This podcast episode features Dr. Stephanie Bachi de Castro Oliveira and Dr. Paul W. Wales from Cincinnati Children's, discussing advancements in pediatric intestinal failure. They define intestinal failure as a reduction in functional intestinal mass requiring parenteral support for an extended period, primarily caused by short bowel syndrome. The conversation highlights a shift in focus from survival to managing long-term complications like neurocognitive outcomes and caregiver burnout. Intestinal rehabilitation programs are key to optimizing intestinal function and adaptation, with multidisciplinary teams improving survival and reducing transplant rates. They delve into the spectrum of liver disease associated with intestinal failure, risk factors like prematurity and infections, and the critical management of parenteral nutrition. The doctors provide a history of lipid emulsions, explaining how traditional soybean-based lipids can cause liver dysfunction and the benefits of newer omega-3 balanced options. They also discuss innovative central line lock solutions like KiteLock and the transformative impact of GLP-2 analogs such as Teduglutide and Apraglutide on reducing TPN dependence and promoting bowel lengthening. The ultimate goal is to avoid transplantation and lifelong immunosuppression through integrated, specialized care.

For more information on Dr. Juan Gurria at Cincinnati Children's, click here: https://www.cincinnatichildrens.org/bio/g/juan-pablo-gurria

Vertebral Body Tethering (VBT) is an FDA-approved, minimally invasive, non-fusion surgical treatment for growing patients with idiopathic scoliosis. It aims to correct spinal curvature and modulate growth while preserving disc motion, offering benefits like earlier return to sports compared to spinal fusion. Optimal timing for VBT is critical, performed on skeletally immature patients near their peak growth velocity (typically ages 8-15) to avoid overcorrection or tether failure. Indications include moderately severe (40-60 degree) and flexible curves. The surgical approach varies by spinal segment, utilizing thoracoscopic techniques for upper vertebrae and open approaches for lumbar segments, with careful neuro-monitoring. While early outcomes data showed a learning curve with some revision rates, improved patient selection and increased experience are now yielding more successful results. VBT represents a significant shift towards guided growth modulation in pediatric scoliosis.

For more information on the Fetal Care Center, click here: https://www.cincinnatichildrens.org/service/f/fetal-care

For more information on the Fetal Care Center at CCHMC, click here: https://www.cincinnatichildrens.org/service/f/fetal-care

For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

Key Highlights:

Neonatal vs Delayed Pull-Through: Audience opinions were widely split, reflecting the lack of consensus in the field. Some surgeons favor neonatal repair before NICU discharge, while others prefer waiting several months.

What the Literature Shows: A 2021 PCPLC retrospective study comparing neonatal versus delayed primary pull-through procedures found no significant difference in enterocolitis rates, postoperative complications, or long-term fecal continence outcomes.

Timing Isn’t the Only Factor: The neonatal cohort underwent surgery at a median age of 11 days, while delayed repairs occurred closer to 98 days—yet outcomes remained comparable.

The Importance of Home Irrigations: Panelists emphasized that a family’s ability to safely perform rectal irrigations at home may be more important than patient age when deciding surgical timing.

Preventing Serious Complications: Inadequate decompression at home can increase the risk of enterocolitis or perforation, making caregiver education and confidence a critical component of successful Hirschsprung management.

Individualized Decision-Making: Surgeons should consider family readiness, follow-up access, and irrigation competency when determining the timing of pull-through surgery.

This session highlights that while surgical timing remains flexible, empowering families with proper bowel management skills is essential to achieving safe outcomes in Hirschsprung disease.

For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

Key Highlights:

Questioning a Surgical Tradition: For decades, postoperative anal dilations have been considered standard after PSARP—but emerging studies and clinician experience are challenging whether they should be universally required.

Emotional Impact on Families: Panelists discussed the significant anxiety and stress dilations can create for caregivers, including concerns about harming the repair and reports of PTSD-like experiences for both families and patients.

What the Data Shows: Recent institutional reviews comparing dilation protocols versus no dilations found similar rates of neoanal stricture and reoperation, suggesting mandatory dilations may not always improve outcomes.

Alternative Approaches: Heineke-Mikulicz anoplasty (HMA) was highlighted as a safe, minimally invasive outpatient option for managing strictures instead of prolonged dilation regimens.

Why Some Surgeons Still Dilate: Many surgeons continue postoperative dilations in neonates, particularly in healthcare systems where rapid access to elective revision procedures may be limited.

Individualized Decision-Making: Patient age, anatomy, caregiver comfort, access to follow-up care, and institutional resources all play a role in deciding whether postoperative dilations are appropriate.

This session emphasizes that postoperative care after PSARP may not need a one-size-fits-all approach—and that family-centered decision-making is becoming increasingly important in colorectal surgery.

For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

Key Highlights:

Technique Comparison: The perineal body–preserving PSARP is gaining traction, with many surgeons adopting it as an alternative to the traditional approach, while classic PSARP remains widely used.

Early Outcomes Data: Recent studies (2023) show promising results for the perineal body–preserving technique, including no dehiscence, no prolapse, and relatively low rates of anal stricture requiring revision.

Postoperative Recovery: Patients undergoing the perineal body–preserving approach may benefit from shorter hospital stays, with many discharged as early as postoperative day one.

Technical Considerations: While effective, the approach can be technically more challenging, particularly when identifying anterior anatomy and protecting the posterior vaginal wall.

Flexibility in Approach: Surgeons emphasized that conversion to a standard PSARP is always appropriate if there is any uncertainty about anatomy or safety during the procedure.

This session highlights that while newer techniques show promise, surgeon judgment and adaptability remain critical to achieving safe and effective outcomes.

For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

Key Highlights:

Early vs. Delayed PSARP: Both early repair (during the newborn admission) and delayed repair (1–3 months of age) are shown to be equally safe, with no significant differences in complications, reoperations, or readmissions.

What the Data Shows: Recent multi-institutional studies (NSQIP and PCPLC) found no difference in 30-day outcomes between early and delayed repairs, reinforcing that timing alone does not determine success.

Role of Dilations: Initial dilations can help decompress the bowel, but should be limited (e.g., up to 7 Hegar) to avoid fibrosis and preserve optimal conditions for future repair.

Clinical Tradeoffs:

• Delayed repair: May increase technical difficulty due to fibrosis or rectal distention if not well managed
• Early repair: Avoids additional hospitalizations and reduces burden on families, especially those facing access or financial barriers

What Really Matters: Decision-making should be individualized—taking into account patient size, comorbidities, surgeon experience, and family logistics, rather than a strict timeline.

This session highlights that while timing remains flexible, thoughtful, patient-centered decision-making is key to achieving the best outcomes.

For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

Key Highlights:

Obesity Is a Disease: Pediatric obesity is multifactorial, shaped by genetics, epigenetics, hormones, environment, stress, and socioeconomic factors. The newest AAP guidelines formally recognize obesity as a disease and recommend active treatment—not watchful waiting.

Shift in Clinical Practice: Treatment should be offered to children above the 85th percentile BMI. The model has shifted from prevention-only efforts to a proactive, continuum-based care strategy.

Continuum of Care: Management includes Intensive Health Behavior and Lifestyle Treatment (26+ contact hours), FDA-approved pharmacotherapy for adolescents, and bariatric surgery for select patients—each playing a role depending on severity and response.

Efficacy & Challenges: GLP-1 medications demonstrate meaningful weight loss, and bariatric surgery shows durable BMI reduction and improvement in comorbidities. However, weight regain remains a significant biological challenge.

MASLD & Long-Term Risk: Obesity is strongly linked to metabolic dysfunction–associated steatotic liver disease (MASLD), affecting millions of youth and placing many at risk for cirrhosis, transplant, or hepatocellular carcinoma.

Equity & Advocacy: Obesity disproportionately impacts children of color and those in under-resourced communities. Access to effective treatment—including medications—is a health equity issue that demands advocacy.

This session reinforces that pediatric obesity requires early, evidence-based intervention, multidisciplinary care, and systemic advocacy to improve lifelong health outcomes.

Key Highlights:

Why Fertility Preservation Matters: Cancer therapies and certain genetic conditions can lead to premature gonadal failure, significantly impacting future reproductive potential and long-term quality of life.

Who Should Be Considered: Fertility preservation extends beyond oncology to include patients with conditions like Turner syndrome and gonadal dysgenesis—emphasizing early counseling regardless of risk level or prognosis.

Current Clinical Options: Post-pubertal patients may undergo oocyte or sperm banking, while ovarian and testicular tissue cryopreservation offer options for younger patients who are not yet producing mature gametes.

Risk Stratification: Fertility risk is assessed using treatment exposure (e.g., alkylating agents, radiation) and cumulative dosing, helping guide decision-making and timing of intervention.

Program Growth & Outcomes: Lurie Children’s has performed hundreds of tissue cryopreservation procedures, demonstrating both feasibility and increasing national awareness of these options.

Advances in Fertility Restoration: Ovarian tissue transplantation can restore hormone function and fertility, though risks—such as reintroducing malignant cells—remain a key limitation.

Future Innovation: Cutting-edge research in ovarian tissue engineering, including 3D-printed bioprosthetic scaffolds, is paving the way for safer and more effective fertility restoration.

This session highlights how multidisciplinary care, research innovation, and early intervention are reshaping the future of fertility preservation for pediatric patients.

Key Highlights:

Early Irrigation Training in Hirschsprung’s Disease: Some centers are beginning irrigation competency even before ostomy takedown, helping families and patients adapt earlier and potentially reducing post-operative enterocolitis risk.

Advances in Surgical Technology: Innovations such as robotic-assisted surgery and ICG fluorescence imaging are improving visualization of blood supply during pull-through procedures, helping surgeons reduce complications like leaks and ischemia.

New Diagnostic Concepts: High-frequency ultrasound may help measure bowel wall muscle thickness to identify aganglionic segments, potentially supporting or supplementing traditional biopsy-based diagnosis.

Understanding Enterocolitis Risk: Emerging research suggests that reduced mucus protection in proximal bowel segments and mechanical stress on the bowel wall may contribute to microbial imbalance and breakdown of the intestinal barrier.

The Power of Nursing and Multidisciplinary Care: Dedicated colorectal nursing programs and global case discussions highlighted how long-term outcomes depend not only on surgical technique but also on ongoing bowel management, education, and coordinated care.

Evolving Techniques for Anorectal Malformations: New procedures such as perineal-preserving PSARP and posterior rectal advancement anoplasty (PRAA) aim to reduce complications while improving functional outcomes.

Transition to Adult Care: Experts emphasized the need for stronger transition programs and multidisciplinary teams—including gynecology, urology, and sexual health specialists—to support patients with congenital colorectal conditions into adulthood.

This episode offers a global snapshot of how pediatric colorectal care continues to evolve through collaboration, innovation, and shared clinical experience.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

NCBI - WWW Error Blocked Diagnostic

van Hal ARL, Aanen IP, Wijnen RMH, Pullens B, Vlot J. The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients. J Pediatr Surg. 2024 Nov;59(11):161620. doi: 10.1016/j.jpedsurg.2024.07.005. Epub 2024 Jul 14. PMID: 39089893.

NCBI - WWW Error Blocked Diagnostic

Mena R, Guillén G, Lopez-Fernandez S, Martos Rodríguez M, Ruiz CW, Montaner-Ramon A, López M, Molino JA. Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures. Eur J Pediatr Surg. 2025 Jun;35(3):224-231. doi: 10.1055/a-2426-9723. Epub 2024 Sep 30. PMID: 39348873.

NCBI - WWW Error Blocked Diagnostic

Hundscheid T, Onland W, Kooi EMW, Vijlbrief DC, de Vries WB, Dijkman KP, van Kaam AH, Villamor E, Kroon AA, Visser R, Mulder-de Tollenaer SM, De Bisschop B, Dijk PH, Avino D, Hocq C, Zecic A, Meeus M, de Baat T, Derriks F, Henriksen TB, Kyng KJ, Donders R, Nuytemans DHGM, Van Overmeire B, Mulder AL, de Boode WP; BeNeDuctus Trial Investigators. Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus. N Engl J Med. 2023 Mar 16;388(11):980-990. doi: 10.1056/NEJMoa2207418. Epub 2022 Dec 6. PMID: 36477458.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://pubmed.ncbi.nlm.nih.gov/39826968/

St Peter SD, Noel-MacDonnell JR, Hall NJ, Eaton S, Suominen JS, Wester T, Svensson JF, Almström M, Muenks EP, Beaudin M, Piché N, Brindle M, MacRobie A, Keijzer R, Engstrand Lilja H, Kassa AM, Jancelewicz T, Butter A, Davidson J, Skarsgard E, Te-Lu Y, Nah S, Willan AR, Pierro A. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomised, non-inferiority trial. Lancet. 2025 Jan 18;405(10474):233-240. doi: 10.1016/S0140-6736(24)02420-6. Erratum in: Lancet. 2025 Feb 8;405(10477):468. doi: 10.1016/S0140-6736(25)00206-5. PMID: 39826968.

https://pubmed.ncbi.nlm.nih.gov/40032536/

Xu TO, Hanke RE, Das K, Bowser M, Hisam B, Samuk I, Wissanji H, Teeple E, Mayhew A, Myseros JS, Badillo A, Levitt MA, Varda BK, Feng C. VACTERL Screening in Newborns With Anorectal Malformations - An Opportunity to Optimize Screening Practices, add Gynecologic and Spinal Conditions, and Utilize a New Acronym: VACTE(G)RLS. J Pediatr Surg. 2025 Jun;60(6):162252. doi: 10.1016/j.jpedsurg.2025.162252. Epub 2025 Feb 20. PMID: 40032536.

https://pubmed.ncbi.nlm.nih.gov/38245889/

Schlapbach LJ, Watson RS, Sorce LR, Argent AC, Menon K, Hall MW, Akech S, Albers DJ, Alpern ER, Balamuth F, Bembea M, Biban P, Carrol ED, Chiotos K, Chisti MJ, DeWitt PE, Evans I, Flauzino de Oliveira C, Horvat CM, Inwald D, Ishimine P, Jaramillo-Bustamante JC, Levin M, Lodha R, Martin B, Nadel S, Nakagawa S, Peters MJ, Randolph AG, Ranjit S, Rebull MN, Russell S, Scott HF, de Souza DC, Tissieres P, Weiss SL, Wiens MO, Wynn JL, Kissoon N, Zimmerman JJ, Sanchez-Pinto LN, Bennett TD; Society of Critical Care Medicine Pediatric Sepsis Definition Task Force. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. 2024 Feb 27;331(8):665-674. doi: 10.1001/jama.2024.0179. PMID: 38245889; PMCID: PMC10900966.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://pubmed.ncbi.nlm.nih.gov/38914511/

Huerta CT, Beres AL, Englum BR, Gonzalez K, Levene T, Wakeman D, Yousef Y, Gulack BC, Chang HL, Christison-Lagay ER, Ham PB 3rd, Mansfield SA, Kulaylat AN, Lucas DJ, Rentea RM, Pennell CP, Sulkowski JP, Russell KW, Ricca RL, Kelley-Quon LI, Tashiro J, Rialon KL; American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee. Management and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review From the APSA Outcomes and Evidence-Based Practice Committee. J Pediatr Surg. 2024 Oct;59(10):161589. doi: 10.1016/j.jpedsurg.2024.05.019. Epub 2024 Jun 6. PMID: 38914511.

https://pubmed.ncbi.nlm.nih.gov/39743432/

Moturu A, Coleman M, Mets C, Thompson V, Grant C, Ko CY, Saito JM, Berman L, Wakeman D. Identifying Quality Improvement Targets After Pediatric Gastrostomy Tube Insertion: A NSQIP-Pediatric Pilot Study. J Pediatr Surg. 2025 Jun;60(6):162107. doi: 10.1016/j.jpedsurg.2024.162107. Epub 2024 Dec 17. PMID: 39743432.

https://pubmed.ncbi.nlm.nih.gov/38733138/

Kollin C, Nordenskjöld A, Ritzén M. Testicular volume at puberty in boys with congenital cryptorchidism randomised to treatment at different ages. Acta Paediatr. 2024 Aug;113(8):1949-1956. doi: 10.1111/apa.17270. Epub 2024 May 11. PMID: 38733138.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://pubmed.ncbi.nlm.nih.gov/38914509/

Donati F, Cipriani MS, Pistorio A, Guerriero V, Mattioli G, Torre M. Pectus Bar Dislocation: Comparison Between Three Different Stabilization Techniques Adopted in a Single Centre. J Pediatr Surg. 2024 Oct;59(10):161591. doi: 10.1016/j.jpedsurg.2024.05.021. Epub 2024 Jun 4. PMID: 38914509.

https://pubmed.ncbi.nlm.nih.gov/38834671/

Males I, Boban Z, Kumric M, Vrdoljak J, Berkovic K, Pogorelic Z, Bozic J. Applying an explainable machine learning model might reduce the number of negative appendectomies in pediatric patients with a high probability of acute appendicitis. Sci Rep. 2024 Jun 4;14(1):12772. doi: 10.1038/s41598-024-63513-x. PMID: 38834671; PMCID: PMC11150468.

https://pubmed.ncbi.nlm.nih.gov/37957103/

Rauh J, Dantes G, Wallace M, Collings A, Sanin GD, Cambronero GE, Bosley ME, Ganapathy AS, Patterson JW, Ignacio R, Knod JL, Slater B, Callier K, Livingston MH, Alemayehu H, Dukleska K, Scholz S, Santore MT, Zamora IJ, Neff LP. Transcystic Laparoscopic Common Bile Duct Exploration for Pediatric Patients with Choledocholithiasis: A Multi-Center Study. J Pediatr Surg. 2024 Mar;59(3):389-392. doi: 10.1016/j.jpedsurg.2023.10.046. Epub 2023 Oct 21. PMID: 37957103.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

0:00 Introduction

0:39 Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association (APSA)

1:40 Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project

2:50 Transitional Care in Anorectal Malformation and Hirschsprung's Disease: A Systematic Review of Challenges and Solutions

4:03 Outro

https://pubmed.ncbi.nlm.nih.gov/38806318/

Fahy AS, Klima DA, Gillam MM, Aprahamian CJ, Kim SS, Kokoska ER, Teeple EA, Weiss RG, Escobar MA Jr. Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association (APSA). J Pediatr Surg. 2024 Oct;59(10):161567. doi: 10.1016/j.jpedsurg.2024.04.021. Epub 2024 May 8. PMID: 38806318.

https://pubmed.ncbi.nlm.nih.gov/38582705/

Madadi-Sanjani O, Kuebler JF, Brendel J, Costanzo S, Granström AL, Aydin E, Loukogeorgakis S, Lacher M, Wiesner S, Domenghino A, Clavien PA, Mutanen A, Eaton S, Ure BM. Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project. J Pediatr Surg. 2024 Sep;59(9):1672-1679. doi: 10.1016/j.jpedsurg.2024.03.022. Epub 2024 Mar 16. PMID: 38582705.

https://pubmed.ncbi.nlm.nih.gov/37996349/

Plascevic J, Shah S, Tan YW. Transitional Care in Anorectal Malformation and Hirschsprung's Disease: A Systematic Review of Challenges and Solutions. J Pediatr Surg. 2024 Jun;59(6):1019-1027. doi: 10.1016/j.jpedsurg.2023.10.066. Epub 2023 Nov 2. PMID: 37996349.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

0:00 Introduction

0:39 The use of postoperative calibrations in Hirschsprung disease: a practice to reconsider?

1:47 Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations

2:57 Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases

4:06 Outro

NCBI - WWW Error Blocked Diagnostic

Beati F, D'Angelo T, Iacusso C, Iacobelli BD, Scorletti F, Valfré L, Pellegrino C, Bagolan P, Conforti A, Fusaro F. The use of postoperative calibrations in Hirschsprung disease: a practice to reconsider? Pediatr Surg Int. 2024 Jul 5;40(1):176. doi: 10.1007/s00383-024-05761-6. PMID: 38967682.

NCBI - WWW Error Blocked Diagnostic

Slidell MB, McAteer J, Miniati D, Sømme S, Wakeman D, Rialon K, Lucas D, Beres A, Chang H, Englum B, Kawaguchi A, Gonzalez K, Speck E, Villalona G, Kulaylat A, Rentea R, Yousef Y, Darderian S, Acker S, St Peter S, Kelley-Quon L, Baird R, Baerg J. Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations (A Systematic Review From the American Pediatric Surgical Association Outcomes & Evidence Based Practice Committee). J Pediatr Surg. 2024 Aug;59(8):1408-1417. doi: 10.1016/j.jpedsurg.2024.03.044. Epub 2024 Apr 30. PMID: 38796391.

NCBI - WWW Error Blocked Diagnostic

Peiffer SE, Mehl SC, Powell P, Lee TC, Keswani SG, King A. Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases. J Pediatr Surg. 2024 May;59(5):825-831. doi: 10.1016/j.jpedsurg.2024.01.042. Epub 2024 Feb 4. PMID: 38413264.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

NCBI - WWW Error Blocked Diagnostic

Li S, Wang J, Li M, Zhang Z, Mi T, Wu X, Wang Z, Jin L, He D. Efficacy and late kidney effects of nephron-sparing surgery in the management of unilateral Wilms tumor: a systematic review and meta-analysis. Pediatr Surg Int. 2023 Dec 27;40(1):29. doi: 10.1007/s00383-023-05611-x. PMID: 38150145.

NCBI - WWW Error Blocked Diagnostic

Gillipelli SR, Pio L, Losty PD, Abdelhafeez AH. Female Fertility Cryopreservation Outcomes in Childhood Cancer: A Systematic Review. J Pediatr Surg. 2024 Aug;59(8):1564-1568. doi: 10.1016/j.jpedsurg.2024.02.015. Epub 2024 Mar 1. PMID: 38519388.

NCBI - WWW Error Blocked Diagnostic

Witte AB, Van Arendonk K, Bergner C, Bantchev M, Falcone RA Jr, Moody S, Hartman HA, Evans E, Thakkar R, Patterson KN, Minneci PC, Mak GZ, Slidell MB, Johnson M, Landman MP, Markel TA, Leys CM, Cherney Stafford L, Draper J, Foley DS, Downard C, Skaggs TM, Lal DR, Gourlay D, Ehrlich PF. Venous Thromboembolism Prophylaxis in High-Risk Pediatric Trauma Patients. JAMA Surg. 2024 Oct 1;159(10):1149-1156. doi: 10.1001/jamasurg.2024.2487. PMID: 39083300; PMCID: PMC11292570.

Key Highlights:

• Timing of fractures: Fracture season peaks in spring, summer, and surprisingly, October—timing your prevention efforts matters

• Top five fracture types: Wrist, ankle, elbow, forearm, and tibia fractures are the most common injuries treated in pediatric orthopedics.

• What to treat—and how: Dr. Larson explains which fractures can be managed conservatively (e.g., buckle or greenstick) and which may need surgery (e.g., displaced triplane fractures).

• Casting and immobilization tips: Includes guidance on when to splint, when to cast, and how long to monitor growth plate–involved injuries.

• Injury prevention insights: From trampoline accidents to lawnmower-related trauma, this session covers key safety risks and how to address them proactively.

• Nutrition and bone health: Vitamin D deficiency and obesity are contributing factors—highlighting the need for a holistic approach to fracture prevention.

This session provides practical, seasonal insights for pediatric providers—and equips teams with the knowledge to protect growing bones before peak fracture months arrive.

Key Highlights:

• COG vs SIOP Guidelines: North American centers (COG) typically favor primary surgery, while European protocols (SIOP) begin with chemotherapy—highlighting major global practice differences.
• Impact of Tumor Genetics: Loss of heterozygosity (LOH) at chromosomes 1p and 16q, as well as gain of 1q, influence chemotherapy decisions even in lower-stage disease.
• Staging and Size Aren’t Enough: While age and tumor weight are considered, biological markers ultimately guide treatment, challenging simplified “under 2 years / under 550g” rules.
• Shifting Practice Patterns: Even for Stage I tumors, presence of LOH may justify adding chemotherapy, depending on evolving Children’s Oncology Group recommendations.
• Pathology-Informed Protocols: Surgeons must often pause for biological profiling before placing ports or initiating adjuvant therapy.

This presentation underscores the importance of precision medicine in Wilms tumor care—and how treatment pathways increasingly rely on molecular markers, not just stage and weight.

Key Highlights:

• VA ECMO with bivalirudin: The presenters advocate for bivalirudin as a preferred anticoagulant over heparin due to its short half-life, predictable response, and ease of control—making it ideal for ECMO patients requiring surgery.
• Dilute thrombin time for monitoring: They highlight a lab-friendly technique for monitoring bivalirudin using dilute thrombin time—5x more specific and sensitive than PTT and easily implementable in any lab.
• Safe and timely surgical repair on ECMO: Early CDH repair (within 8–24 hours of ECMO initiation) can be performed with minimal bleeding and less tissue edema when using bivalirudin and meticulous technique.
• Institutional buy-in for early repair: The team underscores the importance of cross-disciplinary collaboration—including neonatologists, anesthesiologists, and weekend OR availability—to enable early ECMO repair protocols.
• Risk-stratified vs early repair strategy: Some centers risk-stratify ECMO patients, but Stark and Lee favor universal early repair to avoid complications associated with delayed surgery in non-weanable patients.
• Evolving national practices: As of this year, over 80% of CDH Study Group centers are now performing early repair on ECMO—showing how rapidly clinical protocols can shift with strong supporting data.

This session emphasizes the role of proactive planning, team-based decision-making, and flexible protocol development in improving outcomes for neonates with severe CDH requiring ECMO.

Key Highlights:

• Massive resection and reconstruction: A 14-year-old patient underwent an aggressive en bloc resection involving ribs 4–7 and vertebral bodies T4–T7. The team used a combination of resorbable molded plates, Permacol mesh, and Gore-Tex patches to stabilize and recreate the chest wall structure.

• Soft tissue closure with latissimus flap: A latissimus dorsi flap was mobilized for robust coverage, reducing dead space and supporting tissue healing over the reconstructed area.

• Use of ROLL technique for lymph node excision: The team employed radio-guided occult lesion localization (ROLL) using Technetium-99 to precisely identify and remove targeted lymph nodes.

• Managing early complications: Postoperative challenges included sterile seromas, a wound infection, and mild scoliosis—all managed conservatively with good outcomes.

• Addressing recurrence and reoperation: When local recurrence occurred 18 months later, a second reconstruction involving the sternum and cement mesh was required, illustrating the long-term complexity of these cases.

• Future outlook for pediatric reconstructions: Dr. Mutch emphasized the lack of standardization in pediatric materials and techniques, pointing toward a future where custom 3D-printed implants and biologics may offer better long-term solutions.

This session highlights the surgical precision, interdisciplinary coordination, and resilience required to manage large-scale reconstructions in growing children—where both oncologic control and functional outcomes must be balanced.

Host: Em Gootee, MD

Articles:

https://pubmed.ncbi.nlm.nih.gov/39826297/

Shieh HF, Jennings RW, Hamilton TE, Izadi S, Zendejas B, Smithers CJ. Tracheobronchopexy to Avoid Tracheostomy in Esophageal Atresia Patients With Severe Life-Threatening Tracheobronchomalacia. J Pediatr Surg. 2025 Apr;60(4):162152. doi: 10.1016/j.jpedsurg.2024.162152. Epub 2025 Jan 3. PMID: 39826297.

https://pubmed.ncbi.nlm.nih.gov/39865003/

Brar A, Gow KW, Skarsgard ED. Pediatric Surgical Outreach: An Underutilized Resource for Increasing Children's Surgical Capacity in Canada. J Pediatr Surg. 2025 May;60(5):162174. doi: 10.1016/j.jpedsurg.2025.162174. Epub 2025 Jan 19. PMID: 39865003.

https://pubmed.ncbi.nlm.nih.gov/39743432/

Moturu A, Coleman M, Mets C, Thompson V, Grant C, Ko CY, Saito JM, Berman L, Wakeman D. Identifying Quality Improvement Targets After Pediatric Gastrostomy Tube Insertion: A NSQIP-Pediatric Pilot Study. J Pediatr Surg. 2025 Jun;60(6):162107. doi: 10.1016/j.jpedsurg.2024.162107. Epub 2024 Dec 17. PMID: 39743432.

Key Highlights:

• VV vs VA ECMO: While venovenous (VV) ECMO is gaining traction with improved cannulas, venoarterial (VA) ECMO remains the predominant choice for most centers treating CDH.
• When to initiate ECMO: Early intervention is often favored in high-risk CDH cases, especially when prenatal imaging suggests severe compromise.
• SPHERE protocol in decision-making: A structured approach from Michigan offers criteria for ECMO vs comfort care, but outcome prediction remains unreliable—50% of decisions based on early data may be incorrect.
• Controversy in selection: Dr. Stark advocates for offering ECMO to all infants with isolated unilateral CDH, emphasizing the importance of treating every case as a potential survivor.
• Role of prenatal counseling: Early, transparent discussions with families are critical for navigating high-stakes decisions and aligning on care pathways.

This session underscores both the technical and ethical complexity in managing severe CDH—and the need for thoughtful protocols paired with clinical flexibility.

Key Highlights:

• Managing complex cases: When to use conservative management with antibiotics for neutropenic, thrombocytopenic patients.
• Gallstone pancreatitis: How to differentiate management from typical choledocholithiasis cases.
• Timing of cholecystectomy: Why surgery should be based on clinical improvement rather than complete biochemical normalization.
• ERCP and IOC coordination: Determining when early ERCP is necessary and incorporating intraoperative cholangiograms for safe stone clearance.
• Clinical judgment matters: How local resources and patient-specific factors shape decision-making.

This session emphasizes balancing early intervention with patient safety and tailoring care to individual circumstances.

Key Highlights:

• Surgery-First vs. ERCP-First: The panel compares the two main management strategies: ERCP followed by laparoscopic cholecystectomy versus laparoscopic cholecystectomy with intraoperative cholangiogram (IOC) and stone removal.
• Practice-Based Decision Making: Experts emphasize that choice depends on surgeon skill, institutional resources, and the ability to perform IOC effectively.
• Clinical Evidence: Studies show an 86–90% success rate for ductal clearance using a surgery-first approach with IOC and flushing—offering a safe, resource-efficient option that minimizes ERCP-associated risks like pancreatitis.
• Learning Curve & Equipment: Surgeons are encouraged to become more comfortable with intraoperative stone removal techniques. Having a prepared kit and standardized workflow is key to success.
• ERCP Complications: While ERCP is effective, it carries a ~10% risk of complications including cholangitis and pancreatitis—making intraoperative solutions appealing when feasible.

This session underscores a shift toward empowering surgeons with tools and confidence to manage choledocholithiasis directly in the OR, improving outcomes and optimizing resource utilization across institutions.

Key Highlights:

• What is Cryoanalgesia? A minimally invasive nerve freezing technique used to reduce chest wall pain during pectus repair.
• Technique Deep Dive: From double-lumen tubes to improved cryoprobes, learn how to perform blocks from T3–T8 with precision.
• Time-Saving Tools: New cryoprobes offer faster freeze cycles and better insulation, cutting procedure time nearly in half.
• Clinical Outcomes: Lower pain scores, next-day discharges, and potential to further improve outcomes with dual freeze points.
• Barriers & Workarounds: Addressing the main challenges of cost, equipment access, and proper training.

Whether you're currently using cryo or just considering it, this session is packed with pearls for improving postoperative pain control in pediatric patients.

• Case-Based Learning: A multidisciplinary team approach to treating children with complex colorectal and pelvic conditions.
• Building the Right Team: The importance of urologists, gynecologists, psychologists, and colorectal surgeons working together to improve outcomes.
• International Collaboration: How programs like the Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) are advancing global standards of care.
• Family-Centered Care: Strategies for improving communication with families and providing continuity as patients transition into adulthood.
• Innovative Communication: A glimpse into the future of podcasting and education in pediatric surgery.

This episode blends expert insight with cutting-edge technology to show what’s possible when collaboration meets innovation.

Alejandra Vilanova-Sánchez, Julie Choueiki, Caitlin A. Smith, Susan Callicot, Jason S. Frischer, Marc A. Levitt. Creating a collaborative program for the care of children with colorectal and pelvic problems. Seminars in Pediatric Surgery 29 (202) 150985.

Key Highlights:

• Slipping Rib Syndrome: Often overlooked in teens, this condition can be addressed with intercostal blocks and cryoablation.
• Percutaneous Cryoablation: A new frontier in treating rib fractures and chronic pain using ultrasound-guided techniques.
• Multidisciplinary Approach: Collaboration between surgery and IR expands treatment options for hard-to-diagnose chest wall pain.

This session emphasizes the evolving role of cryoanalgesia as a versatile, minimally invasive tool in pediatric surgical care.

Key Highlights:

• Beyond Pectus Repair: While commonly used for pectus excavatum, cryoanalgesia is now being applied in thoracotomy cases to improve postoperative recovery.
• How It Works: Temporary nerve blockade is achieved by freezing the intercostal nerves, reducing or eliminating the need for epidurals and long-term opioids.
• Safety & Recovery: The procedure is safe, repeatable, and allows even small children to benefit from reduced pain and faster recovery timelines.
• Clinical Implementation: Dr. Lautz offers insight into when and how his team applies cryo, including tips for technique, timing, and avoiding complications.

This talk underscores the value of multidisciplinary collaboration and highlights how surgical innovation can reduce patient discomfort and streamline recovery.

Key Highlights:

• Technique Tips: From contrast flushes to balloon dilation, the team shares practical advice on improving success rates during IOC.
• Clinical Decision-Making: When and how to incorporate glucagon, and when to call in GI for support.
• Avoiding Pitfalls: Recognizing common challenges, including misinterpretation of images and catheter misplacement.
• Collaborative Care: How surgical teams can streamline intraoperative strategy and reduce post-op complications through consistent IOC use.

This session emphasizes IOC as a powerful tool when performed correctly—and reminds us that thoughtful execution and teamwork can make all the difference in surgical outcomes.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

0:00 Introduction

0:41 Comprehensive meta-analysis of surgical procedure for congenital diaphragmatic hernia: thoracoscopic versus open repair

1:35 Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients

2:39 Indocyanine green (ICG) fluorescent cholangiography during laparoscopic cholecystectomy using RUBINA™ technology: preliminary experience in two pediatric surgery centers

3:47 Outro

https://pmc.ncbi.nlm.nih.gov/articles/PMC11233350/ Shibuya S, Paraboschi I, Giuliani S, Tsukui T, Matei A, Olivos M, Inoue M, Clarke SA, Yamataka A, Zani A, Eaton S, De Coppi P. Comprehensive meta-analysis of surgical procedure for congenital diaphragmatic hernia: thoracoscopic versus open repair. Pediatr Surg Int. 2024 Jul 9;40(1):182. doi: 10.1007/s00383-024-05760-7. Erratum in: Pediatr Surg Int. 2024 Aug 31;40(1):247. doi: 10.1007/s00383-024-05832-8. PMID: 38980431; PMCID: PMC11233350.

https://pubmed.ncbi.nlm.nih.gov/38960901/ Ziegler AM, Svoboda D, Lüken-Darius B, Heydweiller A, Kahl F, Falk SC, Rolle U, Theilen TM. Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients. Pediatr Surg Int. 2024 Jul 3;40(1):172. doi: 10.1007/s00383-024-05745-6. PMID: 38960901; PMCID: PMC11222185.

https://pubmed.ncbi.nlm.nih.gov/34231069/ Esposito C, Alberti D, Settimi A, Pecorelli S, Boroni G, Montanaro B, Escolino M. Indocyanine green (ICG) fluorescent cholangiography during laparoscopic cholecystectomy using RUBINA™ technology: preliminary experience in two pediatric surgery centers. Surg Endosc. 2021 Nov;35(11):6366-6373. doi: 10.1007/s00464-021-08596-7. Epub 2021 Jul 6. PMID: 34231069; PMCID: PMC8523512.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Key Highlights:

• Physical Exam Essentials: Why a thorough digital rectal exam is critical and when to use a Hegar dilator vs. relying on feel.
• Distinguishing Anal Stenosis vs. Hirschsprung Disease: How misdiagnoses occur and why biopsies can be misleading if not done correctly.
• Surgical Management: Principles of preserving the anterior anal canal to protect continence during posterior sagittal approaches.
• Megarectosigmoid Management: Why most dilated rectums improve after addressing the obstruction and when a Malone procedure can prevent the need for resection.
• Special Considerations: The importance of spinal and pelvic MRI to rule out associated presacral masses before surgery.

This episode underscores the importance of a meticulous clinical approach, interdisciplinary review, and cautious surgical planning in treating children with suspected anal stenosis.

Key Highlights:

10. Collaboration Between Surgery & Interventional Radiology: Drs. Dan von Allmen, John Racadio, and Timothy Lautz highlight how combining surgical and interventional radiology techniques enhances precision and patient outcomes.

9. Top AI Tools for Surgeons: Drs. Ramy Shaaban and Carlos Colunga introduce AI platforms improving research, education, and clinical workflow.

8. Cryoanalgesia in Pectus Surgery: Dr. John DiFiore explains how cryoanalgesia is transforming pain management in chest wall repairs.

7. ECMO in Severe CDH: Drs. Steven Lee and Rebecca Stark explore ECMO’s evolving role in managing severe congenital diaphragmatic hernia.

6. CO₂ Laser Applications: Dr. Carlos Colunga shares expanding applications of CO₂ lasers for minimally invasive pediatric procedures.

5. Autofluorescence & ICG in Thyroid Surgery: Drs. Justin Huntington and Ben Ham showcase imaging technologies that improve parathyroid identification and reduce hypocalcemia.

4. Surgery-First Approach for Pediatric Biliary Stones: Drs. David Vitale, Luke Neff, and Jeff Ponsky advocate for earlier surgical intervention to avoid unnecessary imaging.

3. MMP-7 for Early Biliary Atresia Diagnosis: Dr. Greg Tiao presents the impact of MMP-7 as a biomarker for faster diagnosis and better outcomes.

2. REBOA in Pediatric Trauma: Dr. Regan Williams discusses the role of resuscitative endovascular balloon aortic occlusion in critical pediatric trauma cases.

1. Patient Education in Pilonidal Disease: Dr. Nelsen Rosen outlines strategies to manage pilonidal disease non-surgically through hygiene and hair removal.

These takeaways represent the cutting edge of pediatric surgery, offering practical insights for surgeons, researchers, and trainees alike.

In this clip, Drs. Em Gootee, Ramy Shaaban, Carlos Colunga, with Todd Ponsky as moderator, speaks on the top AI tools of 2024.

Topics to be discussed:

• AI: TOP 10 websites & tools for everyday usage

Host: Em Gootee, MD

Articles:

Gadde R, Xia J, Hameedi S, Saulsbery A, Schafer C, Sbragia L, Olutoye OO. Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model. J Pediatr Surg. 2025 Jan;60(1):161957. doi: 10.1016/j.jpedsurg.2024.161957. Epub 2024 Sep 24. PMID: 39368858.

https://pubmed.ncbi.nlm.nih.gov/39368858/

Rook JM, Lee LK, Wagner JP, Sullins VF, Lee SL, Shekherdimian S, DeUgarte DA, Dichter CE, Jen HC. Six Years of Quality Improvement in Pectus Excavatum Repair: Implementation of Intercostal Nerve Cryoablation and ERAS Protocols for Patients Undergoing Nuss Procedure. J Pediatr Surg. 2025 Feb;60(2):161634. doi: 10.1016/j.jpedsurg.2024.07.019. Epub 2024 Jul 20. PMID: 39117536.

https://pubmed.ncbi.nlm.nih.gov/39117536/

Parkinson E, Robb A, McCarthy L. Long-term Survival of Bladder Augmentation is Influenced by its Shape and Mucosal Lining. J Pediatr Surg. 2025 Mar;60(3):162051. doi: 10.1016/j.jpedsurg.2024.162051. Epub 2024 Nov 1. PMID: 39572279.

https://pubmed.ncbi.nlm.nih.gov/39572279/

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://pubmed.ncbi.nlm.nih.gov/38272766/

Fall F, Hu YY, Walker S, Baertschiger R, Gaffar I, Saltzman D, Stylianos S, Shapiro J, Wieck M, Buchmiller T, Brandt ML, Tracy T, Heiss K, Berman L. Peer Support to Promote Surgeon Well-being: The APSA Program Experience. J Pediatr Surg. 2024 Sep;59(9):1665-1671. doi: 10.1016/j.jpedsurg.2023.12.022. Epub 2024 Jan 6. PMID: 38272766.

https://pubmed.ncbi.nlm.nih.gov/38914091/

Basurto D, Watananirun K, Cordier AG, Otaño J, Carriere D, Scuglia M, de Luna Freire Vargas AM, Prat J, Russo FM, Debeer A, Peralta CFA, De Coppi P, Gratacós E, Benachi A, Deprest J. Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study. Lancet Child Adolesc Health. 2024 Aug;8(8):580-588. doi: 10.1016/S2352-4642(24)00109-3. Epub 2024 Jun 21. PMID: 38914091.

https://pubmed.ncbi.nlm.nih.gov/38015091/

Pio L, Brisse HJ, Alaggio R, Zambaiti E, Stenman J, Giuliani S, Montano V, Hinojosa AS, Hoel AT, Pevere A, Abu-Zaid A, Franchi-Abella S, Abdelhafeez AH, Davidoff AM, Losty PD. Image-guided core-needle or surgical biopsy for neuroblastoma diagnosis in children: A systematic review and meta-analysis from the International Society of Pediatric Surgical Oncology (IPSO). Pediatr Blood Cancer. 2024 Feb;71(2):e30789. doi: 10.1002/pbc.30789. Epub 2023 Nov 27. PMID: 38015091.

Key Highlights:

• Case Discussion: A deep dive into a patient with severe rectal dilation despite a perineal repair and normal bladder function.
• Diagnostic Strategy: The role of MRI, EUA, contrast enema, and sacral assessment to understand anatomy and guide treatment.
• Treatment Options: From Malone procedures to tapering and resection—what’s the right next step?
• Surgical Pearls: When to preserve the rectum and when to consider redoing the entire repair.

This episode is packed with expert commentary, clinical pearls, and plenty of humor (including a colorectal-themed joke from a young patient).

Classified as a Black Diamond (early adopter practice), this approach is still gaining traction in pediatric centers, but adult trials are already showing promise.

Key Highlights:

• What is Autofluorescence? A no-injection technique that uses natural gland fluorescence to locate parathyroids during surgery.
• ICG Angiography: Assessing real-time perfusion of glands to determine viability and reimplantation need.
• Clinical Impact: Reduced rates of post-op hypocalcemia, improved identification of glands in surgical specimens, and more targeted decision-making.
• Challenges in Practice: Equipment bulkiness, variable image quality, and limited adoption in lower-volume pediatric centers.

While further pediatric data are needed, this episode shows how new technologies may shape the future of thyroid surgery—especially in safeguarding parathyroid function.

Host: Lizzy Lee, PA-C

Key Takeaways:

• Prioritize stabilization and life-threatening injuries before addressing thoracic aortic injury.
• Thoracic aortic injuries in children are rare and can be easily missed—maintain a high index of suspicion.
• A widened mediastinum on chest X-ray should prompt a CT chest to evaluate for vascular injury.
• Decisions should be guided by patient age, injury severity, and available expertise at your institution.
• Collaboration with vascular surgeons or interventional radiologists is essential for optimal care.

Key Highlights:

• Patient Case Study: A newborn with Trisomy 21, bilious emesis, and delayed meconium passage sparks a thorough workup for Hirschsprung disease.
• Diagnosis: The team breaks down how rectal irrigations and full-thickness biopsies confirm aganglionosis and rule out other causes.
• Surgical Strategy: A discussion on when to perform a pull-through, mapping biopsies, and choosing between colostomy and ileostomy.
• Long-Term Management: Addressing the role of Botox for internal sphincter relaxation and educating families on home care and irrigations.

This episode emphasizes the value of thoughtful, team-based decision-making and patient-tailored care in managing Hirschsprung disease. Don’t forget to download the StayCurrentMD app to view supporting visuals and expert resources—and subscribe for more pediatric surgery insights!

You'll hear from a diverse team of specialists—including speech-language pathologists, ENTs, GI, pulmonologists, and pediatric surgeons—who collaborate to manage complex conditions like esophageal atresia, TEF, chronic aspiration, GERD, and swallowing disorders.

Key Highlights:

• Speech Pathology: VFSS, FEES, manometry, and innovative approaches to swallowing therapy
• Pulmonology: Airway clearance, aspiration management, bronchoscopy, and ventilator weaning
• ENT Perspective: Stratifying airway risk and managing vocal fold and structural anomalies
• Gastroenterology: Managing GERD, motility, EOE, and feeding disorders
• Surgical Insight: Feeding access, tracheopexy, and complex lung or airway repairs

The episode is a masterclass in how cross-specialty teamwork leads to better diagnostics, better surgeries, and better long-term outcomes for children with aerodigestive disorders.

Host: Em Gootee

Articles in the order we mentioned if you want to follow along:

https://pubmed.ncbi.nlm.nih.gov/38530261/

HIP Trial Investigators; Blakely ML, Krzyzaniak A, Dassinger MS, Pedroza C, Weitkamp JH, Gosain A, Cotten M, Hintz SR, Rice H, Courtney SE, Lally KP, Ambalavanan N, Bendel CM, Bui KCT, Calkins C, Chandler NM, Dasgupta R, Davis JM, Deans K, DeUgarte DA, Gander J, Jackson CA, Keszler M, Kling K, Fenton SJ, Fisher KA, Hartman T, Huang EY, Islam S, Koch F, Lainwala S, Lesher A, Lopez M, Misra M, Overbey J, Poindexter B, Russell R, Stylianos S, Tamura DY, Yoder BA, Lucas D, Shaul D, Ham PB 3rd, Fitzpatrick C, Calkins K, Garrison A, de la Cruz D, Abdessalam S, Kvasnovsky C, Segura BJ, Shilyansky J, Smith LM, Tyson JE. Effect of Early vs Late Inguinal Hernia Repair on Serious Adverse Event Rates in Preterm Infants: A Randomized Clinical Trial. JAMA. 2024 Mar 26;331(12):1035-1044. doi: 10.1001/jama.2024.2302. PMID: 38530261; PMCID: PMC10966421.

https://pubmed.ncbi.nlm.nih.gov/34856625/

Dreuning KMA, Derikx JPM, Ouali A, Janssen LMJ, Tulder MWV, Twisk JWR, Haverman L, van Heurn LWE. One-Stop Surgery: An Innovation to Limit Hospital Visits in Children. Eur J Pediatr Surg. 2022 Oct;32(5):435-442. doi: 10.1055/s-0041-1740158. Epub 2021 Dec 2. PMID: 34856625; PMCID: PMC9481276.

https://pubmed.ncbi.nlm.nih.gov/36307301/

Fraser JD, Duran YK, Deans KJ, Downard CD, Fallat ME, Gadepalli SK, Hirschl RB, Lal DR, Landman MP, Leys CM, Mak GZ, Markel TA, Minneci PC, Sato TT, St Peter SD; Midwest Pediatric Surgery Consortium. Natural history and consequence of patent processus vaginalis: An interim analysis from a multi-institutional prospective observational study. J Pediatr Surg. 2023 Jan;58(1):142-145. doi: 10.1016/j.jpedsurg.2022.09.012. Epub 2022 Oct 3. PMID: 36307301.

https://pubmed.ncbi.nlm.nih.gov/21259030/

Zendejas B, Onkendi EO, Brahmbhatt RD, Greenlee SM, Lohse CM, Farley DR. Contralateral metachronous inguinal hernias in adults: role for prophylaxis during the TEP repair. Hernia. 2011 Aug;15(4):403-8. doi: 10.1007/s10029-011-0784-2. Epub 2011 Jan 23. PMID: 21259030.

Key Highlights:

• Use of cone beam CT, ultrasound, and fluoroscopy to improve surgical precision
• Hybrid OR vs. traditional OR: benefits and workarounds
• Real-life examples: neuroblastoma surgery, vascular malformations, pulmonary nodule localization
• Preview of emerging tech like augmented reality and holographic overlays for surgical planning

This session is marked as a “Blue Square”—a promising newer practice that’s showing significant results and potential. Watch to learn how breaking down silos between teams can elevate outcomes across specialties.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://pubmed.ncbi.nlm.nih.gov/39083294/

Pilkington M, Nelson G, Pentz B, Marchand T, Lloyd E, Chiu PPL, de Beer D, de Silva N, Else S, Fecteau A, Giuliani S, Hannam S, Howlett A, Lee KS, Levin D, O'Rourke L, Stephen L, Wilson L, Brindle ME. Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care. JAMA Surg. 2024 Sep 1;159(9):1071-1078. doi: 10.1001/jamasurg.2024.2044. PMID: 39083294.

https://pubmed.ncbi.nlm.nih.gov/38493027/

Moore EJ, Sawyer SM, King SK, Tien MY, Trajanovska M. Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review. J Pediatr Surg. 2024 Jun;59(6):1028-1036. doi: 10.1016/j.jpedsurg.2024.02.012. Epub 2024 Feb 23. PMID: 38493027.

https://pubmed.ncbi.nlm.nih.gov/36658074/

Zeng G, Zhang Q, Song B, Feng X, Sun J, Mo X, Wu KH. Clinical Symptoms Affect Treatment and Prognosis in Pediatric Patients with Congenital Pulmonary Airway Malformation: A Propensity Score Matching Retrospective Cohort Study. J Pediatr Surg. 2023 Oct;58(10):1963-1968. doi: 10.1016/j.jpedsurg.2022.11.013. Epub 2022 Nov 29. PMID: 36658074.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Key Highlights:

• Minimally Invasive Techniques: The GIPS procedure and hybrid approaches that maximize skin preservation and minimize recovery time.
• EPSIT Technique: A global perspective on endoscopic management, including its benefits and challenges.
• Recurrence Prevention: The importance of ongoing hair removal strategies, including laser treatments, to prevent recurrence and improve long-term outcomes.
• When to Escalate: For cases where minimally invasive approaches fail, off-midline closure options like the Bascom cleft lift offer effective solutions.

This video is essential for understanding the evolving management of pilonidal disease and the role of patient-centered care in achieving lasting results.

Host: Em Gootee, MD

Key Highlights:

• Patient Case Study: A 17-year-old with unexplained urinary retention and testicular pain leads to a detailed exploration of pelvic floor dysfunction.
• Diagnostic Tools: The role of SITZ marker studies, defecography, and manual assessments in identifying pelvic floor tightness.
• Treatment Approaches: From pelvic floor physical therapy to Botox injections for puborectalis relaxation.
• Collaboration Matters: How pediatric and adult colorectal care intersect for comprehensive management.

This episode underscores the importance of a multidisciplinary approach and innovative techniques for treating pelvic floor dysfunction. Don’t forget to download the Stay Current app to access related images and resources, and subscribe for more pediatric surgery content!

Key Highlights:

• Importance of Early Diagnosis: Performing a Kasai procedure before 45 days significantly improves patient outcomes.
• MMP-7 as a Biomarker: Validated in international studies, MMP-7 is proving to be a powerful diagnostic tool.
• Challenges in Diagnosis: Distinguishing BA from other neonatal cholestasis conditions remains complex.
• Global Impact: Lessons from high-incidence regions like China are helping shape best practices in North America.

With the integration of MMP-7 testing, pediatric surgery is moving towards earlier diagnosis and intervention, improving the chances of avoiding liver transplant in affected infants. Don’t forget to like, comment, and subscribe for more updates!

Host: Brittany Levy

Key Takeaways:

• Pediatric empyema pneumonia requires a combination of medical and surgical management, but decision-making can be complex.

• Community-acquired pneumonia is a leading cause of hospitalization in children, yet bacterial pathogens are detected in only 15% of cases.

• Empyema progresses in three stages: exudative, fibrinopurulent, and organizing. The fibrinopurulent stage is when surgical intervention is often needed.

• Ultrasound is more sensitive than CT in detecting septations in pleural effusions and avoids radiation exposure.

• Chest tube drainage with fibrinolytics (such as TPA) has been shown to be a viable alternative to VATS, reducing hospital stays and costs.

• Some children with effusions may not require TPA—clinical improvement within 24 hours of drainage can indicate that it’s unnecessary.

• Inhaled foreign bodies, particularly peanuts, can mimic pneumonia and require a high index of suspicion for proper diagnosis.

• CT scans are now being used to diagnose airway foreign bodies with high reliability, reducing unnecessary bronchoscopies.

Further reading:

https://api.semanticscholar.org/CorpusID:53467976

Module 2 . Hemodynamic Disorders, 2015

https://thoracickey.com/nonmalignant-pleural-effusions/

Nonmalignant Pleural Effusions by John E. Heffner

https://www.ctsnet.org/article/thoracoscopic-decortication

Thoracoscopic Decortication by Christopher Komanapalli

https://publications.aap.org/neoreviews/article-abstract/18/9/e564/91880/A-Newborn-with-a-Cyst-in-the-Lung?redirectedFrom=fulltext

A Newborn with a Cyst in the Lung by Shabih Manzar, MD; Liaqat H. Khan, MD

https://journals.lww.com/ascp/fulltext/2019/07020/management_of_parapneumonic_effusion_and_empyema.1.aspx

Singh, S et.al. Management of parapneumonic effusion and empyema. The Journal of Association of Chest Physicians

https://pubmed.ncbi.nlm.nih.gov/23164006/

Islam S et.al. The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee

https://pubmed.ncbi.nlm.nih.gov/31973927/

Derderian SC et.al. Pediatric empyemas - Has the pendulum swung too far?

https://pubmed.ncbi.nlm.nih.gov/26382287/

Long AM et.al. 'Less may be best'-Pediatric parapneumonic effusion and empyema management: Lessons from a UK center

Key Highlights:

• New Diagnostic Tool: Ultrashort echo-time MRI offers high-resolution imaging without the need for sedation or radiation.
• Study Findings: Patients with long gap esophageal atresia showed more severe tracheomalacia than those with short gap EA.
• Pre- and Post-Surgical Analysis: Repair improves upper trachea eccentricity but may worsen the distal trachea postoperatively.
• Clinical Implications: Long gap EA patients are at higher risk for respiratory complications and require close post-operative monitoring.

This research sheds light on how advanced imaging can lead to better diagnosis, treatment, and follow-up care for infants with esophageal atresia and tracheoesophageal fistula (TEF).

Key Highlights:

• Clinical Applications: Successfully used for circumcision, frenulectomy, perianal fistulas, pilonidal cysts, and more.
• Benefits of CO2 Lasers: Reduced bleeding, lower complication rates, shorter operative times, and improved cosmetic outcomes.
• Evidence-Based Insights: Meta-analyses show CO2 laser-assisted surgeries have better results than traditional techniques in specific cases.
• Challenges: High equipment cost, steep learning curve, and the need for specialized training remain barriers to adoption.

Join us to explore how CO2 lasers are transforming pediatric surgery and learn about the exciting possibilities for the future!

Host: Lizzy Lee, PA-C

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://pubmed.ncbi.nlm.nih.gov/37983822/

Zhang M, Huang J, Jin Z, Zhang X, Zhou Y, Chi S, Rong L, Zhang Y, Cao G, Li S, Tang ST. Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis. Int J Surg. 2024 Feb 1;110(2):891-901. doi: 10.1097/JS9.0000000000000889. PMID: 37983822; PMCID: PMC10871573.

https://pubmed.ncbi.nlm.nih.gov/38677965/

Ullrich S, Austin K, Avansino JR, Badillo A, Calkins CM, Crady RC, Durham MM, Fuller MK, Rana A, Reeder RW, Rentea RM, Rollins MD, Saadai P, Speck KE, Wood RJ, van Leeuwen K, Frischer JS; Pediatric Colorectal and Pelvic Learning Consortium. Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium. J Pediatr Surg. 2024 Jul;59(7):1250-1255. doi: 10.1016/j.jpedsurg.2024.03.034. Epub 2024 Mar 18. PMID: 38677965.

https://pubmed.ncbi.nlm.nih.gov/37978002/

Ameer A, Mirza MB, Talat N. The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial. J Pediatr Surg. 2024 Jun;59(6):1186-1189. doi: 10.1016/j.jpedsurg.2023.10.062. Epub 2023 Oct 30. PMID: 37978002.

Key Highlights:

• Frozen Section Techniques: Best practices for biopsy marking and pathology review to confirm ganglion cells.
• Staged Repairs: Why ileostomy followed by a laparoscopic-assisted Swenson pull-through was chosen for this case.
• Reoperative Strategies: Managing transition zone pull-throughs, early reoperations, and avoiding long-term complications.
• Surgical Pearls: Insights into laparoscopic port placement, anastomotic site preparation, and collaboration with pathologists for accurate diagnoses.

Whether you're a seasoned colorectal surgeon or new to the field, this episode is packed with practical tips and lessons learned. Download the Stay Current app to view related images, X-rays, and resources discussed in the episode.

Key Takeaways:

• Diagnostic Approach: Importance of bronchoscopy, swallow studies, and chest CT scans in identifying aspiration-related issues.
• Medical Management: Use of inhaled steroids, macrolide therapy, and saline treatments to reduce inflammation and improve airway clearance.
• Swallowing & Nutrition: Thickened feeds, pacing, and feeding tube strategies to prevent aspiration.
• Long-Term Monitoring: Vaccination recommendations, environmental risk reduction, and periodic reassessments to guide further intervention.

This discussion provides valuable insights into how a multidisciplinary approach can improve outcomes for children with minor laryngeal clefts. Don’t forget to like, comment, and subscribe for more expert discussions!

This time we have three publications from the fourth quarter of 2024, October, November and December issues. This time we're talking to editors Drs. Mauricio "Tony" Escobar, Mikko Pakarinen, and Pablo Laje joined by authors Drs. Aodhnait Fahy, Anne-Fleur van Hal, John M. Woodward and Ben Ham III.

Host: Em Gootee

Articles:

Fahy AS, Klima DA, Gillam MM, Aprahamian CJ, Kim SS, Kokoska ER, Teeple EA, Weiss RG, Escobar MA Jr. Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association (APSA). J Pediatr Surg. 2024 Oct;59(10):161567. doi: 10.1016/j.jpedsurg.2024.04.021. Epub 2024 May 8. PMID: 38806318.

https://pubmed.ncbi.nlm.nih.gov/38806318/

van Hal ARL, Aanen IP, Wijnen RMH, Pullens B, Vlot J. The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients. J Pediatr Surg. 2024 Nov;59(11):161620. doi: 10.1016/j.jpedsurg.2024.07.005. Epub 2024 Jul 14. PMID: 39089893.

https://pubmed.ncbi.nlm.nih.gov/39089893/

Woodward JM, Chunco C, Brierley SF, Bittner K, Osei H, Harmon CM, Ham PB 3rd. Same-Day Discharge for Elective Pediatric Laparoscopic Gastrostomy Tube Insertion is Safe and Increasing in Frequency; A NSQIP Pediatric Retrospective Review 2017 to 2021. J Pediatr Surg. 2024 Dec;59(12):161665. doi: 10.1016/j.jpedsurg.2024.08.005. Epub 2024 Aug 6. PMID: 39261186.

https://pubmed.ncbi.nlm.nih.gov/39261186/

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://pubmed.ncbi.nlm.nih.gov/36805142/

Brandt K, Dukleska K, McKeown M, Brancato J, Grossi V, Schoem S, Sacco T, D'Amato J, Bourque MD, Campbell BT. Utilizing a critical airway response team expedites esophageal button battery removal. J Pediatr Surg. 2023 May;58(5):810-813. doi: 10.1016/j.jpedsurg.2023.01.037. Epub 2023 Jan 19. PMID: 36805142.

https://pubmed.ncbi.nlm.nih.gov/38413262/

Hodgson E, Briatico D, Klapman S, Skarsgard E, Beltempo M, Shah PS, Huisman E, Walton JM, Livingston MH; Canadian Association of Pediatric Surgeons Network (CAPSNet) and Canadian Neonatal Network (CNN) investigators. Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study. J Pediatr Surg. 2024 May;59(5):863-868. doi: 10.1016/j.jpedsurg.2024.01.045. Epub 2024 Feb 3. PMID: 38413262.

https://pubmed.ncbi.nlm.nih.gov/36494205/

Lai K, Notrica DM, McMahon LE, Kang P, Molitor MS, Egan JC, Bae JO, Hunteman ZM, Ostlie DJ, Lee JH, Padilla BE. Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use. J Pediatr Surg. 2023 Aug;58(8):1435-1439. doi: 10.1016/j.jpedsurg.2022.10.051. Epub 2022 Nov 7. PMID: 36494205.

Key Highlights:

• Non-Surgical Success Rates: Up to 60-70% of patients experience improvement with non-surgical interventions alone.
• Hair Removal Techniques: Options include weekly clipping, waxing, Nair-type agents, and even laser removal for long-term maintenance.
• Hygiene Best Practices: Showering regularly, using washlets, and debunking myths about bathing restrictions for faster healing.
• Setting Expectations: How to guide patients and families through treatment while balancing realistic outcomes.

Join us to explore how non-surgical management can transform the care and recovery of patients with pilonidal disease. Don’t forget to like, comment, and subscribe for more pediatric surgery updates!

Host: Em Gootee, MD

Key Highlights:

• Challenges in CHARGE Syndrome: Understanding how aspiration, obstructive sleep apnea (OSA), and recurrent infections intersect in CHARGE patients.
• Management Strategies: Improving airway clearance with therapies like intrapulmonary percussion and thinning secretions using hypertonic saline.
• Infection Prevention: The role of dental hygiene, prophylactic antibiotics (e.g., inhaled tobramycin), and balancing the risks of antibiotic resistance.
• Individualized Care: Tailoring treatments based on respiratory cultures and underlying comorbidities such as hypotonia and restrictive lung disease.

Learn how a multidisciplinary approach can improve outcomes for CHARGE patients with complex pulmonary issues. Don’t forget to like, comment, and subscribe for more insights!

Host: Em Gootee, MD

Key Highlights:

• Understanding Tethered Cord Syndrome: How abnormal attachment of the filum terminale stretches the spinal cord and impacts function.
• Preoperative Imaging: The use of spinal MRI to identify the location of the conus, tethering lesions, and spina bifida occulta.
• Surgical Technique: A step-by-step overview of the untethering procedure, including laminotomy, nerve root stimulation, and filum transection.
• Postoperative Closure: Ensuring a watertight dura closure and layered wound repair to optimize healing and outcomes.

Learn about this critical surgical procedure designed to relieve symptoms and prevent further neurological deterioration in children with tethered cord syndrome.

Key Topics:

• Understanding the Malone Procedure: Creating a channel to administer enemas for patients with continence challenges.
• Technical Considerations: When to use a shared appendix, manage leakage, and troubleshoot complex cases.
• Complication Management: Addressing stenosis, leakage, and rare issues like appendiceal prolapse.
• Future Approaches: Exploring the importance of teamwork and innovative solutions in colorectal surgery.

Whether you're a pediatric surgeon or someone interested in advancing your understanding of colorectal care, this episode is packed with practical tips and insights. Don't forget to download the Stay Current app for related images and resources, and subscribe for more episodes of the Colorectal Quiz!

From umbilical cord anatomy and infections like omphalitis to congenital abnormalities like gastroschisis and umbilical hernias, this comprehensive discussion covers key diagnostic and management approaches. We also highlight treatment guidelines for umbilical granulomas and practical tips for avoiding complications with silver nitrate applications.

Host: Em Gootee, MD

0:00 Introduction

0:59 Omphalitis

2:00 Umbilical Hernia

6:55 Proboscoid Hernia

8:48 Umbilical Granuloma

10:18 Summary

Zens TJ, Rogers A, Cartmill R, Ostlie D, Muldowney BL, Nichol P, Kohler JE. Age-dependent outcomes in asymptomatic umbilical hernia repair. Pediatr Surg Int. 2019 Apr;35(4):463-468. doi: 10.1007/s00383-018-4413-3. Epub 2018 Nov 14. PMID: 30430281. https://pubmed.ncbi.nlm.nih.gov/30430281/

Zens T, Nichol PF, Cartmill R, Kohler JE. Management of asymptomatic pediatric umbilical hernias: a systematic review. J Pediatr Surg. 2017 Nov;52(11):1723-1731. doi: 10.1016/j.jpedsurg.2017.07.016. Epub 2017 Jul 24. PMID: 28778691. https://pubmed.ncbi.nlm.nih.gov/28778691/

Halleran DR, Minneci PC, Cooper JN. Association between Age and Umbilical Hernia Repair Outcomes in Children: A Multistate Population-Based Cohort Study. J Pediatr. 2020 Feb;217:125-130.e4. doi: 10.1016/j.jpeds.2019.10.035. Epub 2019 Nov 8. PMID: 31711762. https://pubmed.ncbi.nlm.nih.gov/31711762/

He K, Graham DA, Vernacchio L, Hatoun J, Patane L, Cramm SL, Rangel SJ. Age and Probability of Spontaneous Umbilical Hernia Closure. JAMA Pediatr. 2024 May 1;178(5):497-498. doi: 10.1001/jamapediatrics.2024.0087. PMID: 38466296; PMCID: PMC10928535. https://pubmed.ncbi.nlm.nih.gov/38466296/

Key Highlights:

• CHARGE Larynx Features: Structural differences leading to upper airway obstruction, foreshortened vocal folds, and difficult intubation.
• Feeding Challenges: Aspiration risks due to absent cough reflex, high rates of reflux, and swallowing dysfunction in over 60% of CHARGE patients.
• Medical and Surgical Management: Options including Robinul, Botox, duct ligation, submandibular gland excision, and tympanic neurectomy to reduce aspiration risks.
• Tracheotomy and Beyond: When tracheotomy or laryngotracheal separation becomes necessary for severe cases with chronic lung impact.

Learn how the team at Cincinnati Children’s combines innovative treatments and surgical expertise to improve the quality of life for children with CHARGE syndrome. Don’t forget to like, comment, and subscribe for more expert insights!

Key Highlights:

• What is CHARGE Syndrome? The acronym stands for coloboma, heart defects, atresia of the choanae, retardation of growth and development, genital/urinary anomalies, and ear malformations.
• Causes and Diagnosis: CHARGE is typically caused by a CHD7 mutation on chromosome 8 but can also be diagnosed clinically with specific major and minor criteria.
• Multisystem Impact: The syndrome’s highly variable expression means it can affect almost every organ system, requiring coordinated care.
• Care through an Aerodigestive Center: The Aerodigestive Center at Cincinnati Children’s ensures comprehensive management of airway, feeding, and developmental challenges.

Learn how Cincinnati Children’s provides expert care for patients with CHARGE syndrome, helping them overcome complex challenges and improve quality of life. Don’t forget to like, comment, and subscribe for more pediatric insights!

Key Points Covered:

• Challenges in Nodule Localization: High conversion rates during thoracoscopy due to failure to locate small or calcified nodules using CT, ultrasound, or hook wires.
• Lipiodol Technique: A CT-guided marking procedure where lipiodol dye remains stable for up to three months, allowing for flexible surgery scheduling.
• Clinical Outcomes: Dr. Gonzalez’s team achieved 100% sensitivity in 33 patients, resecting over 50 nodules with improved accuracy and efficiency.

Learn how this novel approach is transforming lung metastasis management in pediatric surgery. Don’t forget to like, comment, and subscribe for more cutting-edge updates!

From patient evaluation to the OR, lab preparation, and postoperative care, you’ll see how multiple specialists—surgeons, lab physicians, GI experts, and critical care teams—work together to ensure successful outcomes.Join Dr. Juan Gurria for a behind-the-scenes look at TPIAT, brought to you by the Pancreas Care Center at Cincinnati Children’s Hospital.

Main Takeaways

1. TPIAT is a complex procedure for patients with chronic or acute recurrent pancreatitis who have failed all medical and endoscopic therapies. It involves pancreas removal, islet cell processing, and infusion into the liver.
2. A multidisciplinary approach is key to success, involving extensive preoperative planning, precision surgery, lab-based islet cell isolation, and meticulous postoperative care.

0:08 Introduction

0:49 What is Total Pancreatectomy with Islet Autotransplantation?

1:02 Who are the candidates for TPIAT?

1:23 Pre-op evaluation

2:13 Step-by-step overview of TPIAT surgery

7:42 Post-op Care

9:07 Summary

Host: Cecilia Gigena, MD

Key Points Covered:

• Challenges Post-Surgery: Why constipation persists in some Hirschsprung’s patients despite anatomically successful surgeries.
• Diagnostic Approach: The use of exams under anesthesia, rectal biopsies, contrast enemas, and motility testing to evaluate potential causes.
• Segmental Dysmotility Management: How a Malone procedure can provide a minimally invasive solution for improved colon emptying.
• Multidisciplinary Care: Collaboration between surgeons, gastroenterologists, and therapists to address motility disorders, pelvic floor dysfunction, and behavioral factors.

This case highlights the importance of moving beyond the initial diagnosis and surgery to focus on the patient’s current symptoms for better quality of life. Don’t forget to like, comment, and subscribe for more insights into colorectal surgery!

Key Points Covered:

• Slide Tracheoplasty: A transformative surgical technique for congenital tracheal stenosis.
• ECMO vs. Cardiopulmonary Bypass: Benefits of ECMO, including reduced inflammation, lower heparin requirements, and better post-op outcomes.
• Concurrent Cardiac Pathologies: Common conditions such as PA sling, ASDs, VSDs, and Tetralogy of Fallot, often repaired simultaneously with tracheoplasty.
• Timing of Repairs: Exploring when to combine vs. stage cardiac and tracheal interventions, with insights from recent studies and case reviews.

Join us for an in-depth look at how a multidisciplinary approach is transforming care for children with complex cardiac and airway conditions. Don’t forget to like, comment, and subscribe for more expert insights!

Key Points Covered:

• Timing is Critical: Start chemical DVT prophylaxis within 24 hours of admission for stable trauma patients to reduce the risk of venous thromboembolism (VTE).
• Guideline Recommendations: Follow EAST guidelines and assess factors like Injury Severity Score (ISS) to determine risk levels.
• Discharge Medications: Recent studies show aspirin is as effective as Lovenox for DVT prevention and offers easier compliance for pediatric patients at home.

Join us as we explore how new evidence is shaping DVT prevention strategies in pediatric trauma care. Don’t forget to like, comment, and subscribe for more updates from the Pediatric Surgery Update Course!

Key Topics Covered:

• Prenatal Diagnosis: How advancements in imaging are reshaping prenatal counseling for conditions like hypospadias.
• Surgical Strategy: The decision-making process around colostomy, PSARP, and collaboration with pediatric urologists.
• Anoplasty Techniques: Detailed discussion on the mobilization of the rectum and management of the fistula in these rare and complex cases.
• Multidisciplinary Collaboration: The importance of teamwork between pediatric surgeons and urologists to ensure optimal care.

Join us for an in-depth look at this fascinating case and learn from the expertise of a world-class surgical team. Like, comment, and subscribe for more pediatric surgery insights!

Key Points Covered:

• When to Operate: Indications include persistent respiratory symptoms, aspiration, or recurrent infections in children.
• Surgical Technique: The procedure involves removing the interarytenoid mucosa, using precise suturing to prevent issues like inverted edges, and ensuring complete demucosalization at the apex.
• Postoperative Care: Patients are monitored overnight and follow a preoperative diet until a follow-up evaluation 6-8 weeks later, which includes a video swallow study and endoscopy.
• Outcomes and Complications: While endoscopic repair shows a high success rate, Dr. Hart discusses the potential risks, including scarring and supraglottic infections, and emphasizes the importance of technique to minimize these complications.

Learn how Cincinnati Children's ENT team ensures successful outcomes for kids with minor laryngeal clefts and why endoscopic repair is often preferred.

Key Topics:

• What is Chronic Pancreatitis? A progressive inflammatory condition leading to fibrosis, loss of pancreatic function, and complications like diabetes and malnutrition.
• Diagnosis: The role of imaging (MRI, CT) and genetic testing in identifying and understanding the disease.
• Treatment Strategies: From nutritional management and pancreatic enzyme replacement to endoscopic therapy and a multidisciplinary approach to pain management.
• Pain Management: A stepwise approach involving pain specialists, psychologists, and physical therapists to address both the physical and emotional aspects of chronic pain.

Learn how the team at Cincinnati Children’s is transforming care for patients with chronic pancreatitis through innovative techniques and a comprehensive, patient-centered approach.

Key Topics Covered:

• Case Presentation: A young patient with a rare cloacal anomaly presenting with a single perineal orifice and absent Mullerian structures.
• Surgical Strategy: Using laparoscopic-assisted PSARP, considerations for colostomy, and preserving future options for gynecological reconstruction.
• Anatomy & Vascular Concerns: Managing unexpected vascular anomalies and protecting critical structures.
• Future Planning: Long-term follow-up for continence, bladder function, and possible tissue engineering solutions for gynecologic needs.

Join us for a fascinating discussion on managing rare anorectal malformations and the careful planning that goes into achieving successful outcomes.

Key Points Covered:

• Sensory & Motor Balance in Swallowing: Understanding that swallowing involves both motor control and sensory input, and why both are essential for safe swallowing.
• Innovative Reinnervation Technique: Connecting the great auricular nerve to the superior laryngeal nerve to enhance sensation and improve swallowing function.
• Case Study: A 12-year-old patient with high vagal injury, severe aspiration, and lung complications who experienced remarkable improvement after laryngeal sensory reinnervation.
• Results and Challenges: Promising outcomes seen in initial cases, though more research is needed to determine the best timing and long-term effects of this emerging technique.

Join us to learn more about this exciting approach to laryngeal sensory reinnervation and its potential to transform care for children with complex swallowing disorders.

Key Points Discussed:

• What is REBOA? A life-saving procedure used to control bleeding by inflating a balloon in the aorta, buying time for surgical intervention.
• Pediatric Use Challenges: REBOA is rarely performed in pediatric hospitals, making rapid application difficult, and there is no clear survival advantage in pediatric cases.
• Clinical Debate: A case study of a 16-year-old trauma patient illustrates the decision-making process, with most surgeons opting for laparotomy over REBOA.
• Algorithm Comparison: When to use REBOA versus resuscitative thoracotomy, based on guidelines from the Western Trauma Association.

Learn more about this complex and evolving topic in pediatric trauma care. Don’t forget to like, comment, and subscribe for more updates from our 12th Annual Pediatric Surgery Update Course!

Key Points Covered:

• History of Vascular Rings: From Dr. Robert Gross's first case in 1945 to the techniques established today.
• Diagnostic Process: Importance of chest X-rays, bronchoscopy, CT scans, and echocardiograms in identifying vascular ring anomalies.
• Surgical Techniques: How procedures like dividing double aortic arches or addressing Kommerell's diverticulum relieve pressure on vital structures.
• Fetal Diagnosis Benefits: Early detection has reduced surgery age, hospital stay, and respiratory complications for newborns.

Tune in to learn how Cincinnati Children’s continues to lead in the treatment of vascular rings and congenital airway anomalies. Don’t forget to like, comment, and subscribe for more pediatric surgical content!

Key Topics Covered:

• Prenatal Diagnosis: Utilizing ultrasounds, Doppler, and MRI to detect and evaluate fetal malformations early in gestation.
• Fetal Surgery Techniques: The evolution from open fetal surgery to minimally invasive options like fetoscopy to treat conditions such as Twin to Twin Transfusion Syndrome (TTTS), spina bifida, and congenital diaphragmatic hernia (CDH).
• EXIT Procedure: A life-saving technique performed at birth to ensure a safe airway for babies with obstructions.
• Innovative Outcomes: How fetal surgery has significantly improved survival rates and postnatal outcomes for babies with severe conditions.

Discover how the team at Cincinnati Children’s is pushing the boundaries of fetal care and saving lives before birth. Don't forget to like, comment, and subscribe for more groundbreaking medical content!

Host: Em Gootee

0:00 Introduction

0:57 Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium

6:47 Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations

13:56 Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project

18:12 Summary

Articles:

Ullrich S, Austin K, Avansino JR, Badillo A, Calkins CM, Crady RC, Durham MM, Fuller MK, Rana A, Reeder RW, Rentea RM, Rollins MD, Saadai P, Speck KE, Wood RJ, van Leeuwen K, Frischer JS; Pediatric Colorectal and Pelvic Learning Consortium. Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium. J Pediatr Surg. 2024 Jul;59(7):1250-1255. doi: 10.1016/j.jpedsurg.2024.03.034. Epub 2024 Mar 18. PMID: 38677965.

https://pubmed.ncbi.nlm.nih.gov/38677965/

Slidell MB, McAteer J, Miniati D, Sømme S, Wakeman D, Rialon K, Lucas D, Beres A, Chang H, Englum B, Kawaguchi A, Gonzalez K, Speck E, Villalona G, Kulaylat A, Rentea R, Yousef Y, Darderian S, Acker S, St Peter S, Kelley-Quon L, Baird R, Baerg J. Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations (A Systematic Review From the American Pediatric Surgical Association Outcomes & Evidence Based Practice Committee). J Pediatr Surg. 2024 Aug;59(8):1408-1417. doi: 10.1016/j.jpedsurg.2024.03.044. Epub 2024 Apr 30. PMID: 38796391.

https://pubmed.ncbi.nlm.nih.gov/38796391/

Madadi-Sanjani O, Kuebler JF, Brendel J, Costanzo S, Granström AL, Aydin E, Loukogeorgakis S, Lacher M, Wiesner S, Domenghino A, Clavien PA, Mutanen A, Eaton S, Ure BM. Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project. J Pediatr Surg. 2024 Sep;59(9):1672-1679. doi: 10.1016/j.jpedsurg.2024.03.022. Epub 2024 Mar 16. PMID: 38582705.

https://pubmed.ncbi.nlm.nih.gov/38582705/

Key Highlights:

• Innominate Artery Compression: Causes tracheal compression leading to breathing difficulties, especially in syndromic patients.
• Procedure Overview: A transcervical approach to innominate artery pexy, which includes removing the thymus and lifting the artery to relieve tracheal compression.
• Patient Case: A 6-month-old with a history of esophageal atresia and tracheoesophageal fistula underwent the surgery with successful outcomes.
• Postoperative Results: Improvements in the tracheal lumen, weaning off oxygen, and even decannulation for some patients.

This procedure offers a good alternative in appropriately selected patients, and the team at Cincinnati Children’s Hospital has shown positive results with this approach.

Host: Em Gootee

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Host: Em Gootee

Key Highlights:

• Twin to Twin Transfusion Syndrome (TTTS): Using fetoscopy to photocoagulate blood vessel connections between twins, reducing the risks for both babies.
• Amniotic Band Syndrome: Releasing amniotic bands in the womb to prevent potential amputations or complications for the developing fetus.
• Congenital Diaphragmatic Hernia (CDH): Performing tracheal occlusion to promote lung development in fetuses with severe CDH, significantly improving survival rates.

Key Points:

Preoperative Use: Bronchoscopy helps assess airway anatomy, detect infections, and guide surgical planning for better outcomes.

Intraoperative Use: Ensures proper tube placement, visualizes the airway, and helps clear secretions to avoid complications.

Postoperative Care: Dr. Zak’s retrospective study highlights risk factors predicting the need for urgent bronchoscopy, especially in younger or sicker patients with congenital heart disease or prior airway surgeries.

Join us as we explore how flexible bronchoscopy supports patient care at every stage of slide tracheoplasty and helps reduce post-op complications.

Key Topics Covered:

• What is Acute Pancreatitis?: Learn about the inflammation of the pancreas, its causes, and symptoms such as intense upper abdominal pain, nausea, vomiting, and fever.

• Diagnosis: We discuss the criteria for diagnosing acute pancreatitis, including the use of ultrasound, CT, and MRI.

• Treatment: Fluid resuscitation, the importance of early enteral nutrition, and the use of Lactated Ringer's (LR) solution for better outcomes. Plus, why antibiotics are no longer needed in most cases.

This video is part of our series on Pancreatic Pathologies by the Pancreas Care Center at Cincinnati Children's. Stay tuned for more insights to improve child health worldwide!

Host: Em Gootee

0:00 Introduction

1:00 Case 1

8:31 Case 2

11:39 Case 3

13:02 Summary

• What Are A-Frame Deformities? A tracheal deformity that typically occurs at the site of a previous tracheostomy, affecting about a third of patients with prior airway surgery.
• Challenges in Airway Sizing: Traditional endotracheal tube sizing is unreliable for A-frame deformities due to the oblong shape of the airway, making it crucial to assess both static and dynamic aspects of the deformity.
• Symptoms and Progression: Symptoms may take 1-2 years to manifest post-decannulation, often presenting as exercise intolerance, dyspnea, or obstructive sleep apnea.
• Surgical Interventions: Dr. Smith demonstrates two approaches for treating A-frame deformities—open repair with tracheoplasty or anterior graft placement, and endoscopic resection using a CO2 laser.
• Case Studies: Real-life examples of successful interventions, including a 6-year-old with campomelic dysplasia and a 12-year-old with subglottic and tracheal stenosis, highlighting the effectiveness of both open and endoscopic procedures.

Host: Em Gootee

0:00 Introduction

0:48 Clinical Characteristics and Prognosis of Biliary Atresia with Low Serum Matrix Metalloproteinase-7 Levels

5:09 Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis

10:57 Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review

15:50 Summary

16:42 Outro

Articles:

Jiang J, Yang Y, Ren X, Xu C, Ye C, Zhou J, Qian M, Wang S, Chen G, Dong R, Zheng S. Clinical Characteristics and Prognosis of Biliary Atresia with Low Serum Matrix Metalloproteinase-7 Levels. J Pediatr Surg. 2024 Apr;59(4):648-652. doi: 10.1016/j.jpedsurg.2023.11.019. Epub 2023 Dec 2. PMID: 38145921.

https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(23)00727-3

Hodgson E, Briatico D, Klapman S, Skarsgard E, Beltempo M, Shah PS, Huisman E, Walton JM, Livingston MH; Canadian Association of Pediatric Surgeons Network (CAPSNet) and Canadian Neonatal Network (CNN) investigators. Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study. J Pediatr Surg. 2024 May;59(5):863-868. doi: 10.1016/j.jpedsurg.2024.01.045. Epub 2024 Feb 3. PMID: 38413262.

https://www.jpedsurg.org/article/S0022-3468(24)00077-0/fulltext

Moore EJ, Sawyer SM, King SK, Tien MY, Trajanovska M. Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review. J Pediatr Surg. 2024 Jun;59(6):1028-1036. doi: 10.1016/j.jpedsurg.2024.02.012. Epub 2024 Feb 23. PMID: 38493027.

https://www.jpedsurg.org/article/S0022-3468(24)00094-0/abstract

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Key Topics:

• Early assessment of Mullerian anomalies in patients with anorectal malformations.
• Case discussion on a 12-year-old with a history of cloaca and twin sister advancing in puberty.
• Techniques such as vaginoscopy, saline perturbation, hysteroscopy, and MRI for evaluating Mullerian structures.
• Collaboration between colorectal, gynecology, and urology teams in patient management.

Tune in to learn from top experts in the field and deepen your understanding of managing these complex cases.

#4 APSA, Dr. David Grabski “Post-Operative Opioid Reduction Protocol Reduces Racial Disparity of Clinical Outcome in Children”

#3 CAPS, Dr. Matthew Urichuk “Individuals with thoracoabdominal congenital surgical anomalies are at increased risk of adverse mental health outcomes"

#2 BAPS, Dr. Shruthi Srinivas "Outcomes from Colonic Pull-Through for Cloacal Exstrophy Differ by Colon Length: A Multi-Institutional Study”

#1 IPEG, Dr. Dariusz Patkowski “Thoracoscopic Approach for Long Gap Esophageal Atresia Using the Internal Traction Technique”

Key Highlights:

• Complexity of the Gut: The GI tract is more than just an epithelial lining—it's a complex system involving nerves, muscles, immune responses, and microbiota.
• Lab Achievements: The team has successfully grown human intestines from stem cells, which have been transplanted into animals and shown to be fully functional.
• Nerve Integration: Adding nerves to the transplanted tissue enhances vascular growth, making the grafts more effective, particularly for structures like the esophagus.
• Tissue Engineering: The team developed methods to create long tubes of GI tissue with integrated nerves and demonstrated peristalsis, critical for creating functional organs.
• Clinical Applications: The researchers are working on methods to transplant these tissues into patients, using advanced techniques like hydrogels and UV polymerization to secure the cells in place.

Future Prospects:

• Esophageal Strictures and Beyond: This research could lead to new treatments for conditions like esophageal strictures, with potential clinical applications expected within this decade.

Host: Cecilia Gigena

This time we are presenting you "Who to Send Home from the OR: Partial Thyroidectomy" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham.

Host: Cecilia Gigena

This video explores the considerations for same day discharge following minimally invasive pectus excavatum repair with intercostal neuro-cryoablation and uncomplicated right thyroid lobectomy. Key Points:

• Pectus Excavatum Repair:

• Discharge Timing: The majority of surgeons prefer a post-op stay of 2-3 days, but up to 20% consider same day discharge. The effectiveness of cryoablation and intercostal nerve blocks plays a significant role in determining discharge timing.
• ERAS Protocol Impact: Combining cryoablation with an Enhanced Recovery After Surgery (ERAS) protocol has shown a reduction in opioid use and length of hospital stay, with many patients able to go home by day two.
• Patient and Family Education: Setting expectations about post-op pain and recovery is crucial for successful same day or early discharge.

• Thyroid Lobectomy:

• Same Day Discharge Feasibility: Approximately 30% of surgeons discharge patients on the same day, with the rest keeping them overnight due to concerns about post-op bleeding and recurrent laryngeal nerve injury.
• ATA Guidelines: The American Thyroid Association supports same day discharge for suitable patients, considering clinical, social, and procedural factors.
• Complication Management: While the risk of post-op hematoma exists, newer technologies and careful monitoring have reduced its occurrence, making same day discharge more viable.

Summary:

• Pectus Excavatum Repair: Same day discharge is possible with cryoablation and ERAS, though most patients are discharged on day two or three based on pain control and patient preference.
• Thyroid Lobectomy: Same day discharge is increasingly accepted, particularly with newer surgical techniques and careful patient selection, but overnight observation remains common due to the risk of complications like post-op bleeding.

This time we are presenting you "Who to Send Home from the OR: Pectus Excavatum Repair 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham.

Host: Cecilia Gigena

In this session we discuss different Cryoanalgesia and pain management protocols that may help with same day discharge after a minimally invasive repair of pectus excavatum (MIRPE).

00:00 Introduction

00:33 Case Scenario

01:15 Cryoablation techniques

01:58 Literature Review

02:44 Dr. Oyetunji’s protocol

03:22 Oral pain medication

03:54 Proper time for Same day discharge

04:22 Summary

• Symptom Assessment: Esophageal stricture symptoms vary by age, oral intake, and stenosis severity. Accurate diagnosis involves evaluating nutritional status and secretion management.
• Diagnostic Tools: Endoscopy and esophagram are essential for assessing stricture location, diameter, and extent.
• Dilation Techniques: Learn about different tools like controlled radial expansion balloons, hurricane balloons, and bougienage. Understand when and how to use each method safely.
• Fluoroscopy Guidance: The advantages of using fluoroscopy for pre- and post-dilation esophagrams, ensuring accurate dilation and detecting complications like perforation.
• Incremental Dilation: The importance of cautious, gradual dilation to minimize risks and improve outcomes.
• Choosing the Right Method: Tailor the dilation technique to each patient’s anatomy, with a focus on careful scar remnant removal.

This time we are presenting you "Who to Send Home from the OR: Pyloromyotomy 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham.

Host: Cecilia Gigena

In this session you will learn when it is safe to discharge a patient after a routine pyloromyotomy, which differs in the gestational age in those who are less or over 37 weeks.

00:00 Introduction

00:41 1st Case Scenario

01:00 Is Same day discharge possible?

01:29 Literature Review

02:51 2nd Case Scenario

04:01 Is Same Day Discharge safe?

05:33 NSQIP data Analysis

06:30 Summary

This time we are presenting you "Who to Send Home from the OR: Laparoscopic Cholecystectomy 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham.

Host: Cecilia Gigena

In this session you will learn when it is safe to discharge a patient after a routine laparoscopic cholecystectomy.

00:00 Introduction

00:37 Case Scenario

01:02 Strategies for Same Day discharge

01:38 Literature Review

02:32 Summary

Key Points:

Team Collaboration: The importance of utilizing diverse skill sets for optimal patient outcomes.

ENT Surgeon's Perspective: Focusing on future swallowing, recurrent laryngeal nerve health, and preventing potential injuries.

Cervical Approach: Isolating the cervical trachea and esophagus, avoiding nerve damage, and creating a tunnel for colonic interposition.

Simultaneous Operations: Coordinated efforts where one surgeon harvests the graft while another prepares the esophagus.

Case Study: Addressing recurrent tracheoesophageal fistulas and achieving successful outcomes with the aid of ENT expertise.

Why ENT Surgeons are Essential: Their knowledge of head and neck anatomy and experience in complex airway management improve care delivery, outcomes, and reduce operative times.

Immediate Involvement: Engaging ENT specialists early in the process to address complications with voice and swallowing.

This time we are presenting you "Who to Send Home from the OR: Non-perforated appendicitis 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham.

Host: Cecilia Gigena

In this session surgeons discuss when a patient should receive antibiotics, if any, after a Laparoscopic appendectomy for non-perforated appendicitis. Non-operative management is also discussed.

00:00 Introduction

00:38 Case Scenario

01:04 Non-operative management

02:31 Same day discharge after surgery

03:08 NSQIP data analysis

04:10 Summary

This time we are presenting you "Who to Send Home from the OR: Buttock Abscess 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham.

Host: Cecilia Gigena

In this session the surgeons discuss about the indications for an uncomplicated buttock

abscess. When to treat with antibiotics, when to make an incision and draining (I&D) or

when it is necessary to do something else.

00:00 Introduction

00:38 Case Scenario

01:09 Is it necessary to keep them overnight?

02:06 Literature Review

02:49 Summary

Here are some highlights:

• Historical Milestones: From the first description in the 1600s to Cameron Haight's primary repair in 1941.

• Challenges and Complications: Addressing associated anomalies and the high morbidity linked to traditional thoracotomy.

• Team Approach: The necessity of a multidisciplinary team, including pediatric surgery, ENT, pulmonary, GI, and more.

• Innovative Techniques: Adapting procedures like the tracheal slide for complex cases and leveraging the expertise of specialized surgeons.

• Collaborative Success: Benefits of dual-team operations for efficiency and better patient outcomes.

• Barriers and Solutions: Overcoming financial and systemic challenges to provide optimal care.

Reduced Tracheomalacia: Minimizing tracheal manipulation compared to open surgery.

• Case Study:35-week premature baby with a large esophageal pouch corrected thoracoscopically.

• Enhanced Visualization: Precise dissection and improved outcomes using thoracoscopy.

• Pouch Resection: Efficient resection of leftover pouches with a stapler.

• Upper Pouch Mobilization: Key to successful anastomosis, even in long-gap cases.

• H Type Fistulas: Superior approach with less trauma and better visualization.

Anesthesia: Using CO2 to collapse the lung instead of single lung ventilation.

Patient Positioning: Prone and tilted at 60 degrees for better access.

Surgical Technique: Detailed steps from trocar placement to anastomosis, including tips for mobilizing the upper pouch and managing the fistula.

Visualization: Improved view compared to open surgery, especially for complex cases.

Post-Operative Care: Managing chest drains, preventing hiatal hernias, and suture techniques to avoid strictures.

Cosmetic Outcomes: Minimal scarring and reduced risk of chest wall deformities.

Advocating for Minimally Invasive Surgery: The significant benefits of thoracoscopic surgery over traditional thoracotomy, which can lead to shoulder girdle weakness, chest wall asymmetry, and scoliosis in infants.

Pioneering Techniques:The journey from initial PDA ligation to the first successful thoracoscopic TEF repair.

Historical Milestones: Live demonstration of the first thoracoscopic esophageal atresia repair at the IPEG meeting in Berlin, 1999.

Case Studies: Early successes, including Connor, the first baby to undergo thoracoscopic TEF repair, who has thrived since his surgery.

Host: Dr. Cecilia Gigena

Host: Cecilia Gigena

These are the top 5 key takeaways from this webinar!!

Host: Em Gootee

0:00 Intro

0:21 #10 POEM Procedure for Achalasia Treatment

1:53 #9 Importance of BCVI Screening in Head Trauma Patients

3:12 #8 Who to send home from the OR?

4:37 #7 ICG Application for Identification of Sentinel Nodes

6:21 #6 Anal Dilation Following PSARP

7:58 #5 Ovarian Cryopreservation

9:41 #4 Massive Transfusion Protocol (MTP)

11:24 #3 Management of Ovarian Torsion

12:55 #2 Total Pancreatectomy with Islet Autotransplantation (TPIAT)

14:21 #1 Management of Blunt Liver & Spleen Trauma

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

This time we have the first quarter of 2024.

With editors: Dr. Romeo Ignacio for January, APSA edition, Dr. Mark Davenport for February, BAPS, edition & Dr. Pablo Laje for March, IPEG edition.

Authors: Dr. Katie Russell, Dr. Scott Short & Dr. Bruce Jaffray

Articles:

"Cessation of Antibiotics for Complicated Appendicitis at Discharge Does Not Increase Risk of Post-operative Infection" Russell K. et al.

"What Proportion of Children With Complex Oesophageal Atresia Require Oesophageal Lengthening Procedures?" Phillips L & Jaffray B.

"Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation" Eldredge RS et l.

Host: Em Gootee, Kim Priban

Key Topics Covered:

• Common Diagnoses: Exploring potential medical and anatomical conditions, including reflux and cow milk allergy.
• Risk Factors: Factors increasing the likelihood of pyloric stenosis, including being a first-born male and family history.
• Diagnosis Techniques: Importance of physical exams, lab results, and imaging in diagnosing pyloric stenosis.
• Medical and Surgical Management: Discussing fluid and electrolyte resuscitation, medical management options, and the pyloromyotomy procedure.
• Post-Operative Care: Tips for families and care teams on managing post-operative care and recovery.

Takeaways:

• Importance of a thorough family history and reviewing electrolyte panels and ultrasound results.
• The critical role of fluid and electrolyte balance in avoiding morbidity or mortality.
• Understanding the surgical options and post-op care to ensure a smooth recovery for infants.

This time we are presenting you "Who to Send Home from the OR: Gastrostomy 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham.

If you want to see the full video don't forget to check it in our Youtube channel: https://youtu.be/vVnlVlALVMk

Host: Cecilia Gigena

This time we have "Management of Recurrent Pancreatitis" with Dr. Juan Gurria, the Surgical Director of the Pancreas Care Center at Cincinnati Children's Hospital.

Host: Cecilia Gigena

Host: Em Gootee

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Today, we are here to reviewEA/TEF repair - thoracoscopy vs. thoracotomy, role of ENT with Dr. Catherine Hart, a pediatric otolaryngologist from Cincinnati Children's.

Host: Kim Priban

Host: Em Gootee

Resources:

ACOG Committee Opinion, Number 783, August 2019 - Adnexal Torsion in Adolescents

https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/08/adnexal-torsion-in-adolescents

Akdam A, Bor N, Fouks Y, Ram M, Laskov I, Levin I, Cohen A. Recurrent Ovarian Torsion: Risk Factors and Predictors for Outcome of Oophoropexy. J Minim Invasive Gynecol. 2022 Aug;29(8):1011-1018. doi: 10.1016/j.jmig.2022.05.007. Epub 2022 May 13. PMID: 35577246.

https://pubmed.ncbi.nlm.nih.gov/35577246/

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

This week we are discussing 3 articles from November 2023 issue, with editor Dr. Mikko Pakarinen and authors Dr. Bailey Lyttle

Hosts: Cecilia Gigena and Em Gootee

Articles:

"Quality Improvement Campaign Improved Utilization of Rapid Sequence MRI for Diagnosis of Pediatric Appendicitis" Lyttle B. et al.

"Paediatric Adhesive Small Bowel Obstruction is Associated with a Substantial Economic Burden and High Frequency of Postoperative Complications" Håkanson C. et al.

"Thoracoscopic Versus Open Repair for Oesophageal Atresia: A Retrospective Cohort Study of 359 Patients at a Single Center" Zou C. et al.

Today, we are here to review anesthesia for thoracoscopic techniques with Dr. Nathan Tighe, an anesthesiologist from Cincinnati Children's.

Host: Em Gootee

This time we are presenting you “Management of Chronic Pancreatitis" with Dr. Juan Gurría.

Host: Cecilia Gigena

Brought to you by Cincinnat Children's

Today, we are here to review TEF management, otolaryngology approach with Dr. Mike Rutter, a pediatric otolaryngologist from Cincinnati Children's.

Host: Kim Priban

Today, we are here to continue our review of the complications of button battery & caustic ingestion with Dr. Phil Putnam, a pediatric gastroenterologist from Cincinnati Children's.

Host: Kim Priban

Today, we are here to review complications of button battery & caustic ingestion with Dr. Phil Putnam, a pediatric gastroenterologist from Cincinnati Children's.

Host: Kim Priban

This week we are discussing 3 articles from October 2023 issue, with editor Dr. Pablo Laje and authors Thomas Wyllie, and Drs. Mallinath Chakriboth and Elizabeth Speck

Hosts: Cecilia Gigena and Em Gootee

Articles:

"Prophylactic Acid-suppression Medication to Prevent Anastomotic Strictures After Oesophageal Atresia Surgery: A Systematic Review and Meta-analysis" Thomas Wyllie et.al.

"Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee" Speck, E. et al.

"Symptoms Affect Treatment and Prognosis in Pediatric Patients with Congenital Pulmonary Airway Malformation: A Propensity Score Matching Retrospective Cohort Study" Zeng G. et al.

This time we are presenting you “Peroral Endoscopic Myotomy (POEM) for Achalasia" with Drs. Mikael Petrosyan & Tymothy Kane

Hosts: Dr. Cecilia Gigena

Brought to you by Cincinnati Children's Hospital

Today, we are here to review pharyngeal scar management with Dr. Doug von Allmen, a pediatric otolaryngologist from Cincinnati Children's.

Host: Em Gootee

Host: Em Gootee

Resources:

https://www.jpedsurg.org/article/S0022-3468(21)00676-X/abstract

Reppucci ML, Pickett K, Stevens J, Phillips R, Recicar J, Annen K, Moulton SL. Massive transfusion in pediatric trauma-does more blood predict mortality? J Pediatr Surg. 2022 Feb;57(2):308-313. doi: 10.1016/j.jpedsurg.2021.09.051. Epub 2021 Oct 8. PMID: 34736771.

https://pubmed.ncbi.nlm.nih.gov/35213410/

Spinella PC, Leonard JC, Marshall C, Luther JF, Wisniewski SR, Josephson CD, Leeper CM; Massive Transfusion In Children (MATIC) Investigators and BloodNet. Transfusion Ratios and Deficits in Injured Children With Life-Threatening Bleeding. Pediatr Crit Care Med. 2022 Apr 1;23(4):235-244. doi: 10.1097/PCC.0000000000002907. Epub 2022 Feb 28. PMID: 35213410.

https://journals.lww.com/jtrauma/abstract/2023/01000/recognizing_life_threatening_bleeding_in_pediatric.14.aspx#:~:text=Pediatric%20critical%20administration%20threshold%20(CAT,activation%20of%20massive%20transfusion%20protocols.

Morgan, Katrina M. MD; Gaines, Barbara A. MD; Richardson, Ward M. MD; Strotmeyer, Stephen PhD; Leeper, Christine M. MD, MS. Recognizing life-threatening bleeding in pediatric trauma: A standard for when to activate massive transfusion protocol. Journal of Trauma and Acute Care Surgery 94(1):p 101-106, January 2023. | DOI: 10.1097/TA.0000000000003784

Host: Em Gootee

Resources:

https://pubmed.ncbi.nlm.nih.gov/37117078/

Williams RF, Grewal H, Jamshidi R, Naik-Mathuria B, Price M, Russell RT, Vogel A, Notrica DM, Stylianos S, Petty J. Updated APSA Guidelines for the Management of Blunt Liver and Spleen Injuries. J Pediatr Surg. 2023 Aug;58(8):1411-1418. doi: 10.1016/j.jpedsurg.2023.03.012. Epub 2023 Mar 23. PMID: 37117078.

Today, we are here to review surgical management of button battery & caustic ingestion with Dr. Aaron Garrison, a pediatric surgeon from Cincinnati Children's.

Host: Em Gootee

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Today we will talk about "Updates in Achalasia Management". Joining the discussion are Dr. Mikael Petrosyan, Dr. Timothy Kane and Dr. George (Whit) Holcomb

Host: Cecilia Gigena

This was meant to be a video so it has a lot of visual information. If you want to see please visit our youtube channel StaycurrentMD or download the Staycurrent App

This week we are discussing 4 articles from September issue 2023, with editor Dr. Whit Holcomb and authors Drs. Sarah Abdellaoui and Charles Jason Smithers

Hosts: Cecilia Gigena and Em Gootee

Articles:

"Pectus Arcuatum: A Pectus Unlike Any Other​​​​​​​Pectus Arcuatum: A Pectus Unlike Any Other" Abdellaoui S et.al. 

"The Timing of Congenital Diaphragmatic Hernia Repair on Extracorporeal Membrane Oxygenation Impacts Surgical Bleeding Risk" Smithers CJ et.al.

"Meta-Analysis of Enhanced Recovery After Surgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery" Su Y et.al.

"Physician Suicide: A Personal Story and Call to Action" Jelin A. 

Host: Em Gootee

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Host: Em Gootee

Resources:

https://www.bulletpointsproject.org

The BulletPoints Project gives clinicians the knowledge and tools they need to reduce the risk of firearm injury and death in their patients.

https://ohioaap.org & https://ohioaap.org/storeitsafe/education

Store it Safe (SIS) provides education to youth serving professionals seeking to help Ohio families with improving in-home safe storage of lethal means and other suicide prevention strategies.

https://www.wcpo.com/news/local-news/hamilton-county/cincinnati/virtual-meets-reality-cincinnati-childrens-immersing-in-vr-to-reduce-gun-deaths-in-community

From news: Virtual meets reality: Cincinnati Children's immersing in VR to reduce gun deaths in community.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

This week we are discussing 4 articles from August 2023 issue, with editor Dr. Holcomb, the expert Dr. Di Fiore and authors Drs. Krista Lai, Regan Williams, Shawn St. Peter & Lisa McMahon

Hosts: Cecilia Gigena and Em Gootee

Articles:

 "Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use"  Krista L et.al.

"Management of Primary Spontaneous Pneumothorax in Children: A Single Institution Protocol Analysis" Stewart S et.al.

"Updated APSA Guidelines for the Management of Blunt Liver and Spleen Injuries" Williams R et.al.

"Initial Outcomes Using Cryoablation in Surgical Management of Slipping Rib Syndrome" Krista L et.al.

Host: Em Gootee, MD

References:

https://pubmed.ncbi.nlm.nih.gov/21238663/

Patrus B, Nasr A, Langer JC, Gerstle JT. Intrasphincteric botulinum toxin decreases the rate of hospitalization for postoperative obstructive symptoms in children with Hirschsprung disease. J Pediatr Surg. 2011 Jan;46(1):184-7. doi: 10.1016/j.jpedsurg.2010.09.089. PMID: 21238663.

https://pubmed.ncbi.nlm.nih.gov/35690464/

Svetanoff WJ, Lim-Beutal IIP, Wood RJ, Levitt MA, Rentea RM. The utilization of botulinum toxin for Hirschsprung disease. Semin Pediatr Surg. 2022 Apr;31(2):151161. doi: 10.1016/j.sempedsurg.2022.151161. Epub 2022 Apr 8. PMID: 35690464.

https://pubmed.ncbi.nlm.nih.gov/33422904/

Rentea RM, Noel-MacDonnell JR, Bucher BT, Dorman MR, Lautz TB, Pruitt LCC, Oyetunji TA. Impact of Botulinum Toxin on Hirschsprung-Associated Enterocolitis After Primary Pull-Through. J Surg Res. 2021 May;261:95-104. doi: 10.1016/j.jss.2020.12.018. Epub 2021 Jan 7. PMID: 33422904.

https://pubmed.ncbi.nlm.nih.gov/37221126/

Encisco EM, Lim IIP, Velazco CS, Rosen NG, Garrison AP, Rymeski B, Frischer JS. Hirschsprung-Associated Enterocolitis at a Referral Institution: A Retrospective Review. J Pediatr Surg. 2023 Aug;58(8):1578-1581. doi: 10.1016/j.jpedsurg.2023.04.008. Epub 2023 Apr 20. PMID: 37221126.

https://pubmed.ncbi.nlm.nih.gov/33001257/

Svetanoff WJ, Dekonenko C, Osuchukwu O, Oyetunji TA, Aguayo P, Fraser JD, Juang D, Snyder CL, Hendrickson R, Peter SS, Rentea RM. Inpatient management of Hirschsprung's associated enterocolitis treatment: the benefits of standardized care. Pediatr Surg Int. 2020 Dec;36(12):1413-1421. doi: 10.1007/s00383-020-04747-4. Epub 2020 Oct 1. PMID: 33001257.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

0:00 Introduction

0:38 Hirschsprung-associated inflammatory bowel disease: A multicenter study from the APSA Hirschsprung disease interest group

1:44 Outcomes of laparoscopic versus open resection of pediatric choledochal cyst

2:45 Isolated low-grade solid organ injuries in children following blunt abdominal trauma: Is it time to consider discharge from the emergency department?

3:55 Outro

https://www.jpedsurg.org/article/S0022-3468(23)00037-4/fulltext

Sutthatarn P, Lapidus-Krol E, Smith C, Halaweish I, Rialon K, Ralls MW, Rentea RM, Madonna MB, Haddock C, Rocca AM, Gosain A, Frischer J, Piper H, Goldstein AM, Saadai P, Durham MM, Dickie B, Jafri M, Langer JC. Hirschsprung-associated inflammatory bowel disease: A multicenter study from the APSA Hirschsprung disease interest group. J Pediatr Surg. 2023 May;58(5):856-861. doi: 10.1016/j.jpedsurg.2023.01.018. Epub 2023 Jan 24. PMID: 36801072.

https://www.jpedsurg.org/article/S0022-3468(22)00799-0/fulltext

Ramsey WA, Huerta CT, Ingle SM, Gilna GP, Saberi RA, O'Neil CF Jr, Ribieras AJ, Parreco JP, Perez EA, Sola JE, Thorson CM. Outcomes of laparoscopic versus open resection of pediatric choledochal cyst. J Pediatr Surg. 2023 Apr;58(4):633-638. doi: 10.1016/j.jpedsurg.2022.12.024. Epub 2022 Dec 22. PMID: 36670004.

https://pubmed.ncbi.nlm.nih.gov/32769952/

Plumblee L, Williams R, Vane D, Zhang J, Jensen A, Naik-Mathuria B, Evans L, Streck CJ. Isolated low-grade solid organ injuries in children following blunt abdominal trauma: Is it time to consider discharge from the emergency department? J Trauma Acute Care Surg. 2020 Nov;89(5):887-893. doi: 10.1097/TA.0000000000002899. PMID: 32769952.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Today, we are here to review thoracoscopic tracheopexy and aortopexy for tracheomalacia with Dr. Aaron Garrison, a pediatric surgeon from Cincinnati Children's.

Host: Em Gootee

Host: Em Gootee Resources:

https://pubmed.ncbi.nlm.nih.gov/36693233/

Nickoles TA, Lewit RA, Notrica DM, Ryan M, Johnson J, Maxson RT, Naiditch JA, Lawson KA, Temkit M, Padilla B, Eubanks JW 3rd. Diagnostic accuracy of screening tools for pediatric blunt cerebrovascular injury: An ATOMAC multicenter study. J Trauma Acute Care Surg. 2023 Sep 1;95(3):327-333. doi: 10.1097/TA.0000000000003888. Epub 2023 Jan 25. PMID: 36693233.

Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Host: Em Gootee

Resources:

https://pubmed.ncbi.nlm.nih.gov/32456570/

Meacham LR, Burns K, Orwig KE, Levine J. Standardizing Risk Assessment for Treatment-Related Gonadal Insufficiency and Infertility in Childhood Adolescent and Young Adult Cancer: The Pediatric Initiative Network Risk Stratification System. J Adolesc Young Adult Oncol. 2020 Dec;9(6):662-666. doi: 10.1089/jayao.2020.0012. Epub 2020 May 26. PMID: 32456570.

https://pubmed.ncbi.nlm.nih.gov/28683892/

Corkum KS, Laronda MM, Rowell EE. A review of reported surgical techniques in fertility preservation for prepubertal and adolescent females facing a fertility threatening diagnosis or treatment. Am J Surg. 2017 Oct;214(4):695-700. doi: 10.1016/j.amjsurg.2017.06.013. Epub 2017 Jun 23. PMID: 28683892; PMCID: PMC6003699.

https://pubmed.ncbi.nlm.nih.gov/32723489/

Harris CJ, Lautz TB, Rowell EE. Feasibility of laparoscopic ovarian tissue cryopreservation after open abdominopelvic tumor surgery. Am J Surg. 2020 Nov;220(5):1249-1252. doi: 10.1016/j.amjsurg.2020.06.040. Epub 2020 Jul 9. PMID: 32723489.

Host: Em Gootee, MD

References:

https://pubmed.ncbi.nlm.nih.gov/36356590/

Badillo A, Tiusaba L, Jacobs SE, Al-Shamaileh T, Feng C, Russell TL, Bokova E, Sandler A, Levitt MA. Sparing the Perineal Body: A Modification of the Posterior Sagittal Anorectoplasty for Anorectal Malformations with Rectovestibular Fistulae. Eur J Pediatr Surg. 2023 Dec;33(6):463-468. doi: 10.1055/a-1976-3611. Epub 2022 Nov 10. PMID: 36356590.

https://pubmed.ncbi.nlm.nih.gov/36592252/

Ostertag-Hill CA, Nandivada P, Dickie BH. Saving the perineal body-A modification of the posterior sagittal anorectoplasty. Pediatr Surg Int. 2023 Jan 2;39(1):71. doi: 10.1007/s00383-022-05350-5. PMID: 36592252.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Host: Em Gootee, MD

Reference:

https://pubmed.ncbi.nlm.nih.gov/34049690/

Ahmad H, Skeritt C, Halleran DR, Rentea RM, Reck-Burneo CA, Vilanova-Sanchez A, Weaver L, Langer JC, Diefenbach KA, Gasior AC, Levitt MA, Wood RJ. Are routine postoperative dilations necessary after primary posterior sagittal anorectoplasty? A randomized controlled trial. J Pediatr Surg. 2021 Aug;56(8):1449-1453. doi: 10.1016/j.jpedsurg.2021.04.022. Epub 2021 Apr 30. PMID: 34049690.

Today, we are here to talk about the cervical approach and the importance of ENT involvement with Dr. Alessandro de Alarcon, an ENT surgeon from Cincinnati Children's.

Host: Todd Ponsky

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

Ahmad H, Wood RJ, Avansino JR, Calkins CM, Dickie BH, Durham MM, Frischer J, Fuller M, Ralls M, Reeder RW, Rentea RM, Rollins MD, Saadai P, Oelschlager AEA, Breech LL, Hewitt GD, Kluivers K, van Leeuwen KD, McCracken KA. Does presence of a VACTERL anomaly predict an associated gynecologic anomaly in females with anorectal malformations?: A Pediatric Colorectal and Pelvic Learning Consortium Study. J Pediatr Surg. 2023 Mar;58(3):471-477. doi: 10.1016/j.jpedsurg.2022.06.006. Epub 2022 Jun 23. PMID: 35879143.

https://www.jpedsurg.org/article/S0022-3468(22)00396-7/fulltext

Perez Holguin RA, DeAngelo N, Sinha A, Shen C, Tsai AY. Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure. J Pediatr Surg. 2023 Apr;58(4):608-612. doi: 10.1016/j.jpedsurg.2022.12.011. Epub 2022 Dec 22. PMID: 36646539.

https://www.jpedsurg.org/article/S0022-3468(22)00784-9/fulltext

Bokova E, McKenna E, Krois W, Reck CA, Al-Shamaileh T, Jacobs SE, Tiusaba L, Russell TL, Darbari A, Feng C, Badillo AT, Levitt MA. Reconstructing the anal sphincters to reverse iatrogenic overstretching following a pull-through for Hirschsprung disease. One-year outcomes. J Pediatr Surg. 2023 Mar;58(3):484-489. doi: 10.1016/j.jpedsurg.2022.10.052. Epub 2022 Nov 7. PMID: 36470689.

https://www.jpedsurg.org/article/S0022-3468(22)00718-7/fulltext

Today, we'll talk about ovarian torsion management with a sample case. Joining the discussion are Drs. Erin Rowell and Dan Von Allmen, both pediatric surgeons, and Dr. Lesley Breech, a pediatric gynecologist.

Host: Em Gootee

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

Bellía-Munzón G, Sanjurjo D, Toselli L, Vallee M, Elmo G, Martínez-Ferro M. Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum: The Titanic index. J Pediatr Surg. 2023 Apr;58(4):605-607. doi: 10.1016/j.jpedsurg.2022.12.010. Epub 2022 Dec 23. PMID: 36681535.

https://www.jpedsurg.org/article/S0022-3468(22)00783-7/fulltext

Namachivayam SP, Law S, Millar J, d'Udekem Y. Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis. Pediatr Crit Care Med. 2022 Oct 1;23(10):793-800. doi: 10.1097/PCC.0000000000003024. Epub 2022 Jul 15. PMID: 35839279.

https://pubmed.ncbi.nlm.nih.gov/35839279/

Scalise PN, Durgin JM, Staffa SJ, Wynne N, Meisner J, Ngo P, Zendejas B, Kim HB, Demehri FR. Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes. J Pediatr Surg. 2023 Apr;58(4):613-618. doi: 10.1016/j.jpedsurg.2022.12.017. Epub 2022 Dec 22. PMID: 36646540.

https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext

Host: Em Gootee

Throughout this podcast we will use a few imagings that will help us understand the cases. If you want to follow along and check them out, they are below in the description on the StayCurrent App.

Host: Em Gootee, MD

Illustrations and more information...

https://pubmed.ncbi.nlm.nih.gov/34930596/

Worhunsky DJ, Levy BE, Stephens EH, Backer CL. Vascular rings. Semin Pediatr Surg. 2021 Dec;30(6):151128. doi: 10.1016/j.sempedsurg.2021.151128. Epub 2021 Oct 23. PMID: 34930596.

Don't forget to like and subscribe to see more entertaining medical educational videos!See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Tombash

0:00 Introduction

0:45 National trends in pediatric firearm and automobile fatalities

2:06 Gabapentin is Associated With Decreased Postoperative Opioid Use and Length of Stay After Appendectomy in Children With Perforated Appendicitis: A Propensity Score-Matched Analysis

3:22 Evaluating the risk of peri-umbilical hernia after sutured or sutureless gastroschisis closure

4:38 Outro

https://www.jpedsurg.org/article/S0022-3468(22)00621-2/fulltext

Stevens J, Pickett K, Reppucci ML, Nolan M, Moulton SL. National trends in pediatric firearm and automobile fatalities. J Pediatr Surg. 2023 Jan;58(1):130-135. doi: 10.1016/j.jpedsurg.2022.09.028. Epub 2022 Sep 26. PMID: 36307297.

https://www.jpedsurg.org/article/S0022-3468(23)00195-1/fulltext

Lascano D, Zamora AK, Mahdi E, Ourshalimian S, Russell CJ, Kim E, Kelley-Quon LI. Gabapentin is Associated With Decreased Postoperative Opioid Use and Length of Stay After Appendectomy in Children With Perforated Appendicitis: A Propensity Score-Matched Analysis. J Pediatr Surg. 2023 Mar 16:S0022-3468(23)00195-1. doi: 10.1016/j.jpedsurg.2023.03.009. Epub ahead of print. PMID: 37029026.

https://www.jpedsurg.org/article/S0022-3468(22)00250-0/fulltext

Fraser JA, Deans KJ, Fallat ME, Helmrath M, Kabre R, Leys CM, Markel TA, Dillon PA, Downard C, Wright TN, Gadepalli SK, Grabowski JE, Hirschl R, Johnson KN, Kohler JE, Landman MP, Mak GZ, Minneci PC, Rymeski B, Sato TT, Slater BJ, Peter SDS, Fraser JD; Midwest Pediatric Surgery Consortium. Evaluating the risk of peri-umbilical hernia after sutured or sutureless gastroschisis closure. J Pediatr Surg. 2022 Dec;57(12):786-791. doi: 10.1016/j.jpedsurg.2022.03.019. Epub 2022 Mar 26. PMID: 35450699.

Host: Ellen Encisco

Register for #UpdateCourse2023 (Aug 28) here

https://globalcastmd.wufoo.com/forms/zcvbzfd1xref8x/

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Tombash

0:00 Introduction

0:47 Life-Threatening Bleeding in Children: A Prospective Observational Study

1:53 Standardized perioperative care reduces colorectal surgical site infection in children: A Western Pediatric Surgery Research Consortium multicenter analysis

2:57 Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: An evaluation of the diagnostic accuracy of the contrast enema

4:09 Outro

https://pubmed.ncbi.nlm.nih.gov/33990098/

Leonard JC, Josephson CD, Luther JF, Wisniewski SR, Allen C, Chiusolo F, Davis AL, Finkelstein RA, Fitzgerald JC, Gaines BA, Goobie SM, Hanson SJ, Hewes HA, Johnson LH, McCollum MO, Muszynski JA, Nair AB, Rosenberg RB, Rouse TM, Sikavitsas A, Singleton MN, Steiner ME, Upperman JS, Vogel AM, Wills H, Winkler MK, Spinella PC. Life-Threatening Bleeding in Children: A Prospective Observational Study. Crit Care Med. 2021 Nov 1;49(11):1943-1954. doi: 10.1097/CCM.0000000000005075. PMID: 33990098; PMCID: PMC8516672.

https://www.jpedsurg.org/article/S0022-3468(22)00624-8/fulltext

Tobias J, Padilla BE, Lee J, Chen S, Wang KS, Kelley-Quon LI, Mueller C, Shew SB, Joskowitz K, Ignacio RC Jr, Evans LL, Jensen AR, Acker SN, Mason A, Johnson A, McConahey J, Hansen E, Pandya SR, Short SS, Russell KW, Nicassio L, Smith CA, Fialkowski E. Standardized perioperative care reduces colorectal surgical site infection in children: A Western Pediatric Surgery Research Consortium multicenter analysis. J Pediatr Surg. 2023 Jan;58(1):45-51. doi: 10.1016/j.jpedsurg.2022.09.026. Epub 2022 Sep 26. PMID: 36289033.

https://www.jpedsurg.org/article/S0022-3468(22)00433-X/fulltext

Eeftinck Schattenkerk RM, Eeftinck Schattenkerk LD, Musters GD, van Schuppen J, de Jong JR, Gorter RR, de Jonge WJ, van Heurn ELW, Derikx JP. Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: An evaluation of the diagnostic accuracy of the contrast enema. J Pediatr Surg. 2023 Mar;58(3):440-444. doi: 10.1016/j.jpedsurg.2022.06.013. Epub 2022 Jun 25. PMID: 35871857.

Host: Em Tombash

0:00 Introduction

00:53 Effect of transanastomotic feeding tubes on anastomotic strictures in patients with esophageal atresia and tracheoesophageal fistula: The Quebec experience

01:48 Natural history and consequence of patent processus vaginalis: An interim analysis from a multi-institutional prospective observational study

03:04 Primary vs. salvage liver transplantation for biliary atresia: A retrospective cohort study

04:43 Pediatric Social Risk Screening: Leveraging Research to Ensure Equity

06:29 Outro

https://www.jpedsurg.org/article/S0022-3468(21)00625-4/fulltext

LaRusso K, Joharifard S, Lakabi R, Nimer N, Shahi A, Kasasni SM, Lévesque D, Moreau B, Aspirot A, Laberge JM, Faure C, Emil S. Effect of transanastomotic feeding tubes on anastomotic strictures in patients with esophageal atresia and tracheoesophageal fistula: The Quebec experience. J Pediatr Surg. 2022 Jan;57(1):41-44. doi: 10.1016/j.jpedsurg.2021.09.014. Epub 2021 Sep 20. PMID: 34666898.

https://www.jpedsurg.org/article/S0022-3468(22)00603-0/fulltext

Fraser JD, Duran YK, Deans KJ, Downard CD, Fallat ME, Gadepalli SK, Hirschl RB, Lal DR, Landman MP, Leys CM, Mak GZ, Markel TA, Minneci PC, Sato TT, St Peter SD; Midwest Pediatric Surgery Consortium. Natural history and consequence of patent processus vaginalis: An interim analysis from a multi-institutional prospective observational study. J Pediatr Surg. 2023 Jan;58(1):142-145. doi: 10.1016/j.jpedsurg.2022.09.012. Epub 2022 Oct 3. PMID: 36307301.

https://www.jpedsurg.org/article/S0022-3468(22)00004-5/fulltext

Yoeli D, Choudhury RA, Sundaram SS, Mack CL, Roach JP, Karrer FM, Wachs ME, Adams MA. Primary vs. salvage liver transplantation for biliary atresia: A retrospective cohort study. J Pediatr Surg. 2022 Oct;57(10):407-413. doi: 10.1016/j.jpedsurg.2021.12.027. Epub 2022 Jan 10. PMID: 35065808.

https://pubmed.ncbi.nlm.nih.gov/34571253/

Cullen D, Wilson-Hall L, McPeak K, Fein J. Pediatric Social Risk Screening: Leveraging Research to Ensure Equity. Acad Pediatr. 2022 Mar;22(2):190-192. doi: 10.1016/j.acap.2021.09.013. Epub 2021 Sep 24. PMID: 34571253; PMCID: PMC8479442.

1. "Does presence of a VACTERL anomaly predict an associated gynecologic anomaly in females with anorectal malformations?: A Pediatric Colorectal and Pelvic Learning Consortium Study" Hira Ahmad et. al. Full article: https://www.jpedsurg.org/article/S0022-3468(22)00396-7/fulltext

2. "Reconstructing the anal sphincters to reverse iatrogenic overstretching following a pull-through for Hirschsprung disease. One-year outcomes" Elizaveta Bokova et.al. Full article: https://doi.org/10.1016/j.jpedsurg.2022.10.052

3. "Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: An evaluation of the diagnostic accuracy of the contrast enema" Robert Eeftinck Schattenkerk et. al. Full article: https://doi.org/10.1016/j.jpedsurg.2022.06.013

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Tombash

0:00 Intro

0:53 Impact of rectal dissection technique on primary-school-age outcomes for a British and Irish cohort of children with Hirschsprung disease1:46 The Importance of the ileocecal valve and colon in achieving intestinal independence in infants with short bowel syndrome

2:46 Effect of surgeon volume on pediatric thyroid surgery outcomes: A systematic review

3:49 Tissue adhesive, adhesive tape, and sutures for skin closure of paediatric surgical wounds: prospective randomized clinical trial

4:53 Outro

https://www.jpedsurg.org/article/S0022-3468(22)00340-2/fulltext

Allin BSR, Opondo C, Bradnock T, Kenny SE, Kurinczuk JJ, Walker G, Knight M; For and on behalf of the NETS(2HD) collaboration. Impact of rectal dissection technique on primary-school-age outcomes for a British and Irish cohort of children with Hirschsprung disease. J Pediatr Surg. 2022 Dec;57(12):902-911. doi: 10.1016/j.jpedsurg.2022.05.006. Epub 2022 May 20. PMID: 35934524.

https://www.jpedsurg.org/article/S0022-3468(21)00628-X/fulltext

Peters FB, Bone JN, Van Oerle R, Albersheim S, Casey L, Piper H. The Importance of the ileocecal valve and colon in achieving intestinal independence in infants with short bowel syndrome. J Pediatr Surg. 2022 Jan;57(1):117-121. doi: 10.1016/j.jpedsurg.2021.09.028. Epub 2021 Sep 20. PMID: 34696920.

https://www.jpedsurg.org/article/S0022-3468(21)00834-4/fulltext

Olson SL, Ingram ME, Graffy PM, Murphy PM, Tian Y, Samis JH, Josefson JL, Rastatter JC, Raval MV. Effect of surgeon volume on pediatric thyroid surgery outcomes: A systematic review. J Pediatr Surg. 2022 Sep;57(9):208-215. doi: 10.1016/j.jpedsurg.2021.12.005. Epub 2021 Dec 10. PMID: 34980469.

https://pubmed.ncbi.nlm.nih.gov/35913888/

Tandon S, Ensor ND, Pacilli M, Laird AJ, Bortagaray JI, Stunden RJ, Nataraja RM. Tissue adhesive, adhesive tape, and sutures for skin closure of paediatric surgical wounds: prospective randomized clinical trial. Br J Surg. 2022 Oct 14;109(11):1087-1095. doi: 10.1093/bjs/znac254. PMID: 35913888.

In this summary video we are bringing you Dr. Maria del Mar Romero López's research on effects of lung compression in CDH patients.

Host: Em Tombash

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Tombash

00:00 Introduction

00:52 The hidden mortality of pediatric firearm violence

01:57 Interfacility helicopter transport to a tertiary pediatric trauma center

03:15 Tu-be or not tu-be? Is routine endotracheal intubation necessary for successful bedside reduction and primary closure of gastroschisis?

04:03 It is time for TEG in pediatric trauma: unveiling meaningful alterations in children who undergo massive transfusion

04:55 Outro

https://www.jpedsurg.org/article/S0022-3468(22)00010-0/fulltext

Theodorou CM, Beyer CA, Vanover MA, Brown IE, Salcedo ES, Farmer DL, Hirose S, Beres AL. The hidden mortality of pediatric firearm violence. J Pediatr Surg. 2022 May;57(5):897-902. doi: 10.1016/j.jpedsurg.2021.12.031. Epub 2022 Jan 10. PMID: 35093255.

https://www.jpedsurg.org/article/S0022-3468(22)00345-1/fulltext

Patterson KN, Beyene TJ, Bergus K, Stafford J, Wurster L, Thakkar RK. Interfacility helicopter transport to a tertiary pediatric trauma center. J Pediatr Surg. 2022 Nov;57(11):637-643. doi: 10.1016/j.jpedsurg.2022.05.010. Epub 2022 May 16. PMID: 35672168.

https://www.jpedsurg.org/article/S0022-3468(21)00482-6/fulltext

Miyata S, Joharifard S, Trudeau MO, Villeneuve A, Yang J, Bouchard S; Canadian Pediatric Surgery Network (CAPSNet). Tu-be or not tu-be? Is routine endotracheal intubation necessary for successful bedside reduction and primary closure of gastroschisis? J Pediatr Surg. 2022 Mar;57(3):350-355. doi: 10.1016/j.jpedsurg.2021.06.011. Epub 2021 Jul 7. PMID: 34304903.

https://pubmed.ncbi.nlm.nih.gov/34533617/

Phillips R, Moore H, Bensard D, Shahi N, Shirek G, Reppucci ML, Meier M, Recicar J, Acker S, Kim J, Moulton S. It is time for TEG in pediatric trauma: unveiling meaningful alterations in children who undergo massive transfusion. Pediatr Surg Int. 2021 Nov;37(11):1613-1620. doi: 10.1007/s00383-021-04944-9. Epub 2021 Sep 17. PMID: 34533617; PMCID: PMC8445780.

Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Host: Em Tombash

00:00 Introduction

00:41 Embryology & Anatomy

03:44 Complications of Malrotation

04:58 Associated Anomalies

05:36 Symptoms & Differential Diagnosis

06:54 Diagnosis & Imaging

07:53 Surgical Treatment Options

12:21 Summary

12:57 Outro

Visuals to understand the topic better (animations & illustration)

https://www.youtube.com/watch?v=vJA1A0v6Aa4

https://www.youtube.com/watch?v=07_xTYr5IOM

https://www.youtube.com/watch?v=AscKR_cQExY

https://www.dropbox.com/s/sznvq70u1odrvf7/Malrotation%202%2001%20Artboard%201.png?dl=0

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Tombash

00:00 Intro

00:46 Does the mechanism matter?

01:55 Decreased ER visits and readmissions after implementation of a standardized perioperative toolkit for children with IBD

02:47 Anti-reflux surgery in children with congenital diaphragmatic hernia

04:15 Use of Antifibrinolytics in Pediatric Life-Threatening Hemorrhage

05:29 Outro

Does the mechanism matter? Comparing thrombelastography between blunt and penetrating pediatric trauma patients

Stevens J, Phillips R, Reppucci ML, Pickett K, Moore H, Bensard D. J Pediatr Surg. 2022 Jul;57(7):1363-1369. doi: 10.1016/j.jpedsurg.2021.09.010. Epub 2021 Sep 20. PMID: 34588132.

Decreased ER visits and readmissions after implementation of a standardized perioperative toolkit for children with IBDShort SS, Rollins MD, Zobell S, Torres H, Guthery S. J Pediatr Surg. 2022 Apr;57(4):604-609. doi: 10.1016/j.jpedsurg.2021.08.016. Epub 2021 Sep 4. PMID: 34583832.

Anti-reflux surgery in children with congenital diaphragmatic hernia: A prospective cohort study on a controversial practice

Montalva L, Carricaburu E, Sfeir R, Fouquet V, Khen-Dunlop N, Hameury F, Panait N, Arnaud A, Lardy H, Schmitt F, Piolat C, Lavrand F, Ballouhey Q, Scalabre A, Hervieux E, Michel JL, Germouty I, Buisson P, Elbaz F, Lecompte JF, Petit T, Guinot A, Abbo O, Sapin E, Becmeur F, Forgues D, Pons M, Kamdem AF, Berte N, Auger-Hunault M, Benachi A, Bonnard A; French Center for Rare Diseases “Congenital Diaphragmatic Hernia”. J Pediatr Surg. 2022 Dec;57(12):826-833. doi: 10.1016/j.jpedsurg.2022.04.017. Epub 2022 Apr 27. PMID: 35618494.

Use of Antifibrinolytics in Pediatric Life-Threatening Hemorrhage: A Prospective Observational Multicenter Study

Spinella PC, Leonard JC, Gaines BA, Luther JF, Wisniewski SR, Josephson CD, Leeper CM; MAssive Transfusion epidemiology and outcomes In Children (MATIC) Investigators and BloodNet. Crit Care Med. 2022 Apr 1;50(4):e382-e392. doi: 10.1097/CCM.0000000000005383. PMID: 34661553.

Don't forget to like and subscribe to see more entertaining medical educational videos! https://www.youtube.com/channel/UC7tyknq3hgjWGVLgLXqV1pA

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Host: Brittany Levy

Don't forget to like and subscribe to our YouTube channel to see more entertaining medical educational videos!

See more lectures, articles, and more on the StayCurrent app!

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Tombash

Congenital lung malformation patients experience respiratory infections after resection: A population-based cohort study

Markel M, Derraugh G, Lacher M, Iqbal S, Balshaw R, Min SAL, Keijzer R. Congenital lung malformation patients experience respiratory infections after resection: A population-based cohort study. J Pediatr Surg. 2022 May;57(5):829-832. doi: 10.1016/j.jpedsurg.2021.12.042. Epub 2022 Jan 13. PMID: 35151496.

Acid suppression duration does not alter anastomotic stricture rates after esophageal atresia with distal tracheoesophageal fistula repair: A prospective multi-institutional cohort study

Bowder AN, Bence CM, Rymeski BA, Gadepalli SK, Sato TT, Szabo A, Arendonk KV, Minneci PC, Downard CD, Hirschl RB, Markel T, Courtney CM, Deans KJ, Fallat ME, Fraser JD, Grabowski JE, Helmrath MA, Kabre RD, Kohler JE, Landman MP, Lawrence AE, Leys CM, Mak G, Port E, Saito J, Silverberg J, Slidell MB, St Peter SD, Troutt M, Wright TN, Lal DR; Midwest Pediatric Consortium. Acid suppression duration does not alter anastomotic stricture rates after esophageal atresia with distal tracheoesophageal fistula repair: A prospective multi-institutional cohort study. J Pediatr Surg. 2022 Jun;57(6):975-980. doi: 10.1016/j.jpedsurg.2022.02.004. Epub 2022 Feb 14. PMID: 35304025.

Optimizing skin antisepsis for neonatal surgery: A quality improvement initiative

Carr S, Gogal C, Afshar K, Ting J, Skarsgard E. Optimizing skin antisepsis for neonatal surgery: A quality improvement initiative. J Pediatr Surg. 2022 Jul;57(7):1235-1241. doi: 10.1016/j.jpedsurg.2022.02.027. Epub 2022 Mar 13. PMID: 35397873.

Nationwide use of REBOA in adolescent trauma patients: An analysis of the AAST AORTA registry

Theodorou CM, Brenner M, Morrison JJ, Scalea TM, Moore LJ, Cannon J, Seamon M, DuBose JJ, Galante JM; AAST AORTA Study Group. Nationwide use of REBOA in adolescent trauma patients: An analysis of the AAST AORTA registry. Injury. 2020 Nov;51(11):2512-2516. doi: 10.1016/j.injury.2020.08.009. Epub 2020 Aug 8. PMID: 32798039; PMCID: PMC7609470.

This time we are presenting you Management of Esophageal Leaks with Drs.: Carroll "Mac" Harmon Miguel Guelfand Jorge Godoy Michele Ugazzi

Host: Cecilia Gigena

Resources: Mini Endovac creation for esophageal leaks by Dr. Jorge Godoy: https://www.youtube.com/watch?v=3fBFm-o-y_o

Early Management of Esophageal Leak in Esophageal Atresia: Changing Paradigms: www.liebertpub.com/doi/full/10.1089/lap.2020.0099

The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know!

This Year 2023 the Update Course will be held on August 28/29th So Stay tuned for more information

Don't forget to like and subscribe to see more entertaining medical educational podcasts! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Hosts: Brittany Levy

These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Tombash

Why do subcutaneous ports get stuck? A case-control study

Crook JL, Lu Z, Wang X, Henderson N, Proctor KE, Maller VG, Prajapati HJ, Gold RE, Abdelhafeez AH, Talbot LJ, Pui CH, Davidoff AM, Hoffman JM, Murphy AJ. Why do subcutaneous ports get stuck? A case-control study. J Pediatr Surg. 2022 Sep;57(9):229-233. doi: 10.1016/j.jpedsurg.2021.08.003. Epub 2021 Aug 8. PMID: 34456040.

Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study

Vogel I, Eeftinck Schattenkerk LD, Venema E, Pandey K, de Jong JR, Tanis PJ, Gorter R, van Heurn E, Musters GD, Derikx JPM. Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study. J Pediatr Surg. 2022 Oct;57(10):402-406. doi: 10.1016/j.jpedsurg.2021.11.021. Epub 2021 Nov 27. PMID: 34949444.

The natural history of prenatally diagnosed congenital pulmonary airway malformations and bronchopulmonary sequestrations

Karlsson M, Conner P, Ehren H, Bitkover C, Burgos CM. The natural history of prenatally diagnosed congenital pulmonary airway malformations and bronchopulmonary sequestrations. J Pediatr Surg. 2022 Oct;57(10):282-287. doi: 10.1016/j.jpedsurg.2022.03.021. Epub 2022 Mar 26. PMID: 35431039.

Trends in Routine Opioid Dispensing After Common Pediatric Surgeries in the United States: 2014-2019

Sutherland TN, Wunsch H, Newcomb C, Hadland SE, Gaskins L, Neuman MD. Trends in Routine Opioid Dispensing After Common Pediatric Surgeries in the United States: 2014-2019. Pediatrics. 2022 May 1;149(5):e2021054729. doi: 10.1542/peds.2021-054729. PMID: 35373305; PMCID: PMC9386619.

Hosts: Em Tombash, Ellen Encisco and Cecilia Gigena

Articles:

October 2022: "Primary vs. salvage liver transplantation for biliary atresia: A retrospective cohort study" Dor Yoeli, Rashikh A Choudhury, Shikha S Sundaram, Cara L Mack, Jonathan P Roach , Frederick M Karrer, Michael E Wachs, Megan A Adams https://www.jpedsurg.org/article/S0022-3468(22)00004-5/fulltext

November 2022: "Per Oral Endoscopic Myotomy (POEM) for pediatric achalasia: Institutional experience and outcomes" Mikael Petrosyan, Shikib Mostammand, Adil A. Shah, Anil Darbari, Timothy D. Kane https://www.jpedsurg.org/article/S0022-3468(22)00181-6/fulltext

December 2022: "Evaluating the risk of peri-umbilical hernia after sutured or sutureless gastroschisis closure" James A. Fraser, Katherine J. Deans, Mary E. Fallat, Michael Helmrath, Rashmi Kabre, Charles M. Leys, Troy A. Markel, Patrick A. Dillon, Cynthia Downard, Tiffany N. Wright, Samir K. Gadepalli, Julia E. Grabowski, Ronald Hirschl, Kevin N. Johnson, Jonathan E. Kohler, Matthew P. Landman, Grace Z. Mak, Peter C. Minneci, Beth Rymeski, Thomas T. Sato, Bethany J. Slater, Shawn D. St Peter, Jason D. Fraser on behalf of theMidwest Pediatric Surgery Consortium https://www.jpedsurg.org/article/S0022-3468(22)00250-0/fulltext

Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Hosts: Em Tombash, Ramy Shaaban

We separated the latest innovations into two categories; innovations for medical/surgical educational purposes & clinical purposes. In this video we'll explore how medical escape rooms, virtual reality, surgical simulators, game changing patient ID tags and telementoring are innovating healthcare.

A medical escape room is an experience in which a team of players cooperatively discover clues, solve puzzles, and accomplish tasks to complete a medical goal, such as clinical decision making and case management. When used effectively, these rooms can act as a low-cost, high-impact resource for learners.

VR can be used to ease anxiety before procedures or during imaging, and can also help improve post-op pain. In some cases, VR can be used to reduce the need for sedation or general anesthesia during minor surgical procedures.

Telementoring helps experts guide less experienced healthcare professionals from a remote location through telecommunication technology. Previous research has shown that telementoring can be used effectively and reliably as a surgical training aid. There are several technologies available for telementoring, allowing clinicians to virtually ‘scrub in’ to any operating room from anywhere in the world.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Hosts: Ellen Encisco, MD, Em Tombash, MD

With image guided surgery, surgeon uses real-time images of the inside of the body during an operation. These images are generally produced by a combination of X-rays, ultrasound, CT's etc.

Hybrid OR (operating room) at Cincinnati Children’s is a collaboration between Radiology’s Dr. John Racadio and Surgeon-in-Chief Dr. Daniel von Allmen. The hybrid OR offers imaging capabilities in a sterile operating room.

It creates an environment for surgeons and interventional radiologists to combine their individual skills and expertise in order to benefit patient care. The room is equipped with X-ray, fluoroscopy (live X-ray), ultrasound and C-arm Cone Beam computed tomography (CBCT). Surgeons work together in the hybrid OR with interventional radiologists, who specialize in using these imaging technologies.

Imaging can be performed just before the surgery to help plan the procedure, during the surgery to identify important anatomy or disease, and after the surgery to evaluate results in the hybrid OR. Any surgery requiring radiologic imaging including open and minimally invasive surgeries, may take place in the hybrid OR.

The hybrid OR at Cincinnati Children’s opened in 2018 and serves for general surgery, urology, orthopedic surgery, neurosurgery, pulmonology, and many more.

Follow StayCurrent MD on social media!

Instagram: www.instagram.com/staycurrentmd/

Twitter: www.twitter.com/StayCurrentMD

Facebook: www.facebook.com/staycurrentsurgery

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Hope you enjoy it, if you like it give us a like or leave a comment!

And remember this Rewind was made by Cincinnati Children's Hospital to spread information to the world

If you want to see the articles go to the Stay Current app, they are linked below!!!

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download