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Innovative Surgical Techniques for Pediatric Abdominal Cysts – Neonatal Biology

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class="content-area" id="primary"> <main class="site-main" id="main"> <article id="post-80" class="post-80 post type-post status-publish format-standard has-post-thumbnail hentry category-pediatric-abdominal-cysts tag-abdominal-cysts tag-cystic-abdominal-masses tag-hepatic-hamartoma tag-hepatobiliary-cystadenoma tag-laparoscopy tag-lymphangioma tag-paediatric tag-paediatric-abdominal-cysts tag-paediatric-hydrops-fetalis" itemtype="https://schema.org/CreativeWork" itemscope> <div class="inside-article"> <div class="featured-image page-header-image-single "> <img width="1200" height="628" src="https://neonatalbiology.com/archive/wp-content/uploads/2024/09/image-27-min-scaled-e1726236193512.jpg" class="attachment-full size-full" alt="" itemprop="image" decoding="async" fetchpriority="high" /> </div> <header class="entry-header"> <h1 class="entry-title" itemprop="headline">Innovative Surgical Techniques for Pediatric Abdominal Cysts</h1> <div class="entry-meta"> <span class="posted-on"><time class="entry-date published" datetime="2024-09-13T19:33:22+05:30" itemprop="datePublished">September 13, 2024</time></span> <span class="byline">by <span class="author vcard" itemprop="author" itemtype="https://schema.org/Person" itemscope><a class="url fn n" href="https://neonatalbiology.com/archive/author/neonatalbiology/" title="View all posts by neonatalbiology" rel="author" itemprop="url"><span class="author-name" itemprop="name">neonatalbiology</span></a></span></span> </div> </header> <div class="entry-content" itemprop="text"> <p style="text-align: left;"><span style="font-weight: 400;">Pediatric abdominal cysts represent rare and challenging cases, which keep up the interest of those who practice pediatric surgery. The different types vary in the way they are formed, their size, and related signs. The field of surgical management has become a highly successful and extremely popular area within the last few years following improved minimally invasive laparoscopic techniques. The approach to cyst management has evolved from conventional open operations and appreciation of surgical modalities for the treatment of cysts over time with minimally invasive laparoscopic approaches. This review summarizes surgical procedures in pediatric abdominal cysts, identifying relevant findings on a well-tolerated and successful surgery regarding bleeding.</span></p> <h3 style="text-align: left;"><b>Understanding Pediatric Abdominal Cysts</b></h3> <p style="text-align: left;"><b></b><span style="font-weight: 400;">These are cysts filled with fluid that may affect different parts of the abdomen, like the liver, spleen, or even intraperitoneal mesentery sites. They can be asymptomatic or cause abdominal distension and pain, nausea, or vomiting, but most often patients present with symptoms suggestive of a bowel obstruction. These cysts can be congenital or inflammatory. The right way to diagnose these cysts usually involves performing imaging tests (like ultrasound, MRI, or CT scans) that can indicate the size and location of those in the abdomen as well as reveal if they are benign.</span></p> <h3 style="text-align: left;"><b>Historical Context: Surgical Management of Pediatric Peritoneal Cysts</b></h3> <p style="text-align: left;"><b></b><span style="font-weight: 400;">Traditional open techniques have been the main method for dealing with problems such as pediatric peritoneal cysts. Although this method is successful, it also has major disadvantages and complications that go with it: longer recovery time, higher pain levels, and greater risks of infection. Nonetheless, open surgery offered the benefit of direct access to and resection of cysts that were essential for preventing recurrence and complete removal. </span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Yearwise Publication Trend on <b>“<a href="https://neonatalbiology.com/publication-trends/index/pediatric abdominal cysts" target="_blank" title="pediatric abdominal cysts - yearwise publication trends">pediatric abdominal cysts</a>”</b></h2> </div> </div><div class="results-container"><div class="chart-block" style="padding:15px;"> <div class="left"> <div id="results" class="results"></div> </div> <div class="right"> <div class="chart-container"><canvas id="publicationChart"></canvas></div> </div> <div class="keywordsdiv"> <div style="text-align:center;"><b>Find publication trends on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-stats"></span> </div> </div></div></div><div class="inside-article"><style> table { margin: 0 0 1.5em; 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if (!statistics || Object.keys(statistics).length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var tableHTML = `<div class='pub-scroll'> <table class='tablediv' border='1' cellspacing='0' cellpadding='0'> <tr> <th>Year</th> <th>Publication Count</th> </tr>`; Object.entries(statistics).sort(([yearA], [yearB]) => yearB - yearA).forEach(([year, count]) => { const displayCount = count === 0 ? 'NA' : count; tableHTML += ` <tr> <td>${year}</td> <td>${displayCount}</td> </tr> `; }); tableHTML += '</table></div>'; resultsContainer.innerHTML = tableHTML; } function displayLineChart(statistics) { var years = Object.keys(statistics); var counts = Object.values(statistics); var ctx = document.getElementById('publicationChart').getContext('2d'); // Destroy existing chart instance if it exists if (chart !== null) { chart.destroy(); } // Create a new chart instance chart = new Chart(ctx, { type: 'line', data: { labels: years, datasets: [{ label: 'Publication Counts', data: counts, fill: false, borderColor: 'rgba(75, 192, 192, 1)', tension: 0.1 }] }, options: { scales: { y: { beginAtZero: true } }, plugins: { legend: { display: true, position: 'top' } } } }); } function displayKeywordStats(keywords) { var resultsContainer = document.getElementById('keyword-stats'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach((key, index) => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://neonatalbiology.com/publication-trends/index/${key_replace}" target="_blank" title="${key} - yearwise publication trends">${key}</a>`; if (index < keywords.length - 1) { keywordHTML += ', '; } }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var statistics = { "2014": 0, "2015": 1, "2016": 6, "2017": 1, "2018": 1, "2019": 3, "2020": 6, "2021": 11, "2022": 13, "2023": 30, "2024": 12 }; var keywordsArray = ["Paediatric","abdominal cysts","Laparoscopy","paediatric abdominal cysts","health conditions","abdominal cysts","paediatric","paediatric hydrops fetalis","Cystic abdominal masses","hepatic hamartoma","hepatobiliary cystadenoma","lymphangioma"]; displayResults(statistics); displayLineChart(statistics); displayKeywordStats(keywordsArray); </script></p> <h3 style="text-align: left;"><b>Laparoscopic Excision of Large Intra-Abdominal Cysts</b></h3> <p style="text-align: left;"><span style="font-weight: 400;">Laparoscopy has created the most revolutionary frontier in abdominal cyst surgery with pediatric patients. Laparoscopy provides a minimally invasive alternative to open surgery with smaller incisions, less pain, and faster recovery blockers. In recent clinical studies, the needle hitch technique has demonstrated the ability to successfully excise large intra-abdominal cysts in children. This method uses a needle to place traction on the cyst so that it can be aspirated and excised with minimal handling. This way, not only is the procedure simplified, but the chances of spills and recurrences are also lower. </span></p> <h3 style="text-align: left;"><b>Case Reports Regarding Laparoscopic Techniques</b></h3> <p style="text-align: left;"><b></b><span style="font-weight: 400;">Several case reports have indicated the usefulness of laparoscopic methods for the treatment of pediatric abdominal cysts. For example, laparoscopic excision of large cysts in neonates and small children can be successfully achieved with excellent postoperative results and only rare complications. These are important concepts that emerge from the cases of minimal manipulation and laparoscopic dissection techniques for cyst removal without damaging surrounding tissues.</span></p> <h3 style="text-align: left;"><b>The Role of Imaging in Surgical Planning</b></h3> <p style="text-align: left;"><span style="font-weight: 400;">Advanced imaging is central to preoperative planning and intraoperative management for pediatric cysts. Fine detail regarding cyst size, location, and relation to surrounding structures is available on high-resolution ultrasound, MRI, or CT scans. This detailed information is crucial for surgeons to plan the best and least intrusive method of cyst treatment. Intraoperative imaging may also aid in the surgical guidance of such limited transsphenoidal surgery to avoid remnants and reduce complications.</span></p> <h3 style="text-align: left;"><b>Advancements in Surgical Instrumentation</b></h3> <p style="text-align: left;"><b></b><span style="font-weight: 400;">The evolution and improvement of specific surgical instruments have only increased the potential applications for laparoscopic surgery for pediatric abdominal cysts. Harmonic scalpels (a kind of instrument that allows for both cutting and coagulation with the use of ultrasonic vibrations) have been developed because they enable more exacting operations together. Aspirations-irrigation devices in combination are another important advance that permits curiously detailed surgery inside unwanted fluid environments, such as those that depend on a contact lens placed upon the sclera. Moreover, as a result, these improvements decrease the duration of surgery and allow for better results by decreasing tissue damage as well as blood loss.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Recent Publications on <b>“<a href="https://neonatalbiology.com/recent-publications/index/pediatric abdominal cysts" target="_blank" rel="noopener" title="pediatric abdominal cysts - yearwise publication list">pediatric abdominal cysts</a>”</b></h2> </div> </div> <div class="pb-main"><div class="article-scroll"><div id="results_recent" class="results"></div></div><div class="keywordsdiv" style="margin: 0px 15px;margin-top:20px;"> <div style="text-align:center;"><b>Find publications on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-papers"></span> </div></div></div><div class="inside-article"> <style> .pb-main{ border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .author-main { border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .publication-block { padding: 10px; margin-bottom: 10px; background-color: #f9f9f9; text-align: left; background: #FFF; border-bottom: solid 1px #ccc; margin-left: 15px; margin-right: 15px; } .publication-block h3 { margin: 0 0 10px; color: #000!important; } .publication-block a { font-size: 16px !important; line-height: 1em; font-weight: 600; text-transform: none; color: #000; padding: 0px; } .publication-block a:hover{ color: #227cdc; text-decoration:underline; } .article-scroll { max-height: 445px; overflow-y: auto; overflow-x: hidden; } ::-webkit-scrollbar-track { -webkit-box-shadow: inset 0 0 6px rgba(0,0,0,0.3); background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar { width: 6px; background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar-thumb { background-color: #ababab; border-radius:30px; } .publication-block p { margin-bottom: .5em; font-size: 15px; color: #000; } h3 { font-size: 18px !important; margin-bottom: 20px; line-height: 1.2em; font-weight: 600; text-transform: none; } a { padding: 5px; color: #a71c49; } #keyword-papers{ margin-top: 20px; text-align: center; } </style> <script> function decodeString(str) { str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); return str; } function displayResults_recent(papers) { var resultsContainer = document.getElementById('results_recent'); if (!papers || papers.length === 0) { resultsContainer.innerHTML = '<p>No recent publications found.</p>'; return; } papers.forEach(paper => { var publicationBlock = document.createElement('div'); publicationBlock.className = 'publication-block'; var title_de = decodeString(paper.title); var publicationHTML = ` <div style="margin-bottom: 10px;line-height: 24px;"><a href="${paper.url}" target="_blank" title="${title_de}">${title_de}</a></div> <p><strong>Issue Release:</strong> ${paper.publishedDate}</p> `; publicationBlock.innerHTML = publicationHTML; resultsContainer.appendChild(publicationBlock); }); } function displayKeywordPapers(keywords) { var resultsContainer = document.getElementById('keyword-papers'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach((key, index) => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://neonatalbiology.com/recent-publications/index/${key_replace}" target="_blank" title="${key} - publication list">${key}</a>`; if (index < keywords.length - 1) { keywordHTML += ', '; } }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var recent_papers = [ { "title": "A rare case report of orchiopexy and hysterectomy in an Afghan boy with persistent M\u00fcllerian duct syndrome.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38217920", "publishedDate": "2024" }, { "title": "A child with TSC2\/PKD1 contiguous gene deletion syndrome successfully treated with tolvaptan for rapidly enlarging renal cysts.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38411894", "publishedDate": "2024" }, { "title": "The First Pediatric Case of an IFT140 Heterozygous Deletion Causing Autosomal Dominant Polycystic Kidney Disease: Case Report.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39015124", "publishedDate": "2024" }, { "title": "Pediatric Intraabdominal Cysts-A Case Series from a Single Tertiary Center Experience.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38454224", "publishedDate": "2024" }, { "title": "Single-Center Experience of Pediatric Cystic Kidney Disease and Literature Review.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38671609", "publishedDate": "2024" }, { "title": "Unique sequelae of portal vein thrombosis in a pediatric patient with cystic echinococcosis: A case report.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38756114", "publishedDate": "2024" }, { "title": "Pediatric Cystic Echinococcosis in Tehran, Iran: A 9-Year Retrospective Epidemiological and Clinical Survey of Hospitalized Cases.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39119694", "publishedDate": "2024" }, { "title": "Pediatric cardiac hydatid cysts: a diagnostic odyssey: a rare case report.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39118755", "publishedDate": "2024" }, { "title": "Comparative Evaluation of Abdominal Ultrasound and MRI in the Diagnosis of Congenital Choledochal Cysts in Children.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39038350", "publishedDate": "2024" }, { "title": "Isolated diaphragmatic hydatid cyst: a rare entity in the paediatric population.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39132083", "publishedDate": "2024" }, { "title": "Ultrasound diagnosis of the small intestinal adenomyoma in children.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37778020", "publishedDate": "2023" }, { "title": "Chylolymphatic cyst as a rare cause of acute intestinal obstruction in infants.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37683513", "publishedDate": "2023" }, { "title": "Recurrence of abdominal distension due to fluid accumulation in a child: Ascites or a cyst?", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37520867", "publishedDate": "2023" }, { "title": "Childhood mesenteric cyst: A rare intra-abdominal entity with literature review.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37068457", "publishedDate": "2023" }, { "title": "Omental Cyst With Torsion: A Rare Culprit of Pediatric Acute Abdomen.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38226121", "publishedDate": "2023" }, { "title": "Giant Benign Struma Ovarii with High-Grade Fever, Elevated CA 125, and Hormonal Function in an Adolescent Patient.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37238404", "publishedDate": "2023" }, { "title": "Curative effect and technical key points of laparoscopic surgery for choledochal cysts in children.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/36684280", "publishedDate": "2023" }, { "title": "Pneumatosis cystoides intestinalis mimicking free intraabdominal air following chemotherapy for relapsed acute myeloblastic leukemia in a transplanted neutropenic child: a case report.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37661686", "publishedDate": "2023" }, { "title": "A Case Report of a Large Splenic Cyst in a Pediatric Patient.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37900502", "publishedDate": "2023" }, { "title": "Ovarian Masses in Children and Adolescents: A Review of the Literature with Emphasis on the Diagnostic Approach.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/37508611", "publishedDate": "2023" } ]; var keywordsArray = ["Paediatric","abdominal cysts","Laparoscopy","paediatric abdominal cysts","health conditions","abdominal cysts","paediatric","paediatric hydrops fetalis","Cystic abdominal masses","hepatic hamartoma","hepatobiliary cystadenoma","lymphangioma"]; displayResults_recent(recent_papers); displayKeywordPapers(keywordsArray); // function stripslashes(str) { // if (typeof str === 'string') { // return str.replace(/\/g, ''); // } // } </script></p> <h3 style="text-align: left;"><b>Postoperative Care and Outcomes</b></h3> <p style="text-align: left;"><span style="font-weight: 400;">Postoperative care is extremely important for children who underwent surgery with abdominal cysts so that they recover well and avoid complications. Compared to traditional open surgery, laparoscopy is associated with shorter hospital stays and less pain, allowing a quicker return to normal activities. A long-term follow-up is crucial to avoid recurrence and control any complications if they arise.</span></p> <h3 style="text-align: left;"><b>Conclusion</b><span style="font-weight: 400;"><br /> </span></h3> <p style="text-align: left;"><span style="font-weight: 400;">The advent of innovative surgical techniques has transformed the management of pediatric abdominal cysts and provided more efficient, minimally invasive treatment alternatives. Among these, laparoscopic excision has gained favor given less postoperative pain and faster recovery time with equally great results. Advancements in technology and surgical techniques will greatly improve the future prognostics of abdominal cysts for children, allowing them to have a better quality of life as they progress into adulthood.</span></p> <p></p> <h3><b>References</b></h3> <ol> <li> <div class="citation-text">Antao B, Tan J, Quinn F. <a href="https://pubmed.ncbi.nlm.nih.gov/26798349/">Laparoscopic Excision of Large Intra-Abdominal Cysts in Children: Needle Hitch Technique.</a> Case Rep Med. 2015;2015:937191. doi: 10.1155/2015/937191. Epub 2015 Dec 21. PMID: 26798349; PMCID: PMC4698560.</div> </li> <li> <div class="citation-text">Yoon JW, Choi DY, Oh YK, Lee SH, Gang DB, Yu ST. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750383/">A Case of Mesenteric Cyst in a 4-Year-Old Child with Acute Abdominal Pain.</a> Pediatr Gastroenterol Hepatol Nutr. 2017 Dec;20(4):268-272. doi: 10.5223/pghn.2017.20.4.268. Epub 2017 Dec 22. PMID: 29302510; PMCID: PMC5750383.</div> </li> <li> <div class="citation-text">Ferrero L, Guanà R, Carbonaro G, Cortese MG, Lonati L, Teruzzi E, Schleef J. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643949/">Cystic intra-abdominal masses in children.</a> Pediatr Rep. 2017 Oct 6;9(3):7284. doi: 10.4081/pr.2017.7284. PMID: 29081933; PMCID: PMC5643949.</div> </li> <li> <div class="citation-text">Chang TS, Ricketts R, Abramowsky CR, Cotter BD, Steelman CK, Husain A, Shehata BM. <a href="https://pubmed.ncbi.nlm.nih.gov/21204665/">Mesenteric cystic masses: a series of 21 pediatric cases and review of the literature.</a> Fetal Pediatr Pathol. 2011;30(1):40-4. doi: 10.3109/15513815.2010.505623. Erratum in: Fetal Pediatr Pathol. 2012 Apr;31(2):112. Abramowksy, Carlos R [corrected to Abramowsky, Carlos R]. PMID: 21204665.</div> </li> <li> <div class="citation-text">Karhan AN, Soyer T, Gunes A, Talim B, Karnak I, Oguz B, Saltik Temizel IN. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5107244/">Giant Omental Cyst (Lymphangioma) Mimicking Ascites and Tuberculosis.</a> Iran J Radiol. 2016 May 24;13(3):e31943. doi: 10.5812/iranjradiol.31943. PMID: 27853495; PMCID: PMC5107244.</div> </li> <li> <div class="citation-text">Morabito G, Romeo C, Romano C. <a href="https://pubmed.ncbi.nlm.nih.gov/24847194/">Functional aerophagia in children: a frequent, atypical disorder. Case Rep Gastroenterol.</a> 2014 Apr 5;8(1):123-8. doi: 10.1159/000362441. PMID: 24847194; PMCID: PMC4025155.</div> </li> <li> <div class="citation-text">Basaran UN, Inan M, Aksu B, Ceylan T. <a href="https://pubmed.ncbi.nlm.nih.gov/17854458/">Colon perforation due to pathologic aerophagia in an intellectually disabled child.</a> J Paediatr Child Health. 2007 Oct;43(10):710-2. doi: 10.1111/j.1440-1754.2007.01190.x. PMID: 17854458.</div> <div class="citation-actions"></div> </li> </ol> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Top Experts on “<b style="color:#000;font-size:22px;">pediatric abdominal cysts</b>“</h2> </div> </div><div class="author-main"><div id="results_author"></div><div style="text-align: center;"><a class="register-button" href="https://neonatalbiology.com/expert-search" target="_blank" rel="noopener">Find experts on any field</a></div></div><div class="inside-article" style="background: none;border: none;box-shadow: none;margin-top: -70px;"> <style> .author-block { padding: 15px; margin-bottom: 10px; text-align: left; font-size: 15px; line-height: 1.2; background: #FFF; border-bottom: solid 1px #ccc; margin-left: 15px; margin-right: 15px; } .author-block h3 { margin: 0 0 10px; color: #227cdc; } .author-block p { margin: 5px 0; } .author-b { 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