Holly Williams

65 statements · 4 topics

Featured statements

▶ Ep 3 · 19:23
when you get to that stage where you can cut it into diamonds, you know, and then you can actually be pulling on the, the, uh, rectus out laterally, and it, and it, and it works extremely well so that you can get to the point where you can close primarily at at least the edges so that the defect that you have to bridge with the patch is much smaller.
quote · Abdominal Wall Defects
▶ Ep 3 · 24:49
the benefit is that the muscle edges don't. Continue to get farther and farther apart. That's the problem I see with painting and then waiting is they don't, your, your, your muscle stays way out laterally and over time it's almost like they have a bigger defect.
quote · Abdominal Wall Defects
▶ Ep 2 · 19:07
in the babies they're so compliant that you can really get, you know, a lot with those Duoderm pulling and you leave the amnios, just push the amniose in.
quote · Giant Omphalocele
▶ Ep 2 · 24:49
The benefit of early closure with Duoderm and patch is that muscle edges don't continue to get farther apart, whereas with painting and waiting, the muscle stays way out laterally and over time the defect appears bigger.
clinical · Giant Omphalocele
▶ Ep 2 · 19:46
Alloderm is used as a bridge patch, and leaving the amnion provides a protective layer; the patch appears to turn into thick fascia over time, resulting in a relatively small central defect similar to rectus diastasis.
clinical · Giant Omphalocele
▶ Ep 2 · 17:31
The Duoderm technique was successful on two giant omphaloceles with liver out, performed over a longer period with gradual progress, redoing the Duoderm patch only every 3 days.
clinical · Giant Omphalocele

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Holly's statements about Abdominal Wall Defects 26 statements

Open the Abdominal Wall Defects collection →

Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...

▶ Ep 3 · 16:46
clinical Most patients managed with painting and delayed primary closure can be closed without using a patch when they are older. ↗
▶ Ep 3 · 16:46
clinical Most patients managed with painting and delayed primary closure can be closed without using a patch when they are older. ↗
▶ Ep 3 · 17:31
quote I tried after I saw that wonderful video before about the Duoderm, I tried it and I've had a success on two kids that were giant halo seals with the liver out ↗
▶ Ep 3 · 17:31
clinical The Duoderm technique was successful on two giant omphaloceles with liver out, performed over a longer period with gradual progress, redoing the Duoderm patch only every 3 days. ↗
▶ Ep 3 · 17:31
quote I tried after I saw that wonderful video before about the Duoderm, I tried it and I've had a success on two kids that were giant halo seals with the liver out ↗
▶ Ep 3 · 17:31
clinical The Duoderm technique was successful on two giant omphaloceles with liver out, performed over a longer period with gradual progress, redoing the Duoderm patch only every 3 days. ↗
▶ Ep 3 · 17:53
quote I was able to do it with, uh, just keeping them on nasal cannula and just giving a little morphine when I did it, and I, they didn't have to get intubated until I actually was ready for the repair. ↗
▶ Ep 3 · 17:53
clinical Babies with giant omphaloceles managed with Duoderm can be kept on nasal cannula with morphine during manipulation and don't need intubation until the actual repair. ↗
▶ Ep 3 · 17:53
clinical Babies with giant omphaloceles managed with Duoderm can be kept on nasal cannula with morphine during manipulation and don't need intubation until the actual repair. ↗
▶ Ep 3 · 17:53
quote I was able to do it with, uh, just keeping them on nasal cannula and just giving a little morphine when I did it, and I, they didn't have to get intubated until I actually was ready for the repair. ↗
▶ Ep 3 · 19:07
clinical In neonates, the Duoderm can pull the rectus out laterally when cut into diamonds, allowing primary closure at the edges so the defect requiring a patch is much smaller. ↗
▶ Ep 3 · 19:07
quote in the babies they're so compliant that you can really get, you know, a lot with those Duoderm pulling and you leave the amnios, just push the amniose in. ↗
▶ Ep 3 · 19:07
quote in the babies they're so compliant that you can really get, you know, a lot with those Duoderm pulling and you leave the amnios, just push the amniose in. ↗
▶ Ep 3 · 19:07
clinical In neonates, the Duoderm can pull the rectus out laterally when cut into diamonds, allowing primary closure at the edges so the defect requiring a patch is much smaller. ↗
▶ Ep 3 · 19:23
quote when you get to that stage where you can cut it into diamonds, you know, and then you can actually be pulling on the, the, uh, rectus out laterally, and it, and it, and it works extremely well so that you can get to the point where you can close primarily at at least the edges so that the defect that you have to bridge with the patch is much smaller. ↗
▶ Ep 3 · 19:23
quote when you get to that stage where you can cut it into diamonds, you know, and then you can actually be pulling on the, the, uh, rectus out laterally, and it, and it, and it works extremely well so that you can get to the point where you can close primarily at at least the edges so that the defect that you have to bridge with the patch is much smaller. ↗
▶ Ep 3 · 19:46
quote I just use, um, the, uh, Alloderm. And then, um, and leave the amnios also and so then you've basically got like this, uh, nice protective layer ↗
▶ Ep 3 · 19:46
clinical Alloderm is used as a bridge patch, and leaving the amnion provides a protective layer; the patch appears to turn into thick fascia over time, resulting in a relatively small central defect similar to rectus diastasis. ↗
▶ Ep 3 · 19:46
clinical Alloderm is used as a bridge patch, and leaving the amnion provides a protective layer; the patch appears to turn into thick fascia over time, resulting in a relatively small central defect similar to rectus diastasis. ↗
▶ Ep 3 · 19:46
quote I just use, um, the, uh, Alloderm. And then, um, and leave the amnios also and so then you've basically got like this, uh, nice protective layer ↗
▶ Ep 3 · 24:35
quote what I think it ends up turning into over time is, is sort of some thick fascia. You know, I'm not necessarily convinced that it's muscle, but you end up with a relatively small central defect. ↗
▶ Ep 3 · 24:35
quote what I think it ends up turning into over time is, is sort of some thick fascia. You know, I'm not necessarily convinced that it's muscle, but you end up with a relatively small central defect. ↗
▶ Ep 3 · 24:49
clinical The benefit of early closure with Duoderm and patch is that muscle edges don't continue to get farther apart, whereas with painting and waiting, the muscle stays way out laterally and over time the defect appears bigger. ↗
▶ Ep 3 · 24:49
quote the benefit is that the muscle edges don't. Continue to get farther and farther apart. That's the problem I see with painting and then waiting is they don't, your, your, your muscle stays way out laterally and over time it's almost like they have a bigger defect. ↗
▶ Ep 3 · 24:49
clinical The benefit of early closure with Duoderm and patch is that muscle edges don't continue to get farther apart, whereas with painting and waiting, the muscle stays way out laterally and over time the defect appears bigger. ↗
▶ Ep 3 · 24:49
quote the benefit is that the muscle edges don't. Continue to get farther and farther apart. That's the problem I see with painting and then waiting is they don't, your, your, your muscle stays way out laterally and over time it's almost like they have a bigger defect. ↗
Holly's statements about Giant Omphalocele 13 statements

Open the Giant Omphalocele collection →

Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...

▶ Ep 2 · 16:46
clinical Most patients managed with painting and delayed primary closure can be closed without using a patch when they are older. ↗
▶ Ep 2 · 17:31
clinical The Duoderm technique was successful on two giant omphaloceles with liver out, performed over a longer period with gradual progress, redoing the Duoderm patch only every 3 days. ↗
▶ Ep 2 · 17:31
quote I tried after I saw that wonderful video before about the Duoderm, I tried it and I've had a success on two kids that were giant halo seals with the liver out ↗
▶ Ep 2 · 17:53
quote I was able to do it with, uh, just keeping them on nasal cannula and just giving a little morphine when I did it, and I, they didn't have to get intubated until I actually was ready for the repair. ↗
▶ Ep 2 · 17:53
clinical Babies with giant omphaloceles managed with Duoderm can be kept on nasal cannula with morphine during manipulation and don't need intubation until the actual repair. ↗
▶ Ep 2 · 19:07
clinical In neonates, the Duoderm can pull the rectus out laterally when cut into diamonds, allowing primary closure at the edges so the defect requiring a patch is much smaller. ↗
▶ Ep 2 · 19:07
quote in the babies they're so compliant that you can really get, you know, a lot with those Duoderm pulling and you leave the amnios, just push the amniose in. ↗
▶ Ep 2 · 19:23
quote when you get to that stage where you can cut it into diamonds, you know, and then you can actually be pulling on the, the, uh, rectus out laterally, and it, and it, and it works extremely well so that you can get to the point where you can close primarily at at least the edges so that the defect that you have to bridge with the patch is much smaller. ↗
▶ Ep 2 · 19:46
clinical Alloderm is used as a bridge patch, and leaving the amnion provides a protective layer; the patch appears to turn into thick fascia over time, resulting in a relatively small central defect similar to rectus diastasis. ↗
▶ Ep 2 · 19:46
quote I just use, um, the, uh, Alloderm. And then, um, and leave the amnios also and so then you've basically got like this, uh, nice protective layer ↗
▶ Ep 2 · 24:35
quote what I think it ends up turning into over time is, is sort of some thick fascia. You know, I'm not necessarily convinced that it's muscle, but you end up with a relatively small central defect. ↗
▶ Ep 2 · 24:49
quote the benefit is that the muscle edges don't. Continue to get farther and farther apart. That's the problem I see with painting and then waiting is they don't, your, your, your muscle stays way out laterally and over time it's almost like they have a bigger defect. ↗
▶ Ep 2 · 24:49
clinical The benefit of early closure with Duoderm and patch is that muscle edges don't continue to get farther apart, whereas with painting and waiting, the muscle stays way out laterally and over time the defect appears bigger. ↗
Holly's statements about Giant Omphalocele 13 statements

Open the Giant Omphalocele collection →

Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...

▶ Ep 2 · 16:46
clinical Most patients managed with painting and delayed primary closure can be closed without using a patch when they are older. ↗
▶ Ep 2 · 17:31
clinical The Duoderm technique was successful on two giant omphaloceles with liver out, performed over a longer period with gradual progress, redoing the Duoderm patch only every 3 days. ↗
▶ Ep 2 · 17:31
quote I tried after I saw that wonderful video before about the Duoderm, I tried it and I've had a success on two kids that were giant halo seals with the liver out ↗
▶ Ep 2 · 17:53
quote I was able to do it with, uh, just keeping them on nasal cannula and just giving a little morphine when I did it, and I, they didn't have to get intubated until I actually was ready for the repair. ↗
▶ Ep 2 · 17:53
clinical Babies with giant omphaloceles managed with Duoderm can be kept on nasal cannula with morphine during manipulation and don't need intubation until the actual repair. ↗
▶ Ep 2 · 19:07
quote in the babies they're so compliant that you can really get, you know, a lot with those Duoderm pulling and you leave the amnios, just push the amniose in. ↗
▶ Ep 2 · 19:07
clinical In neonates, the Duoderm can pull the rectus out laterally when cut into diamonds, allowing primary closure at the edges so the defect requiring a patch is much smaller. ↗
▶ Ep 2 · 19:23
quote when you get to that stage where you can cut it into diamonds, you know, and then you can actually be pulling on the, the, uh, rectus out laterally, and it, and it, and it works extremely well so that you can get to the point where you can close primarily at at least the edges so that the defect that you have to bridge with the patch is much smaller. ↗
▶ Ep 2 · 19:46
clinical Alloderm is used as a bridge patch, and leaving the amnion provides a protective layer; the patch appears to turn into thick fascia over time, resulting in a relatively small central defect similar to rectus diastasis. ↗
▶ Ep 2 · 19:46
quote I just use, um, the, uh, Alloderm. And then, um, and leave the amnios also and so then you've basically got like this, uh, nice protective layer ↗
▶ Ep 2 · 24:35
quote what I think it ends up turning into over time is, is sort of some thick fascia. You know, I'm not necessarily convinced that it's muscle, but you end up with a relatively small central defect. ↗
▶ Ep 2 · 24:49
clinical The benefit of early closure with Duoderm and patch is that muscle edges don't continue to get farther apart, whereas with painting and waiting, the muscle stays way out laterally and over time the defect appears bigger. ↗
▶ Ep 2 · 24:49
quote the benefit is that the muscle edges don't. Continue to get farther and farther apart. That's the problem I see with painting and then waiting is they don't, your, your, your muscle stays way out laterally and over time it's almost like they have a bigger defect. ↗
Holly's statements about Pulmonary Hypoplasia 13 statements

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Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...

▶ Ep 3 · 16:46
clinical Most patients managed with painting and delayed primary closure can be closed without using a patch when they are older. ↗
▶ Ep 3 · 17:31
quote I tried after I saw that wonderful video before about the Duoderm, I tried it and I've had a success on two kids that were giant halo seals with the liver out ↗
▶ Ep 3 · 17:31
clinical The Duoderm technique was successful on two giant omphaloceles with liver out, performed over a longer period with gradual progress, redoing the Duoderm patch only every 3 days. ↗
▶ Ep 3 · 17:53
quote I was able to do it with, uh, just keeping them on nasal cannula and just giving a little morphine when I did it, and I, they didn't have to get intubated until I actually was ready for the repair. ↗
▶ Ep 3 · 17:53
clinical Babies with giant omphaloceles managed with Duoderm can be kept on nasal cannula with morphine during manipulation and don't need intubation until the actual repair. ↗
▶ Ep 3 · 19:07
quote in the babies they're so compliant that you can really get, you know, a lot with those Duoderm pulling and you leave the amnios, just push the amniose in. ↗
▶ Ep 3 · 19:07
clinical In neonates, the Duoderm can pull the rectus out laterally when cut into diamonds, allowing primary closure at the edges so the defect requiring a patch is much smaller. ↗
▶ Ep 3 · 19:23
quote when you get to that stage where you can cut it into diamonds, you know, and then you can actually be pulling on the, the, uh, rectus out laterally, and it, and it, and it works extremely well so that you can get to the point where you can close primarily at at least the edges so that the defect that you have to bridge with the patch is much smaller. ↗
▶ Ep 3 · 19:46
quote I just use, um, the, uh, Alloderm. And then, um, and leave the amnios also and so then you've basically got like this, uh, nice protective layer ↗
▶ Ep 3 · 19:46
clinical Alloderm is used as a bridge patch, and leaving the amnion provides a protective layer; the patch appears to turn into thick fascia over time, resulting in a relatively small central defect similar to rectus diastasis. ↗
▶ Ep 3 · 24:35
quote what I think it ends up turning into over time is, is sort of some thick fascia. You know, I'm not necessarily convinced that it's muscle, but you end up with a relatively small central defect. ↗
▶ Ep 3 · 24:49
quote the benefit is that the muscle edges don't. Continue to get farther and farther apart. That's the problem I see with painting and then waiting is they don't, your, your, your muscle stays way out laterally and over time it's almost like they have a bigger defect. ↗
▶ Ep 3 · 24:49
clinical The benefit of early closure with Duoderm and patch is that muscle edges don't continue to get farther apart, whereas with painting and waiting, the muscle stays way out laterally and over time the defect appears bigger. ↗