Evidence map›Paper›PMID 41003794›Full record

ArticlePediatric surgery international2025

Mitrofanoff procedure in children: use of the appendix and VQZ plasty seems to minimize complications.

Adriana König, Ashley X Wiseman, Barbara Wildhaber, Isabelle Vidal, Jacques Birraux

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Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Adriana KönigUniversity Center of Pediatric Surgery of Western Switzerland, Division of Child and Adolescent Surgery, Department of Women, Child and Adolescent, University Hospital of Geneva, Geneva, Switzerland.
Ashley X WisemanUniversity Center of Pediatric Surgery of Western Switzerland, Division of Child and Adolescent Surgery, Department of Women, Child and Adolescent, University Hospital of Geneva, Geneva, Switzerland.
Barbara WildhaberUniversity Center of Pediatric Surgery of Western Switzerland, Division of Child and Adolescent Surgery, Department of Women, Child and Adolescent, University Hospital of Geneva, Geneva, Switzerland.
Isabelle VidalUniversity Center of Pediatric Surgery of Western Switzerland, Division of Child and Adolescent Surgery, Department of Women, Child and Adolescent, University Hospital of Geneva, Geneva, Switzerland. isabelle.andrieuvidal@hug.ch.
Jacques BirrauxUniversity Center of Pediatric Surgery of Western Switzerland, Division of Child and Adolescent Surgery, Department of Women, Child and Adolescent, University Hospital of Geneva, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVariations around Mitrofanoff technique exist for continent catheterizable channel (CCC). The present study aims to analyze CCC complications within our patient cohort, in which the appendix was given preference to the maximum.

methodsRetrospective review of pediatric patients who had CCC surgery in our institution (2007-2019). A nine-item questionnaire was sent to assess current use of their CCC.

resultsAmong the 31 patient-cohort, appendix was used in 30, with a VQZ plasty in the right lower quadrant in 29. Postoperatively, seven CCC dysfunctions occurred in six patients between one month and nine years (four catheterization difficulties, one CCC stenosis at bladder level, one CCC incontinence, one parastomal hernia, no superficial stenosis). Of these complications, two were managed conservatively, two endoscopically, and three by open surgery. 21/23 surveys were returned: mean age of responders was 15 years, 97% used their CCC regularly, and none complained of CCC incontinence.

conclusionThis study shows a low revision rate for CCC dysfunction, with over half of the cases effectively managed through conservative or endoscopic means. It seems that following a stringent protocol with meticulous surgical technique and standardized postoperative care by a specialized nursing team reduces the risk of CCC complications.

Indexed as

AppendixPostoperative ComplicationsUrinary CatheterizationUrinary Reservoirs, ContinentAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesSurveys and QuestionnairesChildrenContinent catheterizable channelLong term follow-upMitrofanoff

Identifiers

PMID41003794
PMCPMC12474596

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.