LSRP is a safe and effective technique for treating children with full-thickness rectal prolapse with the benefits of being minimally invasive, a short hospital stay, early recovery, and low recurrence rate.

Background Vasoepididymal anomalies are not rare among children with cryptorchidism. They may affect fertility following orchiopexy. Herein, we describe the cases of abnormalities of the vas deferens and epididymis in children undergoing orchidopexy for cryptorchidism. Data were collected retrospectively from six centers providing care for patients with undescended testicles from September 2017 to February 2019. All patients whose congenital anomalies of the epididymis or vas deferens were discovered incidentally during operative intervention for cryptorchidism and where photographs of the anomalies were taken were included. Results The total incidence of congenital anomalies on the 467 testicles which had operations was 13.2%. Congenital epididymal and vas deferens anomalies were more common on the left side than the right side in patients with cryptorchidism (P = 0.038). Attachment anomalies between the epididymis and testis were the most common epididymal anomaly (36.3%), while a vanished vas deferens was the most frequent vas deferens anomaly (18%). Three patients had absent vas deferens, two had curled vas deferens, two had vas deferens separated from the epididymis, and one had a duplicated vas deferens. Three patients had an epididymal cyst, one had an enlarged appendix of the epididymis, and one had epididymal agenesis. Conclusion Attention must be paid during any surgery on an undescended testicle as an anomaly of the vas deferens could lead to unexpected complications. Anomalies of the vas deferens or epididymis that present in cases of cryptorchidism occur mostly on the left side.

Background: Colon interposition is used for delayed surgical repair of esophageal atresia, but congenital esophageal atresia with or without tracheoesophageal fistula (CEA ± TEF) is associated with long-term respiratory morbidity. This study aimed to examine the prevalence of upper airway anomalies, and detect the implications of the preoperative flexible airway endoscopy (FAE) on the decision of performing tracheopexy whether aortopexy or more recently, posterior tracheopexy in cases of severe tracheomalacia. A randomized, prospective, controlled study was conducted in a tertiary care pediatric surgery center from September 2016 to October 2020 where thirty child of either sex, aged 2-8 years, scheduled for a colon interposition repair for esophageal atresia. After induction of general anesthesia dynamic airway endoscopic examination with ultra-thin fibroptic bronchoscopy was performed Results: Dynamic study of pediatric upper airway showed that only one case out of 30 child enrolled in the present study had grade II subglottic stenosis in the proximal trachea (3.34%), while five cases (16.67%) had tracheomalacia with different degrees and only one severe case required aortopexy Conclusion: Dynamic airway endoscopic examination can predict airway anomalies associated with esophageal atresia and enhance post colon interposition respiratory outcomes.

No abstract