Inguinal hernia repair is the second most common surgery performed by pediatric surgeons. Here, we discuss the basics of diagnosis and management for inguinal hernias with Dr. Meera Kotagal. Special guests Rae Hanke and Gillian Goddard.

Host: Rodrigo Gerardo

Inguinal Hernia: Diagnosis and Management

It's hard to decide which blunt trauma patients need a CT scan. That's why Dr. Christian Streck reviewed the literature and recommendations on when to send a patent to the CT scanner during our 2017 Pediatric Surgery Update Course. Mark your calendars for the next meeting on August 27th, 2021.

Host: Rodrigo Gerardo

Update Course Rewind: CT for Blunt Abdominal Trauma 2017

We’re starting a new series about intestinal rehabilitation and all of its intricacies. We’re joined by Drs. Michael Helmrath and Paul Wales, leaders of the Intestinal Rehabilitation Program at Cincinnati Children’s.

Hosted by: Todd Ponsky, Rod Gerardo, Ellen Encisco

Intestinal rehabilitation, Episode 1:  What is intestinal rehab?

Pediatric surgeons Dr. Daniel Von Allmen and Dr. Todd Ponsky from Cincinnati children's Hospital discussing the technique for treating long gap esophageal atresia.

For additional info please visit:

https://www.youtube.com/c/CincinnatiChildrens/featured
https://www.jpedsurg.org/article/S0022-3468(15)00181-5/fulltext

Treatment for Long Gap Esophageal Atresia: Esophageal Elongation and Replacement

Omphalocele and Gastroschisis are abdominal wall defects encountered in the newborn. Join Dr. Foong-Yen Lim and Dr. Todd Ponsky to discuss the diagnosis and management of abdominal wall defects.

Omphalocele and Gastroschisis with Dr. Lim

Anal fissures, hemorrhoids, and abscesses are not a very comfortable topic, but they are fairly common in the pediatric population. Join Dr. Nelson Rosen for the latest treatment algorithms and recommendations regarding pediatric anal pathology.

Rentea RM, St Peter SD. Pediatric Rectal Prolapse. Clin Colon Rectal Surg. 2018;31(2):108-116. doi:10.1055/s-0037-1609025
https://pubmed.ncbi.nlm.nih.gov/29487493/

Christison-Lagay ER, Hall JF, Wales PW, et al. Nonoperative management of perianal abscess in infants is associated with decreased risk for fistula formation. Pediatrics. 2007;120(3):e548-e552. doi:10.1542/peds.2006-3092
https://pubmed.ncbi.nlm.nih.gov/17682038/

Rosen NG, Gibbs DL, Soffer SZ, Hong A, Sher M, Peña A. The nonoperative management of fistula-in-ano. J Pediatr Surg. 2000;35(6):938-939. doi:10.1053/jpsu.2000.6931
https://pubmed.ncbi.nlm.nih.gov/10873039/

Goddard GR, Lim IIP, Cheng YC, et al. A child presents with perianal symptoms - how often is this Crohn's disease?. J Pediatr Surg. 2021;56(9):1618-1622. doi:10.1016/j.jpedsurg.2020.11.016
https://pubmed.ncbi.nlm.nih.gov/33280851/

00:00 Introduction
01:12 Anal Anatomy
02:18 Anal Fissure
05:26 Hemorrhoids
07:20 Rectal Prolapse
10:26 Perianal Abscess
16:18 Pilonidal Disease

Anal Pathology with Dr. Nelson Rosen

We're back with the January issue of JPS article highlights. This time we're talking to editor Dr. Cassandra Kelleher and authors Drs. Gail Besner, Shahrazad Joharifard and Sarah Stokes with Dr. Todd Ponsky.

Hosts: Ellen Encisco, Em Tombash & Rod Gerardo

Articles:

Brigstock NM, Besner GE. Development of an academic RVU (aRVU) system to promote pediatric surgical academic productivity. Journal of Pediatric Surgery. 2021 Sep 20. https://www.jpedsurg.org/article/S0022-3468(21)00632-1/fulltext

Joharifard S, Trudeau MO, Miyata S, et al. Implementing a standardized gastroschisis protocol significantly increases the rate of primary sutureless closure without compromising closure success or early clinical outcomes. Journal of pediatric surgery. 2021 Sep 30. https://www.jpedsurg.org/article/S0022-3468(21)00641-2/fulltext

Stokes SC, Theodorou CM, Jackson JE, et al. Long-term safety evaluation of placental mesenchymal stromal cells for in utero repair of myelomeningocele in a novel ovine model. Journal of pediatric surgery. 2021 Sep 20. https://www.jpedsurg.org/article/S0022-3468(21)00640-0/fulltext

Journal of Pediatric Surgery Article Review: January 2022 - APSA Issue

The steps for a Thymic Sling procedure are difficult to understand and sometimes more difficult to see. Here, Dr. Brittany Levy, MD will follow Dr. Mike Rutter, MD as he walks her through this complicated procedure but to make things more easily visible, Dr. Levy will be using play dough!

If you want to learn more about pediatric ENT surgery, register for the QUAD Conference, October 10-14th in Cincinnati, OH https://gcmd.co/3vZRQOn

Thymic Sling

We've discussed ARM and PSARP plenty of times on this podcast but what if the patient also has a significant cardiac anomaly? What's the best way to proceed? Dr. Marc Levitt and Dr. Jason Frischer discuss the complex considerations with guest Dr. Megan Durham. 

Host: Rod Gerardo, MD

Colorectal Quiz Episode 32: Anorectal Malformations And Cardiac Anomalies

We're back with the April issue of JPS article highlights. This time we're talking to Dr. Paul Tam and authors Dr. Natalie Lopyan and Dr. Christina Theodorou.

Hosts: Em Tombash, Rod Gerardo, Brittany Levy

Lopyan NM, Perrone EE, Gadepalli SK, et al. Current status of subspecialization in pediatric surgery: A focus on fetal surgery. J Pediatr Surg. 2022;57(4):610-615. doi:10.1016/j.jpedsurg.2021.05.008

Theodorou CM, Stokes SC, Jackson JE, et al. Efficacy of clinical-grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair. J Pediatr Surg. 2022;57(4):753-758. doi:10.1016/j.jpedsurg.2021.05.025

Dzhuma K, Powis M, Vujanic G, et al. Surgical management, staging, and outcomes of Wilms tumours with intravascular extension: Results of the IMPORT study. J Pediatr Surg. 2022;57(4):572-578. doi:10.1016/j.jpedsurg.2021.08.023

Journal of Pediatric Surgery Article Review: April 2022

The diagnosis and management of skin and subcutaneous lesions can be vast. Join Dr. Rebeccah Brown for tips and tricks in identification of pediatric skin and subcutaneous lesions in this Staycurrent Short.

Dermoid Cyst with Dr. Rebeccah Brown

Pediatric trauma is the number one cause of death in kids over 1 year old. Blunt abdominal trauma makes up 80% of those cases. Join Dr. Richard Falcone for a review of work up and management algorithms for pediatric abdominal trauma.

Abdominal Trauma with Dr. Richard Falcone

The differential diagnosis for an ovarian cyst is broad. Join Dr. Roshni Dasgupta for tips and tricks for the work up and management of Ovarian Cysts in pediatric patients.

Ovarian Cysts with Dr. Roshni Dasgupta

Did you miss our 9th Annual Update Course last year? 

Don't worry, we are summarizing our favorite sessions from years past. 

In this episode, Drs. Steven Lee, Shawn St. Peter, Victor García, Steven Rothenberg, Whit Holcomb, & Justin Wagner will talk you through some updates in pain control management and tricks for the Nuss procedure. 

Hosts: Dr Todd Ponsky, Dr Ellen Encisco & Dr Cecilia Gigena

Also, Mark your calendars for our next 10 Annual Update course 2022 in August 30!
Join us: https://globalcastmd.wufoo.com/forms/zjvig871ne79wa/

Update Course Rewind: Pectus Excavatum 2021

Looking forward to seeing you at our 10th Annual Update Course in Pediatric Surgery August 30th for an exciting day of practice changing learning and debate with our friends from Cincinnati Children's Hospital Medical Center, Children's Mercy Kansas City, #APSA, Akron Children's Hospital, #JPedSurg, Mattel Children’s Hospital UCLA & John R. Oishei Children's Hospital!
Register today! https://gcmd.co/3QR4isf
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

10th Annual Update Course in Pediatric Surgery

Here's the June 2022 issue of JPS article highlights. This time we're talking to Dr. Nicole Chandler and authors Drs. Elizabeth Beierle, Marcus Malek, Biren Modi, Amelia Collings and Katherine Flynn O'Brien.

Hosts: Ellen Encisco, Em Tombash

00:00 Introduction
01:56 Impact of “Stay-at-Home” orders on non-accidental trauma - A multi-institutional study
06:22 Metastatic human hepatoblastoma cells exhibit enhanced tumorigenicity, invasiveness and a stem cell-like phenotype
09:18 Interhospital variability in localization techniques for small pulmonary nodules in children- A pediatric surgical oncology research collaborative study
12:26 Puberty and growth in patients with pediatric intestinal failure
15:08 Conclusion

Articles:
Collings AT, Farazi M, Van Arendonk K, Fallat ME, Minneci PC, Sato TT, Speck KE, Deans KJ, Falcone RA, Foley DS, Fraser JD, Keller MS, Kotagal M, Landman MP, Leys CM, Markel T, Rubalcava N, St Peter SD, Flynn-O'Brien KT; Midwest Pediatric Surgery Consortium. Impact of "Stay-at-Home" orders on non-accidental trauma: A multi-institutional study. J Pediatr Surg. 2022 Jun;57(6):1062-1066.
https://www.jpedsurg.org/article/S0022-3468(22)00130-0/fulltext

Marayati R, Julson JR, Bownes LV, Quinn CH, Hutchins SC, Williams AP, Markert HR, Beierle AM, Stewart JE, Hjelmeland AB, Mroczek-Musulman E, Beierle EA. Metastatic human hepatoblastoma cells exhibit enhanced tumorigenicity, invasiveness and a stem cell-like phenotype. J Pediatr Surg. 2022 Jun;57(6):1018-1025.
https://www.jpedsurg.org/article/S0022-3468(22)00129-4/fulltext

Morgan KM, Anderson KT, Johnston ME, Dasgupta R, Crowley JJ, Fahy AS, Lapidus-Krol E, Baertschiger RM, Lautz TB, Many BT, Marquart JP, Gainer H, Lal DR, Rich BS, Glick RD, MacArthur TA, Polites SF, Kastenberg ZJ, Short SS, Meyers RL, Talbot L, Abdelhafeez A, Prajapati H, Davidoff AM, Rubaclava N, Newman E, Ehrlich PF, Rothstein DH, Roach JP, Ladd P, Janek KC, Le HD, Leraas HJ, Tracy ET, Bisset L, Mora MC, Warren P, Aldrink JH, Malek MM. Interhospital variability in localization techniques for small pulmonary nodules in children: A pediatric surgical oncology research collaborative study. J Pediatr Surg. 2022 Jun;57(6):1013-1017.
https://www.jpedsurg.org/article/S0022-3468(22)00139-7/fulltext

Culbreath K, Keefe G, Staffa SJ, Wynne N, Grimstad F, Jimenez L, Jaksic T, Modi BP. Puberty and growth in patients with pediatric intestinal failure. J Pediatr Surg. 2022 Jun;57(6):1045-1049.
https://www.jpedsurg.org/article/S0022-3468(22)00132-4/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

Journal of Pediatric Surgery Article Review: June 2022, AAP Issue

Check out this week's stay current short for a review of the workup and management of ovarian torsion in the pediatric patient, with Dr. Dasgupta.

Ovarian Torsion with Dr. Dasgupta

We're back with a new topic, discussing surgical management with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital.

Hosts: Ellen Encisco & Em Tombash

Resources:
Bianchi A. Intestinal loop lengthening--a technique for increasing small intestinal length. J Pediatr Surg. 1980 Apr;15(2):145-51. doi: 10.1016/s0022-3468(80)80005-4. PMID: 7373489. https://pubmed.ncbi.nlm.nih.gov/7373489/

Bianchi A. Intestinal lengthening: an experimental and clinical review. J R Soc Med. 1984;77 Suppl 3(Suppl 3):35-41. PMID: 6471060; PMCID: PMC1440516. https://pubmed.ncbi.nlm.nih.gov/6471060/

Bianchi A. Longitudinal intestinal lengthening and tailoring: results in 20 children. J R Soc Med. 1997 Aug;90(8):429-32. doi: 10.1177/014107689709000804. PMID: 9306995; PMCID: PMC1296456. https://pubmed.ncbi.nlm.nih.gov/9306995/

Bianchi A. Experience with longitudinal intestinal lengthening and tailoring. Eur J Pediatr Surg. 1999 Aug;9(4):256-9. doi: 10.1055/s-2008-1072258. PMID: 10532271. https://pubmed.ncbi.nlm.nih.gov/10532271/

Kim HB, Fauza D, Garza J, Oh JT, Nurko S, Jaksic T. Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure. J Pediatr Surg. 2003 Mar;38(3):425-9. doi: 10.1053/jpsu.2003.50073. PMID: 12632361. https://pubmed.ncbi.nlm.nih.gov/12632361/

Kim HB, Lee PW, Garza J, Duggan C, Fauza D, Jaksic T. Serial transverse enteroplasty for short bowel syndrome: a case report. J Pediatr Surg. 2003 Jun;38(6):881-5. doi: 10.1016/s0022-3468(03)00115-5. PMID: 12778385. https://pubmed.ncbi.nlm.nih.gov/12778385/

Garnett GM, Kang KH, Jaksic T, Woo RK, Puapong DP, Kim HB, Johnson SM. First STEPs: serial transverse enteroplasty as a primary procedure in neonates with congenital short bowel. J Pediatr Surg. 2014 Jan;49(1):104-7; discussion 108. doi: 10.1016/j.jpedsurg.2013.09.037. Epub 2013 Oct 5. PMID: 24439591. https://pubmed.ncbi.nlm.nih.gov/24439591/

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

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

Intestinal Rehabilitation, Episode 4: Surgical Management, Part 1

Here's the July 2022 issue of JPS article highlights. This time we're talking to Dr. Mary Brindle and authors Drs. Erik Skarsgard, Dunya Moghul and Sophie Carr.

Hosts: Ellen Encisco, Em Tombash, Cecilia Gigena

Articles:

Wang Z, Han Q, Wang J, Yao W, Wang L, Li K. Rapamycin induces autophagy and apoptosis in Kaposiform hemangioendothelioma primary cells in vitro. J Pediatr Surg. 2022 Jul;57(7):1274-1280. doi: 10.1016/j.jpedsurg.2022.02.032. Epub 2022 Mar 13. PMID: 35428493. https://pubmed.ncbi.nlm.nih.gov/35428493/

Moghul D. Mission impossible, made possible: Two GAP Fellows escape from Afghanistan. J Pediatr Surg. 2022 Jul;57(7):1189-1195. doi: 10.1016/j.jpedsurg.2022.02.021. Epub 2022 Feb 27. PMID: 35410710. https://pubmed.ncbi.nlm.nih.gov/35410710/

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. https://pubmed.ncbi.nlm.nih.gov/35397873/

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

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

Journal of Pediatric Surgery Article Review: July 2022, PAPS Issue

We're back with the second part of discussing surgical management with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital.

Hosts: Ellen Encisco & Em Tombash

Don't forget to like and subscribe to see more entertaining medical educational videos!
www.youtube.com/c/StayCurrentMD

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

Intestinal Rehabilitation, Episode 4: Surgical Management, Part 2

Listen to Kathryn LaRusso gave her presentation of "Effect of transanastomotic feeding tubes on anastomotic strictures in patients with esophageal atresia and tracheoesophageal fistula- the Quebec experience" at the first ever Best of the Best in Pediatric Surgery event.

Effect Of Transanastomotic Feeding Tubes On Anastomotic Strictures

Listen to R. Luke Rettig gave his presentation of "Is same day discharge possible following the Nuss repair for pectus excavatum" at the first ever Best of the Best in Pediatric Surgery event.

Is Same Day Discharge Possible Following The Nuss Repair For Pectus Excavatum

We're featuring Journal of Pediatric Surgery articles earlier in the week to bring you some of the latest news! This week we're discussing two articles from the August 2022 issue, with editor Dr. Pablo Laje and authors Drs. Reza Shojaeian and Mehran Hiradfar.
Hosts: Ellen Encisco, Cecilia Gigena, Em Tombash
Articles:
"Sentinel lymph node biopsy in pediatric Wilms tumor" Ramin Sadeghi, Reza Shojaeian, Mehran Hiradfar, Ahmad Mohammadipour, Ali Azadmand, Mahdi Parvizi Mashhadi
DOI:https://doi.org/10.1016/j.jpedsurg.2021.12.037

Extracorporeal Membrane Oxygenation (ECMO) and its complications in newborns with congenital diaphragmatic hernia" Latoya A. Stewart, Rafael Klein-Cloud, Claire Gerall, Lynn L. Simpson, Wendy K. Chung, Vincent P. Duron
DOI:https://doi.org/10.1016/j.jpedsurg.2021.12.028

Stay Current Podcast

Journal of Pediatric Surgery Article Review: August 2022, Part 2

We're featuring Journal of pediatric surgery articles earlier in the week to bring you some of the latest news!

This week we're discussing two articles from the September 2022 issue, with the editor Dr. Whit Holcomb and Authors Drs Andrew Murphy and Hafeez Abdelhafeez

Hosts: Em Tombash and Cecilia Gigena 

Articles: 

"Management of intravascular thrombus in cases of bilateral Wilms tumor or horseshoe kidney"  Pattamon Sutthatarn a , b , Oswaldo Gomez Quevedo a , Joesph Gleason a , c , Andrew M. Davidoffa , d , Andrew J. Murphya , d , ∗

DOI: https://www.jpedsurg.org/article/S0022-3468(21)00534-0/fulltext

"Indocyanine green–guided nephron-sparing surgery for pediatric renal tumors" Abdelhafeez H. Abdelhafeez a , b , ∗, Andrew J. Murphy a , b , Rachel Brennan c , Teresa C. Santiago d , Zhaohua Lu e , Matthew J. Krasin f , John J. Bissler g , Joseph M. Gleason a , h , Andrew M. Davidoff

DOI: https://www.jpedsurg.org/article/S0022-3468(21)00566-2/fulltext

Journal of Pediatric Surgery Article Review: September 2022, Part 1

Join Dr. Todd Ponsky for a refresher on the anatomy, workup, and management of Pediatric Inguinal Hernia. This video has quick hits the surgical trainee needs to know for rounds, exams, and clinical care.

Pediatric Inguinal Hernia with Dr. Todd Ponsky

Dr. José Campos is back, this time helping us review some of the latest literature on the diagnosis and management of pilonidal disease in children. In this podcast, we're reviewing a typical case with Dr. Todd Ponsky and incorporating literature from the last few years.

Hosts: Ellen Encisco, Em Tombash and Cecilia Gigena

Hardy EJO, Herrod PJ, Doleman B, Phillips HG, Ranat R, Lund JN. Surgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysis. https://pubmed.ncbi.nlm.nih.gov/30940347/

Prieto JM, Checchi KD, Kling KM, Ignacio RC, Bickler SW, Saenz NC, Fairbanks TJ, Nicholson SI, Lazar DA. Trephination versus wide excision for the treatment of pediatric pilonidal disease. https://pubmed.ncbi.nlm.nih.gov/31301885/

Erculiani M, Mottadelli G, Carlini C, Barbetta V, Dusio MP, Pini Prato A. Long-term results of EPSiT in children and adolescents: still the right way to go. https://pubmed.ncbi.nlm.nih.gov/35779104/

Şengül S, Güler Y, Çalış H, Kubat M, Karabulut Z. Crystallized phenol treatment vs excision and primary closure in pilonidal sinus disease: A randomized clinical trial in adolescent patients. https://pubmed.ncbi.nlm.nih.gov/33814182/

Case-Based Journal Review: Pilonidal Disease in 2022

We're featuring Journal of Pediatric Surgery articles earlier in the week to bring you some of the latest news! This week we're discussing two articles from the September 2022 issue, with editor Dr. Whit Holcomb and authors Drs. Andrew Murphy, Michelle Yang, Bradly Yoder & Katie Russell

Hosts: Ellen Encisco, Cecilia Gigena.

Articles:

"Why do subcutaneous ports get stuck? A case-control study" Jennifer Crook et.al. https://www.jpedsurg.org/article/S0022-3468(21)00537-6/fulltext 

"Operative repair in congenital diaphragmatic hernia: How long do we really need to wait?" Kyley Cox https://www.jpedsurg.org/article/S0022-3468(22)00091-4/fulltext

Journal of Pediatric Surgery Article Review: September 2022, Part 2

We’re back with the third episode of our image guided surgery video series! In this episode we're discussing deep brain electrode placement with ROSA robot in hybrid OR with some of our Interventional Radiology and Pediatric Neurosurgery colleagues at Cincinnati Children’s Hospital. Our guests are Dr. Francesco Mangano, Dr. John Racadio and Nicole Hilvert. And we’re joined by Dr. Denise Liu, radiology resident at University of Toledo.

Hosts: Rod Gerardo, 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.

Image Guided Surgery Series, Episode 3 - Deep Brain Electrode Placement with ROSA

We are featuring Journal of Pediatric surgery articles earlier this week to bring you some of the latest news!

This week we are discussing two articles from the september 2022 issue  with editor Dr. Whit Holcomb and authors Drs. Raval Mehul and Roman Sydorak

Hosts: Em Tombash, Ellen Encisco and Cecilia Gigena

Articles: 
"Effect of surgeon volume on pediatric thyroid surgery outcomes: A systematic review" Sydney L. Olson et. al. 
https://www.jpedsurg.org/article/S0022-3468(21)00834-4/fulltext

"Same day discharge for pectus excavatum-is it possible?" Luke Rettig et.al.
https://www.jpedsurg.org/article/S0022-3468(21)00114-7/fulltext

Journal of Pediatric Surgery Article Review: September 2022, Part 3

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!

In this session we are summarizing the main topics on this talk.

As hosts we have Brittany Levy and Cecilia Gigena

Topics and articles discussed:

1. Spontaneous pneumothorax

Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax: A Simple Aspiration Test Predicts Need for Operation

Conservative versus Interventional Treatment for Spontaneous Pneumothorax

2. Asymptomatic spontaneous pneumomediastinum

Are esophagrams indicated in pediatric patients with spontaneous pneumomediastinum?

3. Equivocal US for appendicitis

Cost-Effectiveness of Diagnostic Approaches to Suspected Appendicitis in Children

4. Straddle injuries

Pediatric female genital trauma managed under conscious sedation in the emergency department versus general anesthesia in the operating room- a single center comparison of outcomes and cost

5. Loss of consciousness with negative CT

Admission of Pediatric Concussion Injury Patients: Is It Necessary?

6. Intussusception

Outpatient management of intussusception: a systematic review and meta-analysis

7. Skull fractures

Observation for isolated traumatic skull fractures in the pediatric population: unnecessary and costly

Update Course Rewind: ED Utilization 2022

Check out this StayCurrent Short, where Dr. Rebeccah Brown gives us insight into the workup and management of Pilomatrixoma. 

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

Pilomatrixoma with Dr. Rebeccah Brown

Dr. José Campos is back, this time helping us review some of the latest literature on the management of gastroschisis in children. In this podcast, we're reviewing a typical case with Dr. Todd Ponsky and incorporating literature from the last few years.

Hosts: Ellen Encisco, Em Tombash and Cecilia Gigena

Chen Y, Zhao J, Alganabi M, Mesas-Burgos C, Eaton S, Wester T, Pierro A. Elective Delivery versus Expectant Management for Gastroschisis: A Systematic Review and Meta-Analysis. https://pubmed.ncbi.nlm.nih.gov/35817335/

Allin BSR, Opondo C, Kurinczuk JJ, Baird R, Puligandla P, Skarsgard E, Knight M; on behalf of the BAPS-CASS/NETS /CAPSNet/CNN gastroschisis collaborations. Management of Gastroschisis: Results From the NETS2G Study, a Joint British, Irish, and Canadian Prospective Cohort Study of 1268 Infants. https://pubmed.ncbi.nlm.nih.gov/33201118/

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?https://pubmed.ncbi.nlm.nih.gov/34304903/

Fraser JD, Deans KJ, Fallat ME, Helmrath MA, Kabre R, Leys CM, Burns RC, Corkum K, Dillon PA, Downard CD, Gadepalli SK, Grabowski JE, Hernandez E, Hirschl RB, Johnson KN, Kohler JE, Landman MP, Landisch RM, Lawrence AE, Mak GZ, Minneci PC, Rymeski B, Sato TT, Scannell M, Slater BJ, Wilkinson KH, Wright TN, St Peter SD; Midwest Pediatric Surgery Consortium. Sutureless vs sutured abdominal wall closure for gastroschisis: Operative characteristics and early outcomes from the Midwest Pediatric Surgery Consortium. https://pubmed.ncbi.nlm.nih.gov/32151403/

Case-Based Journal Review: Gastroschisis in 2022

We’re back with the fourth episode of our image guided surgery video series! In this episode we're discussing different pulmonary cases in hybrid OR with some of our Interventional Radiology and Pediatric Pulmonologist colleagues at Cincinnati Children’s Hospital. Our guests Drs. Chris Towe, Gregory Burg, Erik Hysinger, John Racadio are joined by Nicole Hilvert and Carolyn Wallace.

Hosts: Ellen Encisco, MD, Em Tombash, MD

0:00 Introduction
2:22 First Case
7:02 Second Case
15:36 Summary

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.

Image Guided Surgery Video Series, Episode 4 - Pulmonary Cases

This is an interactive discussion with Dr Richard Falcone that touches on various topics in pediatric trauma including cervical spine clearance, pancreatic trauma, non-accidental trauma, and the role of labs and FAST exam for blunt abdominal trauma.

Table of contents:
00:00  - Introduction
04:06 - Cervical spine clearance
13:08 - Clearing the C-spine in severe TBI
16:10 - Assessing the C-spine in infants and toddlers
20:48 - Pancreatic trauma - nonoperative vs operative management
27:45 - Screening for non-accidental trauma in children with head injury
33:20 - Ophthalmologic exam for non-accidental trauma
34:32 - Role of labs and FAST exam for blunt abdominal trauma
41:28 - Management of solid organ injury
48:30 - Trauma activation system
54:52 - Closing remarks

Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626
License: http://creativecommons.org/licenses/by/3.0/

Pediatric Trauma

This episode is a review of pediatric ECMO with Dr. Samir Gadepalli, Dr. Alejandra Casar Berazaluce, and Dr. Todd Ponsky.

Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626

ECMO Podcast

Through GlobalCastMD’s world-class network of physicians and technology, any health system can provide their doctors access to ongoing mentoring and education. Companies can leverage this same network to more effectively train physicians on products and use it to help train their own sales force.  Our educational materials aim to provide entertaining, interactive education for anyone, regardless of geography. We truly are:  Dedicated to the rapid advancement of care. Everywhere.

Popular tracks by StayCurrent: Pediatric Surgery