Standardization of Surgical Practice in Pediatric Surgery: Challenges and Future Lines of Action

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Surgery".

Deadline for manuscript submissions: 10 July 2025 | Viewed by 407

Special Issue Editors


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Guest Editor
Pediatric Surgery Department, Complejo Asistencial Universitario de León, 24008 León, Spain
Interests: lymphocyte; acute appendicitis; children; urinary; surgery; meta-analysis; systematic review; biomarkers; neonatal; surgical pathology; minimally invasive surgery; MIS; SILS; TULA; interleukin
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genova, Italy
Interests: surgery; surgery for tracheal diseases; surgery for thoracic anomalies; trachea urinary incontinence; laparoscopic surgery; pediatric surgery

Special Issue Information

Dear Colleagues,

Pediatric surgery is a field of great technical complexity, both because of patients' intrinsic characteristics and the limited technical resources available to perform the procedures. Together with the low casuistry of the pathologies we treat, this has led to enormous variability in the surgical management of patients since the beginning of this specialty. The progressive evolution we are experiencing in technical and scientific terms now opens the door to a paradigmatic shift where we can standardize the surgical practice of our patients, improving overall outcomes. Through this Special Issue, we would like to encourage you to share your experience with the standardization of pediatric surgical practice in different environments and with different pathologies, which will undoubtedly lay the foundations for the pediatric surgery of tomorrow.

We thank you in advance for your contributions.

Dr. Javier Arredondo Montero
Dr. Michele Torre
Guest Editors

Manuscript Submission Information

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Keywords

  • pediatric surgery
  • enhanced recovery after surgery
  • standard of care
  • surgical standardization
  • protocol
  • guidelines

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Published Papers (1 paper)

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Review

19 pages, 1456 KiB  
Review
Advancing Pediatric Surgery with Indocyanine Green (ICG) Fluorescence Imaging: A Comprehensive Review
by Marco Di Mitri, Annalisa Di Carmine, Benedetta Zen, Edoardo Collautti, Cristian Bisanti, Simone D’Antonio, Michele Libri, Tommaso Gargano and Mario Lima
Children 2025, 12(4), 515; https://doi.org/10.3390/children12040515 - 16 Apr 2025
Viewed by 255
Abstract
Background: Indocyanine green (ICG) fluorescence imaging has revolutionized pediatric surgery by enhancing precision, safety, and outcomes across various specialties. In recent years, its use has spread through the framework of pediatric surgery, where its ability to illuminate anatomical structures and pathological conditions has [...] Read more.
Background: Indocyanine green (ICG) fluorescence imaging has revolutionized pediatric surgery by enhancing precision, safety, and outcomes across various specialties. In recent years, its use has spread through the framework of pediatric surgery, where its ability to illuminate anatomical structures and pathological conditions has improved surgical outcomes. Methods: We conducted a systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The search was performed using the term “Indocyanine green” in all fields, including papers about pediatric patients (aged 0–18 years) published between January 2014 and July 2024. Results: This review systematically explores ICG applications, dosing regimens, timing of administration, and integration into modern surgical technologies, including robotics and minimally invasive platforms. ICG resulted in an excellent safety profile and enables the real-time visualization of anatomical structures and pathological conditions, proving invaluable in pediatric cases characterized by smaller anatomical dimensions and congenital anomalies. Conclusions: This review highlights ICG fluorescence imaging as an indispensable tool in pediatric surgery, offering transformative potential for improving surgical outcomes and patient safety. Despite its advantages, it is necessary to standardize dosing and timing protocols to maximize its utility. The aim of this review is to explore the various applications of ICG in pediatric surgery, report the dosage and administration times across different surgical fields, and establish best practices to guide its future use. Full article
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