Charza Jaharifard

56 statements · 8 topics

Abdominal Wall Defects · guest expert Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · guest expert Fetal Surgery · guest expert Intestinal Rehab · guest expert

Featured statements

▶ Ep 26 · 7:46
Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately.
quote · Abdominal Wall Defects
▶ Ep 26 · 6:58
At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior.
clinical · Abdominal Wall Defects
▶ Ep 38 · 7:57
Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation.
clinical · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)
▶ Ep 38 · 8:43
With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation.
clinical · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)
▶ Ep 19 · 8:27
With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced.
clinical · Fetal Surgery

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Charza's statements about Abdominal Wall Defects 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 26 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 26 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 26 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 26 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 26 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 26 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 26 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗
Charza's statements about Etiologies (Gastroschisis/NEC/Atresia/Volvulus) 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 38 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 38 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 38 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 38 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 38 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 38 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 38 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗
Charza's statements about Fetal Surgery 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 19 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 19 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 19 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 19 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 19 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 19 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 19 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗
Charza's statements about Gastroschisis 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 16 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 16 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 16 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 16 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 16 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 16 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 16 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗
Charza's statements about Gastroschisis 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 15 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 15 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 15 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 15 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 15 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 15 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 15 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗
Charza's statements about Hirschsprung disease 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 50 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 50 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 50 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 50 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 50 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 50 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 50 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗
Charza's statements about Intestinal Rehab 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 51 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 51 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 51 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 51 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 51 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 51 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 51 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗
Charza's statements about Myelomeningocele 7 statements

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Journal of Pediatric Surgery Article Review: January 2022 APSA Issue

▶ Ep 5 · 6:50
quote So I think the neat thing about training in general, um, in surgical training is that you get to experience several different institutions and several different ways of doing things. ↗
▶ Ep 5 · 6:58
clinical At Saint Justine Hospital, the approach to gastroschisis differed from other institutions in that there was very low use of silos, with pretty much every patient having an attempt at immediate bedside sutureless closure following a protocol developed several years prior. ↗
▶ Ep 5 · 7:46
quote Um, so most people will argue that a silo is safer and gentler, um, and that most babies can't be closed immediately because of extrinsic causes, you know, bowel dilatation or matting or whatever. But we found before and after protocol implementation that about 75% of babies can be closed immediately. ↗
▶ Ep 5 · 7:57
clinical Before and after protocol implementation at BC Children's Hospital, approximately 75% of gastroschisis patients could be closed immediately, whether in the OR pre-implementation with fascial closure or at bedside post-implementation. ↗
▶ Ep 5 · 8:27
clinical With silo management, parents look at their newborn's intestines through a silo for 5-6 days and cannot hold their baby until the silo is completely reduced. ↗
▶ Ep 5 · 8:27
quote First of all, it's a little less scary for the parents, to be honest. Um, if you have a newborn with gastroschisis and for 56 days, you're looking at their intestines through a silo, I think for those of us in pediatric surgery, that might not really seem like a big deal, but from the parents' perspective, that's a really big deal. ↗
▶ Ep 5 · 8:43
clinical With immediate closure of gastroschisis, if babies are extubated within 48 hours, parents can hold them within 48 hours, or immediately if managed without intubation. ↗