Collection
Pediatric Surgery Essentials
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
Inguinal Hernias7 items
Incarcerated Pediatric Hernias
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Indirect inguinal hernias are the most commonly incarcerated hernias in children, with a higher incidence in low birth weight and premature infants. Contralateral groin exploration to evaluate for a patent processus vaginalis or subclinical
article · Jun 2026
Treatment of routine adolescent inguinal hernia vastly differs between pediatric surgeons and general surgeons
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Background: Surgical treatment of inguinal hernias in adolescents is controversial as these patients do not fit into the traditional pediatric and adult populations. We aimed to compare the preferences of adult general surgeons and pediatri
article · Jun 2026
Inguinal Hernia
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Laparoscopy is a safe and effective technique in the repair of inguinal hernias. This article describes the different laparoscopic herniorrhaphy technique, as well as controversial topics, such as premature infants, contralateral repair, an
article · Jun 2026
Assessing the Adequacy of Absorbable Braided Suture for Laparoscopic High Ligation in Rabbits
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A trend toward a higher recurrence rate with the use of absorbable braided suture was present, although, in this study, the finding was not statistically significant. Caution should be used when considering implementation of absorbable sutu
article · Jun 2026
Stitch versus scar--evaluation of laparoscopic pediatric inguinal hernia repair: a pilot study in a rabbit model
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Background: Many have questioned whether the laparoscopic, percutaneous hernia repair technique is as durable as an open repair in which the sac is divided and ligated. We set out to assess if the suture alone causes enough injury and scar
article · Jun 2026
Pediatric Inguinal Hernia with Dr. Todd Ponsky
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Join Dr. Todd Ponsky for a refresher on the anatomy, workup, and management of Pediatric Inguinal Hernia. This video has quick hits the surgical trainee needs t
podcast · Jun 2026
22. Pediatric Hernias
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Welcome to the only HerniaTalk LIVE session with interactive questions and answers to all of your hernia and hernia-related questions. Here, we are jointed by G
podcast · Jun 2026
Acute Appendicitis3 items
Elective interval appendectomy following non-operative management for uncomplicated acute appendicitis: a feasible same-day discharge strategy in children
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Purpose: Reliable predictors of recurrence after non-operative management (NOM) for pediatric uncomplicated acute appendicitis (UCAA) are lacking. Patients and families often face uncertainty and anxiety about recurrence. We evaluated elect
article · Oct 2026
Bringing surgeons together across the world: diagnosis and management of acute appendicitis
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Introduction: Despite appendicitis being one of the most common surgical emergencies in the pediatric population, there is still a great deal of debate among pediatric surgeons regarding the workup and treatment. Materials And Methods: In a
article · Jun 2026
Acute Appendicitis 2020 Update
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Dr. Beth Rymeski, Dr. Rod Gerardo, and Dr. Todd Ponsky discuss the recent Midwest Pediatric Surgery Consortium publication on acute appendicitis and how it migh
podcast · Jun 2026
Soft Tissue Abscesses2 items
Prospective observational study to assess the need for postoperative antibiotics following surgical incision and drainage of skin and soft tissue abscess in pediatric patients
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Level II (prospective cohort study with <80% follow-up).
article · Jun 2026
Same-day discharge after incision and drainage of soft-tissue abscess in diaper-age children is safe and effective
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Purpose: Many pediatric centers admit patients following incision and drainage (I&D) of soft-tissue abscesses. The purpose of this study is to assess the safety and efficacy of the same-day discharge following I&D. Methods: Retrospective re
article · Jun 2026
Abdominal Wall Defects1 item
Pediatric abdominal wall defects
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This article reviews the incidence, presentation, anatomy, and surgical management of abdominal wall defects found in the pediatric population. Defects such as inguinal hernia and umbilical hernia are common and are encountered frequently b
article · Jun 2026
Congenital Diaphragmatic Hernia3 items
Evaluating the utility of the "late ECMO repair": a congenital diaphragmatic hernia study group investigation
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The rate of return to ECMO and death following CDH repair is extremely low and does not justify the risks inherent to "on-ECMO" repair. Patients stable to come off ECMO should undergo repair after decannulation.
article · Jun 2026
Current Practices in the Management of Congenital Diaphragmatic Hernia Patients Requiring Extracorporeal Membrane Oxygenation: Results of an International Survey of Pediatric Surgeons
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There are significant practice variations in the management of CDH ECMO. Majority of pediatric surgeons perform VA ECMO in CDH patients; however, a significant percentage of those believe VV to be more optimal. This discrepancy is not accou
article · Jun 2026
Approach to Recurrent Congenital Diaphragmatic Hernia: Results of an International Survey
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Purpose: Although recurrence remains one of the most feared complications following congenital diaphragmatic hernia (CDH) repair, there are minimal data on the optimal surgical approach to these complex situations. The purpose of this study
article · Jun 2026
Esophageal Atresia2 items
Esophageal Atresia: State of the Art in Translating Experimental Research to the Bedside
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Long-gap esophageal atresia is one of the most challenging diseases in the field of pediatric surgery. There is no optimal therapy, and thus many potential therapies and techniques are being actively explored, both in animal models and in n
article · Jun 2026
Magnetic compression anastomosis (magnamosis) in a porcine esophagus: Proof of concept for potential application in esophageal atresia
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Background: Magnetic compression anastomosis (magnamosis) is the process of forming a sutureless anastomosis of the gastrointestinal tract using two magnetic Harrison rings. It has been shown to be effective in stomach, small bowel and colo
article · Jun 2026
Necrotizing Enterocolitis1 item
Necrotizing Enterocolitis
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An discussion of the medical and operative management of necrotizing enterocolitis between Todd Ponsky, MD and Gail Besner, MD. Dr. Besner is a H. William Cla
podcast · Jun 2026
Duodenal Pathology2 items
Creation of a neopylorus after pyloric exclusion using a "double-endoscope" technique
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Objective: Pyloric exclusion may be implemented in the setting of a high-grade duodenal or pancreatic injury. After exclusion, the pylorus should spontaneously open in 3-6 weeks. However, we present the case of a critically ill 17-year-old
article · Jun 2026
Endoscopic Web Localization for Laparoscopic Duodenal Web Excision
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When performing an open duodenal web excision, it is helpful to identify the web using a nasogastric tube because it is often difficult to determine where the web origin is located when looking at the serosal side of the bowel. However, it
article · Jun 2026
Neuroblastoma1 item
Neuroblastoma
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Drs Erika Newman, Dan von Allmen and Tony Sandler join Dr. Todd Ponsky in a discussion covering the latest in neuroblastoma. Time Stops 00:00:31 Introductions
podcast · Jun 2026
Wilms Tumor1 item
Wilms Tumor
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An interactive discussion about Wilms tumor between Todd Ponsky, MD, Avraham Schlager, and Peter Ehrlich, MD. Dr. Peter Ehrlich is a professor of pediatrics su
podcast · Jun 2026
Hepatoblastoma1 item
Hepatoblastoma
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An interactive discussion between Todd Ponsky, MD and Max Langham, MD on the management of hepatoblastomas. Dr. Max Langham is a Professor of Surgery and Ped
podcast · Jun 2026
Solid Organ Injury5 items
The use and timing of angioembolization in pediatric blunt liver and spleen injury
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Therapeutic/Care Management; Level IV.
article · Jun 2026
Use of Laparoscopy in Pediatric Blunt and Spleen Injury: An Unexpectedly Common Procedure After Cessation of Bleeding
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Background: Recently, several series have reported the use of laparoscopy in pediatric trauma, most commonly for bowel and pancreatic injury within the first 12 or 24 hours. During a multicenter trial at 10 Level 1 pediatric trauma centers,
article · Jun 2026
Negative Focused Abdominal Sonography for Trauma examination predicts successful nonoperative management in pediatric solid organ injury: A prospective Arizona-Texas-Oklahoma-Memphis-Arkansas + Consortium study
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Background: Focused Abdominal Sonography for Trauma (FAST) examination has long been proven useful in the management of adult trauma patients, however, its utility in pediatric trauma patients is not as proven. Our goal was to evaluate the
article · Jun 2026
Failure of nonoperative management of pediatric blunt liver and spleen injuries: A prospective Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium study
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Background: Nonoperative management (NOM) is standard of care for most pediatric blunt liver and spleen injuries (BLSI); only 5% of patients fail NOM in retrospective reports. No prospective studies examine failure of NOM of BLSI in childre
article · Jun 2026
Pediatric Trauma II: Solid Organ Injury
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This podcast is an interactive discussion about pediatric trauma between Dr. Todd Ponsky, Dr. Mark McCollum, and Dr. David Notrica. Dr. David Notrica is the tr
podcast · Jun 2026
Pancreatic Trauma1 item
Operative vs nonoperative management for blunt pancreatic transection in children: multi-institutional outcomes
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Background: The management of traumatic pancreatic transection remains controversial. Study Design: A multi-institutional review from 1995 to 2012 was conducted comparing operative with nonoperative management for grades II and III blunt pa
article · Jun 2026
Gastroesophageal Reflux & Fundoplication3 items
It Is a Wrap! Or Is It?: The Role of Fundoplication in Infant Feeding Intolerance
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Purpose: Fundoplication is one of the most common procedures performed by pediatric surgeons, frequently for gastroesophageal reflux with feeding intolerance. No consensus exists in its management, with multiple institutions opting for medi
article · Jun 2026
Enteral access and reflux management in neonates with severe univentricular congenital heart disease: literature review and proposed algorithm
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Neonates with severe congenital heart disease undergoing surgical repair may face various complications, including failure to thrive. Feeding tube placement and fundoplication are often performed to combat poor growth in neonates. With the
article · Jun 2026
Gastroesophageal Reflux Disease
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This podcast is a multidisciplinary discussion on a controversial topic, management of pediatric Gastroesophageal Reflux Disease, amongst Dr. Todd Ponsky, Dr. R
podcast · Jun 2026
Inflammatory Bowel Disease1 item
NASPGHAN Clinical Report on Postoperative Recurrence in Pediatric Crohn Disease
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Pediatric Crohn disease is characterized by clinical and endoscopic relapses. The inflammatory process is considered to be progressive and may lead to strictures, fistulas, and penetrating disease that may require surgery. In addition, medi
article · Jun 2026
Cholelithiasis1 item
Case Based Journal Review: Cholelithiasis 2024
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It is already public knowledge that thousands of articles on different pathologies are published every day and that it is very difficult to follow them. In this
podcast · Jun 2026
Spontaneous Pneumothorax1 item
Spontaneous Pneumothorax
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This podcast is an interactive discussion about the management of spontaneous pneumothorax between Dr. Todd Ponsky and Dr. Dan Ostlie. Dr. Ostlie is Surgeon-in
podcast · Jun 2026
Traditional ATLS teaching was to give two 20cc/kg boluses of crystalloid before giving blood, but this is now changing to earlier blood administration. — Todd Ponsky, Todd Ponsky: What is new in Pediatric Surgery? Teaser · 23:53
Tracheoesophageal Fistula
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This podcast discusses the work up, operative management, and follow-up management of tracheoesophageal fistulas. Dr. Todd Ponsky is an associate professor of
podcast · Jun 2026
Vascular Access
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An interactive discussion about vascular access in the pediatric patient population between Todd Ponsky, MD and Mark Wulkan, MD. Dr. Wulkan is Professor of Sur
podcast · Jun 2026
Pediatric trauma pancreatic injury part 4
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Pediatric trauma pancreatic injury part 4
video · Oct 2026
#inguinalhernia anatomy explained in a janky model😂.#surgery #pediatrics #hernias #pediatricsurgery
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#inguinalhernia anatomy explained in a janky model😂.#surgery #pediatrics #hernias #pediatricsurgery
video · Oct 2026
History of pediatric surgery Part 1. #halifaxexplosion #surgery #history #medical #pediatrics
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History of pediatric surgery Part 1. #halifaxexplosion #surgery #history #medical #pediatrics
video · Oct 2026
#history of #pediatric #surgery #fetal surgery Michael Harrison #ucsf
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#history of #pediatric #surgery #fetal surgery Michael Harrison #ucsf
video · Oct 2026
History of pediatric surgery part 2. Ladd starts the field #surgery #history
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History of pediatric surgery part 2. Ladd starts the field #surgery #history
video · Oct 2026
#history of #pediatricsurgery Part 3. Robert E Gross
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#history of #pediatricsurgery Part 3. Robert E Gross
video · Oct 2026
The Moment in Uruguay That Changed My Career (2008)
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Pediatric surgeon Todd Ponsky shares the story of a 2008 talk in Uruguay that exposed the global access gap in medical information — and why it led him to turn his surgical lab into an education lab. #GlobalHealth #MedicalEducation #Healthc
video · Oct 2026
Which Country Has the Best Pediatric Surgery Training? (US vs. Chile vs. France vs. Italy)
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Pediatric surgeons from the US, Chile, France, and Italy each break down exactly how many years it took them to become a pediatric surgeon — med school, general surgery, and fellowship, country by country.
Comment your country below — this
video · Oct 2026
Storycasts in Pediatric Surgery: Interactive Storytelling to Transform Clinical Education
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Storycasts in Pediatric Surgery: Interactive Storytelling to Transform Clinical Education
𝗦𝗽𝗲𝗮𝗸𝗲𝗿: Todd Ponsky, MD, FACS
This presentation discusses how medical education must move beyond traditional textbooks, journals, and lectures to ke
video · Jun 2026
I tested Apple Vision Pro for pediatric surgery
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I tested Apple Vision Pro for pediatric surgery
video · Oct 2026
2022 Pediatric Surgery Update Course Introduction
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video2:09 · Jun 2026
Why?PediatricSurgery - More to do
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video1:26 · Jun 2026
Non-Operative Management of Appendicitis: 2018 Pediatric Surgery Practice Gap #2
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Drs. Todd Ponsky, Alex Casar, Alex Gibbons, and Rae Hanke review 2018 Practice Gap #2: Wilms Tumor Protocol Violations, as identified by the APSA Professional Development Committee.
video1:21 · Jun 2019
Todd Ponsky IPEG Welcome Address ZK 6 10
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video5:39 · Jun 2026
Todd Ponsky: What is new in Pediatric Surgery? Teaser
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video1:05:21 · Jun 2026
AIMed Talks with Dr Todd Ponsky
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video7:32 · Jun 2026
Pediatric trauma centers use less imaging than adult centers for adolescent patients
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Pediatric trauma centers use less imaging than adult centers for adolescent patients
video · Oct 2026
Neonatal thoracotomy has 25% chance of chest wall deformity
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Neonatal thoracotomy has 25% chance of chest wall deformity. Full text: http://ow.ly/j8O330hVPfs . Hôpital de Montréal pour enfants - Montréal Children's Hospital. Video by Sophia Abdulhai Akron Children's Hospital
video · Oct 2026
IPEG:SAGES PONSKY HEATED DEBATE on Laparoscopic G tube versus PEG
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At SAGES/IPEG 2012 I debated my father on the best method for feeding tube placement. This was fun! Who won?
video · Oct 2026
Adolescent Surgery Session: They Look Like Adults, but Aren't the Same-Hernia Repair
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video18:37 · Jun 2026
RMHC: State of The Art in MIS Broadcast: Steve Rothenberg and Todd Ponsky
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A medical conference on minimally invasive pediatric surgery that was held in Denver, CO was broadcast to the world. This allowed viewers from around the world to interact with the esteemed faculty as well as other surgeons. Contact tpons
video · Oct 2026
Live,Virtual,Interactive, Surgery (2010,Host:Todd Ponsky, RBC Hosp).mp4
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With decreasing resources available for physicians to travel to national meetings, online symposiums are gaining increasing popularity. However, webinars are usually non-engaging. These productions are fast-paced, highly entertaining and
video · Oct 2026
Live,Virtual,Interactive,Pediatric Surgery (2010,Host:Todd Ponsky, RBC Hosp).mp4
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With decreasing resources available for physicians to travel to national meetings, online symposiums are gaining increasing popularity. However, webinars are usually non-engaging. These productions are fast-paced, highly entertaining and
video · Oct 2026
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Non-Operative Management of Appendicitis: 2018 Pediatric Surgery Practice Gap #2
Non-operative management of perforated appendicitis has been known for a long time.
clinical0:19 ↗
Treating appendicitis with antibiotics had equal outcome measures compared to initial operative management.
clinical0:19 ↗
There was a 15% risk of recurrence of appendicitis at one-year follow-up with non-operative management.
clinical0:35 ↗
Non-operative management resulted in decreased hospital stays compared to operative management.
clinical0:35 ↗
Non-operative management resulted in decreased days of disability compared to operative management.
clinical0:35 ↗
Non-operative management of appendicitis is an option with risks and benefits that need to be taken into account.
guideline0:52 ↗
APSA was not making a flat out recommendation to start doing non-operative appendicitis.
opinionGibbons1:08 ↗
The data on non-operative appendicitis management is becoming more clear.
opinionGibbons1:14 ↗
The choice between operative and non-operative appendicitis management remains dealer's choice.
opinionGibbons1:06 ↗
Todd Ponsky IPEG Welcome Address ZK 6 10
IPEG (International Pediatric Endosurgery Group) was founded in 1991 by pediatric surgeons seeking less invasive approaches to treating children.
clinicalTodd Ponsky0:14 ↗
IPEG has held an annual conference where new ideas are presented since its founding 30 years ago.
clinicalTodd Ponsky1:03 ↗
In the past 12 months, IPEG embarked on a new, more modern direction in response to challenges posed by the current year.
opinionTodd Ponsky1:12 ↗
Some IPEG committees met several times a week during the restructuring year, departing from the historical pattern of meeting once annually.
clinicalTodd Ponsky1:27 ↗
Carolina Milan and Sabine Zane served as meeting co-chairs for IPEG this year.
clinical1:47 ↗
Matt Clifton and Samir Panda served as meeting chairs (program chairs) for IPEG this year.
clinical1:55 ↗
The program chairs developed a virtual program for this year and helped create the Calendar of Content Committee to provide year-round content for IPEG members.
clinicalTodd Ponsky2:06 ↗
The Middle East chapter and Latin America chapter of IPEG have experienced explosive growth with year-round live virtual events drawing huge attendance.
epidemiologicalTodd Ponsky2:29 ↗
IPEG provides monthly webinars as part of its year-round content strategy.
clinicalTodd Ponsky2:43 ↗
The Education Committee was charged with making IPEG a resource for surgical information, leading to creation of the IPEG Academy.
clinicalTodd Ponsky2:49 ↗
The IPEG Academy created an organized library of videos for members by working with all IPEG committees.
clinicalTodd Ponsky3:09 ↗
The Video Education Subcommittee created a library of step-by-step surgical technique videos intended to become a staple in pediatric surgery training.
opinionTodd Ponsky3:18 ↗
IPEG partnered with the Stay Current in Pediatric Surgery app to create an IPEG channel where members can access video content.
clinicalTodd Ponsky3:34 ↗
The Telesimulation Committee created a first-of-its-kind virtual surgical simulation curriculum allowing participants to learn and practice tasks remotely on training models with evaluation by IPEG faculty.
clinicalTodd Ponsky3:55 ↗
The Innovative Spaces Committee meets frequently to scan for new exciting trends that surgeons must be aware of.
clinicalTodd Ponsky4:13 ↗
The Translational and Entrepreneurship Committee was created to teach entrepreneurship and offer support for anyone interested in invention and entrepreneurship, which is often frowned upon by other societies.
opinionTodd Ponsky4:26 ↗
Rebecca Rentia and the social media team spread awareness of IPEG content with posts almost every day.
clinicalTodd Ponsky4:43 ↗
IPEG is changing its partner journal to the Journal of Pediatric Surgery, managed by the Publications Committee.
clinicalTodd Ponsky4:54 ↗
The Business Strategy Committee was created to help IPEG adapt to new economics of education dissemination.
clinicalTodd Ponsky5:04 ↗
IPEG's long-term research fund continues to grow and support new research, managed by the Research Committee.
clinicalTodd Ponsky5:13 ↗
Adolescent Surgery Session: They Look Like Adults, but Aren't the Same-Hernia Repair
In Europe, surgeons treat pediatric inguinal hernias by dividing the sac without ligation, and this approach works due to a shutter mechanism where the muscle closes once the peritoneum retracts.
clinicalTodd Ponsky2:49 ↗
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