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 ResearchConceptsPolycystic 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
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 ResearchConceptsIleo-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
2013
Pediatric thymomas: report of two cases and comprehensive review of the literature
Fonseca AL, Ozgediz DE, Christison-Lagay ER, Detterbeck FC, Caty MG. Pediatric thymomas: report of two cases and comprehensive review of the literature. Pediatric Surgery International 2013, 30: 275-286. PMID: 24322668, DOI: 10.1007/s00383-013-3438-x.Peer-Reviewed Original ResearchConceptsStage diseaseSurgical excisionRare pediatric malignancyMasaoka stage IEarly-stage diseaseSlight male predominanceTreatment of thymomaLate-stage diseaseMulti-institutional studyPediatric thymomaAdjuvant therapyClinical courseMyasthenia gravisPrognostic factorsMale predominanceIndolent behaviorPediatric malignanciesRare tumorCase reportReference listsStage IIIThymomaStage IStage IVPubMed database
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 childrenHepatic 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 ResearchConceptsMesenchymal hamartomaLiver hemangiomaInfantile hemangiomasVascular anomalies centerHepatic mesenchymal hamartomaPathologic featuresMedical recordsRare associationLarge cohortRare coexistenceHamartomaHemangiomaComprehensive searchPatientsInfantsTrue associationAssociationAnomaly centerCohortDiagnosisLiver
2011
Laparoscopy for perforated Richter hernia with incarcerated foreign body
Hartin CW, Caty MG, Bass KD. Laparoscopy for perforated Richter hernia with incarcerated foreign body. Journal Of Pediatric Surgery 2011, 46: 1449-1451. PMID: 21763852, DOI: 10.1016/j.jpedsurg.2011.03.021.Peer-Reviewed Original Research
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 visitsEarly 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 ResearchConceptsPilonidal 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 experiencePatientsExcisionRisk 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 bifida
2008
Of snakes and babies: intrathoracic stomach and vertebral rachischisis. A serpentine-like syndrome?
Katz MS, Hess DJ, Caty MG, Khan AR, Glick PL. Of snakes and babies: intrathoracic stomach and vertebral rachischisis. A serpentine-like syndrome? Journal Of Pediatric Surgery 2008, 43: 1385-1389. PMID: 18639703, DOI: 10.1016/j.jpedsurg.2008.02.055.Peer-Reviewed Original ResearchConceptsIntrathoracic stomachCollis gastroplastySerpentine-like syndromeCervical spine stabilityEnglish medical literatureLife-threatening birth defectsGastric enlargementIntragastric feedingCervical immobilizationCardiac anomaliesTreatment optionsG-tubeSplenic anomaliesVACTERL associationRight footSpine stabilityMedical literatureStomachXX karyotypeBirth defectsRachischisisSpinal vertebraeGastroplastyTwo yearsEsophagusFetus-in-fetu: report of a case and a review of the literature
Escobar MA, Rossman JE, Caty MG. Fetus-in-fetu: report of a case and a review of the literature. Journal Of Pediatric Surgery 2008, 43: 943-946. PMID: 18485974, DOI: 10.1016/j.jpedsurg.2008.01.061.Peer-Reviewed Original Research
2007
IPEG Colorectal Panel
Langer J, Caty M, de la Torre-Mondragon L, Georgeson K, Haddad M, Hutson J, Levitt M, Peña A. IPEG Colorectal Panel. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2007, 17: 77-100. PMID: 17362184, DOI: 10.1089/lap.2006.9997.Peer-Reviewed Original ResearchCurrent management of hernias and hydroceles
Lau ST, Lee YH, Caty MG. Current management of hernias and hydroceles. Seminars In Pediatric Surgery 2007, 16: 50-57. PMID: 17210483, DOI: 10.1053/j.sempedsurg.2006.10.007.Peer-Reviewed Original ResearchConceptsInguinal herniaCurrent managementContralateral inguinal canalRole of laparoscopyCurrent conceptsPediatric surgery practiceContralateral herniaAnesthetic managementIncarcerated herniaSurgical treatmentPremature infantsInguinal canalHerniaSurgery practiceHydroceleRepairCommon operationManagementLaparoscopyInfants
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
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 procedures