Andrea Badillo

75 timestamped statements across 2 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Colorectal / ARM & Hirschsprung · guest expert

Featured diaries

▶ Ep 239 · 6:00
the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that.
quote · Colorectal / ARM & Hirschsprung
▶ Ep 239 · 6:00
the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that.
quote · Colorectal / ARM & Hirschsprung
▶ Ep 94 · 6:00
the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that.
quote · Hirschsprung disease
▶ Ep 94 · 6:00
the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that.
quote · Hirschsprung disease

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Colorectal / ARM & Hirschsprung 40 entries

The Colorectal Quiz Episode 4: Classic Hirschsprung disease - Surgical Technique

▶ Ep 88 · 10:08
clinical Pathology must confirm presence of ganglion cells and nerves less than 40 microns in diameter before proceeding with pull-through. ↗
▶ Ep 88 · 10:08
clinical Pathology must confirm presence of ganglion cells and nerves less than 40 microns in diameter before proceeding with pull-through. ↗
▶ Ep 88 · 13:04
quote So I, I think of this part is do, do no harm to the dentate line nor to the sphincters. ↗
▶ Ep 88 · 13:04
clinical The transanal dissection should begin 1 cm above the dentate line to protect the dentate line and sphincters from injury. ↗
▶ Ep 88 · 13:04
quote So I, I think of this part is do, do no harm to the dentate line nor to the sphincters. ↗
▶ Ep 88 · 13:04
clinical The transanal dissection should begin 1 cm above the dentate line to protect the dentate line and sphincters from injury. ↗
▶ Ep 88 · 13:24
clinical Lone Star retractor pins should be placed in three positions: first at the skin to identify the dentate line, then advanced to cover the dentate line, then moved to the mucosal opening site as dissection proceeds superiorly. ↗
▶ Ep 88 · 13:24
clinical Lone Star retractor pins should be placed in three positions: first at the skin to identify the dentate line, then advanced to cover the dentate line, then moved to the mucosal opening site as dissection proceeds superiorly. ↗
▶ Ep 88 · 16:06
clinical The resection margin should be approximately 5 cm above the biopsy site where the bowel appears healthy. ↗
▶ Ep 88 · 16:06
clinical The resection margin should be approximately 5 cm above the biopsy site where the bowel appears healthy. ↗

The Colorectal Quiz Episode 5: Proximal Hirschsprung Disease Surgical Technique

▶ Ep 89 · 8:46
clinical Most defunctionalized colons can stay without needing irrigation access; only a small population will need the colon addressed if it becomes severely backed up with chalky stool. ↗
▶ Ep 89 · 8:46
clinical Most defunctionalized colons can stay without needing irrigation access; only a small population will need the colon addressed if it becomes severely backed up with chalky stool. ↗
▶ Ep 89 · 11:15
clinical For mid-transverse colon transition zone, the pull-through blood supply is based on right colic vessels, and the middle colic must be ligated. ↗
▶ Ep 89 · 11:15
clinical For mid-transverse colon transition zone, the pull-through blood supply is based on right colic vessels, and the middle colic must be ligated. ↗
▶ Ep 89 · 11:21
clinical To bring mid-transverse colon down for pull-through, the bowel must be de-rotated to avoid bringing the mesentery across the duodenum and creating obstruction. ↗
▶ Ep 89 · 11:21
clinical To bring mid-transverse colon down for pull-through, the bowel must be de-rotated to avoid bringing the mesentery across the duodenum and creating obstruction. ↗

The Colorectal Quiz Episode 4

▶ Ep 239 · 5:43
clinical Laparoscopic approach allows ability to biopsy elsewhere if transition zone is not rectosigmoid ↗
▶ Ep 239 · 5:43
clinical Laparoscopic approach allows ability to biopsy elsewhere if transition zone is not rectosigmoid ↗
▶ Ep 239 · 6:00
clinical Deep laparoscopic dissection into pelvis minimizes transanal work needed and avoids sphincter overstretching morbidity ↗
▶ Ep 239 · 6:00
clinical Deep laparoscopic dissection into pelvis minimizes transanal work needed and avoids sphincter overstretching morbidity ↗
▶ Ep 239 · 6:00
quote the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that. ↗
▶ Ep 239 · 6:00
quote the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that. ↗
▶ Ep 239 · 9:30
clinical Should wait for frozen section before taking mesentery ↗
▶ Ep 239 · 9:30
clinical Should wait for frozen section before taking mesentery ↗
▶ Ep 239 · 10:08
clinical Adequate frozen section requires ganglion cells and nerves less than 40 microns ↗
▶ Ep 239 · 10:08
clinical Adequate frozen section requires ganglion cells and nerves less than 40 microns ↗
▶ Ep 239 · 10:08
quote ganglion cells, but then nerves that are less than 40 microns. So, we don't want to pull through a segment with hypertrophied nerves. ↗
▶ Ep 239 · 10:08
quote ganglion cells, but then nerves that are less than 40 microns. So, we don't want to pull through a segment with hypertrophied nerves. ↗
▶ Ep 239 · 13:02
clinical Transanal dissection should start about one centimeter above dentate line ↗
▶ Ep 239 · 13:02
clinical Transanal dissection should start about one centimeter above dentate line ↗

The Colorectal Quiz Episode 4

▶ Ep 241 · 10:00
quote ganglion cells, but then nerves that are less than 40 microns. So, we don't want to pull through a segment with hypertrophied nerves. ↗
▶ Ep 241 · 10:00
quote ganglion cells, but then nerves that are less than 40 microns. So, we don't want to pull through a segment with hypertrophied nerves. ↗
▶ Ep 241 · 10:00
clinical Frozen section must show ganglion cells and nerves that are less than 40 microns; hypertrophied nerves indicate the segment should not be pulled through. ↗
▶ Ep 241 · 10:00
clinical Frozen section must show ganglion cells and nerves that are less than 40 microns; hypertrophied nerves indicate the segment should not be pulled through. ↗
▶ Ep 241 · 12:26
clinical The arcade along the left colon and sigmoid colon must be preserved to get enough distance to reach the pelvis. ↗
▶ Ep 241 · 12:26
clinical The arcade along the left colon and sigmoid colon must be preserved to get enough distance to reach the pelvis. ↗
▶ Ep 241 · 13:02
quote do no harm to the dentate line nor to the sphincters. ↗
▶ Ep 241 · 13:02
clinical The transanal dissection should start with a mark about one centimeter above the dentate line into the anal canal. ↗
▶ Ep 241 · 13:02
quote do no harm to the dentate line nor to the sphincters. ↗
▶ Ep 241 · 13:02
clinical The transanal dissection should start with a mark about one centimeter above the dentate line into the anal canal. ↗
Hirschsprung disease 35 entries

The Colorectal Quiz Episode 4: Classic Hirschsprung disease - Surgical Technique

▶ Ep 36 · 10:08
clinical Pathology must confirm presence of ganglion cells and nerves less than 40 microns in diameter before proceeding with pull-through. ↗
▶ Ep 36 · 10:08
clinical Pathology must confirm presence of ganglion cells and nerves less than 40 microns in diameter before proceeding with pull-through. ↗
▶ Ep 36 · 13:04
quote So I, I think of this part is do, do no harm to the dentate line nor to the sphincters. ↗
▶ Ep 36 · 13:04
quote So I, I think of this part is do, do no harm to the dentate line nor to the sphincters. ↗
▶ Ep 36 · 13:04
clinical The transanal dissection should begin 1 cm above the dentate line to protect the dentate line and sphincters from injury. ↗
▶ Ep 36 · 13:04
clinical The transanal dissection should begin 1 cm above the dentate line to protect the dentate line and sphincters from injury. ↗
▶ Ep 36 · 13:24
clinical Lone Star retractor pins should be placed in three positions: first at the skin to identify the dentate line, then advanced to cover the dentate line, then moved to the mucosal opening site as dissection proceeds superiorly. ↗
▶ Ep 36 · 13:24
clinical Lone Star retractor pins should be placed in three positions: first at the skin to identify the dentate line, then advanced to cover the dentate line, then moved to the mucosal opening site as dissection proceeds superiorly. ↗
▶ Ep 36 · 16:06
clinical The resection margin should be approximately 5 cm above the biopsy site where the bowel appears healthy. ↗
▶ Ep 36 · 16:06
clinical The resection margin should be approximately 5 cm above the biopsy site where the bowel appears healthy. ↗

The Colorectal Quiz Episode 5: Proximal Hirschsprung Disease Surgical Technique

▶ Ep 37 · 8:46
clinical Most defunctionalized colons can stay without needing irrigation access; only a small population will need the colon addressed if it becomes severely backed up with chalky stool. ↗
▶ Ep 37 · 8:46
clinical Most defunctionalized colons can stay without needing irrigation access; only a small population will need the colon addressed if it becomes severely backed up with chalky stool. ↗
▶ Ep 37 · 11:15
clinical For mid-transverse colon transition zone, the pull-through blood supply is based on right colic vessels, and the middle colic must be ligated. ↗
▶ Ep 37 · 11:15
clinical For mid-transverse colon transition zone, the pull-through blood supply is based on right colic vessels, and the middle colic must be ligated. ↗
▶ Ep 37 · 11:21
clinical To bring mid-transverse colon down for pull-through, the bowel must be de-rotated to avoid bringing the mesentery across the duodenum and creating obstruction. ↗
▶ Ep 37 · 11:21
clinical To bring mid-transverse colon down for pull-through, the bowel must be de-rotated to avoid bringing the mesentery across the duodenum and creating obstruction. ↗

The Colorectal Quiz Episode 4

▶ Ep 94 · 5:43
clinical Laparoscopic approach allows ability to biopsy elsewhere if transition zone is not rectosigmoid ↗
▶ Ep 94 · 5:43
clinical Laparoscopic approach allows ability to biopsy elsewhere if transition zone is not rectosigmoid ↗
▶ Ep 94 · 6:00
clinical Deep laparoscopic dissection into pelvis minimizes transanal work needed and avoids sphincter overstretching morbidity ↗
▶ Ep 94 · 6:00
quote the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that. ↗
▶ Ep 94 · 6:00
clinical Deep laparoscopic dissection into pelvis minimizes transanal work needed and avoids sphincter overstretching morbidity ↗
▶ Ep 94 · 6:00
quote the most important thing, I think, though, is a good deep laparoscopic dissection into the pelvis so that you have very minimal transanal work to do. I think, unfortunately, you know, Jason and I and you and Aaron and Andrea see a lot of the morbidity associated with first-brown disease and the overstretching of the sphincters, which can be done if you do an extensive transanal amount of work, is really a morbidity that needs to be avoided. And laparoscopy helps with that. ↗
▶ Ep 94 · 9:30
clinical Should wait for frozen section before taking mesentery ↗
▶ Ep 94 · 9:30
clinical Should wait for frozen section before taking mesentery ↗
▶ Ep 94 · 10:08
clinical Adequate frozen section requires ganglion cells and nerves less than 40 microns ↗
▶ Ep 94 · 10:08
quote ganglion cells, but then nerves that are less than 40 microns. So, we don't want to pull through a segment with hypertrophied nerves. ↗
▶ Ep 94 · 10:08
quote ganglion cells, but then nerves that are less than 40 microns. So, we don't want to pull through a segment with hypertrophied nerves. ↗
▶ Ep 94 · 10:08
clinical Adequate frozen section requires ganglion cells and nerves less than 40 microns ↗
▶ Ep 94 · 13:02
clinical Transanal dissection should start about one centimeter above dentate line ↗
▶ Ep 94 · 13:02
clinical Transanal dissection should start about one centimeter above dentate line ↗

The Colorectal Quiz Episode 4

▶ Ep 95 · 10:00
clinical Frozen section must show ganglion cells and nerves that are less than 40 microns; hypertrophied nerves indicate the segment should not be pulled through. ↗
▶ Ep 95 · 10:00
quote ganglion cells, but then nerves that are less than 40 microns. So, we don't want to pull through a segment with hypertrophied nerves. ↗
▶ Ep 95 · 12:26
clinical The arcade along the left colon and sigmoid colon must be preserved to get enough distance to reach the pelvis. ↗
▶ Ep 95 · 13:02
clinical The transanal dissection should start with a mark about one centimeter above the dentate line into the anal canal. ↗
▶ Ep 95 · 13:02
quote do no harm to the dentate line nor to the sphincters. ↗