Journal of Pediatric Surgery Vol 49, No 5, May 2014 CONTENTS PAPERS PRESENTED AT THE 45TH ANNUAL MEETING OF THE CANADIAN ASSOCIATION OF PAEDIATRIC SURGEONS, CHARLOTTETOWN, PRINCE EDWARD ISLAND, CANADA, SEPTEMBER 26-28, 2013 GUEST EDITOR: Pramod S. Puligandla, MD,MSc, FRCS, FACS, Montreal Children’s Hospital, McGill University, Montreal, Canada JOURNAL OF PEDIATRIC SURGERY-SPONSORED FRED McLOED LECTURE Optimal Resources for Children’s Surgical Care Keith T. Oldham 667 CAPS PAPERS A Survey-Based Assessment of the Canadian Pediatric Surgery Workforce Sherif Emil, Geoffrey Blair, Jacob C. Langer, Grant Miller, Ann Aspirot, Guy Brisseau, and B.J. Hancock ACS National Surgical Quality Improvement Program: Targeting Quality Improvement in Canadian Pediatric Surgery Erik D. Skarsgard, Julie Bedford, Tamara Chan, Simon Whyte, and Kourosh Afshar Prenatal MRI Fetal Lung Volumes and Percent Liver Herniation Predict Pulmonary Morbidity in Congenital Diaphragmatic Hernia (CDH) Irving J. Zamora, Oluyinka O. Olutoye, Darrell L. Cass, Sara C. Fallon, David A. Lazar, Christopher I. Cassady, Amy R. Mehollin-Ray, Stephen E. Welty, Rodrigo Ruano, Michael A. Belfort, and Timothy C. Lee Minimally Invasive Versus Open Repair of Bochdalek Hernia: A Meta-Analysis Emily Chan, Carolyn Wayne, and Ahmed Nasr Prenatally-Counseled Congenital Diaphragmatic Hernia Parents Exhibit Positive Well-Being Before and After Surgical Repair Kate V. Dennett, Sarah Tracy, Laurie Oliver Taylor, David Zurakowski, and Catherine Chen Mainstem Bronchial Atresia: A Lethal Anomaly Amenable to Fetal Surgical Treatment Irving J. Zamora, Fariha Sheikh, Oluyinka O. Olutoye, Christopher I. Cassady, Timothy C. Lee, Rodrigo Ruano, and Darrell L. Cass Fetal MRI Improves Diagnostic Accuracy in Patients Referred to a Fetal Center for Suspected Esophageal Atresia Cecilia G. Ethun, Sara C. Fallon, Christopher I. Cassady, Amy R. Mehollin-Ray, Oluyinka O. Olutoye, Irving J. Zamora, Timothy C. Lee, Stephen E. Welty, and Darrell L. Cass Post-Operative Management of Esophageal Atresia–Tracheoesophageal Fistula and Gastroesophageal Reflux: A Canadian Association of Pediatric Surgeons Annual Meeting Survey Anna C. Shawyer, Julia Pemberton, and Helene Flageole Practice Variation in Gastroschisis: Factors Influencing Closure Technique Jennifer Stanger, Noosheen Mohajerani, and Erik D. Skarsgard Canadian Pediatric Surgery Network (CAPSNet) (Continued) 678 682 688 694 700 706 712 716 720 CONTENTS (Continued) Human Milk Fortifier: An Occult Cause of Bowel Obstruction in Extremely Premature Neonates Jennifer Stanger, Kelley Zwicker, Susan Albersheim, and James J. Murphy III 724 Intrauterine Growth Restriction and Prematurity Influence Regulatory T Cell Development in Newborns Dhriti Mukhopadhyay, Laura Weaver, Richard Tobin, Stephanie Henderson, Madhava Beeram, M. Karen Newell-Rogers, and Lena Perger 727 Inter-Rater Agreement in the Evaluation of Abdominal Radiographs for Necrotizing Enterocolitis Sherif El-Kady, Dara Petel, and Robert Baird 733 Evaluation of Sodium Deficit in Infants Undergoing Intestinal Surgery Sonia A. Butterworth, Vikki Lalari, and Keira Dheensaw 736 Citrulline Levels Following Proximal Versus Distal Small Bowel Resection Ivan M. Gutierrez, Jeremy G. Fisher, Offir Ben-Ishay, Brian A. Jones, Kuang Horng Kang, Melissa A. Hull, Nick Shillingford, David Zurakowski, Biren P. Modi, and Tom Jaksic 741 Gastrointestinal Bleeding as a Complication of Serial Transverse Enteroplasty Jeremy G. Fisher, Danielle A. Stamm, Biren P. Modi, Christopher Duggan, and Tom Jaksic 745 Comparative Outcome Analysis of the Management of Pediatric Intussusception With or Without Surgical Admission Alana L. Beres, Robert Baird, Eleanor Fung, Helen Hsieh, Maria Abou-Khalil, and J. Ted Gerstle 750 Cystic Fibrosis: A Surgical Matter? Tamara Caldaro, Federico Alghisi, Paola De Angelis, Maria Carmen Garganese, Francesca Rea, Milena Pizzoferro, Maria Felicia Villani, Erminia Francesca Romeo, Filippo Torroni, Francesca Foschia, Rosa Alba Gambitta, Giovanni Federici, Vincenzina Lucidi, and Luigi Dall’Oglio 753 Reducing Scheduled Phlebotomy in Stable Pediatric Patients With Blunt Liver or Spleen Injury Jamie Golden, Ian Mitchell, Sally Kuzniewski, Aaron Lipskar, Jose M. Prince, Matthew Bank, Steven Stylianos, and Nelson G. Rosen 759 Burden of Complications From Needle Penetration of Plastic Ports in Children Nicole E. Sharp, E. Marty Knott, Priscilla Thomas, Douglas C. Rivard, and Shawn D. St. Peter 763 Determinants of Wait Time for Infant Inguinal Hernia Repair in a Canadian children’s Hospital Nada Gawad, Dafydd A. Davies, and Jacob C. Langer 766 Undescended Testes: Does Age at Orchiopexy Affect Survival of the Testis? Jeffrey S. Carson, Robert Cusick, Andrea Mercer, Adrienne Ashley, Shahab Abdessalam, Stephen Raynor, Elizabeth Lyden, and Kenneth Azarow 770 Transanal Pullthrough for Hirschsprung Disease: Matched Case–Control Comparison of Soave and Swenson Techniques Ahmed Nasr, Ramanath N. Haricharan, Julie Gamarnik, and Jacob C. Langer 774 Determinants of Appendicitis Outcomes in Canadian Children Li Hsia Alicia Cheong and Sherif Emil 777 Non-Operative Management of Early, Acute Appendicitis in Children: Is It Safe and Effective? Jeff Armstrong, Neil Merritt, Sarah Jones, Leslie Scott, and Andreana Bütter 782 Pediatric Surgical Camps as One Model of Global Surgical Partnership: A Way Forward Geoffrey K. Blair, Damian Duffy, Doreen Birabwa-Male, John Sekabira, Eleanor Reimer, Martin Koyle, Guy R. Hudson, Jennifer Stanger, Monica Langer, Gareth Eeson, Heng Gan, Sean McLean, Nikki Kanaroglou, Phyllis Kisa, Nasser Kakembo, and Katherine Lidstone 786 (Continued) CONTENTS (Continued) Motion Analysis in the Pediatric Laparoscopic Surgery (PLS) Simulator: Validation and Potential Use in Teaching and Assessing Surgical Skills Ahmed Nasr, Brian Carrillo, J. Ted Gerstle, and Georges Azzie Informed Consent for Emergency Surgery — How Much Do Parents Truly Remember? Fay Xiangzhen Li, Shireen Anne Nah, and Yee Low Epidural Analgesia Versus Intravenous Patient-Controlled Analgesia Following Minimally Invasive Pectus Excavatum Repair: A Systematic Review and Meta-Analysis Andrea M. Stroud, Darena D. Tulanont, Thomasena E. Coates, Philip P. Goodney, and Daniel P. Croitoru Surgical and Anesthetic Considerations in Histrelin Capsule Implantation for the Treatment of Precocious Puberty James S. Davis, Fuad Alkhoury, and Cathy Burnweit 791 795 798 807 A Pilot Investigation of a Pediatric Surgery Journal Club William Shihao Lao, Pramod Puligandla, and Robert Baird 811 The 45th Annual Meeting of the Canadian Association of Pediatric Surgeons Pramod S. Puligandla 815 CONTINUING MEDICAL EDUCATION PROGRAM JOURNAL OF PEDIATRIC SURGERY-CME FEATURED ARTICLES IN THIS ISSUE Prenatal MRI Fetal Lung Volumes and Percent Liver Herniation Predict Pulmonary Morbidity in Congenital Diaphragmatic Hernia (CDH) Irving J. Zamora, Oluyinka O. Olutoye, Darrell L. Cass, Sara C. Fallon, David A. Lazar, Christopher I. Cassady, Amy R. Mehollin-Ray, Stephen E.Welty, Rodrigo Ruano, Michael A. Belfort, Timothy C. Lee, (see p. 688) 817 Comparative Outcome Analysis of the Management of Pediatric Intussusception with or without Surgical Admission Alana L. Beres, Robert Baird, Eleanor Fung, Helen Hsieh, Maria Abou-Khalil, J. Ted Gerstle. (see p. 750) Non-operative Management of Early, Acute Appendicitis in Children: Is it Safe and Effective? Jeff Armstrong, Neil Merritt, Sarah Jones, Leslie Scott, Andreana Bütter (see p. 782) CONSENSUS STATEMENT Optimizing resources for the surgical care of children: An American Pediatric Surgical Association Outcomes and Clinical Trials Committee Consensus Statement Adam B. Goldin, Roshni Dasgupta, Li Ern Chen, Martin L. Blakely, Saleem Islam, Cynthia D. Downard, Shawn J. Rangel, Shawn D. St. Peter, Casey M. Calkins, Marjorie J. Arca, Douglas C. Barnhart, Jacqueline M. Saito, Keith T. Oldham, and Fizan Abdullah 818 INDEPENDENT REVIEW ARTICLE Review of Nutritional Assessment and Clinical Outcomes in Pediatric Surgical Patients: Does Preoperative Nutritional Assessment Impact Clinical Outcomes? Scott Wessner and Sathyaprasad Burjonrappa 823 OPERATIVE TECHNIQUES Transanal Rectal Mucosectomy and Partial Internal Anal Sphincterectomy for Hirschsprung’s Disease Jin-Shan Zhang, Long Li, Wen-Ying Hou, Shu-Li Liu, Mei Diao, Jun Zhang, An-Xiao Ming, and Wei Cheng 831 Congenital Urethral Polyps in Children: Report of 18 Patients and Review of Literature Aram Akbarzadeh, Reza Khorramirouz, and Abdol-Mohammad Kajbafzadeh 835 (Continued) CONTENTS (Continued) SPECIAL DEPARTMENTS International Abstracts of Pediatric Surgery 840 Correspondence 845 Announcements of Future Meetings 848