Vascular anomalies of the limb and trunk in children: a retrospective comparative study of endoscopic surgery and open surgery.

BACKGROUND: Endoscopic resection has been reported for vascular anomalies (VA) previously. However, there is no study comparing endoscopic resection surgery (ERS) with open resection surgery (ORS) in children. We aimed to compare clinical and cosmetic outcomes between two approaches in pediatric VA. METHODS: Between June 2018 and June 2023, 138 pediatric VA patients undergoing ERS or ORS were retrospectively reviewed. Propensity score matching (PSM) was performed to minimize selection bias. The Scar Cosmesis Assessment and Rating (SCAR) Scale and numerical rating scale (NRS) based on patient satisfaction were used for cosmetic assessment. RESULTS: After PSM for age, depth of lesion, size of lesion, and site of surgery, 72 patients (ERS = 24, ORS = 48) were analyzed. Patients undergoing ERS had longer operative time (164.25 ± 18.46 vs. 112.85 ± 14.26 min; P < 0.001), less estimated blood loss (5.42 ± 2.15 vs. 18.04 ± 1.62 ml; P < 0.001), and shorter median hospital stay (4.50 [3.00-5.00] vs. 6.00 [5.00-6.00] days; P < 0.001). The follow-up time was 8.04 ± 1.23 month for ERS group and 8.56 ± 1.57 month for ORS group. For aesthetic results, the median overall SCAR score in ERS was lower than that in ORS (2 [1-3] vs. 5 [4-5]; P < 0.001), and the subscales of "scar spread," "dyspigmentation," "track marks or suture marks," and "overall impression" were better. The median NRS score was higher (8 [7-8] vs. 6 [5-6]; P < 0.001) and length of scars was shorter (2.18 ± 0.30 vs. 8.75 ± 1.98 cm; P < 0.001) in ERS group than those in ORS group. The incidences of total complications and recurrence showed no significant difference between two groups. CONCLUSIONS: Endoscopic surgery can be a safe and effective option for pediatric VA in the limbs and trunk. It offers the advantages of improving aesthetic outcomes and reducing postoperative wound healing time.

[Effects and mechanism of two Streptomyces strains on promoting plant growth and increasing grain yield of maize]. / ä¸¤æ ªé“¾éœ‰èŒå¯¹çŽ‰ç±³çš„ä¿ƒç”Ÿå¢žäº§ä½œç”¨åŠæœºç†.

This paper was mainly to explore the effects of two Streptomyces strains (S. roche D74 and S. pactum Act12) and their mixed actinomycetes agent on maize growth. Petri dish germination test, sand culture trial and plot trial were performed to determine the biological properties, leaf inducible enzyme activities, photosynthesis, ear characteristics, grain yield and quality of maize after seed soaking with acellular culture filtrate of D74 or Act 12 and seed coating with the mixed actinomycetes agent of two Streptomyces stains. The result showed that the seed soaking treatment significantly contributed to hypocotyls, radical and seedling growth, and increased the leaf inducible enzyme activities of maize seedlings. The 1000-fold dilution of D74 improved hypocotyl length, radicle length, and fibrous root number by 43.4%, 26.4%, and 100.7% (P<0.05), respectively, whereas the undiluted solution of D74 improved leaf polyphenol oxidase (PPO) activity by 40.2% (P<0.05). The 1000-fold dilution of Act12 improved hypocotyl length, radicle length, and fibrous root number by 36.3%, 36.3%, and 117.5% (P<0.05), the total fresh mass and root fresh mass by 31.1% and 36.6%, respectively (P<0.05). The 10-fold and 1000-fold dilutions of Act12 improved leaf PPO activity by 38.1% and 39.5%, respectively (P<0.05). The seed coating treatment showed the following significant effects, compared with the control: 1) Improving the root development. 2) Enhancing the leaf photosynthesis. 3) Improving the ear characteristics and grain yield. 4) Promoteing the grain filling. 5) Improving the leaf inducible enzyme activities. The results indicated that seed coating with the mixed actinomycetes agent of two Streptomyces strains could significantly affect the biological characteristics, photosynthesis and biochemical metabolism of maize seedlings, stimulate root development, promote plant growth, and improve grain yield of maize.