# Pediatric Surgical Outcomes — GCMD Library living collection

Updated: n/a · 11 episodes · 0 cited statements

## Episodes
### Featured
- [Management of Primary Spontaneous Pneumothorax in Children](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190) — video · [machine version](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190.md)
- [Manejo del neumotórax primario espontáneo en niños](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191) — video · [machine version](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191.md)
- [Management of Primary Spontaneous Pneumothorax in Children](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7223) — article · [machine version](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7223.md)
- [Manejo del Neumotórax Espontáneo Primario en Niños](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-espont-neo-primario-en-ni-os-7224) — article · [machine version](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-espont-neo-primario-en-ni-os-7224.md)
- [Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee](https://library.globalcastmd.com/watch/evaluation-and-management-of-primary-spontaneous-pneumothorax-in-adolescents-and-young-adults-a-systematic-review-from-the-apsa-outcomes-evidence-based-practice-committee-7868) — article · [machine version](https://library.globalcastmd.com/watch/evaluation-and-management-of-primary-spontaneous-pneumothorax-in-adolescents-and-young-adults-a-systematic-review-from-the-apsa-outcomes-evidence-based-practice-committee-7868.md)
- [Evaluación y tratamiento del neumotórax espontáneo primario en adolescentes y adultos jóvenes: una revisión sistemática del Comité de prácticas basadas en evidencia y resultados de APSA](https://library.globalcastmd.com/watch/evaluaci-n-y-tratamiento-del-neumot-rax-espont-neo-primario-en-adolescentes-y-adultos-j-venes-una-revisi-n-sistem-tica-del-comit-de-pr-cticas-basadas-en-evidencia-y-resultados-de-apsa-7878) — article · [machine version](https://library.globalcastmd.com/watch/evaluaci-n-y-tratamiento-del-neumot-rax-espont-neo-primario-en-adolescentes-y-adultos-j-venes-una-revisi-n-sistem-tica-del-comit-de-pr-cticas-basadas-en-evidencia-y-resultados-de-apsa-7878.md)
- [Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee](https://library.globalcastmd.com/watch/evaluation-and-management-of-primary-spontaneous-pneumothorax-in-adolescents-and-young-adults-a-systematic-review-from-the-apsa-outcomes-evidence-based-practice-committee-7918) — video · 0:58 · [machine version](https://library.globalcastmd.com/watch/evaluation-and-management-of-primary-spontaneous-pneumothorax-in-adolescents-and-young-adults-a-systematic-review-from-the-apsa-outcomes-evidence-based-practice-committee-7918.md)
- [Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations (A Systematic Review From the American Pediatric Surgical Association Outcomes & Evidence Based Practice Committee)](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9158) — article · [machine version](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9158.md)
- [Management and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review From the APSA Outcomes and Evidence-Based Practice Committee](https://library.globalcastmd.com/watch/management-and-outcomes-of-pediatric-lymphatic-malformations-a-systematic-review-from-the-apsa-outcomes-and-evidence-based-practice-committee-9368) — article · [machine version](https://library.globalcastmd.com/watch/management-and-outcomes-of-pediatric-lymphatic-malformations-a-systematic-review-from-the-apsa-outcomes-and-evidence-based-practice-committee-9368.md)
- [Management and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review From the APSA Outcomes and Evidence-Based Practice Committee](https://library.globalcastmd.com/watch/management-and-outcomes-of-pediatric-lymphatic-malformations-a-systematic-review-from-the-apsa-outcomes-and-evidence-based-practice-committee-9593) — video · 0:59 · [machine version](https://library.globalcastmd.com/watch/management-and-outcomes-of-pediatric-lymphatic-malformations-a-systematic-review-from-the-apsa-outcomes-and-evidence-based-practice-committee-9593.md)
- [Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626) — video · 0:55 · [machine version](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0) Retrospective Analysis of Spontaneous Pneumothorax Management in Adolescents (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0) Retrospective study of spontaneous pneumothorax management in adolescents (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=0) ABSA Systematic Review on Gastroschisis Management (Ep 11)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- The ABSA Outcomes and Evidence-based Practice Committee performed a systematic review on optimal initial management of gastroschisis. — Alex Halpern summarizing a resource [Ep 11 · 0:10](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=10)
- Delivery after 37 weeks is optimal for infants with gastroschisis. — Alex Halpern summarizing a resource [Ep 11 · 0:17](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=17)
- Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis. — Alex Halpern summarizing a resource [Ep 11 · 0:21](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=21)
- Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit. — Alex Halpern summarizing a resource [Ep 11 · 0:27](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=27)
- Sutureless repair for gastroschisis is safe and effective. — Alex Halpern summarizing a resource [Ep 11 · 0:27](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=27)
- Sutureless repair does not delay feeding or increase length of stay in gastroschisis patients. — Alex Halpern summarizing a resource [Ep 11 · 0:37](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=37)
- There is a need for high quality randomized controlled trials to help provide evidence-based care for infants with gastroschisis. — Alex Halpern summarizing a resource [Ep 11 · 0:41](https://library.globalcastmd.com/watch/management-of-gastroschisis-timing-of-delivery-antibiotic-usage-and-closure-considerations-9626?t=41)
- The study was a retrospective analysis conducted at Children's Mercy Hospital Kansas City — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- The study analyzed patients aged 12 to 18 years with spontaneous pneumothorax presenting between 2016 and 2021 — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- The study included 59 patients total — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- The hospital protocol involved starting with simple aspiration, which if it failed, proceeded to VATS — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- 33% of patients were treated with simple aspiration — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- 66% of patients were treated with VATS — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- Patients treated with simple aspiration had a recurrence rate of 45% — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- Patients treated with simple aspiration had a median hospital stay of 20.4 hours — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- Patients treated with VATS had a recurrence rate of 25% — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- Patients treated with VATS had a median hospital stay of 3.1 days — Cecilia Gigena summarizing a resource [Ep 2 · 0:00](https://library.globalcastmd.com/watch/manejo-del-neumot-rax-primario-espont-neo-en-ni-os-7191?t=0)
- The study is a retrospective analysis from Children's Mercy Hospital in Kansas City examining spontaneous pneumothorax management. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- The study population included patients between 12 and 18 years old with spontaneous pneumothorax between 2016 and 2021. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- The institutional protocol was to start with simple aspiration and escalate to VATS if aspiration failed. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- The study included 59 patients total. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- 33% of patients received simple aspiration as their treatment. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- 66% of patients ended up receiving VATS. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- The aspiration group had a 45% recurrence rate. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- The aspiration group had a median length of stay of 20.4 hours. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- The VATS group had a 25% recurrence rate. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)
- The VATS group had a median length of stay of 3.1 days. — Cecilia Gigena summarizing a resource [Ep 1 · 0:00](https://library.globalcastmd.com/watch/management-of-primary-spontaneous-pneumothorax-in-children-7190?t=0)

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