Stay Current in Pediatric Surgery

by StayCurrent: Pediatric Surgery

Update Course Rewind 2025: The Recurrent TEF Problem

This video, featuring experts from Cincinnati Children's, discusses the challenging management of recurrent tracheoesophageal fistula (TEF) years after initial repair. Dr. Douglas von Allmen presents a clinical scenario and highlights the risk of recurrent laryngeal nerve (RLN) injury during re-repair. The episode emphasizes a transtracheal approach to improve surgical exposure and minimize potential harm to the RLN, thereby reducing long-term voice and aspiration issues.

Jul 24, 2026

2:21

Update Course Rewind 2025: Sacral Nerve Stimulation for Refractory Pediatric Fecal Incontinence

This video, featuring Dr. P. Ben Ham III, discusses sacral nerve stimulation (SNS) as a treatment option for children with severe fecal incontinence and constipation refractory to conventional medical therapies. It presents a clinical scenario of a 13-year-old male and reviews the technique, efficacy, and potential complications of SNS in pediatric patients. The discussion highlights improved continence rates and important considerations regarding its current FDA approval status for children.

Jul 24, 2026

2:37

Updated Course Rewind 2025: Branchial Cleft Cyst Management: Endoscopic vs. Open Surgical Approaches

This video, featuring Dr. Douglas von Allmen from Cincinnati Children's Hospital, explores the management of branchial cleft cysts. It discusses a clinical scenario of a child with a painless neck swelling and delves into the congenital nature of these cysts. The video highlights the comparison between endoscopic cauterization and open surgical excision, emphasizing the benefits of the endoscopic approach in reducing morbidity and avoiding recurrent laryngeal nerve injury for specific cyst types.

Jul 24, 2026

2:35

Update Course Rewind 2025: Nerve Monitoring in Pediatric Thyroid Surgery

This video recaps key highlights from the 13th Annual Pediatric Surgery Update Course, focusing on nerve monitoring in pediatric thyroid surgery. Dr. Ben Ham discuss clinical scenarios, the utility of TI-RADS in children, and the role of intraoperative nerve monitoring (IONM) in preventing recurrent laryngeal nerve injury. The discussion covers current guidelines, surgeon expertise, and advancements in monitoring devices for pediatric patients.

Jul 24, 2026

6:20

Inside a FETO Procedure: Fetoscopic Balloon Tracheal Occlusion with Dr. Beth Rymeski

This video, presented by Dr. Beth Rymeski of Cincinnati Children's Hospital, details the procedural aspects of Fetal Endoluminal Tracheal Occlusion (FETO). It explains how a fetoscope is used to insert a balloon into the fetal trachea to temporarily block fluid, facilitating lung expansion and preventing pulmonary hypoplasia in CDH babies. The presentation includes real-life video footage, demonstrating critical navigation techniques through fetal anatomy and careful balloon placement.

Jul 13, 2026

4:30

Update Course Rewind 2025: New Technologies for Central Line Management

This video explores innovative technologies for central line management, focusing on solutions for blocked superior vena cava (SVC). Dr. Nathan Fagan discusses the MeritMedical Surfacer system for image-guided SVC recanalization via a femoral approach. The presentation also delves into the potential of 4D intracardiac echo catheters for radiation-free recanalization and reviews transhepatic and translumbar access as last-resort options when traditional venous access is lost.

Jul 13, 2026

3:58

Update Course Rewind 2025: Updates in Central Line Management

Dr. Nathan Fagan, a Pediatric Interventional Radiologist from Akron Children's Hospital, presents a clinical scenario on central line management from the 13th Annual Pediatric Surgery Update Course. He discusses diagnosing and managing a malfunctioning subclavian dual-lumen port, highlighting how proper access assessment can prevent unnecessary port removal. The video also covers interventional radiology techniques like sharp recanalization of the Superior Vena Cava (SVC) to restore vascular access for complex patients.

Jun 29, 2026

3:07

Update Course Rewind 2025: Robotics in Pediatric Surgery: Which indications benefit the most?

This video series recaps highlights from the 13th Annual Pediatric Surgery Update Course. Dr. Juan Gurria discusses the pros and cons of robotic surgery in pediatric patients, comparing it to laparoscopic surgery, and exploring its future. The discussion covers surgical proficiency, cost-effectiveness, and various indications for robotic interventions in children. For more information on Dr. Juan Gurria at Cincinnati Children's, click here: https://www.cincinnatichildrens.org/bio/g/juan-pablo-gurria

Jun 23, 2026

4:35

Vertebral Body Tethering (VBT) for Pediatric Scoliosis: A Comprehensive Guide

This video, featuring experts from Cincinnati Children's and Akron Children's, provides an in-depth look at Vertebral Body Tethering (VBT) for pediatric scoliosis. It covers clinical scenarios, highlighting VBT's advantages as a minimally invasive, non-fusion alternative to standard spinal fusion. The discussion includes precise timing for the procedure, current indications for patient selection, detailed surgical techniques for thoracic and lumbar approaches, and post-operative outcomes, emphasizing improved recovery times for young athletes. Vertebral Body Tethering (VBT) is an FDA-approved, minimally invasive, non-fusion surgical treatment for growing patients with idiopathic scoliosis. It aims to correct spinal curvature and modulate growth while preserving disc motion, offering benefits like earlier return to sports compared to spinal fusion. Optimal timing for VBT is critical, performed on skeletally immature patients near their peak growth velocity (typically ages 8-15) to avoid overcorrection or tether failure. Indications include moderately severe (40-60 degree) and flexible curves. The surgical approach varies by spinal segment, utilizing thoracoscopic techniques for upper vertebrae and open approaches for lumbar segments, with careful neuro-monitoring. While early outcomes data showed a learning curve with some revision rates, improved patient selection and increased experience are now yielding more successful results. VBT represents a significant shift towards guided growth modulation in pediatric scoliosis.

Jun 15, 2026

5:39

Improving Outcomes for Congenital Diaphragmatic Hernia (CDH): Protocol Changes at CCHMC

Discover how Cincinnati Children's Hospital implemented protocol changes to significantly improve outcomes for babies with Congenital Diaphragmatic Hernia (CDH). This video details updates in ventilator management, ECMO utilization, blood pressure support, nutrition, and sedation protocols, leading to increased survival rates and reduced mechanical ventilation time. Learn about the evidence-based adjustments that have enhanced care for these complex pediatric patients. For more information on the Fetal Care Center, click here: https://www.cincinnatichildrens.org/service/f/fetal-care

Jun 9, 2026

5:25

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