Journal of Pediatric Surgical Nursing

Moyamoya disease is a rare disease that causes progressive narrowing of the intracranial internal carotid arteries, resulting in reduced blood supply to the brain, leading to strokes. It is a major cause of childhood stroke. A 10-year-old boy presented with recurrent left-hemispheric transient ischemic attack and seizures. On evaluation, the child was diagnosed as having bilateral moyamoya disease. The child was prescribed antiplatelets and antiepileptics and advised to drink 2 liters of water a day and to avoid dehydration. He was admitted for an elective revascularization surgery. Left-side superficial temporal artery to middle cerebral artery bypass with encephaloduroarteriomyosynangiosis was done. The child was monitored in the postoperative neurosurgery intensive care unit for 1 day for any postprocedure complications. Postoperative course was uneventful, and the child was discharged on the sixth postoperative day with instruction to continue antiplatelets and antiseizure medications. The outcome of cerebral revascularization in moyamoya disease is good, with reduction in ischemic events and seizures. Postoperative nursing care in neurosurgery units is important in preventing complications and achieving better outcomes.

Testicular tuition is a genital urinary emergency that can lead to unfortunate patient outcomes. Care for these patients in a timely and effective manner will promote better patient outcomes. The purpose of this article is to discuss symptomology and clinical presentation of testicular torsion. Risk factors associated with testicular torsion and diagnostics are presented. Furthermore, emergent and effective nursing care in the preoperative, intraoperative, and postoperative processes is reviewed. Nursing implications as it relates to best practices and evidence-based care are presented for the nurse generalist and advanced practice nurse.

Puberty typically follows a predictable pattern that can be assessed using the Tanner stages or Sexual Maturity Rating scale. Clinicians can use this tool to evaluate and monitor progress in female and male puberty. The timing and sequence of puberty are important indicators of the growth and development of pediatric patients. Stages of puberty and normal findings must be known before variations can be identified. Pubertal changes that fall outside the normal timeline or trajectory are considered abnormal and must be investigated. Treatments for abnormal variations are based on pathologic versus idiopathic causes. Nurses, as members of the interprofessional collaborative team, serve an important role by obtaining data, monitoring progress, providing health education, performing ongoing assessment/evaluation, and ensuring continuity of care when needed.

Male circumcision originated as a covenant of God with Abraham in biblical times. This practice is rooted in the Jewish and Islamic religions as both claim ancestry with Abraham. Although neonatal male circumcision was mostly performed in these cultures, it became a common practice in the United States in the 1800s. As this is not medically necessary, the frequency of male circumcision is decreasing in some parts of the world, although circumcision in older men is increasing because of the health benefits reported. Although there are several techniques to perform the procedure, pain management during and after the procedure is important. The nurse must ensure that the infant is the right candidate for the procedure, support the parental decision, and monitor the infant for any complications. Research around male circumcision on the long-term effects, reduction of complications, and economic and health benefits earlier in life may be important.