Stay Current In Pediatric Surgery

We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023.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 GigenaIn 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 Introduction00:41 1st Case Scenario01:00 Is Same day discharge possible?01:29 Literature Review02:51 2nd Case Scenario04:01 Is Same Day Discharge safe?05:33 NSQIP data Analysis06:30 Summary

We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023.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 GigenaIn this session you will learn when it is safe to discharge a patient after a routine laparoscopic cholecystectomy.00:00 Introduction00:37 Case Scenario01:02 Strategies for Same Day discharge01:38 Literature Review02:32 Summary

Learn about the crucial role of ENT surgeons in the multidisciplinary approach to esophageal atresia repair. This video highlights the benefits of a team approach involving pediatric surgeons, ENTs, GIs, pulmonary specialists, speech therapists, and nutritionists.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

We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023.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 GigenaIn 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 Introduction00:38 Case Scenario01:04 Non-operative management02:31 Same day discharge after surgery03:08 NSQIP data analysis04:10 Summary

We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023.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 GigenaIn this session the surgeons discuss about the indications for an uncomplicated buttockabscess. When to treat with antibiotics, when to make an incision and draining (I&D) orwhen it is necessary to do something else.00:00 Introduction00:38 Case Scenario01:09 Is it necessary to keep them overnight?02:06 Literature Review02:49 Summary

In this video we’ll talk about pediatric surgeon’s perspective on improving the care of TEF/EA patients with Dr. Dan von Allmen, Surgeon-in-Chief at Cincinnati Children’s. 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.

In this video we’ll talk about benefits of thoracoscopic tracheoesophageal fistula (TEF) repair in reducing tracheomalacia and improving patient outcomes with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. Here are some highlights: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.

In this video we’ll talk about minimally invasive thoracoscopic tracheoesophageal fistula (TEF) repair with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers: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.

In this video we explore the transformative benefits of thoracoscopic repair for esophageal atresia with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers: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.

In this episode, we're reviewing the management of choledocholithiasis with with Drs. David Vitale from Cincinnati Children's Hospital & Lucas Neff from Wake Forest Baptist. Host: Dr. Cecilia Gigena

In this episode we talk about Liver transplant with Dr. Jonathan Merola, a transplant surgeon from Cincinnati Children's Hospital. (This content was created from the Grand Rounds lecture at CCHMC) Host: Cecilia Gigena

It is already public knowledge that thousands of articles on different pathologies are published every day and that it is very difficult to follow them. In this format we bring you a different way of knowing what is the most up-to-date on a particular topic. In this case, we talked about Cholelithiasis with Dr. Todd Ponsky from Cincinnati Children’s Hospital, Dr. Jose Campos, a Chilean pediatric surgeon part of the Journal Hive team. Hosts: Cecilia Gigena & Em Gootee The articles we mentioned are below, enjoy it! Index Admission Cholecystectomy and Recurrence of Pediatric Gallstone Pancreatitis: Multicenter Cohort Analysis. https://pubmed.ncbi.nlm.nih.gov/35213498/ Machine learning to predict pediatric choledocholithiasis: A Western Pediatric Surgery Research Consortium retrospective study https://pubmed.ncbi.nlm.nih.gov/37580219/ Transcystic Laparoscopic Common Bile Duct Exploration for Pediatric Patients with Choledocholithiasis: A Multi-Center Study https://pubmed.ncbi.nlm.nih.gov/37957103/ Indocyanine

In November 2023 we held the first Intestinal Rehabilitation webinar with Dr. Paul Wales & Dr. Michael Helmrath, 2 experts from the Intestinal Rehab Center at Cincinnati Children's.These are the top 5 key takeaways from this webinar!!

The 11th annual Pediatric Surgery Update Course was held as a webinar on August 29, 2022. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this video we are reviewing the top ten key takeaways from the update course.Host: Em Gootee0:00 Intro0:21 #10 POEM Procedure for Achalasia Treatment1:53 #9 Importance of BCVI Screening in Head Trauma Patients3:12 #8 Who to send home from the OR?4:37 #7 ICG Application for Identification of Sentinel Nodes6:21 #6 Anal Dilation Following PSARP7:58 #5 Ovarian Cryopreservation9:41 #4 Massive Transfusion Protocol (MTP)11:24 #3 Management of Ovarian Torsion12:55 #2 Total Pancreatectomy with Islet Autotransplantation (TPIAT)14:21 #1 Management of Blunt Liver & Spleen TraumaDon'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

We are back with a new episode of the Journal of pediatric surgery series. 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 JaffrayArticles:"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.

In this episode, we review the symptoms, diagnosis and management of pyloric stenosis with Dr. Alex Bondoc, pediatric surgeon from Cincinnati Children's.Host: Em Gootee, Kim PribanKey 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

Join us at the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Register today to be at the forefront of medical excellence. Register: https://globalcastmd.pulse.ly/lih4hjjv28

We are back with another Update Course Rewind video from the Update course in Pediatric Surgery 2023.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/vVnlVlALVMkHost: Cecilia Gigena

We're back with another Update Course Rewind from the 11th annual Update Course held in Cleveland in August 2023. 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

We’re featuring Journal of Pediatric Surgery articles to bring you some of the latest news! This week we are discussing 4 articles from December 2023 issue, with editor Dr. Whit Holcomb and authors Drs. David Diamond, Benjamin Zendejas, Ursula Adams & Michael Phillips Hosts: Cecilia Gigena and Em Gootee Articles: "Successful Adolescent Varicocelectomy Improves Total Motile Sperm Count" Lay R. et al. "Surgical Treatment of Esophageal Anastomotic Stricture After Repair of Esophageal Atresia" Kamran A. et al. "The Role of Diversion During Ileal Pouch Anal Anastomosis (IPAA) Creation in Pediatric Ulcerative Colitis" Adams U. et al. "Birth Admission Length-of-Stay and Hospital Readmission in Children With Congenital Diaphragmatic Hernia" Orlinsky R. et al.