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Searches 43,198 expert statements in 1,357 recordings · not medical advice

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Congenital Diaphragmatic Hernia

While the balloon was in place, the lungs showed some growth but it was shy of 20%, making this a non-responder.

What the experts said

Wilms Tumor

Cites a guideline

In North America, the Children's Oncology Group recommends primary nephrectomy and ureterectomy with lymph node sampling for the majority of renal tumors in children.

Open questions

Where the experts disagree

Giant Omphalocele

Use of biologic patches versus component separation alone

Bob Langer
Prefers using absorbable patches (Strattice) to preserve abdominal wall musculature integrity, with the patch becoming a smaller percentage of the wall as the child grows. Concerned about long-term abdominal wall function after neonatal component separation.
Todd Ponsky
Uses component separation when possible to achieve muscle-only closure, reserving patches for cases where edges cannot be approximated. Prefers six-ply Surgisis when patches are needed.

Biliary Atresia

Revision Kasai for post-operative cholangitis

Greg Tiao
Performs revision Kasai in highly selected patients who previously cleared jaundice then became acholic after cholangitis; 25-patient series showed native liver salvage possible
Mark Davenport
Does not perform revision Kasai in early phase or infancy; may consider later if cyst formation demonstrated, but not for cholangitis

Educational content. Not medical advice. Expert statements are excerpts from recorded clinical discussions and are not a substitute for clinical judgement, local policy or current guidelines.