2022
Establishing an Association between Polycystic Ovarian Syndrome and Pilonidal Disease in Adolescent Females
Adjei NN, Yung N, Towers G, Caty M, Solomon D, Vash-Margita A. Establishing an Association between Polycystic Ovarian Syndrome and Pilonidal Disease in Adolescent Females. Journal Of Pediatric And Adolescent Gynecology 2022, 36: 39-44. PMID: 35995086, DOI: 10.1016/j.jpag.2022.08.005.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildFemaleHirsutismHumansHyperandrogenismMenarchePolycystic Ovary SyndromeRetrospective StudiesConceptsPolycystic ovarian syndromePilonidal diseaseBody mass indexAdolescent femalesRotterdam criteriaOvarian syndromeMass indexHospital participantsFeatures of PCOSTreatment of PCOSRetrospective cohort study SETTINGUrban tertiary medical centerHigher body mass indexCohort study SETTINGTertiary medical centerAdolescent medicine specialistsRace/ethnicityDisease courseMetabolic syndromePayer statusSerum markersPrevalence ratiosMedical CenterTobacco useMedicine specialists
2020
Outcomes following adoption of a standardized protocol for abscess drain management in pediatric appendicitis
Eysenbach LM, Caty MG, Christison-Lagay ER, Cowles RA, Dillon B, Goodman TR, Ozgediz DE, Stitelman DH, Solomon DG. Outcomes following adoption of a standardized protocol for abscess drain management in pediatric appendicitis. Journal Of Pediatric Surgery 2020, 56: 43-46. PMID: 33143877, DOI: 10.1016/j.jpedsurg.2020.09.050.Peer-Reviewed Original ResearchConceptsPediatric appendicitisClinical outcomesStandardized protocolImaging studiesTertiary care children's hospitalEvidence-based clinical pathwayAlternative imaging studyIR proceduresManagement of abscessesRetrospective chart reviewCases of appendicitisPercutaneous abscess drainageInterventional radiologic proceduresDiagnostic imaging studiesComplicated appendicitisBaseline demographicsChart reviewClinical factorsAbscess drainageClinical presentationDrain outputChildren's HospitalDrain daysClinical pathwayAnesthetic administration
2019
An Evidence-Based Guideline Supporting Restricted Opioid Prescription after Pediatric Appendectomy
Freedman-Weiss MR, Chiu AS, Worhunsky D, Manchisi A, Torres-Maldonado I, Sagnella L, Caty MG, Cowles RA, Ozgediz DE, Christison-Lagay ER, Solomon DG, Stitelman DH. An Evidence-Based Guideline Supporting Restricted Opioid Prescription after Pediatric Appendectomy. Journal Of Pediatric Surgery 2019, 55: 106-111. PMID: 31699433, DOI: 10.1016/j.jpedsurg.2019.09.063.Peer-Reviewed Original ResearchConceptsLaparoscopic appendectomyOpioid prescriptionsPostoperative opioid needsPostoperative telephone interviewsQuantity of opioidsPresence of painYoung adult patientsEvidence-based guidelinesMain outcome measuresOpioid needsAnalgesic useModifiable contributorPain reliefAdequate analgesiaAdult patientsChart reviewHospital dischargeMost patientsPatients 5Pediatric appendectomyYounger patientsPain concernsAverage MMEOpioid epidemicOutcome measuresDelay in operation for Hirschsprung Disease is associated with decreased length of stay: a 5-Year NSQIP-Peds analysis
Freedman-Weiss MR, Chiu AS, Caty MG, Solomon DG. Delay in operation for Hirschsprung Disease is associated with decreased length of stay: a 5-Year NSQIP-Peds analysis. Journal Of Perinatology 2019, 39: 1105-1110. PMID: 31209278, DOI: 10.1038/s41372-019-0405-y.Peer-Reviewed Original ResearchConceptsHirschsprung's diseaseLength of stayDays of ageDesignRetrospective reviewPostoperative stayOperative morbidityReadmission ratesPrimary outcomeGestational ageOptimal timingSecond monthMultivariate linear regressionStayDiseaseReadmissionComplicationsPatientsDaysAgeOutcomesGroupLinear regressionMorbidityNSQIPInfants
2018
Opioid Prescribing Habits of General Versus Pediatric Surgeons After Uncomplicated Laparoscopic Appendectomy
Freedman-Weiss MR, Chiu A, Solomon DG, Christison-Lagay ER, Ozgediz DE, Cowles RA, Caty MG, Stitelman DH. Opioid Prescribing Habits of General Versus Pediatric Surgeons After Uncomplicated Laparoscopic Appendectomy. Journal Of Surgical Research 2018, 235: 404-409. PMID: 30691822, DOI: 10.1016/j.jss.2018.09.085.Peer-Reviewed Original ResearchConceptsOral morphine equivalentsUncomplicated laparoscopic appendectomyAmount of opioidsLaparoscopic appendectomyGeneral surgeonsPediatric surgeonsSurgery providersFuture drug abuseOpioid prescribing habitsPills of oxycodoneRetrospective chart reviewYoung adult patientsPrimary outcome measureType of analgesiaGeneral surgery servicePediatric laparoscopic appendectomyHigh-risk populationLength of stayCommon surgical procedureSingle health systemAge group 13More opioidsMorphine equivalentsModifiable contributorOpioid analgesiaRoutine postnatal chest x-ray and intensive care admission are unnecessary for a majority of infants with congenital lung malformations
Greig CJ, Keiser AM, Cleary MA, Stitelman DH, Christison-Lagay ER, Ozgediz DE, Solomon DG, Caty MG, Cowles RA. Routine postnatal chest x-ray and intensive care admission are unnecessary for a majority of infants with congenital lung malformations. Journal Of Pediatric Surgery 2018, 54: 670-674. PMID: 30503193, DOI: 10.1016/j.jpedsurg.2018.10.063.Peer-Reviewed Original ResearchConceptsAbnormal chest X-rayCongenital lung malformationsChest X-rayNICU admissionMajority of infantsRespiratory supportBirth weightGestational ageLung malformationsOdds ratioInitial symptomsNeonatal intensive care unit admissionInitial chest X-rayIntensive care unit admissionCare unit admissionIntensive care admissionLevel II evidenceDays of dischargeMajority of casesNICU stayROC cutoffUnit admissionCare admissionFuture care needsImmediate surgery
2015
Pathologic leadpoint is uncommon in ileo-colic intussusception regardless of age
Rubinstein JC, Liu L, Caty MG, Christison-Lagay ER. Pathologic leadpoint is uncommon in ileo-colic intussusception regardless of age. Journal Of Pediatric Surgery 2015, 50: 1665-1667. PMID: 25858099, DOI: 10.1016/j.jpedsurg.2015.03.048.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsChildChild, PreschoolFemaleHumansIleal DiseasesInfantIntussusceptionMaleRetrospective StudiesConceptsIleo-colic intussusceptionBasis of ageOlder childrenAnatomic locationSmall bowel-small bowel intussusceptionNon-operative managementCases of intussusceptionBarium enema reductionOlder age groupsBowel intussusceptionOperative interventionCase seriesRetrospective reviewEnema reductionSubgroup analysisTreatment successIncreased frequencyIntussusceptionActual incidenceAge groupsAnecdotal experienceLeadpointAgePatientsChildren
2012
Splenic conservation: Variation between pediatric and adult trauma centers
Lippert SJ, Hartin CW, Ozgediz DE, Glick PL, Caty MG, Flynn WJ, Bass KD. Splenic conservation: Variation between pediatric and adult trauma centers. Journal Of Surgical Research 2012, 182: 17-20. PMID: 22939554, DOI: 10.1016/j.jss.2012.07.036.Peer-Reviewed Original ResearchConceptsAdult level I trauma centerPediatric Level I Trauma CenterHigher Injury Severity ScoreLevel I trauma centerI trauma centerInjury Severity ScoreSplenic injuryLocation of presentationTrauma centerNonoperative managementSeverity scoreAdult trauma centersBlunt splenic injuryOnly independent factorLogistic multivariate analysisStudent's t-testHospital coursePatients 14Older patientsLonger LOSNonoperative approachRetrospective reviewTrauma registryAdolescent patientsStable childrenAre facilities following best practices of pediatric abdominal CT scans?
Nosek AE, Hartin CW, Bass KD, Glick PL, Caty MG, Dayton MT, Ozgediz DE. Are facilities following best practices of pediatric abdominal CT scans? Journal Of Surgical Research 2012, 181: 11-15. PMID: 22682711, DOI: 10.1016/j.jss.2012.05.036.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolHumansRadiography, AbdominalRetrospective StudiesTomography, X-Ray ComputedConceptsAbdominal CT scanCT scanPediatric facilitiesPediatric CT scansPediatric abdominal CT scansInconclusive CT scanTertiary pediatric facilityRadiation dosageStudent's t-testCT scanning protocolsConsecutive childrenPossible appendicitisIntravenous contrastLess radiationAdditional imagingHigh-quality diagnostic imagesContrast useDiagnostic yieldCancer riskClinical informationNonpediatric facilitiesSame body areaScanning childrenRadiation exposureScanning protocolHepatic mesenchymal hamartoma and infantile hemangioma: a rare association
Behr GG, Fishman SJ, Caty MG, Kulungowski AM, Paltiel HJ, Alomari AI. Hepatic mesenchymal hamartoma and infantile hemangioma: a rare association. Journal Of Pediatric Surgery 2012, 47: 448-452. PMID: 22424336, DOI: 10.1016/j.jpedsurg.2011.10.049.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHamartomaHemangiomaHumansInfantInfant, NewbornLiver NeoplasmsRetrospective StudiesConceptsMesenchymal hamartomaLiver hemangiomaInfantile hemangiomasVascular anomalies centerHepatic mesenchymal hamartomaPathologic featuresMedical recordsRare associationLarge cohortRare coexistenceHamartomaHemangiomaComprehensive searchPatientsInfantsTrue associationAssociationAnomaly centerCohortDiagnosisLiver
2009
Initial experience with laparoscopic Chait Trapdoor™ cecostomy catheter placement for the management of fecal incontinence in children: outcomes and lessons learned
Yamout SZ, Glick PL, Lee YH, Yacobucci DV, Lau ST, Escobar MA, Caty MG. Initial experience with laparoscopic Chait Trapdoor™ cecostomy catheter placement for the management of fecal incontinence in children: outcomes and lessons learned. Pediatric Surgery International 2009, 25: 1081. PMID: 19809825, DOI: 10.1007/s00383-009-2496-6.Peer-Reviewed Original ResearchConceptsLong-term complicationsCatheter placementFecal incontinenceHospital stayLaparoscopic approachShunt infectionPrimary diagnosisSpina bifidaHypertrophic granulation tissueMean age 11.8Unplanned ED visitsMean hospital stayOutcomes of patientsEmergency department visitsVP shunt infectionCatheter complicationsCatheter dislodgementMethodsRetrospective reviewResultsSeventeen patientsCatheter siteED visitsIntraoperative complicationsPatient demographicsTerm complicationsDepartment visitsRisk of Ventriculoperitoneal Shunt Infections After Laparoscopic Placement of Chait Trapdoor™ Cecostomy Catheters in Children
Yamout SZ, Huo BJ, Li V, Escobar MA, Caty MG. Risk of Ventriculoperitoneal Shunt Infections After Laparoscopic Placement of Chait Trapdoor™ Cecostomy Catheters in Children. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2009, 19: 571-573. PMID: 19575635, DOI: 10.1089/lap.2009.0127.Peer-Reviewed Original ResearchConceptsShunt infectionVP shuntLaparoscopic placementConcomitant ventriculoperitoneal shuntVentriculoperitoneal shunt infectionVP shunt infectionVP shunt placementUse of laparoscopyShunt externalizationPatient demographicsVentriculoperitoneal shuntRetrospective reviewShunt placementCatheter placementEnteric contentsShunt operationCatheter tractT-fastenersAbdominal wallAntegrade irrigationDirect visionPatientsCatheterSubcutaneous tissueSpina bifidaEarly experience with the use of rhomboid excision and Limberg flap in 16 adolescents with pilonidal disease
Yamout SZ, Caty MG, Lee YH, Lau ST, Escobar MA, Glick PL. Early experience with the use of rhomboid excision and Limberg flap in 16 adolescents with pilonidal disease. Journal Of Pediatric Surgery 2009, 44: 1586-1590. PMID: 19635310, DOI: 10.1016/j.jpedsurg.2008.11.033.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentFemaleHumansLength of StayMalePilonidal SinusRecurrenceRetrospective StudiesSurgical FlapsTreatment OutcomeYoung AdultConceptsPilonidal diseaseHospital stayRecurrence rateLimberg flapLimberg flap repairSuperficial wound infectionSuperficial wound separationResidual painIntraoperative complicationsMinor complicationsWound breakdownWound separationLow morbidityRhomboid excisionOperative timeRetrospective reviewWide excisionWound infectionSingle institutionFlap repairWound careRotational flapInitial experiencePatientsExcision
2006
Lawnmower injuries in children: a 10-year experience
Lau ST, Lee YH, Hess DJ, Brisseau GF, Keleher GE, Caty MG. Lawnmower injuries in children: a 10-year experience. Pediatric Surgery International 2006, 22: 209-214. PMID: 16421702, DOI: 10.1007/s00383-005-1633-0.Peer-Reviewed Original ResearchConceptsLawnmower injuriesTorso injuriesExtremity injuriesHigher average injury severity scoreAverage Injury Severity ScoreLawnmower-related injuriesPediatric lawnmower injuriesInjury Severity ScoreExtensive surgical reconstructionHospital stayLonger average lengthPediatric traumaChildren's HospitalPreventable causeMean ageSeverity scoreSurgical reconstructionInjuryPatientsAmputationHospitalSafety modificationsAverage lengthChildrenCause
2004
Hepatoblastoma in low birth weight infants: an institutional review
Kapfer SA, Petruzzi MJ, Caty MG. Hepatoblastoma in low birth weight infants: an institutional review. Pediatric Surgery International 2004, 20: 753-756. PMID: 15538588, DOI: 10.1007/s00383-004-1292-6.Peer-Reviewed Original ResearchConceptsLow birth weight infantsBirth weight infantsWeight infantsBirth weightLow birth weightOxygen free radicalsRecurrent diseaseVentilatory supportStandard carePulmonary diseaseSupplemental oxygenPatient survivalAggressive formInstitutional reviewSubset of hepatoblastomasHepatoblastomaPatientsDiseaseInfantsFree radicalsReviewEtiologyCare
2003
One-Stage Transanal Soave Pullthrough for Hirschsprung Disease
Langer JC, Durrant AC, de la Torre L, Teitelbaum DH, Minkes RK, Caty MG, Wildhaber BE, Ortega SJ, Hirose S, Albanese CT. One-Stage Transanal Soave Pullthrough for Hirschsprung Disease. Annals Of Surgery 2003, 121: 262-269. PMID: 14530728, PMCID: PMC1360115, DOI: 10.1097/01.sla.0000089854.00436.cd.Peer-Reviewed Original ResearchConceptsHirschsprung's diseasePostoperative adhesive bowel obstructionMean timeAdhesive bowel obstructionOne-stage transanalPostoperative hospital stayTotal colonic diseaseEarly postoperative complicationsNormal bowel functionCongenital cardiac diseaseSmall umbilical incisionPerianal excoriationSingle-stage techniqueBowel functionBowel obstructionHospital stayPostoperative complicationsUnderwent surgeryBlood lossClinical courseEarly dischargeSurgical managementUmbilical incisionColonic diseaseMinimal painThe respiratory advantage of laparoscopic nissen fundoplication
Powers CJ, Levitt MA, Tantoco J, Rossman J, Sarpel U, Brisseau G, Caty MG, Glick PL. The respiratory advantage of laparoscopic nissen fundoplication. Journal Of Pediatric Surgery 2003, 38: 886-891. PMID: 12778386, DOI: 10.1016/s0022-3468(03)00116-7.Peer-Reviewed Original ResearchConceptsLaparoscopic Nissen fundoplicationNissen fundoplicationLength of stayNeurologic impairmentIntensive care unit admissionNormal childrenRate of extubationShorter recovery roomCare unit admissionPostoperative pulmonary complicationsOpen Nissen fundoplicationRespiratory advantageTreatment of childrenProfound neurologic impairmentLaparoscopic groupPulmonary benefitsChest physiotherapyPulmonary complicationsUnit admissionGastroesophageal refluxRecovery roomSicker patientsBaseline feedingOpen groupLaparoscopic proceduresDiagnosing Hirschsprung's disease: Increasing the odds of a positive rectal biopsy result
Lewis NA, Levitt MA, Zallen GS, Zafar MS, Iacono KL, Rossman JE, Caty MG, Glick PL. Diagnosing Hirschsprung's disease: Increasing the odds of a positive rectal biopsy result. Journal Of Pediatric Surgery 2003, 38: 412-416. PMID: 12632358, DOI: 10.1053/jpsu.2003.50070.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge of OnsetBarium SulfateBiopsyChildChild, PreschoolCohort StudiesConstipationDiagnosis, DifferentialEnemaEnterocolitisFecal ImpactionFemaleHirschsprung DiseaseHumansInfantInfant, NewbornMaleMeconiumPhysical ExaminationRectumRetrospective StudiesUnnecessary ProceduresVomitingConceptsPassage of meconiumHirschsprung's diseaseRectal biopsyAbdominal distensionIdiopathic constipationContrast enemaHD patientsPhysical examinationUnnecessary rectal biopsiesPercent of patientsOnset of symptomsRadiologic evaluationChi2 testingClassic triadRadiographic evaluationBiopsy resultsConcurrent cohortRetrospective analysisPatient historyConstipationPatientsBiopsyVomitingDistensionFirst week
1998
Impact of bicycle helmet safety legislation on children admitted to a regional pediatric trauma center
Shafi S, Gilbert J, Loghmanee F, Allen J, Caty M, Glick P, Carden S, Azizkhan R. Impact of bicycle helmet safety legislation on children admitted to a regional pediatric trauma center. Journal Of Pediatric Surgery 1998, 33: 317-321. PMID: 9498409, DOI: 10.1016/s0022-3468(98)90454-7.Peer-Reviewed Original ResearchMeSH KeywordsBicyclingChildCraniocerebral TraumaFemaleHead Protective DevicesHumansMaleNew YorkRetrospective StudiesTrauma CentersTrauma Severity IndicesConceptsRegional pediatric trauma centerPediatric trauma centerTrauma centerHead injuryCerebral edemaCerebral contusionIntracranial hemorrhageHelmet useSkull fractureExact testPediatric injury prevention programBicycle safety helmetsDiffuse cerebral edemaLess intracranial hemorrhageInjury prevention programsBicycle crashesProportion of childrenFisher's exact testYears of ageBicycle helmetsMultiple head injuriesInjuryPrevention programsCrash victimsConcussion
1997
Risk of Hemorrhage and Appropriate use of Blood Transfusions in Pediatric Blunt Splenic Injuries
Shafi S, Gilbert J, Carden S, Allen J, Glick P, Caty M, Azizkhan R. Risk of Hemorrhage and Appropriate use of Blood Transfusions in Pediatric Blunt Splenic Injuries. Journal Of Trauma And Acute Care Surgery 1997, 42: 1029-1032.. PMID: 9210536, DOI: 10.1097/00005373-199706000-00007.Peer-Reviewed Original ResearchMeSH KeywordsBlood TransfusionChildFemaleHematocritHemorrhageHumansInjury Severity ScoreMaleMultiple TraumaRetrospective StudiesSpleenWounds, NonpenetratingConceptsBlunt splenic injuryPediatric blunt splenic injurySplenic injuryTransfusion rateBlood transfusionMultiple injuriesDay 6Retrospective case seriesRisk of hemorrhageCase seriesTransfusion practiceHct changesTransfusionDay 7InjuryDay 13Whole groupHctAppropriate useChildrenHoursHemorrhageInitial dropHematocrit