In this issue of the Journal of Pediatric Surgery, Dr. Yuval Bar-Yosef and colleagues from Tel-Aviv Medical Center present their retrospective, single-institution series examining the reoperation rates among patients with subcoronal hypospadias repair following newborn circumcision. The authors have a N = 69 over 20 years of study. This is a well-written, organized paper which highlights the complexity of subcoronal hypospadias repair in the child who has been previously circumcised.

Repair of Esophageal Atresia (EA) is one of the most common esophageal procedures in infants and yet, it can be quite challenging. EA repairs can be complicated by leak or stricture in up to 23% and 42% of cases, respectively [1]. These rates are greater than for other gastrointestinal (GI) anastomoses presumably due to the lack of serosa, mesentery, and limited esophageal length [2,3]. Evidence suggests that tension, tissue quality, and perfusion are key factors in GI anastomotic healing [4,5].

For children with end-stage lung disease that cannot wean from extracorporeal life support (ECLS), a wearable artificial lung would permit extubation and provide a bridge to recovery or transplantation. We evaluate the function of the novel Pediatric MLung—a low-resistance, pumpless artificial lung developed specifically for children—in healthy animal subjects.