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.

Background: Horseshoe lung is a rare congenital malformation, and even rarer is its association with congenital pulmonary airway malformations. Case Presentation: We report a case of horseshoe lung associated with congenital pulmonary airway malformation (Stocker type 2) who underwent surgical management in two stages. The patient had a right posterolateral thoracotomy with lower right lobectomy at 14 days of life, followed by a left posterolateral thoracotomy with lower left lobectomy at 7 months of age. He is doing fine after both surgeries and follow-up visits are ongoing. Conclusion: The treatment of horseshoe lung should be individualized, surgical management is an effective option and the two-stage approach in neonates would reduce the risk of the simultaneous bilateral procedure.

Introducción: Los niños hombres están predispuestos a lesiones por atrición de puertas en la punta de dedo de la mano. El propósito de este estudio es presentar una descripción retrospectiva de los últimos seis años, de pacientes con lesiones de punta de dedo, admitidos en la sala de emergencias de un hospital pediátrico de referencia regional de Guayaquil-Ecuador. Metodología: Este estudio observacional fue realizado en el Hospital de niños Dr. Roberto Gilbert Elizalde, en Guayaquil-Ecuador, en el período de enero del 2015 a diciembre del 2020, registrando a niños con lesiones en la punta del dedo. El muestreo fue no probabilístico. Las variables fueron: edad, sexo, dedo comprometido, mecanismo de trauma, tipo de lesión con la Clasificación de Ashbell, tipo manejo con Cirujano (Plástico/Pediátrico) y complicaciones. El análisis es descriptivo y analítico, comparando con Chi 2, la atención dada por cirujano plástico (Grupo 1 –G1) VS. Cirujano pediátrico (Grupo 2-G2). Resultados: Se analizaron 288 casos, de 4.6 años de promedio. 154 pacientes (68%) tenían una edad entre 1-5 años. 128 pacientes (56%) fueron hombres. El dedo medio 58 casos (25%), el anular 54 pacientes (23%). El aplastamiento en puerta ocurrió en 161 pacientes (70%). 101 casos (44.3%) fueron atendidos por Cirujanos plásticos y 127 casos (55.7%) por Cirujanos pediátricos. Hospitalizaciones en G1 fueron 77 casos (76.2%) VS: 65 casos (51.2%) en G2, P=0.0001. Complicaciones en G1 fueron 5 casos (4.95%) VS. 3 (2.3%) en G2, P=0.2914. Colgajos utilizados en G1 fueron 36 (35.64%) en G2 fueron 6 casos (4.7%) P<0.0001. Conclusión: El presente estudio presenta una baja tasas de complicaciones, similares a las presentadas en la literatura internacional.

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.