# Pediatric Surgery Essentials — GCMD Library living collection

Updated: n/a · 63 episodes · 73 cited statements

## Episodes
### Common Surgical Conditions
- [Incarcerated Pediatric Hernias](https://library.globalcastmd.com/watch/incarcerated-pediatric-hernias-13302) — article · [machine version](https://library.globalcastmd.com/watch/incarcerated-pediatric-hernias-13302.md)
- [Treatment of routine adolescent inguinal hernia vastly differs between pediatric surgeons and general surgeons](https://library.globalcastmd.com/watch/treatment-of-routine-adolescent-inguinal-hernia-vastly-differs-between-pediatric-13303) — article · [machine version](https://library.globalcastmd.com/watch/treatment-of-routine-adolescent-inguinal-hernia-vastly-differs-between-pediatric-13303.md)
- [Inguinal Hernia](https://library.globalcastmd.com/watch/inguinal-hernia-13295) — article · [machine version](https://library.globalcastmd.com/watch/inguinal-hernia-13295.md)
- [Assessing the Adequacy of Absorbable Braided Suture for Laparoscopic High Ligation in Rabbits](https://library.globalcastmd.com/watch/assessing-the-adequacy-of-absorbable-braided-suture-for-laparoscopic-high-ligati-13298) — article · [machine version](https://library.globalcastmd.com/watch/assessing-the-adequacy-of-absorbable-braided-suture-for-laparoscopic-high-ligati-13298.md)
- [Stitch versus scar--evaluation of laparoscopic pediatric inguinal hernia repair: a pilot study in a rabbit model](https://library.globalcastmd.com/watch/stitch-versus-scar-evaluation-of-laparoscopic-pediatric-inguinal-hernia-repair-a-13320) — article · [machine version](https://library.globalcastmd.com/watch/stitch-versus-scar-evaluation-of-laparoscopic-pediatric-inguinal-hernia-repair-a-13320.md)
- [Pediatric Inguinal Hernia with Dr. Todd Ponsky](https://library.globalcastmd.com/watch/pediatric-inguinal-hernia-with-dr-todd-ponsky-13423) — podcast · [machine version](https://library.globalcastmd.com/watch/pediatric-inguinal-hernia-with-dr-todd-ponsky-13423.md)
- [22. Pediatric Hernias](https://library.globalcastmd.com/watch/22-pediatric-hernias-13430) — podcast · [machine version](https://library.globalcastmd.com/watch/22-pediatric-hernias-13430.md)
- [Elective interval appendectomy following non-operative management for uncomplicated acute appendicitis: a feasible same-day discharge strategy in children](https://library.globalcastmd.com/watch/elective-interval-appendectomy-following-non-operative-management-for-uncomplica-15119) — article · [machine version](https://library.globalcastmd.com/watch/elective-interval-appendectomy-following-non-operative-management-for-uncomplica-15119.md)
- [Bringing surgeons together across the world: diagnosis and management of acute appendicitis](https://library.globalcastmd.com/watch/bringing-surgeons-together-across-the-world-diagnosis-and-management-of-acute-ap-13312) — article · [machine version](https://library.globalcastmd.com/watch/bringing-surgeons-together-across-the-world-diagnosis-and-management-of-acute-ap-13312.md)
- [Acute Appendicitis 2020 Update](https://library.globalcastmd.com/watch/acute-appendicitis-2020-update-13428) — podcast · [machine version](https://library.globalcastmd.com/watch/acute-appendicitis-2020-update-13428.md)
- [Prospective observational study to assess the need for postoperative antibiotics following surgical incision and drainage of skin and soft tissue abscess in pediatric patients](https://library.globalcastmd.com/watch/prospective-observational-study-to-assess-the-need-for-postoperative-antibiotics-13294) — article · [machine version](https://library.globalcastmd.com/watch/prospective-observational-study-to-assess-the-need-for-postoperative-antibiotics-13294.md)
- [Same-day discharge after incision and drainage of soft-tissue abscess in diaper-age children is safe and effective](https://library.globalcastmd.com/watch/same-day-discharge-after-incision-and-drainage-of-soft-tissue-abscess-in-diaper-13299) — article · [machine version](https://library.globalcastmd.com/watch/same-day-discharge-after-incision-and-drainage-of-soft-tissue-abscess-in-diaper-13299.md)
- [Pediatric abdominal wall defects](https://library.globalcastmd.com/watch/pediatric-abdominal-wall-defects-13319) — article · [machine version](https://library.globalcastmd.com/watch/pediatric-abdominal-wall-defects-13319.md)

### Complex Conditions
- [Evaluating the utility of the "late ECMO repair": a congenital diaphragmatic hernia study group investigation](https://library.globalcastmd.com/watch/evaluating-the-utility-of-the-late-ecmo-repair-a-congenital-diaphragmatic-hernia-13289) — article · [machine version](https://library.globalcastmd.com/watch/evaluating-the-utility-of-the-late-ecmo-repair-a-congenital-diaphragmatic-hernia-13289.md)
- [Current Practices in the Management of Congenital Diaphragmatic Hernia Patients Requiring Extracorporeal Membrane Oxygenation: Results of an International Survey of Pediatric Surgeons](https://library.globalcastmd.com/watch/current-practices-in-the-management-of-congenital-diaphragmatic-hernia-patients-13291) — article · [machine version](https://library.globalcastmd.com/watch/current-practices-in-the-management-of-congenital-diaphragmatic-hernia-patients-13291.md)
- [Approach to Recurrent Congenital Diaphragmatic Hernia: Results of an International Survey](https://library.globalcastmd.com/watch/approach-to-recurrent-congenital-diaphragmatic-hernia-results-of-an-internationa-13304) — article · [machine version](https://library.globalcastmd.com/watch/approach-to-recurrent-congenital-diaphragmatic-hernia-results-of-an-internationa-13304.md)
- [Esophageal Atresia: State of the Art in Translating Experimental Research to the Bedside](https://library.globalcastmd.com/watch/esophageal-atresia-state-of-the-art-in-translating-experimental-research-to-the-13282) — article · [machine version](https://library.globalcastmd.com/watch/esophageal-atresia-state-of-the-art-in-translating-experimental-research-to-the-13282.md)
- [Magnetic compression anastomosis (magnamosis) in a porcine esophagus: Proof of concept for potential application in esophageal atresia](https://library.globalcastmd.com/watch/magnetic-compression-anastomosis-in-a-porcine-esophagus-proof-of-concept-for-pot-13287) — article · [machine version](https://library.globalcastmd.com/watch/magnetic-compression-anastomosis-in-a-porcine-esophagus-proof-of-concept-for-pot-13287.md)
- [Necrotizing Enterocolitis](https://library.globalcastmd.com/watch/necrotizing-enterocolitis-13447) — podcast · [machine version](https://library.globalcastmd.com/watch/necrotizing-enterocolitis-13447.md)
- [Creation of a neopylorus after pyloric exclusion using a "double-endoscope" technique](https://library.globalcastmd.com/watch/creation-of-a-neopylorus-after-pyloric-exclusion-using-a-double-endoscope-techni-13308) — article · [machine version](https://library.globalcastmd.com/watch/creation-of-a-neopylorus-after-pyloric-exclusion-using-a-double-endoscope-techni-13308.md)
- [Endoscopic Web Localization for Laparoscopic Duodenal Web Excision](https://library.globalcastmd.com/watch/endoscopic-web-localization-for-laparoscopic-duodenal-web-excision-13309) — article · [machine version](https://library.globalcastmd.com/watch/endoscopic-web-localization-for-laparoscopic-duodenal-web-excision-13309.md)

### Pediatric Oncology
- [Neuroblastoma](https://library.globalcastmd.com/watch/neuroblastoma-13431) — podcast · [machine version](https://library.globalcastmd.com/watch/neuroblastoma-13431.md)
- [Wilms Tumor](https://library.globalcastmd.com/watch/wilms-tumor-13443) — podcast · [machine version](https://library.globalcastmd.com/watch/wilms-tumor-13443.md)
- [Hepatoblastoma](https://library.globalcastmd.com/watch/hepatoblastoma-13441) — podcast · [machine version](https://library.globalcastmd.com/watch/hepatoblastoma-13441.md)

### Trauma Management
- [The use and timing of angioembolization in pediatric blunt liver and spleen injury](https://library.globalcastmd.com/watch/the-use-and-timing-of-angioembolization-in-pediatric-blunt-liver-and-spleen-inju-13267) — article · [machine version](https://library.globalcastmd.com/watch/the-use-and-timing-of-angioembolization-in-pediatric-blunt-liver-and-spleen-inju-13267.md)
- [Use of Laparoscopy in Pediatric Blunt and Spleen Injury: An Unexpectedly Common Procedure After Cessation of Bleeding](https://library.globalcastmd.com/watch/use-of-laparoscopy-in-pediatric-blunt-and-spleen-injury-an-unexpectedly-common-p-13283) — article · [machine version](https://library.globalcastmd.com/watch/use-of-laparoscopy-in-pediatric-blunt-and-spleen-injury-an-unexpectedly-common-p-13283.md)
- [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](https://library.globalcastmd.com/watch/negative-focused-abdominal-sonography-for-trauma-examination-predicts-successful-13286) — article · [machine version](https://library.globalcastmd.com/watch/negative-focused-abdominal-sonography-for-trauma-examination-predicts-successful-13286.md)
- [Failure of nonoperative management of pediatric blunt liver and spleen injuries: A prospective Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium study](https://library.globalcastmd.com/watch/failure-of-nonoperative-management-of-pediatric-blunt-liver-and-spleen-injuries-13300) — article · [machine version](https://library.globalcastmd.com/watch/failure-of-nonoperative-management-of-pediatric-blunt-liver-and-spleen-injuries-13300.md)
- [Pediatric Trauma II: Solid Organ Injury](https://library.globalcastmd.com/watch/pediatric-trauma-ii-solid-organ-injury-13439) — podcast · [machine version](https://library.globalcastmd.com/watch/pediatric-trauma-ii-solid-organ-injury-13439.md)
- [Operative vs nonoperative management for blunt pancreatic transection in children: multi-institutional outcomes](https://library.globalcastmd.com/watch/operative-vs-nonoperative-management-for-blunt-pancreatic-transection-in-childre-13318) — article · [machine version](https://library.globalcastmd.com/watch/operative-vs-nonoperative-management-for-blunt-pancreatic-transection-in-childre-13318.md)

### Gastrointestinal Conditions
- [It Is a Wrap! Or Is It?: The Role of Fundoplication in Infant Feeding Intolerance](https://library.globalcastmd.com/watch/it-is-a-wrap-or-is-it-the-role-of-fundoplication-in-infant-feeding-intolerance-13284) — article · [machine version](https://library.globalcastmd.com/watch/it-is-a-wrap-or-is-it-the-role-of-fundoplication-in-infant-feeding-intolerance-13284.md)
- [Enteral access and reflux management in neonates with severe univentricular congenital heart disease: literature review and proposed algorithm](https://library.globalcastmd.com/watch/enteral-access-and-reflux-management-in-neonates-with-severe-univentricular-cong-13268) — article · [machine version](https://library.globalcastmd.com/watch/enteral-access-and-reflux-management-in-neonates-with-severe-univentricular-cong-13268.md)
- [Gastroesophageal Reflux Disease](https://library.globalcastmd.com/watch/gastroesophageal-reflux-disease-13437) — podcast · [machine version](https://library.globalcastmd.com/watch/gastroesophageal-reflux-disease-13437.md)
- [NASPGHAN Clinical Report on Postoperative Recurrence in Pediatric Crohn Disease](https://library.globalcastmd.com/watch/naspghan-clinical-report-on-postoperative-recurrence-in-pediatric-crohn-disease-13296) — article · [machine version](https://library.globalcastmd.com/watch/naspghan-clinical-report-on-postoperative-recurrence-in-pediatric-crohn-disease-13296.md)
- [Case Based Journal Review: Cholelithiasis 2024](https://library.globalcastmd.com/watch/case-based-journal-review-cholelithiasis-2024-13421) — podcast · [machine version](https://library.globalcastmd.com/watch/case-based-journal-review-cholelithiasis-2024-13421.md)

### Thoracic Surgery
- [Spontaneous Pneumothorax](https://library.globalcastmd.com/watch/spontaneous-pneumothorax-13433) — podcast · [machine version](https://library.globalcastmd.com/watch/spontaneous-pneumothorax-13433.md)

### More resources
- [Tracheoesophageal Fistula](https://library.globalcastmd.com/watch/tracheoesophageal-fistula-13449) — podcast · [machine version](https://library.globalcastmd.com/watch/tracheoesophageal-fistula-13449.md)
- [Vascular Access](https://library.globalcastmd.com/watch/vascular-access-13451) — podcast · [machine version](https://library.globalcastmd.com/watch/vascular-access-13451.md)
- [Pediatric trauma pancreatic injury part 4](https://library.globalcastmd.com/watch/pediatric-trauma-pancreatic-injury-part-4-15120) — video · [machine version](https://library.globalcastmd.com/watch/pediatric-trauma-pancreatic-injury-part-4-15120.md)
- [Pediatric trauma case scenario part 2](https://library.globalcastmd.com/watch/pediatric-trauma-case-scenario-part-2-15121) — video · [machine version](https://library.globalcastmd.com/watch/pediatric-trauma-case-scenario-part-2-15121.md)
- [#inguinalhernia anatomy explained in a janky model😂.#surgery #pediatrics #hernias #pediatricsurgery](https://library.globalcastmd.com/watch/inguinalhernia-anatomy-explained-in-a-janky-model-surgery-pediatrics-hernias-ped-15122) — video · [machine version](https://library.globalcastmd.com/watch/inguinalhernia-anatomy-explained-in-a-janky-model-surgery-pediatrics-hernias-ped-15122.md)
- [History of pediatric surgery Part 1.  #halifaxexplosion #surgery #history #medical #pediatrics](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-part-1-halifaxexplosion-surgery-history-medical-ped-15123) — video · [machine version](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-part-1-halifaxexplosion-surgery-history-medical-ped-15123.md)
- [#history of #pediatric #surgery #fetal surgery Michael Harrison #ucsf](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-fetal-surgery-michael-harrison-ucsf-15124) — video · [machine version](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-fetal-surgery-michael-harrison-ucsf-15124.md)
- [History of pediatric surgery part 2. Ladd starts the field #surgery #history](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-part-2-ladd-starts-the-field-surgery-history-15125) — video · [machine version](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-part-2-ladd-starts-the-field-surgery-history-15125.md)
- [#history of #pediatric #surgery TEF](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-tef-15126) — video · [machine version](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-tef-15126.md)
- [#history of #pediatricsurgery Part 3. Robert E Gross](https://library.globalcastmd.com/watch/history-of-pediatricsurgery-part-3-robert-e-gross-15127) — video · [machine version](https://library.globalcastmd.com/watch/history-of-pediatricsurgery-part-3-robert-e-gross-15127.md)
- [The Moment in Uruguay That Changed My Career (2008)](https://library.globalcastmd.com/watch/the-moment-in-uruguay-that-changed-my-career-15128) — video · [machine version](https://library.globalcastmd.com/watch/the-moment-in-uruguay-that-changed-my-career-15128.md)
- [Which Country Has the Best Pediatric Surgery Training? (US vs. Chile vs. France vs. Italy)](https://library.globalcastmd.com/watch/which-country-has-the-best-pediatric-surgery-training-15129) — video · [machine version](https://library.globalcastmd.com/watch/which-country-has-the-best-pediatric-surgery-training-15129.md)
- [Storycasts in Pediatric Surgery: Interactive Storytelling to Transform Clinical Education](https://library.globalcastmd.com/watch/storycasts-in-pediatric-surgery-interactive-storytelling-to-transform-clinical-e-13352) — video · [machine version](https://library.globalcastmd.com/watch/storycasts-in-pediatric-surgery-interactive-storytelling-to-transform-clinical-e-13352.md)
- [I tested Apple Vision Pro for pediatric surgery](https://library.globalcastmd.com/watch/i-tested-apple-vision-pro-for-pediatric-surgery-15130) — video · [machine version](https://library.globalcastmd.com/watch/i-tested-apple-vision-pro-for-pediatric-surgery-15130.md)
- [2022 Pediatric Surgery Update Course Introduction](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354) — video · 2:09 · [machine version](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354.md)
- [Why?PediatricSurgery - More to do](https://library.globalcastmd.com/watch/why-pediatricsurgery-more-to-do-13357) — video · 1:26 · [machine version](https://library.globalcastmd.com/watch/why-pediatricsurgery-more-to-do-13357.md)
- [Non-Operative Management of Appendicitis: 2018 Pediatric Surgery Practice Gap #2](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462) — video · 1:21 · [machine version](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462.md)
- [Todd Ponsky IPEG Welcome Address ZK 6 10](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552) — video · 5:39 · [machine version](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552.md)
- [Todd Ponsky: What is new in Pediatric Surgery? Teaser](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347) — video · 1:05:21 · [machine version](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347.md)
- [AIMed Talks with Dr Todd Ponsky](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348) — video · 7:32 · [machine version](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348.md)
- [Pediatric trauma centers use less imaging than adult centers for adolescent patients](https://library.globalcastmd.com/watch/pediatric-trauma-centers-use-less-imaging-than-adult-centers-for-adolescent-pati-15131) — video · [machine version](https://library.globalcastmd.com/watch/pediatric-trauma-centers-use-less-imaging-than-adult-centers-for-adolescent-pati-15131.md)
- [Neonatal thoracotomy has 25% chance of chest wall deformity](https://library.globalcastmd.com/watch/neonatal-thoracotomy-has-25-chance-of-chest-wall-deformity-15132) — video · [machine version](https://library.globalcastmd.com/watch/neonatal-thoracotomy-has-25-chance-of-chest-wall-deformity-15132.md)
- [IPEG:SAGES  PONSKY HEATED DEBATE on Laparoscopic G tube versus PEG](https://library.globalcastmd.com/watch/ipeg-sages-ponsky-heated-debate-on-laparoscopic-g-tube-versus-peg-15133) — video · [machine version](https://library.globalcastmd.com/watch/ipeg-sages-ponsky-heated-debate-on-laparoscopic-g-tube-versus-peg-15133.md)
- [Adolescent Surgery Session: They Look Like Adults, but Aren't the Same-Hernia Repair](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554) — video · 18:37 · [machine version](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554.md)
- [RMHC: State of The Art in MIS Broadcast: Steve Rothenberg and Todd Ponsky](https://library.globalcastmd.com/watch/rmhc-state-of-the-art-in-mis-broadcast-steve-rothenberg-and-todd-ponsky-15134) — video · [machine version](https://library.globalcastmd.com/watch/rmhc-state-of-the-art-in-mis-broadcast-steve-rothenberg-and-todd-ponsky-15134.md)
- [Live,Virtual,Interactive, Surgery (2010,Host:Todd Ponsky, RBC Hosp).mp4](https://library.globalcastmd.com/watch/live-virtual-interactive-surgery-mp4-15135) — video · [machine version](https://library.globalcastmd.com/watch/live-virtual-interactive-surgery-mp4-15135.md)
- [Live,Virtual,Interactive,Pediatric Surgery (2010,Host:Todd Ponsky, RBC Hosp).mp4](https://library.globalcastmd.com/watch/live-virtual-interactive-pediatric-surgery-mp4-15136) — video · [machine version](https://library.globalcastmd.com/watch/live-virtual-interactive-pediatric-surgery-mp4-15136.md)

## Chapters
- [0:04](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=4) Non-Operative Management of Appendicitis as 2018 Practice Gap #2 (Ep 53)
- [0:04](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=4) IPEG's founding mission and growth (Ep 54)
- [1:03](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=63) Organizational transformation in response to COVID-19 (Ep 54)
- [1:47](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=107) Meeting leadership and regional chapter growth (Ep 54)
- [2:43](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=163) IPEG Academy and educational resources (Ep 54)
- [3:49](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=229) New committees: simulation, innovation, and entrepreneurship (Ep 54)
- [4:43](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=283) Communications, partnerships, and future outlook (Ep 54)
- [0:00](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=0) Defining the clinical question: patent processus vaginalis versus muscle defect (Ep 60)
- [3:51](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=231) Evidence for high ligation efficacy in children and long-term outcomes (Ep 60)
- [5:35](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=335) The adolescent dilemma and arguments against mesh (Ep 60)
- [8:08](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=488) Current research on adolescent high ligation outcomes (Ep 60)
- [10:20](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=620) Laparoscopic versus open high ligation technique (Ep 60)
- [12:00](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=720) Audience discussion: mesh timing, recurrence definition, and hernia classification (Ep 60)
- [0:07](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=7) Welcome and Course Overview (Ep 51)
- [0:37](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=37) Sponsorship and Financial Support (Ep 51)
- [1:15](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=75) Technical Information and Troubleshooting (Ep 51)
- [0:08](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=8) Knowledge Transfer Challenges During COVID-19 Pandemic (Ep 56)
- [3:35](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=215) Platform Requirements for Effective Knowledge Sharing (Ep 56)
- [4:27](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=267) Surgical Telementoring and Future AI Integration (Ep 56)
- [0:00](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=0) Introduction and Spontaneous Pneumothorax Management (Ep 55)
- [4:49](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=289) Post-Pyloromyotomy Feeding Protocols (Ep 55)
- [8:11](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=491) Umbilical Hernia Repair Timing (Ep 55)
- [10:10](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=610) Appendix Role in Ulcerative Colitis (Ep 55)
- [12:13](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=733) Pilonidal Disease: Minimally Invasive Approach (Ep 55)
- [16:13](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=973) Airway Foreign Body Evaluation with CT (Ep 55)
- [21:36](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1296) Intussusception: Repeat Reduction Attempts (Ep 55)
- [22:43](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1363) Pediatric Trauma Resuscitation: ATOMAC Protocol (Ep 55)
- [25:27](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1527) Central Line Chest X-rays: Selective Imaging (Ep 55)
- [29:31](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1771) Esophageal Anastomotic Leak: Glycopyrrolate Treatment (Ep 55)
- [32:50](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1970) Operating Room Headgear Study (Ep 55)
- [35:48](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=2148) Discussion: Regional Practice Variation and Evidence Dissemination (Ep 55)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- Non-operative management of perforated appendicitis has been known for a long time. (clinical) [Ep 53 · 0:19](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=19)
- Treating appendicitis with antibiotics had equal outcome measures compared to initial operative management. (clinical) [Ep 53 · 0:19](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=19)
- There was a 15% risk of recurrence of appendicitis at one-year follow-up with non-operative management. (clinical) [Ep 53 · 0:35](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=35)
- Non-operative management resulted in decreased hospital stays compared to operative management. (clinical) [Ep 53 · 0:35](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=35)
- Non-operative management resulted in decreased days of disability compared to operative management. (clinical) [Ep 53 · 0:35](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=35)
- Non-operative management of appendicitis is an option with risks and benefits that need to be taken into account. (guideline) [Ep 53 · 0:52](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=52)
- APSA was not making a flat out recommendation to start doing non-operative appendicitis. — Gibbons (opinion) [Ep 53 · 1:08](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=68)
- The data on non-operative appendicitis management is becoming more clear. — Gibbons (opinion) [Ep 53 · 1:14](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=74)
- The choice between operative and non-operative appendicitis management remains dealer's choice. — Gibbons (opinion) [Ep 53 · 1:06](https://library.globalcastmd.com/watch/non-operative-management-of-appendicitis-2018-pediatric-surgery-practice-gap-2-1462?t=66)
- IPEG (International Pediatric Endosurgery Group) was founded in 1991 by pediatric surgeons seeking less invasive approaches to treating children. — Todd Ponsky (clinical) [Ep 54 · 0:14](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=14)
- IPEG has held an annual conference where new ideas are presented since its founding 30 years ago. — Todd Ponsky (clinical) [Ep 54 · 1:03](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=63)
- In the past 12 months, IPEG embarked on a new, more modern direction in response to challenges posed by the current year. — Todd Ponsky (opinion) [Ep 54 · 1:12](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=72)
- Some IPEG committees met several times a week during the restructuring year, departing from the historical pattern of meeting once annually. — Todd Ponsky (clinical) [Ep 54 · 1:27](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=87)
- Carolina Milan and Sabine Zane served as meeting co-chairs for IPEG this year. (clinical) [Ep 54 · 1:47](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=107)
- Matt Clifton and Samir Panda served as meeting chairs (program chairs) for IPEG this year. (clinical) [Ep 54 · 1:55](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=115)
- 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. — Todd Ponsky (clinical) [Ep 54 · 2:06](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=126)
- The Middle East chapter and Latin America chapter of IPEG have experienced explosive growth with year-round live virtual events drawing huge attendance. — Todd Ponsky (epidemiological) [Ep 54 · 2:29](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=149)
- IPEG provides monthly webinars as part of its year-round content strategy. — Todd Ponsky (clinical) [Ep 54 · 2:43](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=163)
- The Education Committee was charged with making IPEG a resource for surgical information, leading to creation of the IPEG Academy. — Todd Ponsky (clinical) [Ep 54 · 2:49](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=169)
- The IPEG Academy created an organized library of videos for members by working with all IPEG committees. — Todd Ponsky (clinical) [Ep 54 · 3:09](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=189)
- The Video Education Subcommittee created a library of step-by-step surgical technique videos intended to become a staple in pediatric surgery training. — Todd Ponsky (opinion) [Ep 54 · 3:18](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=198)
- IPEG partnered with the Stay Current in Pediatric Surgery app to create an IPEG channel where members can access video content. — Todd Ponsky (clinical) [Ep 54 · 3:34](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=214)
- 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. — Todd Ponsky (clinical) [Ep 54 · 3:55](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=235)
- The Innovative Spaces Committee meets frequently to scan for new exciting trends that surgeons must be aware of. — Todd Ponsky (clinical) [Ep 54 · 4:13](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=253)
- 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. — Todd Ponsky (opinion) [Ep 54 · 4:26](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=266)
- Rebecca Rentia and the social media team spread awareness of IPEG content with posts almost every day. — Todd Ponsky (clinical) [Ep 54 · 4:43](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=283)
- IPEG is changing its partner journal to the Journal of Pediatric Surgery, managed by the Publications Committee. — Todd Ponsky (clinical) [Ep 54 · 4:54](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=294)
- The Business Strategy Committee was created to help IPEG adapt to new economics of education dissemination. — Todd Ponsky (clinical) [Ep 54 · 5:04](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=304)
- IPEG's long-term research fund continues to grow and support new research, managed by the Research Committee. — Todd Ponsky (clinical) [Ep 54 · 5:13](https://library.globalcastmd.com/watch/todd-ponsky-ipeg-welcome-address-zk-6-10-13552?t=313)
- 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. — Todd Ponsky (clinical) [Ep 60 · 2:49](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=169)
- Multi-center retrospective review of 150 adolescent patients (ages 13-18) with 2-year follow-up showed 2 recurrences among 53 responders. — Todd Ponsky (epidemiological) [Ep 60 · 8:30](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=510)
- Mesh is known to shrink over time based on available data. — Joe Dodd (clinical) [Ep 60 · 13:39](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=819)
- Recurrence rates with mesh in adults are clearly much better than without mesh. — Joe Dodd (opinion) [Ep 60 · 12:25](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=745)
- NYHUS class 1 hernias should receive just high ligation in many practices. — Fitzgibbons (guideline) [Ep 60 · 14:14](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=854)
- This is the 10th annual pediatric surgery update course. (clinical) [Ep 51 · 0:09](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=9)
- The course brings together surgeons from all over the world once a year to present what is new and important in pediatric surgery from the last year. (clinical) [Ep 51 · 0:21](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=21)
- Pediatric surgery is a rapidly changing field and it is very hard to stay current. (opinion) [Ep 51 · 0:31](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=31)
- The event is financially supported by Cincinnati Children's, Akron Children's, O'Shea Children's Hospital, Mercy Children's Kansas City, and UCLA. (clinical) [Ep 51 · 0:41](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=41)
- APSA and the Journal of Pediatric Surgery have supported the course. (clinical) [Ep 51 · 0:59](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=59)
- Two device companies, Proximy and Carl Stuartz, sponsored the course this year. (clinical) [Ep 51 · 0:59](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=59)
- The live event will be put out on video for the world, both as the full event and as chopped up sessions available in the Stay Current app and on YouTube. (clinical) [Ep 51 · 1:15](https://library.globalcastmd.com/watch/2022-pediatric-surgery-update-course-introduction-13354?t=75)
- Effective knowledge transfer requires both a platform people will use and a method to filter what information is important — Todd Ponsky (opinion) [Ep 56 · 1:26](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=86)
- A communication platform must work with all different types of healthcare professional lifestyles to be effective — Todd Ponsky (opinion) [Ep 56 · 1:45](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=105)
- A trusted network is essential, as too much information from too many people creates noise — Todd Ponsky (opinion) [Ep 56 · 1:58](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=118)
- Crowdsourcing and AI can help filter important information — Todd Ponsky (opinion) [Ep 56 · 2:17](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=137)
- The COVID-19 crisis exaggerated the pre-existing problem of too many communication channels without knowing which to pay attention to — Todd Ponsky (opinion) [Ep 56 · 3:35](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=215)
- Proning was already known but is now being discussed for earlier use in COVID-19 — Todd Ponsky (clinical) [Ep 56 · 4:00](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=240)
- Some clinical information like early proning cannot wait 6 months to disseminate — Todd Ponsky (opinion) [Ep 56 · 4:09](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=249)
- Pilots always have a co-pilot, but surgeons are oftentimes by themselves in a community doing operations in spaces they're not comfortable with — Todd Ponsky (clinical) [Ep 56 · 4:45](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=285)
- Surgical telementoring allows one surgeon to beam into the room and guide another surgeon with telestration and pointing to make operations safer — Todd Ponsky (clinical) [Ep 56 · 5:01](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=301)
- Telementoring is intended for trained surgeons who need interaction from others, not for novices being told what to do — Todd Ponsky (opinion) [Ep 56 · 5:18](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=318)
- Measurements have shown that surgical telementoring absolutely needs to take place — Todd Ponsky (clinical) [Ep 56 · 5:27](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=327)
- Medical-legal issues could get in the way of surgical telementoring implementation — Todd Ponsky (opinion) [Ep 56 · 5:34](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=334)
- Real-time peer review should be crowdsourced rather than limited to selected individual peer reviewers — Todd Ponsky (opinion) [Ep 56 · 6:03](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=363)
- Senior surgeons who may not be able to operate anymore still have the skill set and know-how to contribute through telementoring — Todd Ponsky (opinion) [Ep 56 · 6:16](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=376)
- Two people talking together elevates the entire surgical procedure — Todd Ponsky (opinion) [Ep 56 · 6:27](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=387)
- Two surgeons should be walking and telestrating during telementoring — Todd Ponsky (opinion) [Ep 56 · 6:32](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=392)
- AI image recognition could be applied live during surgery to implement CT scan data and warn surgeons about anatomical structures like the hepatic artery — Todd Ponsky (opinion) [Ep 56 · 6:44](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=404)
- Putting a chest tube for spontaneous pneumothorax is probably an unnecessary step that will eventually be eliminated—either send patients home or go to the operating room. — Todd Ponsky (opinion) [Ep 55 · 5:43](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=343)
- A 1950s study showed larger umbilical hernias have lower spontaneous closure rates, which could justify earlier repair, but recommendation is to wait until after 4 years of age. — Todd Ponsky (clinical) [Ep 55 · 9:51](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=591)
- Traditional pilonidal disease excision with flaps has a recurrence rate of 30-40% published from Kansas City data. — Todd Ponsky (clinical) [Ep 55 · 13:00](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=780)
- In Akron Children's series of 133 patients with suspected airway foreign body, when CT showed a foreign body, findings were confirmed on bronchoscopy 94% of the time. — Todd Ponsky (clinical) [Ep 55 · 20:33](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1233)
- Patients with negative CT for airway foreign body who were called years later had zero problems—none ever had a foreign body issue. — Todd Ponsky (clinical) [Ep 55 · 21:08](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1268)
- Bronchoscopy alone for suspected airway foreign body is negative 40% of the time (61% positive rate). — Todd Ponsky (clinical) [Ep 55 · 21:26](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1286)
- The worst thing you could do with someone with reactive airway disease is instrument their airway—it's a high-risk case that makes them worse. — Todd Ponsky (clinical) [Ep 55 · 17:43](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1063)
- ATOMAC is a 12-institution prospective trial that produced approximately 15 articles radically changing solid organ injury management, including eliminating grade-based classification in favor of algorithm-based management. — Todd Ponsky (clinical) [Ep 55 · 25:44](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1544)
- 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 (guideline) [Ep 55 · 23:53](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1433)
- Neonatologists are nervous about glycopyrrolate because it slows secretions and could theoretically cause mucus plugs in the airway, though this hasn't been observed yet. — Todd Ponsky (clinical) [Ep 55 · 32:22](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1942)
- The disposable bouffant cap mandate in many US hospitals came out with no basis behind it, and when data was examined, it didn't make sense—people went back to wearing cloth caps. — Todd Ponsky (opinion) [Ep 55 · 35:35](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=2135)
- Medical publications are growing at an exponential rate, doubling every 73 days due to proliferation of open-access journals, making it impossible to know what to pay attention to. — Todd Ponsky (epidemiological) [Ep 55 · 41:22](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=2482)
- Machine learning algorithm for predicting important pediatric surgery papers has achieved 85% accuracy after one year of training; data scientists predict 95% accuracy after three years of content. — Todd Ponsky (clinical) [Ep 55 · 41:53](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=2513)
- Ultrasound guidance for jugular line placement, combined with fluoroscopy, decreases complications including hematoma and reduces need for multiple sticks, based on Kansas City study. — Todd Ponsky (clinical) [Ep 55 · 53:58](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=3238)
- Micro-pneumothoraces after central line placement or spontaneous pneumothorax are not as scary as previously thought—children with mild symptoms can be followed rather than routinely requiring intervention. — Todd Ponsky (opinion) [Ep 55 · 56:29](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=3389)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Ziggy Iron's study of 6000 patients showed a 1.2% recurrence rate after high ligation in babies. — Todd Ponsky summarizing the discussion [Ep 60 · 3:56](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=236)
- Zendejas study in Journal of American College of Surgeons followed 332 patients for 50 years after pediatric hernia repair, with 213 responding to survey, showing 8.4% had groin operation on same side. — Todd Ponsky summarizing the discussion [Ep 60 · 4:37](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=277)
- In the Zendejas 50-year follow-up study, of 12 patients who had groin operations, only 4 were indirect hernias while the rest were direct hernias, suggesting true indirect recurrence rate is 2-4%. — Todd Ponsky summarizing the discussion [Ep 60 · 5:12](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=312)
- Mesh repairs have an 11 to 30% incidence of chronic pain according to multiple articles. — Todd Ponsky summarizing the discussion [Ep 60 · 6:30](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=390)
- In rabbits, squeezing the vas deferens once with pickups obliterates it. — Todd Ponsky summarizing the discussion [Ep 60 · 11:07](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=667)
- Beetz 1997 study compared high ligation to Bassini and Shouldice repairs in adults, finding Shouldice had lowest recurrence rate but Bassini and high ligation had the same recurrence rate. — Todd Ponsky summarizing the discussion [Ep 60 · 7:29](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=449)
- In Hong Kong, over 1000 laparoscopic high ligation patients have been treated with no reported recurrences, though the speaker expresses skepticism about this claim. — Todd Ponsky summarizing the discussion [Ep 60 · 18:10](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=1090)
- The physiological basis for high ligation working in children is that the external ring and internal ring are right on top of each other, and as children grow, the internal ring separates from the external ring. — Kachch summarizing the discussion [Ep 60 · 15:07](https://library.globalcastmd.com/watch/adolescent-surgery-session-they-look-like-adults-but-aren-t-the-same-hernia-repa-13554?t=907)
- COVID-19 presents a different lung disease pattern than ICU physicians typically see — Anthony Chang summarizing a resource [Ep 56 · 0:42](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=42)
- Proning patients and avoiding intubation appears to be a good strategy for some COVID-19 patients, at least early in the disease — Anthony Chang summarizing a resource [Ep 56 · 3:00](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=180)
- Gastroenterologists are already using real-time AI to determine which lesions to biopsy — Anthony Chang summarizing a resource [Ep 56 · 7:11](https://library.globalcastmd.com/watch/aimed-talks-with-dr-todd-ponsky-13348?t=431)
- In the Midwest Pediatric Surgery Consortium prospective trial of spontaneous pneumothorax, 83% of patients who failed aspiration and received a chest tube eventually required VATS procedure. — The host summarizing the discussion [Ep 55 · 4:25](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=265)
- After aspiration protocol for spontaneous pneumothorax with 6-hour observation, 44% of patients sent home had recurrence, with no episodes of tension pneumothorax. — The host summarizing the discussion [Ep 55 · 4:31](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=271)
- Riley Hospital randomized controlled trial (2016) found relaxed ad-lib feeding after pyloromyotomy decreased time to goal feeds and overall length of stay without significant differences in post-operative vomiting or readmissions compared to incremental feeding protocol. — Todd Ponsky summarizing the discussion [Ep 55 · 7:00](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=420)
- Patients with serum chloride less than 100 on admission after pyloromyotomy took significantly longer to reach feeding goal. — Todd Ponsky summarizing the discussion [Ep 55 · 7:25](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=445)
- Multi-state retrospective cohort study (Journal of Pediatrics 2019) showed umbilical hernia repair before age 4 doubled the recurrence rate and doubled the readmission rate. — Todd Ponsky summarizing the discussion [Ep 55 · 9:15](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=555)
- Prospective multi-center study (Journal of Crohn's and Colitis, February 2019) found appendix removal in refractory ulcerative colitis resulted in sustained symptomatic improvement in 30% of patients, pathologic improvement in 50%, and complete endoscopic remission in 17%. — Todd Ponsky summarizing the discussion [Ep 55 · 11:22](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=682)
- The Gips procedure for pilonidal disease involves coring out pits with trephine, extracting granulation tissue and hair, curetting the cavity, and flushing with saline then peroxide, leaving holes unpacked and unsutured. — Todd Ponsky summarizing the discussion [Ep 55 · 13:59](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=839)
- The Gips procedure for pilonidal disease has the same recurrence rate as traditional flaps but with less pain and fewer sick days away from school. — Todd Ponsky summarizing the discussion [Ep 55 · 15:41](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=941)
- Volumetric chest CT for suspected airway foreign body has almost 100% sensitivity and incredibly high ability to detect foreign bodies whether radiolucent or not. — Todd Ponsky summarizing the discussion [Ep 55 · 18:46](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1126)
- ATOMAC protocol recommends that patients who receive 20cc/kg crystalloid and don't respond should get 10-20cc/kg bolus of blood rather than a second crystalloid bolus. — Todd Ponsky summarizing the discussion [Ep 55 · 24:23](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1463)
- The magic number in pediatric trauma is 40cc/kg of blood or 4 units—if a patient is transfused this amount, it indicates probable failure of non-operative management and need for operating room. — Todd Ponsky summarizing the discussion [Ep 55 · 24:54](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1494)
- Kansas City study of 622 fluoroscopy-guided central lines: 504 patients had no chest X-ray and no symptoms with no adverse outcomes. — Todd Ponsky summarizing the discussion [Ep 55 · 28:40](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1720)
- In the central line study, 25 patients were symptomatic and received chest X-ray; 4 had pneumothorax managed non-operatively and sent home next day, and 1 had pleural effusion requiring chest tube. — Todd Ponsky summarizing the discussion [Ep 55 · 29:00](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1740)
- Out of 622 central line patients, only 1 required a chest tube, and that patient was symptomatic—conclusion is routine chest X-ray after every line placement is not needed. — Todd Ponsky summarizing the discussion [Ep 55 · 29:11](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1751)
- Randomized controlled trial of glycopyrrolate for esophageal atresia anastomotic leak: treatment group had chest tube output of 124mL compared to 370mL in placebo group. — Todd Ponsky summarizing the discussion [Ep 55 · 31:45](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1905)
- Glycopyrrolate treatment for EA leak achieved leak resolution in 76% versus 29% in placebo group, and oral feeding in 71% versus 14% in placebo group. — Todd Ponsky summarizing the discussion [Ep 55 · 31:55](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=1915)
- Riley Hospital Hats Off study found disposable bouffant caps had the highest microbial and particle shedding on the surgical field. — Todd Ponsky summarizing the discussion [Ep 55 · 34:36](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=2076)
- Cloth skull caps had the lowest permeability and lowest porous material with very low shedding compared to disposable bouffant caps. — Todd Ponsky summarizing the discussion [Ep 55 · 34:44](https://library.globalcastmd.com/watch/todd-ponsky-what-is-new-in-pediatric-surgery-teaser-13347?t=2084)

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