239 timestamped statements
across 30 topics
— auto-found in recorded discussions, each timestamp jumps to the exact moment.
Summaries Alex gave as host are listed separately below.
They found that children in the high compliance group had a statistically significant decrease in rates of superficial surgical site infection when compared to children in the low compliance group, showing that standardization of perioperative care may decrease morbidity and improve outcomes in colorectal surgery.
So it seems like both of these options have their pros and cons with the intercostal nerve carablation group having a decreased total opioid use and decreased length of stay in the hospital, but increased operating room times and increased total cost.
So it seems like both of these options have their pros and cons with the intercostal nerve co ablation group having a decreased total opioid use and decreased length of stay in the hospital, but increased operating room times and increased total cost.
Children in the high compliance group had a statistically significant decrease in rates of superficial surgical site infection when compared to children in the low compliance group
Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review
▶Ep 58 · 0:00
clinicalPatients with anorectal malformations and Hirschsprung's disease need transfer from pediatric to adult providers to manage their colorectal conditions↗
▶Ep 58 · 0:22
epidemiologicalA team from Melbourne, Australia performed a systematic review and meta-analysis on transition of care for these conditions↗
▶Ep 58 · 0:28
epidemiologicalEight studies were found on the topic of transition care for anorectal malformations and Hirschsprung's disease↗
▶Ep 58 · 0:30
guidelineStudies agreed that transitional care should start early in adolescence↗
▶Ep 58 · 0:30
epidemiologicalLittle evidence exists that transfer from pediatric to adult care is happening in a coordinated or timely fashion↗
▶Ep 58 · 0:40
epidemiologicalNo models of transition care were identified in the systematic review↗
▶Ep 58 · 0:43
opinionMore work is needed to ensure children with anorectal malformations and Hirschsprung's disease continue to receive optimal care as they grow older↗
▶Ep 58 · 0:53
quoteDoes this information change your practice at all?↗
Multi-Institutional Analysis of Choledocholithiasis in Pediatric vs Adult Patients
▶Ep 3 · 0:00
quoteCan a surgery first approach be used for the management of cholodocholithiasis in children?↗
▶Ep 3 · 0:11
epidemiologicalDantes et al. performed a multi-center retrospective review of pediatric and adult patients treated for choledocholithiasis between 2018 and 2024↗
▶Ep 3 · 0:22
epidemiological724 patients were included in the study↗
▶Ep 3 · 0:25
clinicalSurgery first approach with upfront laparoscopic cholecystectomy with intraoperative cholangiogram was performed in 201 pediatric patients and 169 adult patients↗
▶Ep 3 · 0:35
clinicalLaparoscopic common bile duct exploration was attempted in 84 children and 140 adults in the surgery first group↗
▶Ep 3 · 0:43
clinicalComplication rates were similar between pediatric and adult patients in the surgery first approach↗
▶Ep 3 · 0:43
clinicalCommon bile duct exploration success was higher in pediatric than adult patients↗
▶Ep 3 · 0:49
opinionA surgery first approach can be a safe and effective tool for managing choledocholithiasis in pediatric patients↗
Multi-Institutional Analysis of Choledocholithiasis in Pediatric vs Adult Patients
▶Ep 6 · 0:00
quoteCan a surgery first approach be used for the management of cholodocholithiasis in children?↗
▶Ep 6 · 0:11
epidemiologicalDantes et al. performed a multi-center retrospective review of pediatric and adult patients treated for choledocholithiasis between 2018 and 2024↗
▶Ep 6 · 0:22
epidemiological724 patients were included in the study↗
▶Ep 6 · 0:25
clinicalSurgery first approach with upfront laparoscopic cholecystectomy with intraoperative cholangiogram was performed in 201 pediatric patients and 169 adult patients↗
▶Ep 6 · 0:35
clinicalLaparoscopic common bile duct exploration was attempted in 84 children and 140 adults in the surgery first group↗
▶Ep 6 · 0:43
clinicalComplication rates were similar between pediatric and adult patients in the surgery first approach↗
▶Ep 6 · 0:43
clinicalCommon bile duct exploration success was higher in pediatric than adult patients↗
▶Ep 6 · 0:49
opinionA surgery first approach can be a safe and effective tool for managing choledocholithiasis in pediatric patients↗
Standardized perioperative care reduces colorectal surgical site infection in children
▶Ep 134 · 0:00
quoteSurgical site infections are a major cause of perioperative morbidity in children undergoing colorectal surgery.↗
▶Ep 134 · 0:00
epidemiologicalSurgical site infections are a major cause of perioperative morbidity in children undergoing colorectal surgery↗
▶Ep 134 · 0:20
clinicalThe Western Pediatric Surgery Research Consortium conducted a prospective cohort study on children undergoing colorectal surgery across 10 hospitals in the US↗
▶Ep 134 · 0:32
clinicalChildren were split into either a high or low compliance group based on adherence to the care bundle↗
▶Ep 134 · 0:32
clinicalThe study utilized an 8-part perioperative care bundle↗
▶Ep 134 · 0:41
clinicalChildren in the high compliance group had a statistically significant decrease in rates of superficial surgical site infection when compared to children in the low compliance group↗
▶Ep 134 · 0:41
opinionStandardization of perioperative care may decrease morbidity and improve outcomes in colorectal surgery↗
▶Ep 134 · 0:41
quoteThey found that children in the high compliance group had a statistically significant decrease in rates of superficial surgical site infection when compared to children in the low compliance group, showing that standardization of perioperative care may decrease morbidity and improve outcomes in colorectal surgery.↗
Quick Literature Updates Episode 14
▶Ep 149 · 2:30
clinicalThoracic epidural and intercostal nerve cryoablation are two options for pain control in patients undergoing a Nuss procedure for pectus excavatum.↗
epidemiologicalDr. Tsai and his team from Penn State conducted a retrospective chart review of kids who underwent Nuss procedure between 2002 and 2020, comparing outcomes and costs of intercostal nerve cryoablation and epidural.↗
▶Ep 149 · 2:56
clinicalThe intercostal nerve cryoablation group had shorter length of stay in the hospital compared to thoracic epidural.↗
▶Ep 149 · 2:56
clinicalThe intercostal nerve cryoablation group had lower total morphine milligram equivalent requirement compared to thoracic epidural.↗
▶Ep 149 · 2:56
clinicalThe intercostal nerve cryoablation group had lower rates of PCA use compared to thoracic epidural.↗
▶Ep 149 · 3:07
clinicalThe intercostal nerve cryoablation group had higher total hospitalization cost compared to thoracic epidural.↗
▶Ep 149 · 3:07
clinicalThe intercostal nerve cryoablation group had longer operative times compared to thoracic epidural.↗
▶Ep 149 · 3:14
opinionBoth intercostal nerve cryoablation and thoracic epidural have pros and cons, with cryoablation showing decreased total opioid use and decreased length of stay but increased operating room times and increased total cost.↗
▶Ep 149 · 3:14
quoteSo it seems like both of these options have their pros and cons with the intercostal nerve carablation group having a decreased total opioid use and decreased length of stay in the hospital, but increased operating room times and increased total cost.↗
Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review
▶Ep 163 · 0:00
clinicalPatients with anorectal malformations and Hirschsprung's disease need transfer from pediatric to adult providers to manage their colorectal conditions↗
▶Ep 163 · 0:22
epidemiologicalA team from Melbourne, Australia performed a systematic review and meta-analysis on transition of care for these conditions↗
▶Ep 163 · 0:28
epidemiologicalEight studies were found on the topic of transition care for anorectal malformations and Hirschsprung's disease↗
▶Ep 163 · 0:30
epidemiologicalLittle evidence exists that transfer from pediatric to adult care is happening in a coordinated or timely fashion↗
▶Ep 163 · 0:30
guidelineStudies agreed that transitional care should start early in adolescence↗
▶Ep 163 · 0:40
epidemiologicalNo models of transition care were identified in the systematic review↗
▶Ep 163 · 0:43
opinionMore work is needed to ensure children with anorectal malformations and Hirschsprung's disease continue to receive optimal care as they grow older↗
▶Ep 163 · 0:53
quoteDoes this information change your practice at all?↗
Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium
▶Ep 165 · 0:00
quoteDoes delayed diagnosis of Hirschrung disease affect postoperative and functional outcomes?↗
▶Ep 165 · 0:12
clinicalThe Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining the relationship between delayed diagnosis of Hirschsprung disease and postoperative/functional outcomes.↗
▶Ep 165 · 0:23
epidemiologicalThe study included 679 patients with Hirschsprung disease from 14 different sites.↗
▶Ep 165 · 0:29
clinicalIncreased age at diagnosis was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 165 · 0:39
clinicalIncreased age at diagnosis was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 165 · 0:49
clinicalNo association was found between age at diagnosis and need for pull-through revision.↗
▶Ep 165 · 0:49
clinicalNo association was found between age at diagnosis and 30-day complication rate after initial pull-through.↗
▶Ep 165 · 0:58
clinicalDelayed diagnosis of Hirschsprung disease affects certain postoperative and functional outcomes in patients.↗
▶Ep 165 · 1:04
quoteDoes this information change your practice at all?↗
Quick Literature Updates Episode 17
▶Ep 172 · 2:51
quoteSo, it seems like delayed diagnosis of Hirschrung's disease does affect certain outcomes in these patients.↗
▶Ep 172 · 2:51
opinionDelayed diagnosis of Hirschsprung disease does affect certain outcomes in these patients.↗
Quick Literature Updates Ep 22
▶Ep 184 · 2:51
quoteDoes this information change your practice at all?↗
Alex's statements about Congenital Pulmonary Airway Malformation4 statements
Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium
▶Ep 9 · 0:00
quoteDoes delayed diagnosis of Hirschrung disease affect postoperative and functional outcomes?↗
▶Ep 9 · 0:12
clinicalThe Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining the relationship between delayed diagnosis of Hirschsprung disease and postoperative/functional outcomes.↗
▶Ep 9 · 0:23
epidemiologicalThe study included 679 patients with Hirschsprung disease from 14 different sites.↗
▶Ep 9 · 0:29
clinicalIncreased age at diagnosis was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 9 · 0:39
clinicalIncreased age at diagnosis was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 9 · 0:49
clinicalNo association was found between age at diagnosis and 30-day complication rate after initial pull-through.↗
▶Ep 9 · 0:49
clinicalNo association was found between age at diagnosis and need for pull-through revision.↗
▶Ep 9 · 0:58
clinicalDelayed diagnosis of Hirschsprung disease affects certain postoperative and functional outcomes in patients.↗
▶Ep 9 · 1:04
quoteDoes this information change your practice at all?↗
Alex's statements about Esophageal Atresia2 statements
epidemiologicalZiegler et al. prospective study included 10 patients with giant omphalocele and 6 with complicated gastroschisis using a traction-assisted abdominal wall closure device (Fascia Tense Pediatric).↗
▶Ep 6 · 2:13
clinicalComplete fascial closure was achieved after a median of 7 days in children with giant omphalocele using the Fascia Tense Pediatric device.↗
▶Ep 6 · 2:13
clinicalComplete fascial closure was achieved after a median of 5 days in children with complicated gastroschisis using the Fascia Tense Pediatric device.↗
▶Ep 6 · 2:23
clinicalNo ventral hernias occurred after a median follow-up of 12 months in patients who underwent traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 6 · 2:23
clinicalNo patients developed abdominal compartment syndrome after traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 6 · 2:29
quoteSo it seems like fascia tense pediatric helps facilitate early fascial closure in these patients.↗
Alex's statements about Hirschsprung disease20 statements
Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review
▶Ep 70 · 0:00
clinicalPatients with anorectal malformations and Hirschsprung's disease need transfer from pediatric to adult providers to manage their colorectal conditions↗
▶Ep 70 · 0:22
epidemiologicalA team from Melbourne, Australia performed a systematic review and meta-analysis on transition of care for these conditions↗
▶Ep 70 · 0:28
epidemiologicalEight studies were found on the topic of transition care for anorectal malformations and Hirschsprung's disease↗
▶Ep 70 · 0:30
guidelineStudies agreed that transitional care should start early in adolescence↗
▶Ep 70 · 0:30
epidemiologicalLittle evidence exists that transfer from pediatric to adult care is happening in a coordinated or timely fashion↗
▶Ep 70 · 0:40
epidemiologicalNo models of transition care were identified in the systematic review↗
▶Ep 70 · 0:43
opinionMore work is needed to ensure children with anorectal malformations and Hirschsprung's disease continue to receive optimal care as they grow older↗
▶Ep 70 · 0:53
quoteDoes this information change your practice at all?↗
Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium
▶Ep 72 · 0:00
quoteDoes delayed diagnosis of Hirschrung disease affect postoperative and functional outcomes?↗
▶Ep 72 · 0:12
clinicalThe Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining the relationship between delayed diagnosis of Hirschsprung disease and postoperative/functional outcomes.↗
▶Ep 72 · 0:23
epidemiologicalThe study included 679 patients with Hirschsprung disease from 14 different sites.↗
▶Ep 72 · 0:29
clinicalIncreased age at diagnosis was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 72 · 0:39
clinicalIncreased age at diagnosis was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 72 · 0:49
clinicalNo association was found between age at diagnosis and 30-day complication rate after initial pull-through.↗
▶Ep 72 · 0:49
clinicalNo association was found between age at diagnosis and need for pull-through revision.↗
▶Ep 72 · 0:58
clinicalDelayed diagnosis of Hirschsprung disease affects certain postoperative and functional outcomes in patients.↗
▶Ep 72 · 1:04
quoteDoes this information change your practice at all?↗
Quick Literature Updates Episode 17
▶Ep 75 · 2:51
opinionDelayed diagnosis of Hirschsprung disease does affect certain outcomes in these patients.↗
▶Ep 75 · 2:51
quoteSo, it seems like delayed diagnosis of Hirschrung's disease does affect certain outcomes in these patients.↗
Quick Literature Updates Ep 22
▶Ep 79 · 2:51
quoteDoes this information change your practice at all?↗
Alex's statements about Intestinal Rehab7 statements
Multi-Institutional Analysis of Choledocholithiasis in Pediatric vs Adult Patients
▶Ep 22 · 0:00
quoteCan a surgery first approach be used for the management of cholodocholithiasis in children?↗
▶Ep 22 · 0:11
epidemiologicalDantes et al. performed a multi-center retrospective review of pediatric and adult patients treated for choledocholithiasis between 2018 and 2024↗
▶Ep 22 · 0:22
epidemiological724 patients were included in the study↗
▶Ep 22 · 0:25
clinicalSurgery first approach with upfront laparoscopic cholecystectomy with intraoperative cholangiogram was performed in 201 pediatric patients and 169 adult patients↗
▶Ep 22 · 0:35
clinicalLaparoscopic common bile duct exploration was attempted in 84 children and 140 adults in the surgery first group↗
▶Ep 22 · 0:43
clinicalCommon bile duct exploration success was higher in pediatric than adult patients↗
▶Ep 22 · 0:43
clinicalComplication rates were similar between pediatric and adult patients in the surgery first approach↗
▶Ep 22 · 0:49
opinionA surgery first approach can be a safe and effective tool for managing choledocholithiasis in pediatric patients↗
Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure
▶Ep 32 · 0:00
clinicalThoracic epidural and intercostal nerve cryoablation are two options for pain control in patients undergoing a Nuss procedure for pectus excavatum↗
▶Ep 32 · 0:00
quoteThoracic epidural and intercostal nerve coagabulations are two options for pain control in patients undergoing a NUS procedure for pectus excavatum.↗
▶Ep 32 · 0:19
clinicalDr. Tsai and his team from Penn State conducted a retrospective chart review looking at kids who underwent a Nuss procedure between 2002 and 2020↗
▶Ep 32 · 0:21
clinicalThe intercostal nerve cryoablation group had lower rates of PCA use compared to thoracic epidural↗
▶Ep 32 · 0:21
clinicalThe intercostal nerve cryoablation group had lower total morphine milligram equivalent requirement compared to thoracic epidural↗
▶Ep 32 · 0:21
clinicalThe intercostal nerve cryoablation group had shorter length of stay in the hospital compared to thoracic epidural↗
▶Ep 32 · 0:44
clinicalThe intercostal nerve cryoablation group had higher total hospitalization cost than the thoracic epidural group↗
▶Ep 32 · 0:44
clinicalThe intercostal nerve cryoablation group had longer operative times compared to thoracic epidural↗
▶Ep 32 · 0:51
opinionBoth intercostal nerve cryoablation and thoracic epidural have pros and cons for pain control following Nuss procedure↗
▶Ep 32 · 0:51
quoteSo it seems like both of these options have their pros and cons with the intercostal nerve co ablation group having a decreased total opioid use and decreased length of stay in the hospital, but increased operating room times and increased total cost.↗
Vacuum Bell Therapy for Pectus Excavatum: Long-term Experience at a Single Center
▶Ep 48 · 0:00
quoteWhat factors affect outcomes in patients with pectus excavatum treated with vacuum valve therapy?↗
▶Ep 48 · 0:13
clinicalThe study was a single institution retrospective chart review conducted from 2012 to 2023↗
▶Ep 48 · 0:20
epidemiological278 patients were included in the analysis↗
▶Ep 48 · 0:23
clinical247 patients had non-excellent corrections with vacuum bell therapy↗
▶Ep 48 · 0:23
clinical31 patients had excellent corrections with vacuum bell therapy↗
▶Ep 48 · 0:29
clinicalInitial chest depth less than 1.5 centimeters is a predictor of positive outcomes↗
▶Ep 48 · 0:29
clinicalExcellent correction was more common in children 8 to 12.9 years old↗
▶Ep 48 · 0:29
clinicalChest wall flexibility is a predictor of positive outcomes↗
▶Ep 48 · 0:41
clinicalImproved outcomes are seen in younger patients with more mild defects and greater chest wall flexibility↗
▶Ep 48 · 0:41
opinionExcellent correction in children with pectus excavatum treated with vacuum bell therapy is uncommon↗
Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium
▶Ep 12 · 0:00
quoteDoes delayed diagnosis of Hirschrung disease affect postoperative and functional outcomes?↗
▶Ep 12 · 0:12
clinicalThe Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining the relationship between delayed diagnosis of Hirschsprung disease and postoperative/functional outcomes.↗
▶Ep 12 · 0:23
epidemiologicalThe study included 679 patients with Hirschsprung disease from 14 different sites.↗
▶Ep 12 · 0:29
clinicalIncreased age at diagnosis was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 12 · 0:39
clinicalIncreased age at diagnosis was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 12 · 0:49
clinicalNo association was found between age at diagnosis and need for pull-through revision.↗
▶Ep 12 · 0:49
clinicalNo association was found between age at diagnosis and 30-day complication rate after initial pull-through.↗
▶Ep 12 · 0:58
clinicalDelayed diagnosis of Hirschsprung disease affects certain postoperative and functional outcomes in patients.↗
▶Ep 12 · 1:04
quoteDoes this information change your practice at all?↗
Alex's statements about Pediatric Oncology11 statements
Standardized perioperative care reduces colorectal surgical site infection in children
▶Ep 5 · 0:00
quoteSurgical site infections are a major cause of perioperative morbidity in children undergoing colorectal surgery.↗
▶Ep 5 · 0:00
epidemiologicalSurgical site infections are a major cause of perioperative morbidity in children undergoing colorectal surgery↗
▶Ep 5 · 0:20
clinicalThe Western Pediatric Surgery Research Consortium conducted a prospective cohort study on children undergoing colorectal surgery across 10 hospitals in the US↗
▶Ep 5 · 0:32
clinicalChildren were split into either a high or low compliance group based on adherence to the care bundle↗
▶Ep 5 · 0:32
clinicalThe study utilized an 8-part perioperative care bundle↗
▶Ep 5 · 0:41
opinionStandardization of perioperative care may decrease morbidity and improve outcomes in colorectal surgery↗
▶Ep 5 · 0:41
clinicalChildren in the high compliance group had a statistically significant decrease in rates of superficial surgical site infection when compared to children in the low compliance group↗
▶Ep 5 · 0:41
quoteThey found that children in the high compliance group had a statistically significant decrease in rates of superficial surgical site infection when compared to children in the low compliance group, showing that standardization of perioperative care may decrease morbidity and improve outcomes in colorectal surgery.↗
clinicalThoracic epidural and intercostal nerve cryoablation are two options for pain control in patients undergoing Nuss procedure for pectus excavatum↗
▶Ep 9 · 2:42
epidemiologicalThe study was a retrospective chart review of kids who underwent Nuss procedure between 2002 and 2020↗
▶Ep 9 · 2:56
clinicalThe intercostal nerve cryoablation group had shorter length of stay in the hospital compared to thoracic epidural↗
▶Ep 9 · 2:56
clinicalThe intercostal nerve cryoablation group had lower total morphine milligram equivalent requirement compared to thoracic epidural↗
▶Ep 9 · 2:56
clinicalThe intercostal nerve cryoablation group had lower rates of PCA use compared to thoracic epidural↗
▶Ep 9 · 3:07
clinicalThe intercostal nerve cryoablation group had higher total hospitalization cost compared to thoracic epidural↗
▶Ep 9 · 3:07
clinicalThe intercostal nerve cryoablation group had longer operative times compared to thoracic epidural↗
▶Ep 9 · 3:14
quoteSo it seems like both of these options have their pros and cons with the intercostal nerve carablation group having a decreased total opioid use and decreased length of stay in the hospital, but increased operating room times and increased total cost.↗
Alex's statements about Venous Thromboembolism1 statement
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
▶Ep 7 · 0:14
host summaryAlex Halpern summarizing a resource: Ziegler et al. performed a prospective study in 10 patients with giant omphalocele and 6 with complicated gastroschisis evaluating a vertical traction device.↗
▶Ep 7 · 0:24
host summaryAlex Halpern summarizing a resource: The study utilized Fascia Tenses Pediatric, a traction-assisted abdominal wall closure device.↗
▶Ep 7 · 0:29
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 7 days in children with giant omphalocele.↗
▶Ep 7 · 0:36
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 5 days in children with complicated gastroschisis.↗
▶Ep 7 · 0:39
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome in the study.↗
▶Ep 7 · 0:39
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months.↗
▶Ep 7 · 0:46
host summaryAlex Halpern summarizing a resource: Fascia Tenses Pediatric helps facilitate early fascial closure in patients with congenital abdominal wall defects.↗
Quick Literature Updates Episode 20
▶Ep 8 · 1:58
host summaryAlex Halpern summarizing a resource: Ziegler et al. prospective study included 10 patients with giant omphalocele and 6 with complicated gastroschisis using a traction-assisted abdominal wall closure device (Fascia Tense Pediatric).↗
▶Ep 8 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 5 days in children with complicated gastroschisis using the Fascia Tense Pediatric device.↗
▶Ep 8 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 7 days in children with giant omphalocele using the Fascia Tense Pediatric device.↗
▶Ep 8 · 2:23
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome after traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 8 · 2:23
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months in patients who underwent traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 8 · 2:29
host summaryAlex Halpern summarizing a resource: So it seems like fascia tense pediatric helps facilitate early fascial closure in these patients.↗
Summaries Alex gave as host · Abdominal Wall Defects42 summaries
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
▶Ep 31 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
▶Ep 31 · 2:11
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 31 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 31 · 2:11
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 31 · 2:11
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
▶Ep 35 · 0:13
host summaryAlex Halpern summarizing a resource: McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis examining feeding outcomes.↗
▶Ep 35 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in length of hospital stay in infants with uncomplicated gastroschisis.↗
▶Ep 35 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in time to reach full enteral feeds in infants with uncomplicated gastroschisis.↗
▶Ep 35 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in duration of parenteral nutrition in infants with uncomplicated gastroschisis.↗
▶Ep 35 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in rates of necrotizing enterocolitis in infants with uncomplicated gastroschisis.↗
▶Ep 35 · 0:24
host summaryAlex Halpern summarizing a resource: Infants with exclusive breast milk intake and those with supplemental or exclusive formula intake had similar outcomes in uncomplicated gastroschisis.↗
▶Ep 35 · 0:44
host summaryAlex Halpern summarizing a resource: Formula intake versus exclusive breast milk intake does not appear to affect outcomes in uncomplicated gastroschisis.↗
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
▶Ep 38 · 0:14
host summaryAlex Halpern summarizing a resource: Ziegler et al. performed a prospective study in 10 patients with giant omphalocele and 6 with complicated gastroschisis evaluating a vertical traction device.↗
▶Ep 38 · 0:24
host summaryAlex Halpern summarizing a resource: The study utilized Fascia Tenses Pediatric, a traction-assisted abdominal wall closure device.↗
▶Ep 38 · 0:29
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 7 days in children with giant omphalocele.↗
▶Ep 38 · 0:36
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 5 days in children with complicated gastroschisis.↗
▶Ep 38 · 0:39
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome in the study.↗
▶Ep 38 · 0:39
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months.↗
▶Ep 38 · 0:46
host summaryAlex Halpern summarizing a resource: Fascia Tenses Pediatric helps facilitate early fascial closure in patients with congenital abdominal wall defects.↗
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
▶Ep 40 · 0:10
host summaryAlex Halpern summarizing a resource: The ABSA Outcomes and Evidence-based Practice Committee performed a systematic review on optimal initial management of gastroschisis.↗
▶Ep 40 · 0:17
host summaryAlex Halpern summarizing a resource: Delivery after 37 weeks is optimal for infants with gastroschisis.↗
▶Ep 40 · 0:21
host summaryAlex Halpern summarizing a resource: Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis.↗
▶Ep 40 · 0:27
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 40 · 0:27
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe and effective.↗
▶Ep 40 · 0:37
host summaryAlex Halpern summarizing a resource: Sutureless repair does not delay feeding or increase length of stay in gastroschisis patients.↗
▶Ep 40 · 0:41
host summaryAlex Halpern summarizing a resource: There is a need for high quality randomized controlled trials to help provide evidence-based care for infants with gastroschisis.↗
Quick Literature Updates Episode 16
▶Ep 40 · 2:08
host summaryAlex Halpern summarizing a resource: The McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis.↗
▶Ep 40 · 2:17
host summaryAlex Halpern summarizing a resource: Infants with uncomplicated gastroschisis who received exclusive breast milk had similar outcomes to those with supplemental or exclusive formula intake.↗
▶Ep 40 · 2:17
host summaryAlex Halpern summarizing a resource: In uncomplicated gastroschisis, there were no significant differences between exclusive breast milk and formula groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis, and length of hospital stay.↗
▶Ep 40 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like formula intake versus exclusive breast milk intake does not really affect outcomes in uncomplicated gastroschisis.↗
Quick Literature Updates Episode 20
▶Ep 42 · 1:58
host summaryAlex Halpern summarizing a resource: Ziegler et al. prospective study included 10 patients with giant omphalocele and 6 with complicated gastroschisis using a traction-assisted abdominal wall closure device (Fascia Tense Pediatric).↗
▶Ep 42 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 7 days in children with giant omphalocele using the Fascia Tense Pediatric device.↗
▶Ep 42 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 5 days in children with complicated gastroschisis using the Fascia Tense Pediatric device.↗
▶Ep 42 · 2:23
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome after traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 42 · 2:23
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months in patients who underwent traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 42 · 2:29
host summaryAlex Halpern summarizing a resource: So it seems like fascia tense pediatric helps facilitate early fascial closure in these patients.↗
Quick Literature Updates Ep 22
▶Ep 43 · 2:11
host summaryAlex Halpern summarizing a resource: The APSA Outcomes and Evidence-based Practice Committee systematic review by Slidell et al. found that delivery after 37 weeks is optimal for gastroschisis.↗
▶Ep 43 · 2:21
host summaryAlex Halpern summarizing a resource: For gastroschisis, prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure.↗
▶Ep 43 · 2:28
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay.↗
▶Ep 43 · 2:28
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 43 · 2:42
host summaryAlex Halpern summarizing a resource: The APSA systematic review concluded that there is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.↗
Summaries Alex gave as host · Anorectal Malformation38 summaries
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: Thoracic epidural and intercostal nerve cryoablation are two options for pain control in patients undergoing a Nuss procedure for pectus excavatum.↗
▶Ep 53 · 2:40
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: Now, what are the benefits of each?↗
▶Ep 53 · 2:42
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: Dr. Tsai and his team from Penn State conducted a retrospective chart review of kids who underwent Nuss procedure between 2002 and 2020, comparing outcomes and costs of intercostal nerve cryoablation and epidural.↗
▶Ep 53 · 2:56
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: The intercostal nerve cryoablation group had shorter length of stay in the hospital compared to thoracic epidural.↗
▶Ep 53 · 2:56
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: The intercostal nerve cryoablation group had lower total morphine milligram equivalent requirement compared to thoracic epidural.↗
▶Ep 53 · 2:56
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: The intercostal nerve cryoablation group had lower rates of PCA use compared to thoracic epidural.↗
▶Ep 53 · 3:07
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: The intercostal nerve cryoablation group had longer operative times compared to thoracic epidural.↗
▶Ep 53 · 3:07
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: The intercostal nerve cryoablation group had higher total hospitalization cost compared to thoracic epidural.↗
▶Ep 53 · 3:14
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: Both intercostal nerve cryoablation and thoracic epidural have pros and cons, with cryoablation showing decreased total opioid use and decreased length of stay but increased operating room times and increased total cost.↗
▶Ep 53 · 3:14
host summaryAlex Halpern summarizes what Dr. Cecily Ghena said: So it seems like both of these options have their pros and cons with the intercostal nerve carablation group having a decreased total opioid use and decreased length of stay in the hospital, but increased operating room times and increased total cost.↗
Quick Literature Updates Episode 18
▶Ep 62 · 2:15
host summaryAlex Halpern summarizing a resource: A systematic review found 8 studies examining transition from pediatric to adult healthcare for colorectal conditions.↗
▶Ep 62 · 2:24
host summaryAlex Halpern summarizing a resource: Studies found little evidence that transfer from pediatric to adult care for colorectal conditions is happening in a coordinated or timely fashion.↗
▶Ep 62 · 2:24
host summaryAlex Halpern summarizing a resource: Studies on transition care for colorectal conditions agreed that transitional care should start early in adolescence.↗
▶Ep 62 · 2:33
host summaryAlex Halpern summarizing a resource: No models of transition care were identified, so it seems like more work is needed to ensure that these children with anorectal malformations and Hirschbung's disease continue to receive optimal care as they grow older.↗
▶Ep 62 · 2:33
host summaryAlex Halpern summarizing a resource: No models of transition care were identified for children with anorectal malformations and Hirschsprung disease transitioning to adult care.↗
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. JPS Articles
▶Ep 67 · 1:34
host summaryAlex Halpern summarizing the discussion: There were no significant differences in any complications between patients discharged same day and those discharged one to two days postoperatively after laparoscopic G-tube placement↗
▶Ep 67 · 1:34
host summaryAlex Halpern summarizing the discussion: Same day discharge rates nearly tripled during the study period for laparoscopic G-tube placement↗
▶Ep 67 · 1:34
host summaryAlex Halpern summarizing the discussion: 5,947 pediatric patients underwent elective laparoscopic gastrostomy tube placement in the study↗
▶Ep 67 · 1:34
host summaryAlex Halpern summarizing the discussion: 4.7% of patients were discharged the same day after laparoscopic G-tube placement↗
▶Ep 67 · 2:24
host summaryAlex Halpern summarizing the discussion: So it seems like same day discharge for pediatric patients after elective laparoscopic gastroestomy tube placement is safe and gaining popularity.↗
▶Ep 67 · 7:40
host summaryAlex Halpern summarizing the discussion: The study found a low occurrence of missed injuries after laparoscopic exploration for penetrating trauma↗
▶Ep 67 · 7:40
host summaryAlex Halpern summarizing the discussion: Laparoscopy for penetrating trauma showed no increase in complications compared to open surgery↗
▶Ep 67 · 7:40
host summaryAlex Halpern summarizing the discussion: The American College of Surgeons study included approximately 1,900 patients with penetrating trauma↗
▶Ep 67 · 7:40
host summaryAlex Halpern summarizing the discussion: Patients who had laparoscopy for penetrating trauma had shorter hospital stays and fewer follow-up procedures↗
▶Ep 67 · 7:40
host summaryAlex Halpern summarizing the discussion: Laparoscopy was performed in 12% of penetrating trauma cases, mainly for stab wounds and at pediatric trauma centers↗
▶Ep 67 · 10:12
host summaryAlex Halpern summarizing the discussion: Non-operatively managed perianal abscess patients had higher risk of abscess recurrence and needing subsequent surgery, but avoided general anesthesia↗
▶Ep 67 · 10:12
host summaryAlex Halpern summarizing the discussion: Surgical management for perianal abscess in infants included general anesthesia, incision and drainage, with some needing fistula treatment↗
▶Ep 67 · 10:12
host summaryAlex Halpern summarizing the discussion: The UK retrospective study included 43 patients managed surgically and 73 managed non-surgically for first episode of perianal abscess in children under 12 months↗
▶Ep 67 · 10:12
host summaryAlex Halpern summarizing the discussion: Non-operative management for perianal abscess in infants included antibiotics, bedside aspiration, and bedside drainage↗
▶Ep 67 · 10:57
host summaryAlex Halpern summarizing the discussion: This study shows the superiority of surgical management for perianal abscess and infants, but decisions should weigh the risks of surgery in anesthesia against the risk of recurrence.↗
Quick Literature Updates Ep 23
▶Ep 71 · 2:01
host summaryAlex Halpern summarizing a resource: A working group of pediatric surgeons from Europe created 19 case scenarios with unexpected events to validate the Clavien-Madadi classification.↗
▶Ep 71 · 2:10
host summaryAlex Halpern summarizing a resource: Surgeons within the European Reference Network of inherited and congenital anomalies rated scenarios based on the Clavien-Dindo classification or the Clavien-Madadi classification.↗
▶Ep 71 · 2:23
host summaryAlex Halpern summarizing a resource: A total of 59 surgeons completed the questionnaire.↗
▶Ep 71 · 2:27
host summaryAlex Halpern summarizing a resource: The Clavian-Matti classification showed significantly better agreement rates and was less frequently considered inaccurate.↗
▶Ep 71 · 2:27
host summaryAlex Halpern summarizing a resource: The Clavien-Madadi classification showed significantly better agreement rates and was less frequently considered inaccurate compared to Clavien-Dindo.↗
▶Ep 71 · 2:34
host summaryAlex Halpern summarizing a resource: More pediatric surgeons preferred using the Clavien-Madadi classification.↗
▶Ep 71 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like the Clavian-Matti classification is both an accurate and useful tool in grading unexpected events in pediatric surgery.↗
▶Ep 71 · 2:38
host summaryAlex Halpern summarizing a resource: The Clavien-Madadi classification is both an accurate and useful tool in grading unexpected events in pediatric surgery.↗
Summaries Alex gave as host · Appendicitis6 summaries
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
Summaries Alex gave as host · Appendicitis6 summaries
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
▶Ep 11 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
▶Ep 11 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 11 · 2:11
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 11 · 2:11
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 11 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
Summaries Alex gave as host · Choledocholithiasis9 summaries
host summaryAlex Halpern summarizing a resource: There was zero C-spine injuries in this entire patient cohort.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: We know that C-collars don't come without risks, and the incidence of C-spine injury in this population is very low.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: There are no clear guidelines as to whether obtunded pediatric patients found down without a known traumatic mechanism of injury should be placed in a cervical collar.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: C-collars don't come without risks.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: The incidence of C-spine injury in obtunded pediatric patients without known traumatic mechanism is very low.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: Dr. Grant and her team from Penn State performed a 10-year retrospective chart review of 464 obtunded pediatric patients without a known traumatic mechanism of injury who presented to their pediatric ICU.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: 8.4% of the 464 obtunded pediatric patients were placed in C-collars.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: Kids placed in C-collars received significantly more imaging.↗
▶Ep 3 · 2:44
host summaryAlex Halpern summarizing a resource: There was zero C-spine injuries in the entire patient cohort of 464 obtunded pediatric patients without known traumatic mechanism.↗
Summaries Alex gave as host · Colorectal / ARM & Hirschsprung30 summaries
host summaryAlex Halpern summarizing a resource: The Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining delayed diagnosis of Hirschsprung disease.↗
▶Ep 172 · 2:16
host summaryAlex Halpern summarizing a resource: The Hirschsprung study included 679 patients from 14 different sites.↗
▶Ep 172 · 2:22
host summaryAlex Halpern summarizing a resource: Increased age at diagnosis of Hirschsprung disease was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 172 · 2:32
host summaryAlex Halpern summarizing a resource: Increasing age at diagnosis of Hirschsprung disease was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 172 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and need for pull-through revision.↗
▶Ep 172 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and 30-day complication rate after initial pull-through.↗
Quick Literature Updates Episode 18
▶Ep 174 · 2:15
host summaryAlex Halpern summarizing a resource: A systematic review found 8 studies examining transition from pediatric to adult healthcare for colorectal conditions.↗
▶Ep 174 · 2:24
host summaryAlex Halpern summarizing a resource: Studies found little evidence that transfer from pediatric to adult care for colorectal conditions is happening in a coordinated or timely fashion.↗
▶Ep 174 · 2:24
host summaryAlex Halpern summarizing a resource: Studies on transition care for colorectal conditions agreed that transitional care should start early in adolescence.↗
▶Ep 174 · 2:33
host summaryAlex Halpern summarizing a resource: No models of transition care were identified, so it seems like more work is needed to ensure that these children with anorectal malformations and Hirschbung's disease continue to receive optimal care as they grow older.↗
▶Ep 174 · 2:33
host summaryAlex Halpern summarizing a resource: No models of transition care were identified for children with anorectal malformations and Hirschsprung disease transitioning to adult care.↗
Quick Literature Updates Ep 22
▶Ep 184 · 2:11
host summaryAlex Halpern summarizing a resource: The APSA Outcomes and Evidence-based Practice Committee systematic review by Slidell et al. found that delivery after 37 weeks is optimal for gastroschisis.↗
▶Ep 184 · 2:21
host summaryAlex Halpern summarizing a resource: For gastroschisis, prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure.↗
▶Ep 184 · 2:28
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay.↗
▶Ep 184 · 2:28
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 184 · 2:42
host summaryAlex Halpern summarizing a resource: The APSA systematic review concluded that there is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.↗
Quick Literature Updates Ep 23
▶Ep 185 · 2:01
host summaryAlex Halpern summarizing a resource: A working group of pediatric surgeons from Europe created 19 case scenarios with unexpected events to validate the Clavien-Madadi classification.↗
▶Ep 185 · 2:10
host summaryAlex Halpern summarizing a resource: Surgeons within the European Reference Network of inherited and congenital anomalies rated scenarios based on the Clavien-Dindo classification or the Clavien-Madadi classification.↗
▶Ep 185 · 2:23
host summaryAlex Halpern summarizing a resource: A total of 59 surgeons completed the questionnaire.↗
▶Ep 185 · 2:27
host summaryAlex Halpern summarizing a resource: The Clavian-Matti classification showed significantly better agreement rates and was less frequently considered inaccurate.↗
▶Ep 185 · 2:27
host summaryAlex Halpern summarizing a resource: The Clavien-Madadi classification showed significantly better agreement rates and was less frequently considered inaccurate compared to Clavien-Dindo.↗
▶Ep 185 · 2:34
host summaryAlex Halpern summarizing a resource: More pediatric surgeons preferred using the Clavien-Madadi classification.↗
▶Ep 185 · 2:38
host summaryAlex Halpern summarizing a resource: The Clavien-Madadi classification is both an accurate and useful tool in grading unexpected events in pediatric surgery.↗
▶Ep 185 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like the Clavian-Matti classification is both an accurate and useful tool in grading unexpected events in pediatric surgery.↗
Quick Literature Updates Ep 26
▶Ep 188 · 2:16
host summaryAlex Halpern summarizing a resource: Zoo et al. used the PHIS database and performed a multi-institutional cohort study of all ARM patients between 2016 and 2022↗
▶Ep 188 · 2:25
host summaryAlex Halpern summarizing a resource: In ARM patients, the rates of actual diagnoses across all hospital encounters were 45.4% vertebral spinal, 77.4% cardiac, 10.2% TEF, 39.9% renal and 15.7% limb↗
▶Ep 188 · 2:40
host summaryAlex Halpern summarizing a resource: 25.8% of female patients with anorectal malformations had a congenital gynecologic malformation diagnosed↗
▶Ep 188 · 2:45
host summaryAlex Halpern summarizing a resource: The most common anomalies associated with ARMs are cardiac, vertebrospinal, renal, and gynecologic↗
▶Ep 188 · 2:45
host summaryAlex Halpern summarizing a resource: So it seems like the most common anomalies associated with ARMs are cardiac, vertebrospinal, renal, and gynecologic.↗
▶Ep 188 · 2:53
host summaryAlex Halpern summarizing a resource: The authors of the ARM screening study suggest changing the VACTERL acronym to VACTERL-GS↗
Summaries Alex gave as host · Congenital Diaphragmatic Hernia6 summaries
host summaryAlex Halpern summarizing a resource: Ziegler et al. prospective study included 10 patients with giant omphalocele and 6 with complicated gastroschisis using a traction-assisted abdominal wall closure device (Fascia Tense Pediatric).↗
▶Ep 35 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 5 days in children with complicated gastroschisis using the Fascia Tense Pediatric device.↗
▶Ep 35 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 7 days in children with giant omphalocele using the Fascia Tense Pediatric device.↗
▶Ep 35 · 2:23
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months in patients who underwent traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 35 · 2:23
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome after traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 35 · 2:29
host summaryAlex Halpern summarizing a resource: So it seems like fascia tense pediatric helps facilitate early fascial closure in these patients.↗
Summaries Alex gave as host · Congenital Diaphragmatic Hernia6 summaries
host summaryAlex Halpern summarizing a resource: Ziegler et al. prospective study included 10 patients with giant omphalocele and 6 with complicated gastroschisis using a traction-assisted abdominal wall closure device (Fascia Tense Pediatric).↗
▶Ep 10 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 5 days in children with complicated gastroschisis using the Fascia Tense Pediatric device.↗
▶Ep 10 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 7 days in children with giant omphalocele using the Fascia Tense Pediatric device.↗
▶Ep 10 · 2:23
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months in patients who underwent traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 10 · 2:23
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome after traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 10 · 2:29
host summaryAlex Halpern summarizing a resource: So it seems like fascia tense pediatric helps facilitate early fascial closure in these patients.↗
Summaries Alex gave as host · Congenital Diaphragmatic Hernia6 summaries
host summaryAlex Halpern summarizing a resource: Ziegler et al. prospective study included 10 patients with giant omphalocele and 6 with complicated gastroschisis using a traction-assisted abdominal wall closure device (Fascia Tense Pediatric).↗
▶Ep 15 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 7 days in children with giant omphalocele using the Fascia Tense Pediatric device.↗
▶Ep 15 · 2:13
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median of 5 days in children with complicated gastroschisis using the Fascia Tense Pediatric device.↗
▶Ep 15 · 2:23
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months in patients who underwent traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 15 · 2:23
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome after traction-assisted closure with Fascia Tense Pediatric.↗
▶Ep 15 · 2:29
host summaryAlex Halpern summarizing a resource: So it seems like fascia tense pediatric helps facilitate early fascial closure in these patients.↗
Summaries Alex gave as host · Congenital Lung Lesions (CPAM)5 summaries
host summaryAlex Halpern summarizing a resource: A systematic review found 8 studies examining transition from pediatric to adult healthcare for colorectal conditions.↗
▶Ep 32 · 2:24
host summaryAlex Halpern summarizing a resource: Studies on transition care for colorectal conditions agreed that transitional care should start early in adolescence.↗
▶Ep 32 · 2:24
host summaryAlex Halpern summarizing a resource: Studies found little evidence that transfer from pediatric to adult care for colorectal conditions is happening in a coordinated or timely fashion.↗
▶Ep 32 · 2:33
host summaryAlex Halpern summarizing a resource: No models of transition care were identified, so it seems like more work is needed to ensure that these children with anorectal malformations and Hirschbung's disease continue to receive optimal care as they grow older.↗
▶Ep 32 · 2:33
host summaryAlex Halpern summarizing a resource: No models of transition care were identified for children with anorectal malformations and Hirschsprung disease transitioning to adult care.↗
Summaries Alex gave as host · Esophageal Atresia11 summaries
host summaryAlex Halpern summarizing a resource: The Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining delayed diagnosis of Hirschsprung disease.↗
▶Ep 32 · 2:16
host summaryAlex Halpern summarizing a resource: The Hirschsprung study included 679 patients from 14 different sites.↗
▶Ep 32 · 2:22
host summaryAlex Halpern summarizing a resource: Increased age at diagnosis of Hirschsprung disease was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 32 · 2:32
host summaryAlex Halpern summarizing a resource: Increasing age at diagnosis of Hirschsprung disease was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 32 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and 30-day complication rate after initial pull-through.↗
▶Ep 32 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and need for pull-through revision.↗
Quick Literature Updates Ep 27
▶Ep 39 · 2:05
host summaryAlex Halpern summarizing a resource: Mina et al. performed a retrospective review of all patients who underwent conservative management of modified Bell stage 2A or greater necrotizing enterocolitis at a single institution from 2011 to 2022.↗
▶Ep 39 · 2:20
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of necrotizing enterocolitis, and 24 of those patients eventually underwent surgery for a post-NEC stricture.↗
▶Ep 39 · 2:29
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 39 · 2:33
host summaryAlex Halpern summarizing a resource: So it seems like post-neck strictures are a common occurrence after conservative management of neck.↗
▶Ep 39 · 2:33
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of necrotizing enterocolitis.↗
Summaries Alex gave as host · Esophageal Atresia11 summaries
host summaryAlex Halpern summarizing a resource: The Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining delayed diagnosis of Hirschsprung disease.↗
▶Ep 61 · 2:16
host summaryAlex Halpern summarizing a resource: The Hirschsprung study included 679 patients from 14 different sites.↗
▶Ep 61 · 2:22
host summaryAlex Halpern summarizing a resource: Increased age at diagnosis of Hirschsprung disease was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 61 · 2:32
host summaryAlex Halpern summarizing a resource: Increasing age at diagnosis of Hirschsprung disease was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 61 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and need for pull-through revision.↗
▶Ep 61 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and 30-day complication rate after initial pull-through.↗
Quick Literature Updates Ep 27
▶Ep 71 · 2:05
host summaryAlex Halpern summarizing a resource: Mina et al. performed a retrospective review of all patients who underwent conservative management of modified Bell stage 2A or greater necrotizing enterocolitis at a single institution from 2011 to 2022.↗
▶Ep 71 · 2:20
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of necrotizing enterocolitis, and 24 of those patients eventually underwent surgery for a post-NEC stricture.↗
▶Ep 71 · 2:29
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 71 · 2:33
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of necrotizing enterocolitis.↗
▶Ep 71 · 2:33
host summaryAlex Halpern summarizing a resource: So it seems like post-neck strictures are a common occurrence after conservative management of neck.↗
Summaries Alex gave as host · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)57 summaries
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
▶Ep 51 · 2:11
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 51 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
▶Ep 51 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 51 · 2:11
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 51 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
▶Ep 55 · 0:13
host summaryAlex Halpern summarizing a resource: McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis examining feeding outcomes.↗
▶Ep 55 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in time to reach full enteral feeds in infants with uncomplicated gastroschisis.↗
▶Ep 55 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in duration of parenteral nutrition in infants with uncomplicated gastroschisis.↗
▶Ep 55 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in length of hospital stay in infants with uncomplicated gastroschisis.↗
▶Ep 55 · 0:24
host summaryAlex Halpern summarizing a resource: Infants with exclusive breast milk intake and those with supplemental or exclusive formula intake had similar outcomes in uncomplicated gastroschisis.↗
▶Ep 55 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in rates of necrotizing enterocolitis in infants with uncomplicated gastroschisis.↗
▶Ep 55 · 0:44
host summaryAlex Halpern summarizing a resource: Formula intake versus exclusive breast milk intake does not appear to affect outcomes in uncomplicated gastroschisis.↗
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
▶Ep 58 · 0:14
host summaryAlex Halpern summarizing a resource: Ziegler et al. performed a prospective study in 10 patients with giant omphalocele and 6 with complicated gastroschisis evaluating a vertical traction device.↗
▶Ep 58 · 0:24
host summaryAlex Halpern summarizing a resource: The study utilized Fascia Tenses Pediatric, a traction-assisted abdominal wall closure device.↗
▶Ep 58 · 0:29
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 7 days in children with giant omphalocele.↗
▶Ep 58 · 0:36
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 5 days in children with complicated gastroschisis.↗
▶Ep 58 · 0:39
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome in the study.↗
▶Ep 58 · 0:39
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months.↗
▶Ep 58 · 0:46
host summaryAlex Halpern summarizing a resource: Fascia Tenses Pediatric helps facilitate early fascial closure in patients with congenital abdominal wall defects.↗
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
▶Ep 60 · 0:10
host summaryAlex Halpern summarizing a resource: The ABSA Outcomes and Evidence-based Practice Committee performed a systematic review on optimal initial management of gastroschisis.↗
▶Ep 60 · 0:17
host summaryAlex Halpern summarizing a resource: Delivery after 37 weeks is optimal for infants with gastroschisis.↗
▶Ep 60 · 0:21
host summaryAlex Halpern summarizing a resource: Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis.↗
▶Ep 60 · 0:27
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe and effective.↗
▶Ep 60 · 0:27
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 60 · 0:37
host summaryAlex Halpern summarizing a resource: Sutureless repair does not delay feeding or increase length of stay in gastroschisis patients.↗
▶Ep 60 · 0:41
host summaryAlex Halpern summarizing a resource: There is a need for high quality randomized controlled trials to help provide evidence-based care for infants with gastroschisis.↗
Quick Literature Updates Episode 16
▶Ep 60 · 2:08
host summaryAlex Halpern summarizing a resource: The McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis.↗
▶Ep 60 · 2:17
host summaryAlex Halpern summarizing a resource: Infants with uncomplicated gastroschisis who received exclusive breast milk had similar outcomes to those with supplemental or exclusive formula intake.↗
▶Ep 60 · 2:17
host summaryAlex Halpern summarizing a resource: In uncomplicated gastroschisis, there were no significant differences between exclusive breast milk and formula groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis, and length of hospital stay.↗
▶Ep 60 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like formula intake versus exclusive breast milk intake does not really affect outcomes in uncomplicated gastroschisis.↗
Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures
▶Ep 62 · 0:13
host summaryAlex Halpern summarizing a resource: A retrospective review by Men et al examined all patients who underwent conservative management of modified Bell stage 2A or greater NEC at a single institution from 2011 to 2022.↗
▶Ep 62 · 0:27
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of NEC in the study period.↗
▶Ep 62 · 0:27
host summaryAlex Halpern summarizing a resource: 24 of 126 patients (19%) who underwent conservative management of NEC eventually required surgery for a post-NEC stricture.↗
▶Ep 62 · 0:36
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 62 · 0:40
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of NEC.↗
▶Ep 62 · 0:40
host summaryAlex Halpern summarizing a resource: So, it seems like post neck strictures are a common occurrence after conservative management of neck.↗
Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model
▶Ep 64 · 0:00
host summaryAlex Halpern summarizing a resource: RIC has been shown to decrease rates of necrotizing enterocolitis in a rat model.↗
▶Ep 64 · 0:16
host summaryAlex Halpern summarizing a resource: Gadal used an established piglet NEC model to test RIC.↗
▶Ep 64 · 0:20
host summaryAlex Halpern summarizing a resource: Piglets were randomly assigned to receive RIC or serve as controls.↗
▶Ep 64 · 0:24
host summaryAlex Halpern summarizing a resource: RIC was initiated at 24 hours of life and consisted of 4 cycles of 4 minutes of arterial occlusion followed by reperfusion.↗
▶Ep 64 · 0:31
host summaryAlex Halpern summarizing a resource: Cycles were repeated every 24 hours in the low frequency group and every 12 hours in the high frequency group.↗
▶Ep 64 · 0:37
host summaryAlex Halpern summarizing a resource: 38 piglets were randomized into the control group, 26 into the low frequency group, and 22 into the high frequency group.↗
▶Ep 64 · 0:45
host summaryAlex Halpern summarizing a resource: High frequency RIC significantly reduced the incidence of NEC when compared to controls.↗
▶Ep 64 · 0:50
host summaryAlex Halpern summarizing a resource: Low frequency RIC did not significantly reduce the incidence of NEC.↗
▶Ep 64 · 0:53
host summaryAlex Halpern summarizing a resource: So it seems like high frequency Rick protects against neck in a piglet model.↗
▶Ep 64 · 0:53
host summaryAlex Halpern summarizing a resource: High frequency RIC protects against NEC in a piglet model.↗
Quick Literature Updates Ep 22
▶Ep 67 · 2:11
host summaryAlex Halpern summarizing a resource: The APSA Outcomes and Evidence-based Practice Committee systematic review by Slidell et al. found that delivery after 37 weeks is optimal for gastroschisis.↗
▶Ep 67 · 2:21
host summaryAlex Halpern summarizing a resource: For gastroschisis, prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure.↗
▶Ep 67 · 2:28
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay.↗
▶Ep 67 · 2:28
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 67 · 2:42
host summaryAlex Halpern summarizing a resource: The APSA systematic review concluded that there is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.↗
Quick Literature Updates Ep 27
▶Ep 68 · 2:05
host summaryAlex Halpern summarizing a resource: Mina et al. performed a retrospective review of all patients who underwent conservative management of modified Bell stage 2A or greater necrotizing enterocolitis at a single institution from 2011 to 2022.↗
▶Ep 68 · 2:20
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of necrotizing enterocolitis, and 24 of those patients eventually underwent surgery for a post-NEC stricture.↗
▶Ep 68 · 2:29
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 68 · 2:33
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of necrotizing enterocolitis.↗
▶Ep 68 · 2:33
host summaryAlex Halpern summarizing a resource: So it seems like post-neck strictures are a common occurrence after conservative management of neck.↗
Summaries Alex gave as host · Gastroschisis22 summaries
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 19 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
▶Ep 23 · 0:10
host summaryAlex Halpern summarizing a resource: The ABSA Outcomes and Evidence-based Practice Committee performed a systematic review on optimal initial management of gastroschisis.↗
▶Ep 23 · 0:17
host summaryAlex Halpern summarizing a resource: Delivery after 37 weeks is optimal for infants with gastroschisis.↗
▶Ep 23 · 0:21
host summaryAlex Halpern summarizing a resource: Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis.↗
▶Ep 23 · 0:27
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 23 · 0:27
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe and effective.↗
▶Ep 23 · 0:37
host summaryAlex Halpern summarizing a resource: Sutureless repair does not delay feeding or increase length of stay in gastroschisis patients.↗
▶Ep 23 · 0:41
host summaryAlex Halpern summarizing a resource: There is a need for high quality randomized controlled trials to help provide evidence-based care for infants with gastroschisis.↗
Quick Literature Updates Episode 16
▶Ep 24 · 2:08
host summaryAlex Halpern summarizing a resource: The McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis.↗
▶Ep 24 · 2:17
host summaryAlex Halpern summarizing a resource: In uncomplicated gastroschisis, there were no significant differences between exclusive breast milk and formula groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis, and length of hospital stay.↗
▶Ep 24 · 2:17
host summaryAlex Halpern summarizing a resource: Infants with uncomplicated gastroschisis who received exclusive breast milk had similar outcomes to those with supplemental or exclusive formula intake.↗
▶Ep 24 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like formula intake versus exclusive breast milk intake does not really affect outcomes in uncomplicated gastroschisis.↗
Quick Literature Updates Ep 22
▶Ep 26 · 2:11
host summaryAlex Halpern summarizing a resource: The APSA Outcomes and Evidence-based Practice Committee systematic review by Slidell et al. found that delivery after 37 weeks is optimal for gastroschisis.↗
▶Ep 26 · 2:21
host summaryAlex Halpern summarizing a resource: For gastroschisis, prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure.↗
▶Ep 26 · 2:28
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay.↗
▶Ep 26 · 2:28
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 26 · 2:42
host summaryAlex Halpern summarizing a resource: The APSA systematic review concluded that there is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.↗
Summaries Alex gave as host · Gastroschisis22 summaries
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 20 · 2:11
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
▶Ep 20 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
▶Ep 20 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 20 · 2:11
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 20 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
▶Ep 24 · 0:10
host summaryAlex Halpern summarizing a resource: The ABSA Outcomes and Evidence-based Practice Committee performed a systematic review on optimal initial management of gastroschisis.↗
▶Ep 24 · 0:17
host summaryAlex Halpern summarizing a resource: Delivery after 37 weeks is optimal for infants with gastroschisis.↗
▶Ep 24 · 0:21
host summaryAlex Halpern summarizing a resource: Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis.↗
▶Ep 24 · 0:27
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe and effective.↗
▶Ep 24 · 0:27
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 24 · 0:37
host summaryAlex Halpern summarizing a resource: Sutureless repair does not delay feeding or increase length of stay in gastroschisis patients.↗
▶Ep 24 · 0:41
host summaryAlex Halpern summarizing a resource: There is a need for high quality randomized controlled trials to help provide evidence-based care for infants with gastroschisis.↗
Quick Literature Updates Episode 16
▶Ep 25 · 2:08
host summaryAlex Halpern summarizing a resource: The McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis.↗
▶Ep 25 · 2:17
host summaryAlex Halpern summarizing a resource: In uncomplicated gastroschisis, there were no significant differences between exclusive breast milk and formula groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis, and length of hospital stay.↗
▶Ep 25 · 2:17
host summaryAlex Halpern summarizing a resource: Infants with uncomplicated gastroschisis who received exclusive breast milk had similar outcomes to those with supplemental or exclusive formula intake.↗
▶Ep 25 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like formula intake versus exclusive breast milk intake does not really affect outcomes in uncomplicated gastroschisis.↗
Quick Literature Updates Ep 22
▶Ep 27 · 2:11
host summaryAlex Halpern summarizing a resource: The APSA Outcomes and Evidence-based Practice Committee systematic review by Slidell et al. found that delivery after 37 weeks is optimal for gastroschisis.↗
▶Ep 27 · 2:21
host summaryAlex Halpern summarizing a resource: For gastroschisis, prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure.↗
▶Ep 27 · 2:28
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay.↗
▶Ep 27 · 2:28
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 27 · 2:42
host summaryAlex Halpern summarizing a resource: The APSA systematic review concluded that there is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.↗
Summaries Alex gave as host · Giant Omphalocele7 summaries
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
▶Ep 5 · 0:14
host summaryAlex Halpern summarizing a resource: Ziegler et al. performed a prospective study in 10 patients with giant omphalocele and 6 with complicated gastroschisis evaluating a vertical traction device.↗
▶Ep 5 · 0:24
host summaryAlex Halpern summarizing a resource: The study utilized Fascia Tenses Pediatric, a traction-assisted abdominal wall closure device.↗
▶Ep 5 · 0:29
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 7 days in children with giant omphalocele.↗
▶Ep 5 · 0:36
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 5 days in children with complicated gastroschisis.↗
▶Ep 5 · 0:39
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months.↗
▶Ep 5 · 0:39
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome in the study.↗
▶Ep 5 · 0:46
host summaryAlex Halpern summarizing a resource: Fascia Tenses Pediatric helps facilitate early fascial closure in patients with congenital abdominal wall defects.↗
Summaries Alex gave as host · Giant Omphalocele7 summaries
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
▶Ep 5 · 0:14
host summaryAlex Halpern summarizing a resource: Ziegler et al. performed a prospective study in 10 patients with giant omphalocele and 6 with complicated gastroschisis evaluating a vertical traction device.↗
▶Ep 5 · 0:24
host summaryAlex Halpern summarizing a resource: The study utilized Fascia Tenses Pediatric, a traction-assisted abdominal wall closure device.↗
▶Ep 5 · 0:29
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 7 days in children with giant omphalocele.↗
▶Ep 5 · 0:36
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 5 days in children with complicated gastroschisis.↗
▶Ep 5 · 0:39
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months.↗
▶Ep 5 · 0:39
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome in the study.↗
▶Ep 5 · 0:46
host summaryAlex Halpern summarizing a resource: Fascia Tenses Pediatric helps facilitate early fascial closure in patients with congenital abdominal wall defects.↗
Summaries Alex gave as host · Hirschsprung disease19 summaries
host summaryAlex Halpern summarizing a resource: The Pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 examining delayed diagnosis of Hirschsprung disease.↗
▶Ep 75 · 2:16
host summaryAlex Halpern summarizing a resource: The Hirschsprung study included 679 patients from 14 different sites.↗
▶Ep 75 · 2:22
host summaryAlex Halpern summarizing a resource: Increased age at diagnosis of Hirschsprung disease was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure.↗
▶Ep 75 · 2:32
host summaryAlex Halpern summarizing a resource: Increasing age at diagnosis of Hirschsprung disease was associated with an increased risk of constipation or incontinence requiring intervention postoperatively.↗
▶Ep 75 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and need for pull-through revision.↗
▶Ep 75 · 2:42
host summaryAlex Halpern summarizing a resource: The Hirschsprung study did not find an association between age at diagnosis and 30-day complication rate after initial pull-through.↗
Quick Literature Updates Ep 22
▶Ep 79 · 2:11
host summaryAlex Halpern summarizing a resource: The APSA Outcomes and Evidence-based Practice Committee systematic review by Slidell et al. found that delivery after 37 weeks is optimal for gastroschisis.↗
▶Ep 79 · 2:21
host summaryAlex Halpern summarizing a resource: For gastroschisis, prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure.↗
▶Ep 79 · 2:28
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 79 · 2:28
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay.↗
▶Ep 79 · 2:42
host summaryAlex Halpern summarizing a resource: The APSA systematic review concluded that there is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.↗
Quick Literature Updates Ep 23
▶Ep 80 · 2:01
host summaryAlex Halpern summarizing a resource: A working group of pediatric surgeons from Europe created 19 case scenarios with unexpected events to validate the Clavien-Madadi classification.↗
▶Ep 80 · 2:10
host summaryAlex Halpern summarizing a resource: Surgeons within the European Reference Network of inherited and congenital anomalies rated scenarios based on the Clavien-Dindo classification or the Clavien-Madadi classification.↗
▶Ep 80 · 2:23
host summaryAlex Halpern summarizing a resource: A total of 59 surgeons completed the questionnaire.↗
▶Ep 80 · 2:27
host summaryAlex Halpern summarizing a resource: The Clavien-Madadi classification showed significantly better agreement rates and was less frequently considered inaccurate compared to Clavien-Dindo.↗
▶Ep 80 · 2:27
host summaryAlex Halpern summarizing a resource: The Clavian-Matti classification showed significantly better agreement rates and was less frequently considered inaccurate.↗
▶Ep 80 · 2:34
host summaryAlex Halpern summarizing a resource: More pediatric surgeons preferred using the Clavien-Madadi classification.↗
▶Ep 80 · 2:38
host summaryAlex Halpern summarizing a resource: The Clavien-Madadi classification is both an accurate and useful tool in grading unexpected events in pediatric surgery.↗
▶Ep 80 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like the Clavian-Matti classification is both an accurate and useful tool in grading unexpected events in pediatric surgery.↗
Summaries Alex gave as host · Intestinal Rehab57 summaries
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 75 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
▶Ep 75 · 2:11
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 75 · 2:11
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
▶Ep 75 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 75 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
▶Ep 84 · 0:13
host summaryAlex Halpern summarizing a resource: McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis examining feeding outcomes.↗
▶Ep 84 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in time to reach full enteral feeds in infants with uncomplicated gastroschisis.↗
▶Ep 84 · 0:24
host summaryAlex Halpern summarizing a resource: Infants with exclusive breast milk intake and those with supplemental or exclusive formula intake had similar outcomes in uncomplicated gastroschisis.↗
▶Ep 84 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in duration of parenteral nutrition in infants with uncomplicated gastroschisis.↗
▶Ep 84 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in rates of necrotizing enterocolitis in infants with uncomplicated gastroschisis.↗
▶Ep 84 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in length of hospital stay in infants with uncomplicated gastroschisis.↗
▶Ep 84 · 0:44
host summaryAlex Halpern summarizing a resource: Formula intake versus exclusive breast milk intake does not appear to affect outcomes in uncomplicated gastroschisis.↗
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
▶Ep 87 · 0:14
host summaryAlex Halpern summarizing a resource: Ziegler et al. performed a prospective study in 10 patients with giant omphalocele and 6 with complicated gastroschisis evaluating a vertical traction device.↗
▶Ep 87 · 0:24
host summaryAlex Halpern summarizing a resource: The study utilized Fascia Tenses Pediatric, a traction-assisted abdominal wall closure device.↗
▶Ep 87 · 0:29
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 7 days in children with giant omphalocele.↗
▶Ep 87 · 0:36
host summaryAlex Halpern summarizing a resource: Complete fascial closure was achieved after a median time of 5 days in children with complicated gastroschisis.↗
▶Ep 87 · 0:39
host summaryAlex Halpern summarizing a resource: No ventral hernias occurred after a median follow-up of 12 months.↗
▶Ep 87 · 0:39
host summaryAlex Halpern summarizing a resource: No patients developed abdominal compartment syndrome in the study.↗
▶Ep 87 · 0:46
host summaryAlex Halpern summarizing a resource: Fascia Tenses Pediatric helps facilitate early fascial closure in patients with congenital abdominal wall defects.↗
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
▶Ep 90 · 0:10
host summaryAlex Halpern summarizing a resource: The ABSA Outcomes and Evidence-based Practice Committee performed a systematic review on optimal initial management of gastroschisis.↗
▶Ep 90 · 0:17
host summaryAlex Halpern summarizing a resource: Delivery after 37 weeks is optimal for infants with gastroschisis.↗
▶Ep 90 · 0:21
host summaryAlex Halpern summarizing a resource: Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis.↗
▶Ep 90 · 0:27
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 90 · 0:27
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe and effective.↗
▶Ep 90 · 0:37
host summaryAlex Halpern summarizing a resource: Sutureless repair does not delay feeding or increase length of stay in gastroschisis patients.↗
▶Ep 90 · 0:41
host summaryAlex Halpern summarizing a resource: There is a need for high quality randomized controlled trials to help provide evidence-based care for infants with gastroschisis.↗
Quick Literature Updates Episode 16
▶Ep 90 · 2:08
host summaryAlex Halpern summarizing a resource: The McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis.↗
▶Ep 90 · 2:17
host summaryAlex Halpern summarizing a resource: In uncomplicated gastroschisis, there were no significant differences between exclusive breast milk and formula groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis, and length of hospital stay.↗
▶Ep 90 · 2:17
host summaryAlex Halpern summarizing a resource: Infants with uncomplicated gastroschisis who received exclusive breast milk had similar outcomes to those with supplemental or exclusive formula intake.↗
▶Ep 90 · 2:38
host summaryAlex Halpern summarizing a resource: So it seems like formula intake versus exclusive breast milk intake does not really affect outcomes in uncomplicated gastroschisis.↗
Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures
▶Ep 92 · 0:13
host summaryAlex Halpern summarizing a resource: A retrospective review by Men et al examined all patients who underwent conservative management of modified Bell stage 2A or greater NEC at a single institution from 2011 to 2022.↗
▶Ep 92 · 0:27
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of NEC in the study period.↗
▶Ep 92 · 0:27
host summaryAlex Halpern summarizing a resource: 24 of 126 patients (19%) who underwent conservative management of NEC eventually required surgery for a post-NEC stricture.↗
▶Ep 92 · 0:36
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 92 · 0:40
host summaryAlex Halpern summarizing a resource: So, it seems like post neck strictures are a common occurrence after conservative management of neck.↗
▶Ep 92 · 0:40
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of NEC.↗
Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model
▶Ep 95 · 0:00
host summaryAlex Halpern summarizing a resource: RIC has been shown to decrease rates of necrotizing enterocolitis in a rat model.↗
▶Ep 95 · 0:16
host summaryAlex Halpern summarizing a resource: Gadal used an established piglet NEC model to test RIC.↗
▶Ep 95 · 0:20
host summaryAlex Halpern summarizing a resource: Piglets were randomly assigned to receive RIC or serve as controls.↗
▶Ep 95 · 0:24
host summaryAlex Halpern summarizing a resource: RIC was initiated at 24 hours of life and consisted of 4 cycles of 4 minutes of arterial occlusion followed by reperfusion.↗
▶Ep 95 · 0:31
host summaryAlex Halpern summarizing a resource: Cycles were repeated every 24 hours in the low frequency group and every 12 hours in the high frequency group.↗
▶Ep 95 · 0:37
host summaryAlex Halpern summarizing a resource: 38 piglets were randomized into the control group, 26 into the low frequency group, and 22 into the high frequency group.↗
▶Ep 95 · 0:45
host summaryAlex Halpern summarizing a resource: High frequency RIC significantly reduced the incidence of NEC when compared to controls.↗
▶Ep 95 · 0:50
host summaryAlex Halpern summarizing a resource: Low frequency RIC did not significantly reduce the incidence of NEC.↗
▶Ep 95 · 0:53
host summaryAlex Halpern summarizing a resource: High frequency RIC protects against NEC in a piglet model.↗
▶Ep 95 · 0:53
host summaryAlex Halpern summarizing a resource: So it seems like high frequency Rick protects against neck in a piglet model.↗
Quick Literature Updates Ep 22
▶Ep 98 · 2:11
host summaryAlex Halpern summarizing a resource: The APSA Outcomes and Evidence-based Practice Committee systematic review by Slidell et al. found that delivery after 37 weeks is optimal for gastroschisis.↗
▶Ep 98 · 2:21
host summaryAlex Halpern summarizing a resource: For gastroschisis, prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure.↗
▶Ep 98 · 2:28
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay.↗
▶Ep 98 · 2:28
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 98 · 2:42
host summaryAlex Halpern summarizing a resource: The APSA systematic review concluded that there is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.↗
Quick Literature Updates Ep 27
▶Ep 99 · 2:05
host summaryAlex Halpern summarizing a resource: Mina et al. performed a retrospective review of all patients who underwent conservative management of modified Bell stage 2A or greater necrotizing enterocolitis at a single institution from 2011 to 2022.↗
▶Ep 99 · 2:20
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of necrotizing enterocolitis, and 24 of those patients eventually underwent surgery for a post-NEC stricture.↗
▶Ep 99 · 2:29
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 99 · 2:33
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of necrotizing enterocolitis.↗
▶Ep 99 · 2:33
host summaryAlex Halpern summarizing a resource: So it seems like post-neck strictures are a common occurrence after conservative management of neck.↗
Summaries Alex gave as host · Necrotizing Enterocolitis23 summaries
Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
▶Ep 22 · 0:13
host summaryAlex Halpern summarizing a resource: McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis examining feeding outcomes.↗
▶Ep 22 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in rates of necrotizing enterocolitis in infants with uncomplicated gastroschisis.↗
▶Ep 22 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in length of hospital stay in infants with uncomplicated gastroschisis.↗
▶Ep 22 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in duration of parenteral nutrition in infants with uncomplicated gastroschisis.↗
▶Ep 22 · 0:24
host summaryAlex Halpern summarizing a resource: Infants with exclusive breast milk intake and those with supplemental or exclusive formula intake had similar outcomes in uncomplicated gastroschisis.↗
▶Ep 22 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in time to reach full enteral feeds in infants with uncomplicated gastroschisis.↗
▶Ep 22 · 0:44
host summaryAlex Halpern summarizing a resource: Formula intake versus exclusive breast milk intake does not appear to affect outcomes in uncomplicated gastroschisis.↗
Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures
▶Ep 23 · 0:13
host summaryAlex Halpern summarizing a resource: A retrospective review by Men et al examined all patients who underwent conservative management of modified Bell stage 2A or greater NEC at a single institution from 2011 to 2022.↗
▶Ep 23 · 0:27
host summaryAlex Halpern summarizing a resource: 24 of 126 patients (19%) who underwent conservative management of NEC eventually required surgery for a post-NEC stricture.↗
▶Ep 23 · 0:27
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of NEC in the study period.↗
▶Ep 23 · 0:36
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 23 · 0:40
host summaryAlex Halpern summarizing a resource: So, it seems like post neck strictures are a common occurrence after conservative management of neck.↗
▶Ep 23 · 0:40
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of NEC.↗
Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model
▶Ep 25 · 0:00
host summaryAlex Halpern summarizing a resource: RIC has been shown to decrease rates of necrotizing enterocolitis in a rat model.↗
▶Ep 25 · 0:16
host summaryAlex Halpern summarizing a resource: Gadal used an established piglet NEC model to test RIC.↗
▶Ep 25 · 0:20
host summaryAlex Halpern summarizing a resource: Piglets were randomly assigned to receive RIC or serve as controls.↗
▶Ep 25 · 0:24
host summaryAlex Halpern summarizing a resource: RIC was initiated at 24 hours of life and consisted of 4 cycles of 4 minutes of arterial occlusion followed by reperfusion.↗
▶Ep 25 · 0:31
host summaryAlex Halpern summarizing a resource: Cycles were repeated every 24 hours in the low frequency group and every 12 hours in the high frequency group.↗
▶Ep 25 · 0:37
host summaryAlex Halpern summarizing a resource: 38 piglets were randomized into the control group, 26 into the low frequency group, and 22 into the high frequency group.↗
▶Ep 25 · 0:45
host summaryAlex Halpern summarizing a resource: High frequency RIC significantly reduced the incidence of NEC when compared to controls.↗
▶Ep 25 · 0:50
host summaryAlex Halpern summarizing a resource: Low frequency RIC did not significantly reduce the incidence of NEC.↗
▶Ep 25 · 0:53
host summaryAlex Halpern summarizing a resource: High frequency RIC protects against NEC in a piglet model.↗
▶Ep 25 · 0:53
host summaryAlex Halpern summarizing a resource: So it seems like high frequency Rick protects against neck in a piglet model.↗
Summaries Alex gave as host · Necrotizing Enterocolitis23 summaries
Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
▶Ep 17 · 0:13
host summaryAlex Halpern summarizing a resource: McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis examining feeding outcomes.↗
▶Ep 17 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in length of hospital stay in infants with uncomplicated gastroschisis.↗
▶Ep 17 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in rates of necrotizing enterocolitis in infants with uncomplicated gastroschisis.↗
▶Ep 17 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in duration of parenteral nutrition in infants with uncomplicated gastroschisis.↗
▶Ep 17 · 0:24
host summaryAlex Halpern summarizing a resource: No significant differences were found between exclusive breast milk and formula groups in time to reach full enteral feeds in infants with uncomplicated gastroschisis.↗
▶Ep 17 · 0:24
host summaryAlex Halpern summarizing a resource: Infants with exclusive breast milk intake and those with supplemental or exclusive formula intake had similar outcomes in uncomplicated gastroschisis.↗
▶Ep 17 · 0:44
host summaryAlex Halpern summarizing a resource: Formula intake versus exclusive breast milk intake does not appear to affect outcomes in uncomplicated gastroschisis.↗
Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures
▶Ep 18 · 0:13
host summaryAlex Halpern summarizing a resource: A retrospective review by Men et al examined all patients who underwent conservative management of modified Bell stage 2A or greater NEC at a single institution from 2011 to 2022.↗
▶Ep 18 · 0:27
host summaryAlex Halpern summarizing a resource: 24 of 126 patients (19%) who underwent conservative management of NEC eventually required surgery for a post-NEC stricture.↗
▶Ep 18 · 0:27
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of NEC in the study period.↗
▶Ep 18 · 0:36
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 18 · 0:40
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of NEC.↗
▶Ep 18 · 0:40
host summaryAlex Halpern summarizing a resource: So, it seems like post neck strictures are a common occurrence after conservative management of neck.↗
Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model
▶Ep 20 · 0:00
host summaryAlex Halpern summarizing a resource: RIC has been shown to decrease rates of necrotizing enterocolitis in a rat model.↗
▶Ep 20 · 0:16
host summaryAlex Halpern summarizing a resource: Gadal used an established piglet NEC model to test RIC.↗
▶Ep 20 · 0:20
host summaryAlex Halpern summarizing a resource: Piglets were randomly assigned to receive RIC or serve as controls.↗
▶Ep 20 · 0:24
host summaryAlex Halpern summarizing a resource: RIC was initiated at 24 hours of life and consisted of 4 cycles of 4 minutes of arterial occlusion followed by reperfusion.↗
▶Ep 20 · 0:31
host summaryAlex Halpern summarizing a resource: Cycles were repeated every 24 hours in the low frequency group and every 12 hours in the high frequency group.↗
▶Ep 20 · 0:37
host summaryAlex Halpern summarizing a resource: 38 piglets were randomized into the control group, 26 into the low frequency group, and 22 into the high frequency group.↗
▶Ep 20 · 0:45
host summaryAlex Halpern summarizing a resource: High frequency RIC significantly reduced the incidence of NEC when compared to controls.↗
▶Ep 20 · 0:50
host summaryAlex Halpern summarizing a resource: Low frequency RIC did not significantly reduce the incidence of NEC.↗
▶Ep 20 · 0:53
host summaryAlex Halpern summarizing a resource: High frequency RIC protects against NEC in a piglet model.↗
▶Ep 20 · 0:53
host summaryAlex Halpern summarizing a resource: So it seems like high frequency Rick protects against neck in a piglet model.↗
Summaries Alex gave as host · Necrotizing Enterocolitis16 summaries
Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures
▶Ep 7 · 0:13
host summaryAlex Halpern summarizing a resource: A retrospective review by Men et al examined all patients who underwent conservative management of modified Bell stage 2A or greater NEC at a single institution from 2011 to 2022.↗
▶Ep 7 · 0:27
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of NEC in the study period.↗
▶Ep 7 · 0:27
host summaryAlex Halpern summarizing a resource: 24 of 126 patients (19%) who underwent conservative management of NEC eventually required surgery for a post-NEC stricture.↗
▶Ep 7 · 0:36
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 7 · 0:40
host summaryAlex Halpern summarizing a resource: So, it seems like post neck strictures are a common occurrence after conservative management of neck.↗
▶Ep 7 · 0:40
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of NEC.↗
Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model
▶Ep 9 · 0:00
host summaryAlex Halpern summarizing a resource: RIC has been shown to decrease rates of necrotizing enterocolitis in a rat model.↗
▶Ep 9 · 0:16
host summaryAlex Halpern summarizing a resource: Gadal used an established piglet NEC model to test RIC.↗
▶Ep 9 · 0:20
host summaryAlex Halpern summarizing a resource: Piglets were randomly assigned to receive RIC or serve as controls.↗
▶Ep 9 · 0:24
host summaryAlex Halpern summarizing a resource: RIC was initiated at 24 hours of life and consisted of 4 cycles of 4 minutes of arterial occlusion followed by reperfusion.↗
▶Ep 9 · 0:31
host summaryAlex Halpern summarizing a resource: Cycles were repeated every 24 hours in the low frequency group and every 12 hours in the high frequency group.↗
▶Ep 9 · 0:37
host summaryAlex Halpern summarizing a resource: 38 piglets were randomized into the control group, 26 into the low frequency group, and 22 into the high frequency group.↗
▶Ep 9 · 0:45
host summaryAlex Halpern summarizing a resource: High frequency RIC significantly reduced the incidence of NEC when compared to controls.↗
▶Ep 9 · 0:50
host summaryAlex Halpern summarizing a resource: Low frequency RIC did not significantly reduce the incidence of NEC.↗
▶Ep 9 · 0:53
host summaryAlex Halpern summarizing a resource: High frequency RIC protects against NEC in a piglet model.↗
▶Ep 9 · 0:53
host summaryAlex Halpern summarizing a resource: So it seems like high frequency Rick protects against neck in a piglet model.↗
Summaries Alex gave as host · Non-perforated Appendicitis6 summaries
host summaryAlex Halpern summarizing a resource: Zoo et al. used the PHIS database and performed a multi-institutional cohort study of all ARM patients between 2016 and 2022↗
▶Ep 4 · 2:25
host summaryAlex Halpern summarizing a resource: In ARM patients, the rates of actual diagnoses across all hospital encounters were 45.4% vertebral spinal, 77.4% cardiac, 10.2% TEF, 39.9% renal and 15.7% limb↗
▶Ep 4 · 2:40
host summaryAlex Halpern summarizing a resource: 25.8% of female patients with anorectal malformations had a congenital gynecologic malformation diagnosed↗
▶Ep 4 · 2:45
host summaryAlex Halpern summarizing a resource: The most common anomalies associated with ARMs are cardiac, vertebrospinal, renal, and gynecologic↗
▶Ep 4 · 2:45
host summaryAlex Halpern summarizing a resource: So it seems like the most common anomalies associated with ARMs are cardiac, vertebrospinal, renal, and gynecologic.↗
▶Ep 4 · 2:53
host summaryAlex Halpern summarizing a resource: The authors of the ARM screening study suggest changing the VACTERL acronym to VACTERL-GS↗
Summaries Alex gave as host · Pectus Excavatum4 summaries
host summaryAlex Halpern summarizing a resource: Early initiation of peritoneal dialysis was associated with decreased post-operative mortality in infants after pediatric cardiac surgery.↗
▶Ep 37 · 2:41
host summaryAlex Halpern summarizing a resource: Early initiation of peritoneal dialysis shortened duration of mechanical ventilation in infants after pediatric cardiac surgery.↗
▶Ep 37 · 2:41
host summaryAlex Halpern summarizing a resource: Early initiation of peritoneal dialysis shortened length of stay in the ICU in infants after pediatric cardiac surgery.↗
▶Ep 37 · 2:49
host summaryAlex Halpern summarizing a resource: So it seems that early initiation of peritoneal dialysis may benefit infants after pediatric cardiac surgery.↗
Summaries Alex gave as host · Pediatric Oncology4 summaries
host summaryAlex Halpern summarizing a resource: Gillielli et al. reviewed 104 abstracts and 34 full text articles, ultimately including 12 studies in their systematic review of female fertility cryopreservation in childhood cancer.↗
▶Ep 601 · 2:16
host summaryAlex Halpern summarizing a resource: Ovarian tissue cryopreservation was performed in 501 pediatric cancer patients, with 5.9% undergoing ovarian tissue transplantation.↗
▶Ep 601 · 2:27
host summaryAlex Halpern summarizing a resource: After ovarian tissue transplantation, 33% of pediatric cancer patients were able to become pregnant.↗
▶Ep 601 · 2:33
host summaryAlex Halpern summarizing a resource: Ovarian tissue cryopreservation has great advantages for pediatric cancer patients but needs to be studied further.↗
Summaries Alex gave as host · Pediatric Surgical Outcomes7 summaries
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
▶Ep 11 · 0:10
host summaryAlex Halpern summarizing a resource: The ABSA Outcomes and Evidence-based Practice Committee performed a systematic review on optimal initial management of gastroschisis.↗
▶Ep 11 · 0:17
host summaryAlex Halpern summarizing a resource: Delivery after 37 weeks is optimal for infants with gastroschisis.↗
▶Ep 11 · 0:21
host summaryAlex Halpern summarizing a resource: Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis.↗
▶Ep 11 · 0:27
host summaryAlex Halpern summarizing a resource: Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.↗
▶Ep 11 · 0:27
host summaryAlex Halpern summarizing a resource: Sutureless repair for gastroschisis is safe and effective.↗
▶Ep 11 · 0:37
host summaryAlex Halpern summarizing a resource: Sutureless repair does not delay feeding or increase length of stay in gastroschisis patients.↗
▶Ep 11 · 0:41
host summaryAlex Halpern summarizing a resource: There is a need for high quality randomized controlled trials to help provide evidence-based care for infants with gastroschisis.↗
Summaries Alex gave as host · Perforated Appendicitis6 summaries
host summaryAlex Halpern summarizing a resource: Pain control after appendectomy for perforated appendicitis can be a huge problem in kids.↗
▶Ep 3 · 2:11
host summaryAlex Halpern summarizing a resource: Could Gabapentin help with pain control in these kids?↗
▶Ep 3 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative length of stay.↗
▶Ep 3 · 2:11
host summaryAlex Halpern summarizing a resource: In the Lascano et al. study, kids who received gabapentin had decreased postoperative opioid use.↗
▶Ep 3 · 2:11
host summaryAlex Halpern summarizing a resource: Lascano et al. performed a retrospective cohort study at Children's Hospital of LA looking at kids age 2 to 18 who underwent appendectomy for perforated appendicitis between 2014 and 2019.↗
▶Ep 3 · 2:11
host summaryAlex Halpern summarizing a resource: Gabapentin is an anticonvulsant often used off-label as part of multimodal pain control after major surgery.↗
Summaries Alex gave as host · Peritoneal Dialysis Access4 summaries
host summaryAlex Halpern summarizing a resource: Early initiation of peritoneal dialysis was associated with decreased post-operative mortality in infants after pediatric cardiac surgery.↗
▶Ep 7 · 2:41
host summaryAlex Halpern summarizing a resource: Early initiation of peritoneal dialysis shortened length of stay in the ICU in infants after pediatric cardiac surgery.↗
▶Ep 7 · 2:41
host summaryAlex Halpern summarizing a resource: Early initiation of peritoneal dialysis shortened duration of mechanical ventilation in infants after pediatric cardiac surgery.↗
▶Ep 7 · 2:49
host summaryAlex Halpern summarizing a resource: So it seems that early initiation of peritoneal dialysis may benefit infants after pediatric cardiac surgery.↗
Summaries Alex gave as host · Tracheomalacia5 summaries
host summaryAlex Halpern summarizing a resource: Mina et al. performed a retrospective review of all patients who underwent conservative management of modified Bell stage 2A or greater necrotizing enterocolitis at a single institution from 2011 to 2022.↗
▶Ep 12 · 2:20
host summaryAlex Halpern summarizing a resource: 126 patients underwent conservative management of necrotizing enterocolitis, and 24 of those patients eventually underwent surgery for a post-NEC stricture.↗
▶Ep 12 · 2:29
host summaryAlex Halpern summarizing a resource: Primary resection and anastomosis was performed in all cases of post-NEC stricture requiring surgery.↗
▶Ep 12 · 2:33
host summaryAlex Halpern summarizing a resource: So it seems like post-neck strictures are a common occurrence after conservative management of neck.↗
▶Ep 12 · 2:33
host summaryAlex Halpern summarizing a resource: Post-NEC strictures are a common occurrence after conservative management of necrotizing enterocolitis.↗
Summaries Alex gave as host · Venous Thromboembolism4 summaries
host summaryAlex Halpern summarizing a resource: Gillielli et al. reviewed 104 abstracts and 34 full text articles, ultimately including 12 studies in their systematic review of female fertility cryopreservation in childhood cancer.↗
▶Ep 3 · 2:16
host summaryAlex Halpern summarizing a resource: Ovarian tissue cryopreservation was performed in 501 pediatric cancer patients, with 5.9% undergoing ovarian tissue transplantation.↗
▶Ep 3 · 2:27
host summaryAlex Halpern summarizing a resource: After ovarian tissue transplantation, 33% of pediatric cancer patients were able to become pregnant.↗
▶Ep 3 · 2:33
host summaryAlex Halpern summarizing a resource: Ovarian tissue cryopreservation has great advantages for pediatric cancer patients but needs to be studied further.↗
Summaries Alex gave as host · Wilms Tumor4 summaries
host summaryAlex Halpern summarizing a resource: Gillielli et al. reviewed 104 abstracts and 34 full text articles, ultimately including 12 studies in their systematic review of female fertility cryopreservation in childhood cancer.↗
▶Ep 16 · 2:16
host summaryAlex Halpern summarizing a resource: Ovarian tissue cryopreservation was performed in 501 pediatric cancer patients, with 5.9% undergoing ovarian tissue transplantation.↗
▶Ep 16 · 2:27
host summaryAlex Halpern summarizing a resource: After ovarian tissue transplantation, 33% of pediatric cancer patients were able to become pregnant.↗
▶Ep 16 · 2:33
host summaryAlex Halpern summarizing a resource: Ovarian tissue cryopreservation has great advantages for pediatric cancer patients but needs to be studied further.↗
