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Latest Advances in Pediatric Surgery
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Latest Advances in Pediatric Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 15 December 2025 | Viewed by 679

Special Issue Editors

Dr. Francesco Macchini

E-Mail Website
Guest Editor
Pediatric Surgery, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy
Interests: pediatric thoracic surgery; airway surgery; congenital lung malformation; neonatal surgery; pediatric gas-tro-intestinal surgery
Dr. Andrea Zanini

E-Mail Website1 Website2
Guest Editor
Pediatric Surgery, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy
Interests: pediatric thoracic surgery; airway surgery; congenital lung malformation; pediatric surgical oncology; neonatal surgery

Special Issue Information

Dear Colleagues,

As pediatric surgery continues to evolve with technological advancements and innovative approaches, staying updated with the latest developments is crucial in providing the best care for our patients. The ability to integrate new techniques and research into our practices is essential to improving surgical outcomes and ensuring patient safety.

We are pleased to announce an upcoming Special Issue dedicated to the latest advances in pediatric surgery. This issue aims to synthesize and present recent research, innovative techniques, and clinical advancements in the field of pediatric surgery.

Special attention will be given to the role of technological innovations such as minimally invasive surgery, robotic surgery, fluorescence-guided techniques and artificial intelligence, offering a platform to highlight the transformative contributions being made to improving surgical care for children.

We invite all surgeons, researchers, and clinicians to submit original research papers or reviews that explore emerging trends, novel approaches, and advancements in pediatric surgery.

We look forward to your contributions and to advancing knowledge and practices in this field.

Dr. Francesco Macchini
Dr. Andrea Zanini
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric surgery
  • innovations
  • fluorescence-guided surgery
  • pediatric robotic surgery
  • minimally invasive surgery

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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18 pages, 2094 KiB  
Systematic Review
Scrotal Migration of the Ventriculoperitoneal Shunt in a 1-Year-Old Pediatric Patient: A Case Report and Systematic Literature Review
by Zenon Pogorelić, Stipe Ninčević, Vlade Babić, Miro Jukić and Stipe Vidović
J. Clin. Med. 2025, 14(15), 5183; https://doi.org/10.3390/jcm14155183 - 22 Jul 2025
Viewed by 475
Abstract
Background: Migration of the peritoneal end of the ventriculoperitoneal shunt (VPS) into the scrotum is a rare but recognized complication. Inguinoscrotal migration typically occurs as a result of increased intra-abdominal pressure combined with a patent processus vaginalis. A 14-month-old pediatric patient presented to [...] Read more.
Background: Migration of the peritoneal end of the ventriculoperitoneal shunt (VPS) into the scrotum is a rare but recognized complication. Inguinoscrotal migration typically occurs as a result of increased intra-abdominal pressure combined with a patent processus vaginalis. A 14-month-old pediatric patient presented to the emergency department with abdominal pain, vomiting, and swelling of the right scrotum that had persisted for two days. The patient had a history of a head injury that had resulted in a large secondary arachnoid cyst for which a VPS had been placed at eight months of age. Examination of the inguinoscrotal region revealed a swollen and painful right side of the scrotum with a hydrocele and a palpable distal portion of the ventriculoperitoneal catheter in the right groin extending to the scrotum. After a brief preoperative preparation, the patient underwent laparoscopic abdominal emergency exploration, during which shunt repositioning and laparoscopic closure of the patent processus vaginalis were performed. Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: A total of 30 case reports and six case series were included, analyzing 52 pediatric patients with scrotal migration of the VPS. The median age at presentation was 24 months (range: 1–169 months). The indication for VPS placement was hydrocephalus. Migration of the VPS catheter occurred on the right side in 34 cases. The median interval from VPS placement to the onset of symptoms was 9.0 months (range: 1 day–72 months). The most frequently reported symptoms were scrotal/inguinoscrotal swelling (n = 50), vomiting (n = 7), and fever (n = 3). Diagnostic methods included abdominal X-ray (n = 43), ultrasound (n = 5), scrotal transillumination test (n = 5), and computed tomography (n = 1). Regarding treatment, surgical repositioning of the VPS catheter into the peritoneal cavity was performed in 47 patients (90.4%), with no intraoperative or postoperative complications reported. Conclusions: Laparoscopic repositioning of the VPS into the peritoneal cavity, combined with closure of the processus vaginalis, appears to be a safe and effective treatment option for scrotal migration of the VPS. However, further well-designed studies are warranted to provide more comprehensive, generalizable, and unbiased evidence regarding this complication in the pediatric population. Full article
(This article belongs to the Special Issue Latest Advances in Pediatric Surgery)
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