Stay Current in Pediatric Surgery

by StayCurrent: Pediatric Surgery

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Podcast episodes

  • Update Course Rewind- Who to Send Home from the OR: Uncomplicated Buttock Abscess and I&D Part 1

    Update Course Rewind- Who to Send Home from the OR: Uncomplicated Buttock Abscess and I&D Part 1

    03:37

    We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023. This time we are presenting you "Who to Send Home from the OR: Buttock Abscess 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham. Host: Cecilia Gigena In this session the surgeons discuss about the indications for an uncomplicated buttock abscess. When to treat with antibiotics, when to make an incision and draining (I&D) or when it is necessary to do something else. 00:00 Introduction 00:38 Case Scenario 01:09 Is it necessary to keep them overnight? 02:06 Literature Review 02:49 Summary

  • QUAD #11 Pediatric Surgeon’s Perspective on Improving the Care of TEF/EA Patients Keynote With Dr. Dan von Allmen

    QUAD #11 Pediatric Surgeon’s Perspective on Improving the Care of TEF/EA Patients Keynote With Dr. Dan von Allmen

    08:48

    In this video we’ll talk about pediatric surgeon’s perspective on improving the care of TEF/EA patients with Dr. Dan von Allmen, Surgeon-in-Chief at Cincinnati Children’s. Here are some highlights: • Historical Milestones: From the first description in the 1600s to Cameron Haight's primary repair in 1941. • Challenges and Complications: Addressing associated anomalies and the high morbidity linked to traditional thoracotomy. • Team Approach: The necessity of a multidisciplinary team, including pediatric surgery, ENT, pulmonary, GI, and more. • Innovative Techniques: Adapting procedures like the tracheal slide for complex cases and leveraging the expertise of specialized surgeons. • Collaborative Success: Benefits of dual-team operations for efficiency and better patient outcomes. • Barriers and Solutions: Overcoming financial and systemic challenges to provide optimal care.

  • QUAD #10 Pt.3: Advantages of Thoracoscopic Repair of Esophageal Atresia with Dr. Steve Rothenberg

    QUAD #10 Pt.3: Advantages of Thoracoscopic Repair of Esophageal Atresia with Dr. Steve Rothenberg

    05:32

    In this video we’ll talk about benefits of thoracoscopic tracheoesophageal fistula (TEF) repair in reducing tracheomalacia and improving patient outcomes with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. Here are some highlights: Reduced Tracheomalacia: Minimizing tracheal manipulation compared to open surgery. • Case Study:35-week premature baby with a large esophageal pouch corrected thoracoscopically. • Enhanced Visualization: Precise dissection and improved outcomes using thoracoscopy. • Pouch Resection: Efficient resection of leftover pouches with a stapler. • Upper Pouch Mobilization: Key to successful anastomosis, even in long-gap cases. • H Type Fistulas: Superior approach with less trauma and better visualization.

  • QUAD #10 Pt.2: Surgical Technique for Thoracoscopic Repair of Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg

    QUAD #10 Pt.2: Surgical Technique for Thoracoscopic Repair of Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg

    10:34

    In this video we’ll talk about minimally invasive thoracoscopic tracheoesophageal fistula (TEF) repair with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers: Anesthesia: Using CO2 to collapse the lung instead of single lung ventilation. Patient Positioning: Prone and tilted at 60 degrees for better access. Surgical Technique: Detailed steps from trocar placement to anastomosis, including tips for mobilizing the upper pouch and managing the fistula. Visualization: Improved view compared to open surgery, especially for complex cases. Post-Operative Care: Managing chest drains, preventing hiatal hernias, and suture techniques to avoid strictures. Cosmetic Outcomes: Minimal scarring and reduced risk of chest wall deformities.

  • QUAD #10 Pt.1: History of Thoracoscopic Repair of Esophageal Atresia (EA) & Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg

    QUAD #10 Pt.1: History of Thoracoscopic Repair of Esophageal Atresia (EA) & Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg

    06:27

    In this video we explore the transformative benefits of thoracoscopic repair for esophageal atresia with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers: Advocating for Minimally Invasive Surgery: The significant benefits of thoracoscopic surgery over traditional thoracotomy, which can lead to shoulder girdle weakness, chest wall asymmetry, and scoliosis in infants. Pioneering Techniques:The journey from initial PDA ligation to the first successful thoracoscopic TEF repair. Historical Milestones: Live demonstration of the first thoracoscopic esophageal atresia repair at the IPEG meeting in Berlin, 1999. Case Studies: Early successes, including Connor, the first baby to undergo thoracoscopic TEF repair, who has thrived since his surgery.