Ethics approval and consent to participate
The study protocol was approved by the Institutional Review Board of Faculty of Medicine, Mansoura University, Egypt on February 12, 2022, IRB code (MS.22.01.1818). Patients were recruited after registration of this study protocol with the Pan African Clinical Trials Registry (PACTR202203673199781). The study was conducted in accordance with the Helsinki Declaration 2013 with good clinical practice. Informed written consent was obtained from the parents or the legal guardians of participants the day before surgery.