you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well
you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well
you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well
you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well
you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well
if you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home.
clinicalDr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis.↗
▶Ep 90 · 2:23
quoteI don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis.↗
▶Ep 90 · 2:23
clinicalDr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis.↗
▶Ep 90 · 2:23
quoteI don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis.↗
▶Ep 90 · 2:46
quoteI really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different.↗
▶Ep 90 · 2:46
opinionThere is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up.↗
▶Ep 90 · 2:46
opinionThere is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up.↗
▶Ep 90 · 2:46
quoteI really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different.↗
▶Ep 90 · 2:52
quoteyou have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well↗
▶Ep 90 · 2:52
quoteyou have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well↗
▶Ep 90 · 4:14
clinicalFor a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery.↗
▶Ep 90 · 4:14
clinicalFor a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery.↗
▶Ep 90 · 4:39
clinicalFor chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist.↗
▶Ep 90 · 4:39
clinicalFor chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist.↗
▶Ep 90 · 6:48
clinicalTeaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home.↗
▶Ep 90 · 6:48
quoteif you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home.↗
▶Ep 90 · 6:48
quoteif you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home.↗
▶Ep 90 · 6:48
clinicalTeaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home.↗
Update Course Rewind: 2020 Colorectal Part 2
▶Ep 92 · 0:59
epidemiologicalRectal prolapse is a relatively unusual problem in pediatric surgery.↗
▶Ep 92 · 0:59
epidemiologicalRectal prolapse is a relatively unusual problem in pediatric surgery.↗
▶Ep 92 · 2:44
quoteIt, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough.↗
▶Ep 92 · 2:44
quoteIt, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough.↗
▶Ep 92 · 2:44
clinicalChildren develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough.↗
▶Ep 92 · 2:44
clinicalChildren develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough.↗
▶Ep 92 · 3:13
clinicalConservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads.↗
▶Ep 92 · 3:13
clinicalConservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads.↗
▶Ep 92 · 3:30
quoteThey're not getting an iPad where they're sitting there for half an hour straining.↗
▶Ep 92 · 3:30
quoteThey're not getting an iPad where they're sitting there for half an hour straining.↗
▶Ep 92 · 5:10
epidemiologicalA systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures).↗
▶Ep 92 · 5:10
epidemiologicalA systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures).↗
▶Ep 92 · 5:46
opinionThe large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse.↗
▶Ep 92 · 5:46
quoteSo anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology.↗
▶Ep 92 · 5:46
quoteSo anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology.↗
▶Ep 92 · 5:46
opinionThe large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse.↗
▶Ep 92 · 5:56
clinicalTransabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data.↗
▶Ep 92 · 5:56
clinicalTransabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data.↗
▶Ep 92 · 7:14
clinicalThe complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems.↗
▶Ep 92 · 7:14
clinicalThe complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems.↗
▶Ep 92 · 7:41
guidelinePatients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis.↗
▶Ep 92 · 7:41
guidelinePatients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis.↗
▶Ep 92 · 9:34
clinicalSome patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool.↗
▶Ep 92 · 9:34
clinicalPelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes.↗
▶Ep 92 · 9:34
clinicalSome patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool.↗
▶Ep 92 · 9:34
clinicalPelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes.↗
quoteI don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis.↗
▶Ep 16 · 2:23
clinicalDr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis.↗
▶Ep 16 · 2:46
opinionThere is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up.↗
▶Ep 16 · 2:46
quoteI really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different.↗
▶Ep 16 · 2:52
quoteyou have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well↗
▶Ep 16 · 4:14
clinicalFor a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery.↗
▶Ep 16 · 4:39
clinicalFor chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist.↗
▶Ep 16 · 6:48
quoteif you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home.↗
▶Ep 16 · 6:48
clinicalTeaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home.↗
quoteI don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis.↗
▶Ep 38 · 2:23
clinicalDr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis.↗
▶Ep 38 · 2:23
clinicalDr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis.↗
▶Ep 38 · 2:23
quoteI don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis.↗
▶Ep 38 · 2:46
opinionThere is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up.↗
▶Ep 38 · 2:46
opinionThere is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up.↗
▶Ep 38 · 2:46
quoteI really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different.↗
▶Ep 38 · 2:46
quoteI really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different.↗
▶Ep 38 · 2:52
quoteyou have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well↗
▶Ep 38 · 2:52
quoteyou have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well↗
▶Ep 38 · 4:14
clinicalFor a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery.↗
▶Ep 38 · 4:14
clinicalFor a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery.↗
▶Ep 38 · 4:39
clinicalFor chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist.↗
▶Ep 38 · 4:39
clinicalFor chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist.↗
▶Ep 38 · 6:48
quoteif you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home.↗
▶Ep 38 · 6:48
clinicalTeaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home.↗
▶Ep 38 · 6:48
clinicalTeaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home.↗
▶Ep 38 · 6:48
quoteif you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home.↗
Update Course Rewind: 2020 Colorectal Part 2
▶Ep 40 · 0:59
epidemiologicalRectal prolapse is a relatively unusual problem in pediatric surgery.↗
▶Ep 40 · 0:59
epidemiologicalRectal prolapse is a relatively unusual problem in pediatric surgery.↗
▶Ep 40 · 2:44
quoteIt, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough.↗
▶Ep 40 · 2:44
quoteIt, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough.↗
▶Ep 40 · 2:44
clinicalChildren develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough.↗
▶Ep 40 · 2:44
clinicalChildren develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough.↗
▶Ep 40 · 3:13
clinicalConservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads.↗
▶Ep 40 · 3:13
clinicalConservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads.↗
▶Ep 40 · 3:30
quoteThey're not getting an iPad where they're sitting there for half an hour straining.↗
▶Ep 40 · 3:30
quoteThey're not getting an iPad where they're sitting there for half an hour straining.↗
▶Ep 40 · 5:10
epidemiologicalA systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures).↗
▶Ep 40 · 5:10
epidemiologicalA systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures).↗
▶Ep 40 · 5:46
quoteSo anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology.↗
▶Ep 40 · 5:46
opinionThe large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse.↗
▶Ep 40 · 5:46
quoteSo anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology.↗
▶Ep 40 · 5:46
opinionThe large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse.↗
▶Ep 40 · 5:56
clinicalTransabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data.↗
▶Ep 40 · 5:56
clinicalTransabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data.↗
▶Ep 40 · 7:14
clinicalThe complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems.↗
▶Ep 40 · 7:14
clinicalThe complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems.↗
▶Ep 40 · 7:41
guidelinePatients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis.↗
▶Ep 40 · 7:41
guidelinePatients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis.↗
▶Ep 40 · 9:34
clinicalPelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes.↗
▶Ep 40 · 9:34
clinicalSome patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool.↗
▶Ep 40 · 9:34
clinicalPelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes.↗
▶Ep 40 · 9:34
clinicalSome patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool.↗
epidemiologicalRectal prolapse is a relatively unusual problem in pediatric surgery.↗
▶Ep 2 · 2:44
quoteIt, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough.↗
▶Ep 2 · 2:44
clinicalChildren develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough.↗
▶Ep 2 · 3:13
clinicalConservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads.↗
▶Ep 2 · 3:30
quoteThey're not getting an iPad where they're sitting there for half an hour straining.↗
▶Ep 2 · 5:10
epidemiologicalA systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures).↗
▶Ep 2 · 5:46
opinionThe large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse.↗
▶Ep 2 · 5:46
quoteSo anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology.↗
▶Ep 2 · 5:56
clinicalTransabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data.↗
▶Ep 2 · 7:14
clinicalThe complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems.↗
▶Ep 2 · 7:41
guidelinePatients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis.↗
▶Ep 2 · 9:34
clinicalSome patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool.↗
▶Ep 2 · 9:34
clinicalPelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes.↗