88 timestamped statements
across 6 topics
— auto-found in recorded discussions, each timestamp jumps to the exact moment.
Featured statements
▶Ep 20 · 3:27
We expose the fetal back, we re-expose the spinal cord, we identify the MMC defect, and then we take our extracellular matrix patch that has the placental. Stem cells on it, it is, uh, placed with the cells facing the spinal cord in direct contact, and then the skin is closed and the baby is returned to the uterus to continue gestation until term.
And we found that lambs were paired with these clinical grade subfrontal stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.
The ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm, and allow for growth with the child.
The ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm and allow for growth with the child.
The technique involves exposing the fetal back, re-exposing the spinal cord, identifying the myelomeningocele defect, placing an extracellular matrix patch with placental stem cells facing the spinal cord in direct contact, closing the skin, and returning the baby to the uterus to continue gestation until term.
Synthetic patches such as PTFE or Gore-Tex used for large diaphragmatic defects are associated with significant morbidity, including hernia recurrence, bowel obstructions, and chest wall deformities as the child grows.
BOB in Ped Surg 2023 - CAPS Winner - Christina Theodorou, MD
▶Ep 19 · 3:53
quoteThe optimal management of congenital diaphragmatic hernia is an area of active research.↗
▶Ep 19 · 3:53
clinicalSynthetic patches such as PTFE or Gore-Tex used for large diaphragmatic defects are associated with significant morbidity, including hernia recurrence, bowel obstructions, and chest wall deformities as the child grows.↗
▶Ep 19 · 4:40
clinicalBiodegradable forms of polyurethane have been used in tissue repair recently, such as vascular and muscular tissue replacement, and have high mechanical strength.↗
▶Ep 19 · 4:40
quoteThe ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm, and allow for growth with the child.↗
▶Ep 19 · 5:10
quoteWe hypothesized that this novel PU based patch would be durable and would not result in recurrent herniation. Additionally, the elastic nature of the patch would allow for more diaphragmatic excursion than gortex.↗
▶Ep 19 · 5:10
clinicalIn the rat model study, 4mm diaphragmatic defects were created followed by immediate patch repair, with six animals in each cohort plus a sham cohort of six rats.↗
▶Ep 19 · 6:00
clinicalNo recurrences were seen in either the polyurethane or Gore-Tex cohort at four weeks.↗
▶Ep 19 · 6:10
clinicalAt one week, there was no difference in diaphragmatic excursion between sham, Gore-Tex and polyurethane animals.↗
▶Ep 19 · 6:20
clinicalAt four weeks, Gore-Tex had limited diaphragm rise compared to sham, but no difference was found between polyurethane and sham.↗
▶Ep 19 · 6:35
clinicalThere were no differences in diaphragmatic excursion between polyurethane and Gore-Tex at any time point.↗
▶Ep 19 · 6:45
clinicalAn inflammatory capsule was formed surrounding both patches, with no significant difference in the size of that inflammatory capsule between the cohorts.↗
▶Ep 19 · 7:10
clinicalThe study had small numbers of animals in each cohort, likely underpowering detection of significant differences.↗
▶Ep 19 · 7:20
clinicalMost recurrences of diaphragmatic hernia occur at least a few months out from surgery, most commonly within the first two years.↗
BOB Ped Surg 2023 - Christina Theodorou, CAPS - Presentation
▶Ep 22 · 0:00
quoteThe ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm and allow for growth with the child.↗
▶Ep 22 · 0:00
opinionThe ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm and allow for growth with the child.↗
▶Ep 22 · 0:00
clinicalSynthetic patches for diaphragmatic hernia repair are associated with significant morbidity including hernia recurrence, bowel obstructions, and chest wall deformities as the child grows.↗
▶Ep 22 · 0:00
clinicalIn cases of large congenital diaphragmatic hernia defects, diaphragmatic replacements are used, most commonly synthetic patches such as PTFE or Gore-Tex.↗
▶Ep 22 · 1:00
clinicalBiodegradable forms of polyurethane have been used in tissue repair recently such as vascular and muscular tissue replacement and have high mechanical strength.↗
▶Ep 22 · 1:00
clinicalThe study created 4 mm diaphragmatic defects in rats followed by immediate patch repair, with cohorts of six animals each plus a sham cohort of six rats.↗
▶Ep 22 · 1:00
quoteWe hypothesized that this novel PU-based patch would be durable and would not result in recurrent herniation. Additionally, the elastic nature of the patch would allow for more diaphragmatic excursion than Gore-Tex.↗
▶Ep 22 · 1:00
clinicalAnimals were survived for four weeks with fluoroscopic evaluation of diaphragmatic excursion at one and four weeks post-op.↗
▶Ep 22 · 2:00
clinicalAt one week post-op, there was no difference in diaphragmatic excursion between sham, Gore-Tex, and polyurethane animals.↗
▶Ep 22 · 2:00
clinicalAt four weeks, Gore-Tex had limited diaphragm rise compared to sham, but no difference was found between polyurethane and sham.↗
▶Ep 22 · 2:00
clinicalThere were no differences in diaphragmatic excursion between polyurethane and Gore-Tex at any time point.↗
▶Ep 22 · 2:00
clinicalNo recurrences were seen in either the polyurethane or Gore-Tex cohort at four weeks.↗
quoteAt four weeks, Gore-Tex had limited diaphragm rise compared to sham, but no difference was found between PU and sham.↗
▶Ep 22 · 3:00
clinicalAn inflammatory capsule was formed surrounding both polyurethane and Gore-Tex patches.↗
▶Ep 22 · 3:00
clinicalThere was no significant difference in the size of the inflammatory capsule between the polyurethane and Gore-Tex cohorts.↗
▶Ep 22 · 3:00
clinicalThe study had small numbers of animals in each cohort (six per group), likely under powering detection of significant differences.↗
▶Ep 22 · 3:00
clinicalMost diaphragmatic hernia recurrences occur at least a few months out from surgery, most commonly within the first two years.↗
▶Ep 22 · 3:00
clinicalThe biodegradation rate of the polyurethane patch can be altered to match the rate of tissue in-growth with the goal of complete replacement over time with native diaphragm tissue.↗
Christina's statements about Fetal Surgery6 statements
Journal of Pediatric Surgery Article Highlights: April 2022
▶Ep 20 · 2:54
quoteThis study, a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myeloma meningocele repair.↗
▶Ep 20 · 2:54
clinicalDr. Christina Theodoro states this study is a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myelomeningocele repair.↗
▶Ep 20 · 3:27
clinicalThe technique involves exposing the fetal back, re-exposing the spinal cord, identifying the myelomeningocele defect, placing an extracellular matrix patch with placental stem cells facing the spinal cord in direct contact, closing the skin, and returning the baby to the uterus to continue gestation until term.↗
▶Ep 20 · 3:27
quoteWe expose the fetal back, we re-expose the spinal cord, we identify the MMC defect, and then we take our extracellular matrix patch that has the placental. Stem cells on it, it is, uh, placed with the cells facing the spinal cord in direct contact, and then the skin is closed and the baby is returned to the uterus to continue gestation until term.↗
▶Ep 20 · 3:54
quoteAnd we found that lambs were paired with these clinical grade subfrontal stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗
▶Ep 20 · 3:54
clinicalLambs repaired with clinical grade placental stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗
Christina's statements about Hernia Recurrence32 statements
BOB in Ped Surg 2023 - CAPS Winner - Christina Theodorou, MD
▶Ep 1 · 3:53
clinicalSynthetic patches such as PTFE or Gore-Tex used for large diaphragmatic defects are associated with significant morbidity, including hernia recurrence, bowel obstructions, and chest wall deformities as the child grows.↗
▶Ep 1 · 3:53
quoteThe optimal management of congenital diaphragmatic hernia is an area of active research.↗
▶Ep 1 · 4:40
quoteThe ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm, and allow for growth with the child.↗
▶Ep 1 · 4:40
clinicalBiodegradable forms of polyurethane have been used in tissue repair recently, such as vascular and muscular tissue replacement, and have high mechanical strength.↗
▶Ep 1 · 5:10
clinicalIn the rat model study, 4mm diaphragmatic defects were created followed by immediate patch repair, with six animals in each cohort plus a sham cohort of six rats.↗
▶Ep 1 · 5:10
quoteWe hypothesized that this novel PU based patch would be durable and would not result in recurrent herniation. Additionally, the elastic nature of the patch would allow for more diaphragmatic excursion than gortex.↗
▶Ep 1 · 6:00
clinicalNo recurrences were seen in either the polyurethane or Gore-Tex cohort at four weeks.↗
▶Ep 1 · 6:10
clinicalAt one week, there was no difference in diaphragmatic excursion between sham, Gore-Tex and polyurethane animals.↗
▶Ep 1 · 6:20
clinicalAt four weeks, Gore-Tex had limited diaphragm rise compared to sham, but no difference was found between polyurethane and sham.↗
▶Ep 1 · 6:35
clinicalThere were no differences in diaphragmatic excursion between polyurethane and Gore-Tex at any time point.↗
▶Ep 1 · 6:45
clinicalAn inflammatory capsule was formed surrounding both patches, with no significant difference in the size of that inflammatory capsule between the cohorts.↗
▶Ep 1 · 7:10
clinicalThe study had small numbers of animals in each cohort, likely underpowering detection of significant differences.↗
▶Ep 1 · 7:20
clinicalMost recurrences of diaphragmatic hernia occur at least a few months out from surgery, most commonly within the first two years.↗
BOB Ped Surg 2023 - Christina Theodorou, CAPS - Presentation
▶Ep 2 · 0:00
quoteThe ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm and allow for growth with the child.↗
▶Ep 2 · 0:00
opinionThe ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm and allow for growth with the child.↗
▶Ep 2 · 0:00
clinicalSynthetic patches for diaphragmatic hernia repair are associated with significant morbidity including hernia recurrence, bowel obstructions, and chest wall deformities as the child grows.↗
▶Ep 2 · 0:00
clinicalIn cases of large congenital diaphragmatic hernia defects, diaphragmatic replacements are used, most commonly synthetic patches such as PTFE or Gore-Tex.↗
▶Ep 2 · 1:00
quoteWe hypothesized that this novel PU-based patch would be durable and would not result in recurrent herniation. Additionally, the elastic nature of the patch would allow for more diaphragmatic excursion than Gore-Tex.↗
▶Ep 2 · 1:00
clinicalBiodegradable forms of polyurethane have been used in tissue repair recently such as vascular and muscular tissue replacement and have high mechanical strength.↗
▶Ep 2 · 1:00
clinicalThe study created 4 mm diaphragmatic defects in rats followed by immediate patch repair, with cohorts of six animals each plus a sham cohort of six rats.↗
▶Ep 2 · 1:00
clinicalAnimals were survived for four weeks with fluoroscopic evaluation of diaphragmatic excursion at one and four weeks post-op.↗
▶Ep 2 · 2:00
clinicalThere were no differences in diaphragmatic excursion between polyurethane and Gore-Tex at any time point.↗
▶Ep 2 · 2:00
quoteAt four weeks, Gore-Tex had limited diaphragm rise compared to sham, but no difference was found between PU and sham.↗
▶Ep 2 · 2:00
clinicalNo recurrences were seen in either the polyurethane or Gore-Tex cohort at four weeks.↗
▶Ep 2 · 2:00
clinicalAt one week post-op, there was no difference in diaphragmatic excursion between sham, Gore-Tex, and polyurethane animals.↗
▶Ep 2 · 2:00
clinicalAt four weeks, Gore-Tex had limited diaphragm rise compared to sham, but no difference was found between polyurethane and sham.↗
clinicalThe study had small numbers of animals in each cohort (six per group), likely under powering detection of significant differences.↗
▶Ep 2 · 3:00
clinicalMost diaphragmatic hernia recurrences occur at least a few months out from surgery, most commonly within the first two years.↗
▶Ep 2 · 3:00
clinicalAn inflammatory capsule was formed surrounding both polyurethane and Gore-Tex patches.↗
▶Ep 2 · 3:00
clinicalThere was no significant difference in the size of the inflammatory capsule between the polyurethane and Gore-Tex cohorts.↗
▶Ep 2 · 3:00
clinicalThe biodegradation rate of the polyurethane patch can be altered to match the rate of tissue in-growth with the goal of complete replacement over time with native diaphragm tissue.↗
Christina's statements about Myelomeningocele6 statements
Journal of Pediatric Surgery Article Highlights: April 2022
▶Ep 6 · 2:54
clinicalDr. Christina Theodoro states this study is a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myelomeningocele repair.↗
▶Ep 6 · 2:54
quoteThis study, a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myeloma meningocele repair.↗
▶Ep 6 · 3:27
clinicalThe technique involves exposing the fetal back, re-exposing the spinal cord, identifying the myelomeningocele defect, placing an extracellular matrix patch with placental stem cells facing the spinal cord in direct contact, closing the skin, and returning the baby to the uterus to continue gestation until term.↗
▶Ep 6 · 3:27
quoteWe expose the fetal back, we re-expose the spinal cord, we identify the MMC defect, and then we take our extracellular matrix patch that has the placental. Stem cells on it, it is, uh, placed with the cells facing the spinal cord in direct contact, and then the skin is closed and the baby is returned to the uterus to continue gestation until term.↗
▶Ep 6 · 3:54
quoteAnd we found that lambs were paired with these clinical grade subfrontal stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗
▶Ep 6 · 3:54
clinicalLambs repaired with clinical grade placental stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗
Christina's statements about Pediatric Oncology6 statements
Journal of Pediatric Surgery Article Highlights: April 2022
▶Ep 370 · 2:54
quoteThis study, a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myeloma meningocele repair.↗
▶Ep 370 · 2:54
clinicalDr. Christina Theodoro states this study is a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myelomeningocele repair.↗
▶Ep 370 · 3:27
clinicalThe technique involves exposing the fetal back, re-exposing the spinal cord, identifying the myelomeningocele defect, placing an extracellular matrix patch with placental stem cells facing the spinal cord in direct contact, closing the skin, and returning the baby to the uterus to continue gestation until term.↗
▶Ep 370 · 3:27
quoteWe expose the fetal back, we re-expose the spinal cord, we identify the MMC defect, and then we take our extracellular matrix patch that has the placental. Stem cells on it, it is, uh, placed with the cells facing the spinal cord in direct contact, and then the skin is closed and the baby is returned to the uterus to continue gestation until term.↗
▶Ep 370 · 3:54
clinicalLambs repaired with clinical grade placental stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗
▶Ep 370 · 3:54
quoteAnd we found that lambs were paired with these clinical grade subfrontal stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗
Christina's statements about Wilms Tumor6 statements
Journal of Pediatric Surgery Article Highlights: April 2022
▶Ep 12 · 2:54
quoteThis study, a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myeloma meningocele repair.↗
▶Ep 12 · 2:54
clinicalDr. Christina Theodoro states this study is a pivotal study in obtaining approval from the FDA for use of clinical grade stem cells in fetal myelomeningocele repair.↗
▶Ep 12 · 3:27
quoteWe expose the fetal back, we re-expose the spinal cord, we identify the MMC defect, and then we take our extracellular matrix patch that has the placental. Stem cells on it, it is, uh, placed with the cells facing the spinal cord in direct contact, and then the skin is closed and the baby is returned to the uterus to continue gestation until term.↗
▶Ep 12 · 3:27
clinicalThe technique involves exposing the fetal back, re-exposing the spinal cord, identifying the myelomeningocele defect, placing an extracellular matrix patch with placental stem cells facing the spinal cord in direct contact, closing the skin, and returning the baby to the uterus to continue gestation until term.↗
▶Ep 12 · 3:54
clinicalLambs repaired with clinical grade placental stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗
▶Ep 12 · 3:54
quoteAnd we found that lambs were paired with these clinical grade subfrontal stem cells have significantly improved motor function compared to lambs that did not receive the stem cells.↗