Stay Current in Pediatric Surgery

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

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

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

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.

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

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/

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.

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

We're back with a new episode from the intestinal rehabilitation center at Cincinnati Children's Hospital. This time we're talking about peptides that enteroendocrine cells secretes with Drs. Helmrath and Wales. Hosts: Ellen Encisco, Cecilia Gigena Articles for further reading: Safety and Efficacy of Teduglutide in Pediatric Patients with Intestinal Failure due to Short Bowel Syndrome: A 24-Week, Phase III Study. https://aspenjournals.onlinelibrary.wiley.com/doi/full/10.1002/jpen.1690 Outcomes from a 12-Week, Open-Label, Multicenter Clinical Trial of Teduglutide in Pediatric Short Bowel Syndrome. https://pubmed.ncbi.nlm.nih.gov/27855998/ Experience With Teduglutide in Pediatric Short Bowel Syndrome: First Real-life Data https://pubmed.ncbi.nlm.nih.gov/32804906/ Enteroendocrine cells couple nutrient sensing to nutrient absorption by regulating ion transport. https://www.nature.com/articles/s41467-020-18536-z

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

Listen to Zuopeng Wang gave his presentation of "Rapamycin Induces Autophagy And Apoptosis In Kaposiform Hemangioendothelioma Primary Cells In Vitro" at the first ever Best of the Best in Pediatric Surgery event.

Listen to Isabel Hageman gave her presentation of "Perioperative Opioid Use In Pediatric Inguinal Hernia Patients- A Systematic Review And Retrospective Audit Of Practice" at the first ever Best of the Best in Pediatric Surgery event.

Learn about the importance of collaboration between pediatric surgery and pediatric gastroenterology through a variety of pediatric polyposis syndromes.

Listen to Kayla Briggs gave her presentation of "Fundoplication without Esophagocrural Sutures- Long-term Follow-up from a Randomized Trial" at the first ever Best of the Best in Pediatric Surgery event.

Listen to Lucas Neff gave his presentation of "Balloon Sphincteroplasty in Laparoscopic Common Bile Duct Exploration- Tips, Tricks, and Troubleshooting" at the first ever Best of the Best in Pediatric Surgery event.

Listen to Richard Wagner gave his presentation of "Circular RNA profiles isolated from amniotic fluidscan distinguish between CDH survivors and non-survivers" at the first ever Best of the Best in Pediatric Surgery event.

Listen to Kasra Khalaj gave his presentation of "MicroRNAs in amniotic fluid stem cellextracellular vesicles modulate lung development in experimental congenital diaphragmatic hernia" at the first ever Best of the Best in Pediatric Surgery event.

Listen to Sara Choi gave her presentation of "The use of urine sodium to creatinine ratio as a marker of total body sodium in infants with intestinal failure" at the first ever Best of the Best in Pediatric Surgery event.

Listen to Michael Cowap gave his presentation of "Educational Outcomes in School Age Children with a History of Hirschsprung's Disease" at the first ever Best of the Best in Pediatric Surgery event.

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.

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.

In this episode, hosts Em, Todd and Ramy are talking to Matt Bramlet, MD about his experience on 3D Printing & VR Surgical Planning and implementation of these technologies to their daily practice. About Dr. Matt Bramlet... Dr. Matthew Bramlet is the lead investigator for Advanced Imaging and Modeling at Jump Simulation. He specializes in children with congenital heart disease. In his role as the Director of Congenital Cardiac MRI at OSF HealthCare Children's Hospital of Illinois, Dr. Bramlet combined the program's resources with those at Jump to pioneer anatomically accurate 3D congenital heart models. This expertise has led to Dr. Bramlet becoming a curator with the NIH 3D Print Exchange's Heart Library, a nationwide collaborative effort to improve the education and understanding of congenital cardiac anatomy. He is also an Assistant Professor of Pediatrics in the Pediatric Cardiology department at the University of Illinois College of Medicine Peoria. Listen all episodes of Transforming Healthcare here: https://rss.com/podcasts/transforming-healthcare/

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. Shawn St. Peter and Sachit Anand. Hosts: Ellen Encisco, Cecilia Gigena Articles: Briggs KB, Svetanoff WJ, Fraser JA. Fundoplication without esophagocrural sutures: Long-term follow-up of a randomized clinical trial. Journal of pediatric surgery. 2022 Aug 1;57(8):1499-503. https://www.jpedsurg.org/article/S0022-3468(21)00836-8/fulltext Anand S, Singh A, Krishnan N, Yadav DK. Whether prophylactic intraoperative chest drain insertion in esophageal atresia-tracheoesophageal fistula is an evidence-based practice or just a prejudice: a systematic review and meta-analysis. Journal of Pediatric Surgery. 2021 Jul 8. https://www.jpedsurg.org/article/S0022-3468(21)00487-5/fulltext Check out the app for the companion infographic and more podcasts!

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

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

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

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.

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

All surgeons need to know about vascular access. Here we review some preoperative, operative, and postoperative considerations of pediatric vascular access with Dr. Alex Bondoc from Cincinnati Children's Hospital, including indications, contraindications, work-up considerations, tips for placement, and postoperative considerations. Featuring information about locking solutions with Dr. Paul Wales. Hosts: Rod Gerardo, Ellen Encisco, Brittany Levy Watch the whole video on the app! https://staycurrentapp.app.link/qwI3bwa9ktb

There is a lot to know when it comes to ovarian tumors! Here, Dr. Roshni Dasgupta, from Cincinnati Children's, breaks down the highlights for us. Host: Brittany Levy Check out the video on the app to see all the visuals!

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

Here's the May 2022 issue of JPS article highlights. This time we're talking to Dr. Sonia Buttterworth and authors Drs. Dr. Christina Theodorou, Michael Cowap, Richard Keijzer, Gareth Gilna, and Chad Thorson. Hosts: Ellen Encisco, Brittany Levy, Em Tombash Articles: Theodorou CM, Beyer CA, Vanover MA. The hidden mortality of pediatric firearm violence. https://www.jpedsurg.org/article/S0022-3468(22)00010-0/fulltext Cowap M, Derraugh G, Shawyer AC. Educational outcomes in school age children with a history of isolated Hirschsprung disease are equivalent to their peers. https://www.jpedsurg.org/article/S0022-3468(22)00019-7/fulltext Gilna GP, Stoler J, Saberi RA. Analyzing pediatric bicycle injuries using geo-demographic data. https://www.jpedsurg.org/article/S0022-3468(22)00013-6/fulltext Register for the 2022 Pediatric Surgery Update Course: globalcastmd.wufoo.com/forms/zjvig871ne79wa/. And join us on August 30 at 9 am EDT!

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/

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.

Dr. José Campos is back, this time helping us review some of the latest literature on the diagnosis and management of Esophageal Atresia in children. In this podcast, we're reviewing a typical case with Dr. Todd Ponsky and incorporating literature from the last few years. Hosts: Rod Gerardo, Ellen Encisco and Em Tombash Don't forget to register for the 10th Annual Update Course which will take place on August 30 2022, 9am EST! https://globalcastmd.wufoo.com/forms/zjvig871ne79wa/ Articles if you want to follow along; Lal DR, Gadepalli SK, Downard CD, Ostlie DJ, Minneci PC, Swedler RM, Chelius TH, Cassidy L, Rapp CT, Billmire D, Bruch S, Burns RC, Deans KJ, Fallat ME, Fraser JD, Grabowski J, Hebel F, Helmrath MA, Hirschl RB, Kabre R, Kohler J, Landman MP, Leys CM, Mak GZ, Raque J, Rymeski B, Saito JM, St Peter SD, von Allmen D, Warner BW, Sato TT; Midwest Pediatric Surgery Consortium. Challenging surgical dogma in the management of proximal esophageal atresia with distal tracheoesophageal fistula: Outcomes from the Midwest Pediatric Surgery Consortium. J Pediatr Surg. 2018 Jul;53(7):1267-1272. doi: 10.1016/j.jpedsurg.2017.05.024. Epub 2017 Jun 1. PMID: 28599967. https://pubmed.ncbi.nlm.nih.gov/28599967/ *** 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(21)00625-4/pdf *** Anand S, Singh A, Krishnan N, Yadav DK. Whether prophylactic intraoperative chest drain insertion in esophageal atresia-tracheoesophageal fistula is an evidence-based practice or just a prejudice: A systematic review and meta-analysis. J Pediatr Surg. 2022 Aug;57(8):1554-1560. doi: 10.1016/j.jpedsurg.2021.06.015. Epub 2021 Jul 8. PMID: 34284871. https://pubmed.ncbi.nlm.nih.gov/34284871/ *** Kainth D, Anand S, Singh A, Bajpai M. Impact of preservation of the azygos vein during surgical repair of esophageal atresia-tracheoesophageal fistula (EA-TEF): a systematic review and meta-analysis. Pediatr Surg Int. 2021 Aug;37(8):983-989. doi: 10.1007/s00383-021-04913-2. Epub 2021 Apr 27. PMID: 33907863. https://pubmed.ncbi.nlm.nih.gov/33907863/ 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

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.

The PAPS winner at the Best of the Best in Pediatric Surgery event on April 8th, 2022 was Sophie Carr with her presentation "Optimizing skin antisepsis for neonatal surgery".

The IPEG winner at the Best of the Best in Pediatric Surgery event on April 8th, 2022 was Caressa Chen with her presentation "NoLapse- The Stomal Prolapse Prevention Device".

The APSA winner at the Best of the Best in Pediatric Surgery event on April 8th, 2022 was Nathan Rubalcava with his presentation "A contrast challenge is safe in children with adhesive small bowel obstruction- a multi-institutional review".

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.

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

We're back with the second episode of our image guided surgery video series! In the second part of this episode we're discussing lung nodule resection in hybrid OR with some of our Interventional Radiology and Pediatric Surgery colleagues at Cincinnati Children's Hospital. Our guests are Dr. Anusua "Roshni" Dasgupta, Dr. John Racadio, Dr. Neil Johnson 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. Don't forget to like and subscribe to see more entertaining medical educational videos! Follow StayCurrent MD on social media! Instagram: www.instagram.com/staycurrentmd/ Twitter: www.twitter.com/StayCurrentMD Facebook: www.facebook.com/staycurrentsurgery 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

We're back with the second episode of our image guided surgery video series! In the first part of this episode we're discussing long nodule localization in hybrid OR with some of our Interventional Radiology and Pediatric Surgery colleagues at Cincinnati Children's Hospital. Our guests are Dr. Anusua "Roshni" Dasgupta, Dr. John Racadio, Dr. Neil Johnson and Nicole Hilvert. And we're joined by Dr. Denise Liu, radiology resident at University of Toledo. Hosts: Rod Gerardo, MD, Em Tombash, MD

Check out this week's episode with everything the surgical trainee needs to know about the work up, management, and types of biliary atresia with Dr. Greg Tiao from Cincinnati Children's Hospital.

Gastric volvulus is a rare pathology for the pediatric surgical patient and when it happens, you want to be ready for potential surgical intervention. In this episode, Dr. Jason Frischer discusses the basics of diagnosis and management for gastric volvulus.

Non operative management for traumatic injuries of the spleen is nothing earth shattering today but that's thanks in part to the work of Dr. David Wesson nearly 4 decades ago. In this episode, we go back in time to when Dr. Wesson and the pediatric surgeons at Toronto's Hospital for Sick Children made a lot of people think twice about when to do a splenectomy. Host: Rod Gerardo

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

Are you having difficulty keeping the 5 types of choledochal cyst straight? Each has unique anatomy and management principles. Join Dr. Alexander Bondoc in an overview of Choledochal Cysts for the surgical trainee.

The surgical management for laryngotracheal stenosis has changed a lot over recent years. Here, Dr. Michael Rutter, MD – the director of the Aerodigestive Center at Cincinnati Children's Hospital will discuss the principles of both endoscopic and open airway surgery for these complex pediatric patients. https://bit.ly/3wxLLsY If you want to learn more about pediatric ENT surgery, register for the QUAD Conference, October 10-14th in Cincinnati, OH https://bit.ly/3wqUqMa

Today is #NECday so we went back to a conversation between Dr. Todd Ponsky and Dr. Gail Besner about necrotizing enterocolitis. Enjoy this Stay Current Throwback on NEC. https://pubmed.ncbi.nlm.nih.gov/34506326/