Collection
Built automatically
From across the library
Not curated by a person
Anal Strictures
Compiled from across the library · built automatically
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Vestibular fistulas are currently too heterogeneous for study because some surgeons still use traditional PSARP while others have adopted Belinda Dickey's perineal body-sparing approach. — Nelson Rosen, Anal Dilatations After PSARP: Current Practice, Evidence & Future Directions in Pediatric Colorectal Surgery · 44:09
Anal Dilatations After PSARP: Current Practice, Evidence & Future Directions in Pediatric Colorectal Surgery
Watch →
Dr. Nelson Rosen from Cincinnati Children's discusses the evolving practice of routine anal dilatations following posterior sagittal anorectoplasty (PSARP) for anorectal malformations. He shares his current protocols, critiques the limited
video51:52 · Nov 2026
Post Operative Anal Dilatations for the Prevention of Anal Strictures in Children With Anorectal Malformation: A Systematic Review
Watch →
Jessica Taranto ∙ Isabel C. Hagemanb,d ∙ Misel Trajanovsk ∙ Suzanne Jackson-Fleurus ∙ Fiona Newall ∙ Sebastian K. KingBackground
Routine post operative anal dilatations have been standard practice in the management of anorectal malformation
video0:48 · Sep 2025
Patients with intussusception can have the air enema repeated every hour up to three times as long as there are no signs of peritonitis before operative exploration Top Themes From The Stay Current App · 10:00
Top Themes From The Stay Current App
Watch →
This clip from the 2020 Pediatric Surgery Update Course features Alejandra Casar Berazaluce, MD; Alexander Gibbons, MD; Rachel Hanke, MD; presenting the most popular posts in the 2020 version of the Stay Current: Pediatric Surgery App.
video · Sep 2020
Summaries and takeaways+ Show
The doctors in this collection+ Show
All expert statements+ Show
Expert statements from the recordings in this collection.
Post Operative Anal Dilatations for the Prevention of Anal Strictures in Children With Anorectal Malformation: A Systematic Review
Routine anal dilatations after surgery for anorectal malformations have been standard since the 1980s
Host summaryLizzy Lee summarizing a resource — not the host's own clinical position0:11 ↗
Stricture rates after anorectal malformation surgery range from 0 to almost 40%, even with the classic Pena protocol
Host summaryLizzy Lee summarizing a resource — not the host's own clinical position0:18 ↗
Alternative methods like weekly dilatations or skipping dilatations altogether showed similar outcomes to standard protocols
Host summaryLizzy Lee summarizing a resource — not the host's own clinical position0:25 ↗
There is insufficient high quality evidence proving that dilatations after anorectal malformation surgery are actually necessary
Host summaryLizzy Lee summarizing a resource — not the host's own clinical position0:32 ↗
More randomized trials are needed to determine whether post-operative anal dilatations are necessary
Host summaryLizzy Lee summarizing a resource — not the host's own clinical position0:37 ↗
Top Themes From The Stay Current App
The Stay Current app is viewed by 6,000 pediatric surgeons
epidemiological0:00 ↗
Stay Current Pediatric Surgery was released in February of 2019
clinical0:43 ↗
Users have shared over 450 pieces of content approximately 1400 times
epidemiological1:08 ↗
Digital anal dilation is safe if the digits are appropriately sized and if the families follow a strict protocol of dilations
clinical1:27 ↗
Techniques for laparoscopic CDH treatment include utilizing a needle to decompress bowel laparoscopically
clinical2:30 ↗
Creating a pneumothorax allows easier retraction of the hernia sac in laparoscopic CDH repair
clinical2:30 ↗
A laparoscopic detectable magnet can be utilized for greater maneuverability of the hernia sac
clinical2:30 ↗
The evidence supporting best practices for long gap esophageal atresia is currently low quality
clinical4:00 ↗
Patients with long gap esophageal atresia should receive appropriate long-term follow-up
guideline4:00 ↗
Workup, diagnosis, and treatment of GERD patients is complex
opinion5:00 ↗
The latest recommendation for Nissen fundoplication involves minimal dissection at the GE junction
guideline5:00 ↗
The Nissen wrap should be performed above the left gastric artery
guideline5:00 ↗
Multiple randomized control trials have shown that ad lib feeds are superior or equivalent to protocolized feeds for pyloric stenosis
clinical6:00 ↗
All infants less than 50 weeks post-conceptual age at the time of surgery need some level of observation for apnea monitoring
guideline7:00 ↗
NPO guidelines include clears up to two hours preop and breast milk up to four hours preop
guideline7:00 ↗
Clinicians tend to be too restrictive with NPO guidelines
opinion7:00 ↗
Pre-op antibiotic prophylaxis must be administered within 60 minutes before incision
guideline7:00 ↗
Redosing of antibiotics is needed for the duration of the operation
guideline7:00 ↗
Generally, antibiotics are not needed after surgery unless the case determines otherwise
guideline7:00 ↗
Hirschsprung's disease is the number one search topic on the app overall
epidemiological8:00 ↗
The transition zone can vary widely depending on the extent of disease with numbers as high as 22 centimeters for total colonic Hirschsprung's disease
clinical8:00 ↗
Coyle et al recommend resecting greater than 5 cm proximally to the normal biopsy to avoid transition zone pull through
guideline8:00 ↗
Management of suspected Hirschsprung's associated enterocolitis includes prompt evaluation of the patient, rectal irrigations with normal saline, NPO, IV fluids, antibiotics and continuous monitoring
guideline8:00 ↗
Patients with intussusception should go to the operating room if they have peritoneal signs or if they fail reduction after three attempts
guideline10:00 ↗
Patients can be safely discharged home after four hours of observation after a successful intussusception reduction
clinical10:00 ↗
What's new+ Show