complications in full-term patients and EEC-managed patients.Methods: Ambispective study (2016-2021) of patients undergoing gastroschisis surgery in our centre. Data were collected on demographics, prenatal and perinatal factors, therapeutic approach, surgical technique, intraoperative and postoperative complications, and follow-up of all patients with prenatal or perinatal gastroschisis diagnoses. Results: 3 EEC and 4 full-term interventions were performed on patients with gastroschisis. In the fullterm group, mean birth weight was 2440 g [range 1800-2680] and APGAR score was 9 [range 8.5-9]. Peel was identified in all cases and intestinal content re-introduction was not possible due to excessive abdominal pressure, requiring silo use. Abdominal wall closure was completed at mean 11 days [range 8-15]. Respiratory support with mechanical ventilation was maintained for a mean 20 days [range 15-25]. Enteral feeding was started at mean 23 days [range 22-24], and parenteral nutrition was withdrawn in mean 55 days [range 45-72]. Mean hospital stay was 64 days [range 56-74]. In the EEC group, EEC was performed between weeks 34 and 36 (mean 34.75). Mean weight at birth was 2320 g [range 1700-2980] and APGAR score was 9.125 [range 9-9.5]. A single case of mild peel developed in an exteriorized intestinal loop. Primary defect closure was successful in all cases. Respiratory support with mechanical ventilation was maintained for mean [SD] 2 days [1-7]. Enteral feeding started at mean 2.75 days [range 2-4], and parenteral nutrition was withdrawn at mean 19 days [range 10-27]. Mean hospital stay was 26 days [range 14-34]. Overall survival in both groups was 100%.Conclusion: EEC to treat gastroschisis seems to reduce perinatal complications, allows an early start to enteral nutrition, reduces the need for parenteral nutrition, and reduces hospital stay.

Introduction: Pilonidal sinus is an extremely common disease in adolescents and young people; the report aims to present a new minimal invasive technique for the treatment of the pilonidal sinus. Case presentation: A 14-year-old female presented in the emergency department with a pilonidal sinus discharging lesion for a 6-month duration. There was a local redness with multiple fistulas discharging purulent content. The lesion was drained and after 3 months the patient was referred to the operation room for the lesion excision using the Pediatric Endoscopic Pilonidal Sinus Treatment under sedation. After 2 months of follow up the patient remains asymptomatic. Conclusion: Pilonidal sinus is a common disease in adolescents and young people. Pediatric Endoscopic Pilonidal Sinus Treatment seems to be an effective treatment strategy with cosmetic results and painless postoperative period.

Two cases of perineal polypoid-like lesions in children are described. The first patient is a 21 months old girl with a congenital perianal pedunculated asymptomatic lesion, covered by normal skin, not increased in size since birth (Figure 1). A MRI showed a lesion localized at right side of median raphe, in contact with external anal sphincter, without any apparently fistula and no dystrophy of raphe or sacrum (Figure 2). A surgical resection was performed. Histological examination revealed a soft fibroma. Post-operative period did not presented complications or recurrence. The second patient is a 7 months old girl derived to Pediatric Surgery Department of Verona Hospital for the presence of a mass localized in the left labium majus (Figure 3). The lesion was soft, pedunculated, asymptomatic and it has been increased in size since birth.

Objective: Nowadays the conservative treatment in case of solid organ injury in abdominal trauma is the procedure of choice, regardless of the injury degree. Our objective is to describe our abdominal trauma protocol in case of a solid organ injury and present a case of a pediatric patient with liver organ injury after an abdominal trauma.Case Report: A 13-year-old-patient was transfer to our center with a liver injury after blunting abdominal trauma. Demographic data, trauma mechanism, organ, associated lesions, examination made at diagnosis and follow-up, type of treatment, success rate of treatment, complications during admission and after discharge were collected. Conclusion:The gold standard for the initial treatment of abdominal trauma with solid organ injury, regardless of the degree of involvement, is the conservative treatment.