in this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.
in this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.
in this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.
So at 3 days, there was really no difference in overall hospital length of stay, but in kids that didn't have a TBI, they had a decreased ICU length of stay if they had a tracheostomy before 3 days by about 16 days less than the ICU.
It's not useful to balloon dilate a tracheal A-frame deformity or an elliptical cricoid, because you've got a framework problem. Endoluminal dilation is best for patients with an intraluminal scar and an intact framework.
Although we saw that the case fatality rate across the state decreased over time for motor vehicle related injuries, the case fatality rate for children injured by firearms rose from 13% to almost 17% over time.
host_summaryBalloon dilators are single use and expensive, can be difficult to control when filling to high pressure, and are slippery with risk of watermelon seeding.↗
▶Ep 12 · 2:35
host_summaryBalloon dilation delivers all dilation radially with no shear forces involved and can deliver precise high pressure dilation at low risk when the right size balloon is chosen.↗
▶Ep 12 · 2:35
host_summaryEndoluminal dilation is best for patients with intraluminal scar and an intact framework.↗
▶Ep 12 · 2:35
host_summaryBalloon dilation should not be performed on complete tracheal rings due to rupture risk.↗
▶Ep 12 · 2:35
host_summaryBalloon dilation achieves nothing in tracheomalacia and is not useful for tracheal A-frame deformity or elliptical cricoid because these are framework problems.↗
▶Ep 12 · 2:35
quoteIt's not useful to balloon dilate a tracheal A-frame deformity or an elliptical cricoid, because you've got a framework problem. Endoluminal dilation is best for patients with an intraluminal scar and an intact framework.↗
▶Ep 12 · 6:27
host_summarySome patients have complete and sustained improvement after a single dilation.↗
▶Ep 12 · 6:27
host_summaryFor patients requiring a second dilation, adjunctive scar removing procedures can be beneficial.↗
▶Ep 12 · 8:31
host_summaryAt Cincinnati Children's Hospital, endoscopic dilations have been performed for about 20 years with thousands of patients dilated.↗
▶Ep 12 · 11:52
quoteEveryone can be an airway surgeon, and if you choose the right size balloon, the risk is extraordinarily low.↗
▶Ep 12 · 11:52
host_summaryIn patients with intact laryngeal tracheal exoskeleton with fresher thin webs, endoscopic dilation works well, but thick and fixed scar may need adjuvant procedures or open procedure if sequential dilations are unsuccessful.↗
▶Ep 12 · 11:52
host_summaryCases where balloon dilation is not enough include posterior glottic stenosis, greater than grade three posterior subglottic stenosis, and bilateral vocal cord paralysis.↗
▶Ep 12 · 11:52
host_summaryIf you choose the right size balloon, the risk of balloon dilation is extraordinarily low.↗
▶Ep 12 · 14:12
host_summarySignificant force is required to anchor the graft under the cut edges of the cricoid.↗
Article of Interest: Optimal Timing of Tracheostomy in Injured Adolescents
▶Ep 13 · 0:00
host_summaryThe article about timing of pediatric tracheostomy after traumatic injury was published in the Journal of Pediatric Critical Care Medicine in 2021.↗
▶Ep 13 · 0:00
host_summaryThe authors analyzed the National Trauma Data Bank and identified over 40,000 adolescent trauma victims who were intubated for more than 24 hours and survived until discharge.↗
▶Ep 13 · 0:00
host_summaryThe study stratified patients into TBI and non-TBI groups and examined tracheostomy timing at 3 and 7 days.↗
▶Ep 13 · 0:00
host_summaryAt 3 days, there was no difference in overall hospital length of stay between early and late tracheostomy groups.↗
▶Ep 13 · 0:00
host_summaryIn adolescent trauma patients without TBI, tracheostomy before 3 days resulted in a decreased ICU length of stay by approximately 16 days compared to later tracheostomy.↗
▶Ep 13 · 0:00
host_summarySimilar trends of decreased ICU length of stay were seen for all adolescent trauma patients regardless of TBI or non-TBI status if they received tracheostomy before 7 days of intubation.↗
▶Ep 13 · 0:00
quoteSo the real question here is when should we provide a tracheostomy for adolescent trauma victims following their traumatic injury?↗
▶Ep 13 · 0:00
quoteSo what did they find? Well first, they broke it up into kids that had a TBI or a non-TBI and they looked at both 3 and 7 days for a tracheostomy.↗
▶Ep 13 · 0:00
quoteSo at 3 days, there was really no difference in overall hospital length of stay, but in kids that didn't have a TBI, they had a decreased ICU length of stay if they had a tracheostomy before 3 days by about 16 days less than the ICU.↗
Journal of Pediatric Surgery Article Review: May 2022, CAPS Issue
▶Ep 125 · 1:31
host_summaryMotor vehicle collisions and firearm violence represent the leading causes of morbidity and mortality in the pediatric age group.↗
▶Ep 125 · 1:31
epidemiologicalMotor vehicle collisions and firearm violence represent the leading causes of morbidity and mortality in the pediatric age group.↗
▶Ep 125 · 1:31
quotein this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.↗
▶Ep 125 · 1:31
quotein this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.↗
▶Ep 125 · 1:48
epidemiologicalMortality for pediatric patients with gunshot wounds was 7.5% compared to 1% for motor vehicle collisions.↗
▶Ep 125 · 1:48
host_summaryMortality for pediatric patients with gunshot wounds was 7.5% compared to 1% for motor vehicle collisions.↗
▶Ep 125 · 1:54
quoteDespite lower absolute numbers of children sustaining firearm injuries, the mortality was significantly higher at 7.5%. And that's compared to 1% for motor vehicle collisions.↗
▶Ep 125 · 1:54
quoteDespite lower absolute numbers of children sustaining firearm injuries, the mortality was significantly higher at 7.5%. And that's compared to 1% for motor vehicle collisions.↗
▶Ep 125 · 2:04
epidemiologicalAfter adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in motor vehicle collisions.↗
▶Ep 125 · 2:04
quoteafter adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in MPCs.↗
▶Ep 125 · 2:04
host_summaryAfter adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in motor vehicle collisions.↗
▶Ep 125 · 2:04
quoteafter adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in MPCs.↗
▶Ep 125 · 2:21
quotethe unfortunate truth is that we can only save children who survive their injuries long enough to make it to the hospital.↗
▶Ep 125 · 2:21
quotethe unfortunate truth is that we can only save children who survive their injuries long enough to make it to the hospital.↗
▶Ep 125 · 2:27
quotethe case fatality rate statewide was almost 15% overall, which is twice as high as our institutional mortality rate. And 49 times higher than the case fatality rate statewide for NBCs, which is astounding.↗
▶Ep 125 · 2:27
quotethe case fatality rate statewide was almost 15% overall, which is twice as high as our institutional mortality rate. And 49 times higher than the case fatality rate statewide for NBCs, which is astounding.↗
▶Ep 125 · 2:27
host_summaryThe statewide case fatality rate for pediatric firearm injuries was almost 15% overall, which is twice as high as institutional mortality rate and 49 times higher than the statewide case fatality rate for motor vehicle collisions.↗
▶Ep 125 · 2:27
epidemiologicalThe statewide case fatality rate for pediatric firearm injuries was almost 15% overall, which is twice as high as institutional mortality rate and 49 times higher than the statewide case fatality rate for motor vehicle collisions.↗
▶Ep 125 · 2:51
host_summaryThe case fatality rate for children injured by firearms rose from 13% to almost 17% over the study period, while the case fatality rate for motor vehicle related injuries decreased over time.↗
▶Ep 125 · 2:51
epidemiologicalThe case fatality rate for children injured by firearms rose from 13% to almost 17% over the study period, while the case fatality rate for motor vehicle related injuries decreased over time.↗
▶Ep 125 · 2:51
quoteAlthough we saw that the case fatality rate across the state decreased over time for motor vehicle related injuries, the case fatality rate for children injured by firearms rose from 13% to almost 17% over time.↗
▶Ep 125 · 2:51
quoteAlthough we saw that the case fatality rate across the state decreased over time for motor vehicle related injuries, the case fatality rate for children injured by firearms rose from 13% to almost 17% over time.↗
▶Ep 125 · 3:13
epidemiologicalThe rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries.↗
▶Ep 125 · 3:13
host_summaryThe rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries.↗
▶Ep 125 · 3:13
host_summarySelf-inflicted pediatric gunshot wounds had a case fatality rate of 77%.↗
▶Ep 125 · 3:13
quoteThe rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries, and these injuries had a case fatality rate of 77%, which is Hard to believe.↗
▶Ep 125 · 3:13
epidemiologicalSelf-inflicted pediatric gunshot wounds had a case fatality rate of 77%.↗
▶Ep 125 · 3:13
quoteThe rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries, and these injuries had a case fatality rate of 77%, which is Hard to believe.↗
▶Ep 125 · 4:13
opinionA child getting shot by a gun 10 years ago had less of a chance of dying than a child getting shot by a gun now, which suggests that guns became more dangerous.↗
▶Ep 125 · 4:13
opinionA child getting shot by a gun 10 years ago had less of a chance of dying than a child getting shot by a gun now, which suggests that guns became more dangerous.↗
▶Ep 125 · 5:49
opinionLocal interventions like community violence intervention programs can help reduce violence in the community.↗
▶Ep 125 · 5:49
host_summaryLocal interventions like community violence intervention programs can help reduce violence in the community.↗
▶Ep 125 · 5:58
opinionPolicy level changes need to be made around the country to reduce access to firearms and increase safety.↗
▶Ep 125 · 5:58
host_summaryPolicy level changes need to be made around the country to reduce access to firearms and increase safety.↗
▶Ep 125 · 6:09
opinionClinicians can make an individual difference by talking to families about firearm safety and safe storage every time they see a child who is injured.↗
▶Ep 125 · 6:09
host_summaryClinicians can make an individual difference by talking to families about firearm safety and safe storage every time they see a child who is injured.↗
▶Ep 125 · 7:34
quoteWe did a retrospective kind of cohort study of all the Hirshsprung patients born in Winnipeg, Canada.↗
▶Ep 125 · 7:34
quoteWe did a retrospective kind of cohort study of all the Hirshsprung patients born in Winnipeg, Canada.↗
▶Ep 125 · 7:48
quotewe used a provincial data repository that we had available to us called the Manitoba Center for Health Policy, and using that, we found a 10 to 1, uh, match control cohort.↗
▶Ep 125 · 7:48
clinicalThe Hirschsprung study looked at 75 patients with Hirschsprung disease matched with a 10 to 1 control cohort using the Manitoba Center for Health Policy provincial data repository.↗
▶Ep 125 · 7:48
quotewe used a provincial data repository that we had available to us called the Manitoba Center for Health Policy, and using that, we found a 10 to 1, uh, match control cohort.↗
▶Ep 125 · 7:48
host_summaryThe Hirschsprung study looked at 75 patients with Hirschsprung disease matched with a 10 to 1 control cohort using the Manitoba Center for Health Policy provincial data repository.↗
▶Ep 125 · 8:54
quoteIt was interesting to see um that the Hirshprung patients performed. Um, just as well as the control cohort, basically from grade 3 or grade school onwards until grade 12 graduation.↗
▶Ep 125 · 8:54
host_summaryHirschsprung patients performed just as well as the control cohort from grade 3 onwards until grade 12 graduation on standardized testing.↗
▶Ep 125 · 8:54
clinicalHirschsprung patients performed just as well as the control cohort from grade 3 onwards until grade 12 graduation on standardized testing.↗
▶Ep 125 · 8:54
quoteIt was interesting to see um that the Hirshprung patients performed. Um, just as well as the control cohort, basically from grade 3 or grade school onwards until grade 12 graduation.↗
▶Ep 125 · 9:05
clinicalIn the preschool age, much closer to their treatment timeline, some differences in neurodevelopmental performance can be seen in Hirschsprung patients.↗
▶Ep 125 · 9:05
host_summaryIn the preschool age, much closer to their treatment timeline, some differences in neurodevelopmental performance can be seen in Hirschsprung patients.↗
▶Ep 125 · 9:52
host_summaryChildren with Hirschsprung disease going into school may still have some challenges around potty training, bowels, and abdominal discomfort.↗
▶Ep 125 · 9:52
clinicalChildren with Hirschsprung disease going into school may still have some challenges around potty training, bowels, and abdominal discomfort.↗
▶Ep 125 · 10:25
clinicalMost children with isolated Hirschsprung disease do not have developmental delay down the road based on this data.↗
▶Ep 125 · 10:25
host_summaryMost children with isolated Hirschsprung disease do not have developmental delay down the road based on this data.↗
Journal of Pediatric Surgery Article Highlights: April 2022
▶Ep 21 · 0:34
host_summaryThe first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.↗
▶Ep 21 · 0:34
clinicalThe first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.↗
▶Ep 21 · 0:58
clinicalThe study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.↗
▶Ep 21 · 0:58
host_summaryThe study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.↗
▶Ep 21 · 1:14
quoteWorm's tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 21 · 1:14
quoteWorm's tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 21 · 1:14
opinionDr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 21 · 1:14
host_summaryDr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 21 · 1:39
opinionDr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.↗
▶Ep 21 · 1:39
quoteThe obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.↗
▶Ep 21 · 1:39
host_summaryDr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.↗
▶Ep 21 · 1:39
quoteThe obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.↗
▶Ep 21 · 1:54
clinicalIf half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.↗
▶Ep 21 · 1:54
host_summaryIf half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.↗
▶Ep 21 · 2:13
clinicalThe second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.↗
▶Ep 21 · 2:13
host_summaryThe second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.↗
▶Ep 21 · 2:40
host_summaryThe article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.↗
▶Ep 21 · 2:40
clinicalThe article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.↗
▶Ep 21 · 5:37
epidemiologicalMany survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.↗
▶Ep 21 · 5:37
host_summaryMany survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.↗
▶Ep 21 · 5:54
opinionDr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.↗
▶Ep 21 · 5:54
host_summaryDr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.↗
▶Ep 21 · 5:54
quoteFetal surgery is a frontier for pediatric surgery.↗
▶Ep 21 · 5:54
quoteFetal surgery is a frontier for pediatric surgery.↗
▶Ep 21 · 6:00
quoteIt is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.↗
▶Ep 21 · 6:00
quoteIt is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.↗
Journal of Pediatric Surgery Article Review: May 2022, CAPS Issue
▶Ep 53 · 1:31
quotein this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.↗
▶Ep 53 · 1:31
epidemiologicalMotor vehicle collisions and firearm violence represent the leading causes of morbidity and mortality in the pediatric age group.↗
▶Ep 53 · 1:48
epidemiologicalMortality for pediatric patients with gunshot wounds was 7.5% compared to 1% for motor vehicle collisions.↗
▶Ep 53 · 1:54
quoteDespite lower absolute numbers of children sustaining firearm injuries, the mortality was significantly higher at 7.5%. And that's compared to 1% for motor vehicle collisions.↗
▶Ep 53 · 2:04
quoteafter adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in MPCs.↗
▶Ep 53 · 2:04
epidemiologicalAfter adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in motor vehicle collisions.↗
▶Ep 53 · 2:21
quotethe unfortunate truth is that we can only save children who survive their injuries long enough to make it to the hospital.↗
▶Ep 53 · 2:27
epidemiologicalThe statewide case fatality rate for pediatric firearm injuries was almost 15% overall, which is twice as high as institutional mortality rate and 49 times higher than the statewide case fatality rate for motor vehicle collisions.↗
▶Ep 53 · 2:27
quotethe case fatality rate statewide was almost 15% overall, which is twice as high as our institutional mortality rate. And 49 times higher than the case fatality rate statewide for NBCs, which is astounding.↗
▶Ep 53 · 2:51
epidemiologicalThe case fatality rate for children injured by firearms rose from 13% to almost 17% over the study period, while the case fatality rate for motor vehicle related injuries decreased over time.↗
▶Ep 53 · 2:51
quoteAlthough we saw that the case fatality rate across the state decreased over time for motor vehicle related injuries, the case fatality rate for children injured by firearms rose from 13% to almost 17% over time.↗
▶Ep 53 · 3:13
quoteThe rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries, and these injuries had a case fatality rate of 77%, which is Hard to believe.↗
▶Ep 53 · 3:13
epidemiologicalThe rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries.↗
▶Ep 53 · 3:13
epidemiologicalSelf-inflicted pediatric gunshot wounds had a case fatality rate of 77%.↗
▶Ep 53 · 4:13
opinionA child getting shot by a gun 10 years ago had less of a chance of dying than a child getting shot by a gun now, which suggests that guns became more dangerous.↗
▶Ep 53 · 5:49
opinionLocal interventions like community violence intervention programs can help reduce violence in the community.↗
▶Ep 53 · 5:58
opinionPolicy level changes need to be made around the country to reduce access to firearms and increase safety.↗
▶Ep 53 · 6:09
opinionClinicians can make an individual difference by talking to families about firearm safety and safe storage every time they see a child who is injured.↗
▶Ep 53 · 7:34
quoteWe did a retrospective kind of cohort study of all the Hirshsprung patients born in Winnipeg, Canada.↗
▶Ep 53 · 7:48
quotewe used a provincial data repository that we had available to us called the Manitoba Center for Health Policy, and using that, we found a 10 to 1, uh, match control cohort.↗
▶Ep 53 · 7:48
clinicalThe Hirschsprung study looked at 75 patients with Hirschsprung disease matched with a 10 to 1 control cohort using the Manitoba Center for Health Policy provincial data repository.↗
▶Ep 53 · 8:54
clinicalHirschsprung patients performed just as well as the control cohort from grade 3 onwards until grade 12 graduation on standardized testing.↗
▶Ep 53 · 8:54
quoteIt was interesting to see um that the Hirshprung patients performed. Um, just as well as the control cohort, basically from grade 3 or grade school onwards until grade 12 graduation.↗
▶Ep 53 · 9:05
clinicalIn the preschool age, much closer to their treatment timeline, some differences in neurodevelopmental performance can be seen in Hirschsprung patients.↗
▶Ep 53 · 9:52
clinicalChildren with Hirschsprung disease going into school may still have some challenges around potty training, bowels, and abdominal discomfort.↗
▶Ep 53 · 10:25
clinicalMost children with isolated Hirschsprung disease do not have developmental delay down the road based on this data.↗
Journal of Pediatric Surgery Article Highlights: April 2022
▶Ep 5 · 0:34
clinicalThe first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.↗
▶Ep 5 · 0:58
clinicalThe study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.↗
▶Ep 5 · 1:14
opinionDr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 5 · 1:14
quoteWorm's tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 5 · 1:39
quoteThe obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.↗
▶Ep 5 · 1:39
opinionDr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.↗
▶Ep 5 · 1:54
clinicalIf half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.↗
▶Ep 5 · 2:13
clinicalThe second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.↗
▶Ep 5 · 2:40
clinicalThe article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.↗
▶Ep 5 · 5:37
epidemiologicalMany survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.↗
▶Ep 5 · 5:54
opinionDr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.↗
▶Ep 5 · 5:54
quoteFetal surgery is a frontier for pediatric surgery.↗
▶Ep 5 · 6:00
quoteIt is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.↗
Journal of Pediatric Surgery Article Highlights: April 2022
▶Ep 12 · 0:34
clinicalThe first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.↗
▶Ep 12 · 0:34
host_summaryThe first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.↗
▶Ep 12 · 0:58
host_summaryThe study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.↗
▶Ep 12 · 0:58
clinicalThe study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.↗
▶Ep 12 · 1:14
quoteWorm's tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 12 · 1:14
opinionDr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 12 · 1:14
quoteWorm's tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 12 · 1:14
host_summaryDr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.↗
▶Ep 12 · 1:39
host_summaryDr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.↗
▶Ep 12 · 1:39
quoteThe obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.↗
▶Ep 12 · 1:39
opinionDr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.↗
▶Ep 12 · 1:39
quoteThe obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.↗
▶Ep 12 · 1:54
host_summaryIf half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.↗
▶Ep 12 · 1:54
clinicalIf half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.↗
▶Ep 12 · 2:13
host_summaryThe second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.↗
▶Ep 12 · 2:13
clinicalThe second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.↗
▶Ep 12 · 2:40
clinicalThe article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.↗
▶Ep 12 · 2:40
host_summaryThe article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.↗
▶Ep 12 · 5:37
host_summaryMany survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.↗
▶Ep 12 · 5:37
epidemiologicalMany survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.↗
▶Ep 12 · 5:54
quoteFetal surgery is a frontier for pediatric surgery.↗
▶Ep 12 · 5:54
opinionDr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.↗
▶Ep 12 · 5:54
quoteFetal surgery is a frontier for pediatric surgery.↗
▶Ep 12 · 5:54
host_summaryDr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.↗
▶Ep 12 · 6:00
quoteIt is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.↗
▶Ep 12 · 6:00
quoteIt is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.↗
