Jose Campos

108 timestamped statements across 6 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Congenital Lung Lesions (CPAM) · guest expert Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · guest expert Inguinal Hernia · guest expert Intestinal Rehab · guest expert Pancreatitis · guest expert Sarcoma (Ewing/Rhabdo) · guest expert

Featured diaries

Ep 17 · 3:49
I read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%. I thought to myself that there was really significant.
Ep 28 · 3:49
I read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%. I thought to myself that there was really significant.
Ep 18 · 11:56
I, I really love this study because you said it requires a lot of skills, but this is not just a single center, one expert surgeon showing off what they can do. This is 4 centers, so the range of surgeons that are doing this, it's, it's. Quite broad, so this article is trying to say it's feasible.
quote · Pancreatitis
Ep 14 · 1:34
I would only accept radiology because you have to do an intervention after that. So if it's positive, you have to do an intervention, whether it is enema reduction or surgery. And at least I'm not trained in point-of-care ultrasound and neither are the emergency doctors I work with.
Ep 27 · 5:49
The International Pulmonary blastoma Registry has 350 cases reported worldwide. They, they have the most, the, the largest collection of cases worldwide, and they've only found 9 cases of uh prenatally diagnosed lesions that actually turned out to be pleuropulmonary blastoma.
Ep 18 · 15:38
They're not comparing ICG compared to intraparative cholalangiogram. They're comparing ICG versus nothing versus just simple visualization. So of course, of course your endpoint is going to be, of course you see more if you use a technique to visualize more structures.
quote · Pancreatitis

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Case Based Journal Review - CPAM in 2022

Ep 27 · 1:51
quote I was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.
Ep 27 · 3:37
clinical Retrospective studies show a huge range of 3% to 85% for risk of becoming symptomatic
Ep 27 · 3:37
clinical Systematic reviews report symptomatic rates of 3.2% in one review and 25% in another
Ep 27 · 3:37
quote I know you get a huge range from 3 to 85% on retrospective studies, but all of their biased, but when you get to a systematic review of mess, actually one of them comes to the number 3.2% and the other one comes to the number 25%.
Ep 27 · 5:24
quote To me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.
Ep 27 · 5:49
epidemiological The International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma
Ep 27 · 5:49
quote The International Pulmonary blastoma Registry has 350 cases reported worldwide. They, they have the most, the, the largest collection of cases worldwide, and they've only found 9 cases of uh prenatally diagnosed lesions that actually turned out to be pleuropulmonary blastoma.
Ep 27 · 8:17
clinical After infection, there is a higher rate of conversion from thoracoscopic to open surgery
Ep 27 · 8:25
opinion The number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery
Ep 27 · 10:28
clinical The 1 to 3 month group had a 40% thoracotomy rate
Ep 27 · 11:06
quote I, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.
Ep 27 · 11:13
opinion Prophylactic operations should have nearly zero complications

Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos

Ep 44 · 1:38
epidemiological The Chilean Society of Pediatric Surgery screens 1,200 articles each month, with only 3% relevant to pediatric surgery
Ep 44 · 2:30
quote We screen 1,200 articles each month and we want to get the best to you
Ep 44 · 4:00
clinical A multi-institutional prospective randomized trial compared piperacillin-tazobactam to ceftriaxone plus metronidazole for perforated appendicitis
Ep 44 · 5:00
clinical At 75% enrollment, interim analysis favored piperacillin-tazobactam and the study was stopped
Ep 44 · 5:20
clinical Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8
Ep 44 · 5:50
clinical The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7
Ep 44 · 10:50
clinical A 20-center randomized controlled trial compared initial laparotomy versus peritoneal drainage for NEC, enrolling 310 premature newborns
Ep 44 · 11:20
clinical At 18 to 22 months corrected age, the composite of death and neurodevelopmental impairment was similar in both groups in frequentist analysis
Ep 44 · 11:30
quote This huge and challenging study brings the best quality evidence to a long-standing question
Ep 44 · 11:40
clinical Bayesian analysis showed a high probability of laparotomy being superior to peritoneal drainage
Ep 44 · 18:20
clinical A systematic review examined 900 publications on gastrostomy insertion, with 58 used for final recommendations
Ep 44 · 18:50
clinical Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy
Ep 44 · 19:10
clinical Major complication rates were significantly less common with laparoscopic gastrostomy placement
Ep 44 · 19:30
clinical The number needed to treat to prevent one major complication from PEG is 24
Ep 44 · 25:49
clinical A database comparison of 3,000 patients found no survival difference between total thyroidectomy and thyroid lobectomy for differentiated papillary thyroid cancer
Inguinal Hernia 8 entries

Case-Based Journal Review: Inguinal Hernia 2025

Ep 17 · 1:43
clinical The younger the baby, the higher the risk of incarceration
Ep 17 · 3:49
quote I read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%. I thought to myself that there was really significant.
Ep 17 · 4:27
clinical In the early group 4% had spontaneous resolution, in the late group 11% had spontaneous resolution
Ep 17 · 11:26
quote The more rigid teaching, at least for me in Chile, has been that if you don't feel the hernia for yourself, you do not operate on that child, you know.
Ep 17 · 11:35
clinical There was no diagnostic uncertainty in the one-stop surgery program
Ep 17 · 12:26
clinical A surgery journal article found that routine follow-up for pediatric surgical conditions like circumcision, orchiopexy, and inguinal hernia altered management less than 1% of the time
Ep 17 · 13:28
opinion When facing medical problems with low risk of complications, family satisfaction becomes a surrogate for quality
Ep 17 · 13:28
quote When you were facing medical problems with a low risk of complications, then family satisfaction becomes a surrogate for quality.
Intestinal Rehab 15 entries

Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos

Ep 60 · 1:38
epidemiological The Chilean Society of Pediatric Surgery screens 1,200 articles each month, with only 3% relevant to pediatric surgery
Ep 60 · 2:30
quote We screen 1,200 articles each month and we want to get the best to you
Ep 60 · 4:00
clinical A multi-institutional prospective randomized trial compared piperacillin-tazobactam to ceftriaxone plus metronidazole for perforated appendicitis
Ep 60 · 5:00
clinical At 75% enrollment, interim analysis favored piperacillin-tazobactam and the study was stopped
Ep 60 · 5:20
clinical Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8
Ep 60 · 5:50
clinical The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7
Ep 60 · 10:50
clinical A 20-center randomized controlled trial compared initial laparotomy versus peritoneal drainage for NEC, enrolling 310 premature newborns
Ep 60 · 11:20
clinical At 18 to 22 months corrected age, the composite of death and neurodevelopmental impairment was similar in both groups in frequentist analysis
Ep 60 · 11:30
quote This huge and challenging study brings the best quality evidence to a long-standing question
Ep 60 · 11:40
clinical Bayesian analysis showed a high probability of laparotomy being superior to peritoneal drainage
Ep 60 · 18:20
clinical A systematic review examined 900 publications on gastrostomy insertion, with 58 used for final recommendations
Ep 60 · 18:50
clinical Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy
Ep 60 · 19:10
clinical Major complication rates were significantly less common with laparoscopic gastrostomy placement
Ep 60 · 19:30
clinical The number needed to treat to prevent one major complication from PEG is 24
Ep 60 · 25:49
clinical A database comparison of 3,000 patients found no survival difference between total thyroidectomy and thyroid lobectomy for differentiated papillary thyroid cancer
Pancreatitis 18 entries

Case-Based Journal Review: Cholelithiasis 2024

Ep 18 · 1:07
epidemiological Chile has the highest rate of cholelithiasis globally
Ep 18 · 1:07
quote Chile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.
Ep 18 · 1:53
clinical Historical threshold for 'cool-off period' before cholecystectomy was 7-10 days in general surgery, later reduced to 2-3 days in pediatric surgery
Ep 18 · 4:00
quote Not even the reliable patient, we should send them home without their gallbladder removed.
Ep 18 · 7:11
quote The negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.
Ep 18 · 7:11
clinical The predictive algorithm has a 98% negative predictive value for common bile duct stones
Ep 18 · 7:22
clinical Using the algorithm, risk of encountering unexpected CBD stone intraoperatively is only 2%
Ep 18 · 7:22
quote So that's why I think this is the one to use, and I don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.
Ep 18 · 11:56
clinical The multi-center laparoscopic CBD exploration study included 4 centers with a broad range of surgeon expertise, demonstrating feasibility beyond single expert centers
Ep 18 · 11:56
quote I, I really love this study because you said it requires a lot of skills, but this is not just a single center, one expert surgeon showing off what they can do. This is 4 centers, so the range of surgeons that are doing this, it's, it's. Quite broad, so this article is trying to say it's feasible.
Ep 18 · 12:15
clinical 14% of patients who underwent laparoscopic CBD exploration required subsequent ERCP without increased complications such as bile duct leak
Ep 18 · 12:30
clinical In stepwise laparoscopic CBD exploration approach, 84% of CBD stones cleared with simple saline flush through ureteral catheter
Ep 18 · 14:21
quote I, I don't like this study a lot to call it the new standard practice. I think with you too much.
Ep 18 · 14:25
opinion ICG study compared different time periods (2013-2023) rather than concurrent randomized groups, introducing confounding from improved surgical technique and instrumentation over time
Ep 18 · 14:43
opinion ICG study grouped all complications together without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence/absence of ICG
Ep 18 · 14:57
opinion Zero complications in ICG group raises methodological concerns about reporting accuracy
Ep 18 · 15:38
quote They're not comparing ICG compared to intraparative cholalangiogram. They're comparing ICG versus nothing versus just simple visualization. So of course, of course your endpoint is going to be, of course you see more if you use a technique to visualize more structures.
Ep 18 · 15:38
opinion ICG study compared ICG to simple visualization without intraoperative cholangiogram, not ICG vs. intraoperative cholangiogram

Case-Based Journal Review- Intussusception in 2022

Ep 14 · 1:34
quote I would only accept radiology because you have to do an intervention after that. So if it's positive, you have to do an intervention, whether it is enema reduction or surgery. And at least I'm not trained in point-of-care ultrasound and neither are the emergency doctors I work with.
Ep 14 · 3:14
quote To me, this article changed a lot because sometimes we do unnecessary laparotamins in the middle of the night just to just to make a diagnosis because we don't have a radiologist at night at our institution and we don't have any formal training in point of care ultrasound.
Ep 14 · 7:05
quote My answer is go for it.
Ep 14 · 10:12
clinical Sedation during pneumatic reduction has slightly better success rate than no sedation, but the difference is approximately 7%
Ep 14 · 10:12
clinical Recurrence rate was 5.1% with sedation versus 1.3% without sedation, not statistically significant but concerning
Ep 14 · 10:12
clinical Bowel perforation occurred in 3 patients in the sedation group and none in the non-sedation group, but this was not statistically significant
Ep 14 · 14:45
quote I share that same feeling. I feel like I lie when I'm saying the number I have in my mind, but actually my number is 10%. That's the number I tell residents, not the number I tell families, 10%.
Ep 14 · 16:59
quote Increasing our recurrence or failure tolerance, it benefits the vast majority of children with lower chances of getting a complication.
Ep 14 · 16:59
opinion Clinicians should increase tolerance for recurrence risk if it benefits the majority of children by avoiding unnecessary admission

Case Based Journal Review - CPAM in 2022

Ep 15 · 1:51
quote I was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.
Ep 15 · 3:37
clinical Systematic reviews report symptomatic rates of 3.2% in one review and 25% in another
Ep 15 · 3:37
clinical Retrospective studies show a huge range of 3% to 85% for risk of becoming symptomatic
Ep 15 · 3:37
quote I know you get a huge range from 3 to 85% on retrospective studies, but all of their biased, but when you get to a systematic review of mess, actually one of them comes to the number 3.2% and the other one comes to the number 25%.
Ep 15 · 5:24
quote To me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.
Ep 15 · 5:49
epidemiological The International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma
Ep 15 · 5:49
quote The International Pulmonary blastoma Registry has 350 cases reported worldwide. They, they have the most, the, the largest collection of cases worldwide, and they've only found 9 cases of uh prenatally diagnosed lesions that actually turned out to be pleuropulmonary blastoma.
Ep 15 · 8:17
clinical After infection, there is a higher rate of conversion from thoracoscopic to open surgery
Ep 15 · 8:25
opinion The number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery
Ep 15 · 10:28
clinical The 1 to 3 month group had a 40% thoracotomy rate
Ep 15 · 11:06
quote I, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.
Ep 15 · 11:13
opinion Prophylactic operations should have nearly zero complications

Case Based Journal Review: Esophageal Atresia in 2022

Ep 17 · 3:25
clinical The azygous vein drains the bronchi, trachea, and esophagus
Ep 17 · 3:30
clinical Dividing the azygous vein may lead to impaired clearance of mucus and debris from the tracheobronchial tree postoperatively
Ep 17 · 4:54
clinical The endpoint of chest infection was not clearly defined across studies in the azygous vein meta-analysis, with some using pneumonitis, some pneumonia, and some just chest infection
Ep 17 · 7:31
quote I think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything. After adjusting for everything else, they still got almost 3 more stricture rates.
Ep 17 · 8:19
quote I think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.
Ep 17 · 9:44
epidemiological Congenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases
Ep 17 · 9:54
clinical Most cases of congenital esophageal stenosis are diagnosed really late, some after the anastomosis fails
Ep 17 · 9:58
clinical Passing a tube through the anastomosis and checking for resistance can detect distal esophageal stenosis intraoperatively
Ep 17 · 13:14
clinical If you place a prophylactic chest drain, the chances of needing another one later are the same as if you didn't place one initially
Ep 17 · 14:24
clinical Giving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal
Ep 17 · 16:25
quote I think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.

Case-Based Journal Review: Inguinal Hernia 2025

Ep 28 · 1:43
clinical The younger the baby, the higher the risk of incarceration
Ep 28 · 3:49
quote I read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%. I thought to myself that there was really significant.
Ep 28 · 4:27
clinical In the early group 4% had spontaneous resolution, in the late group 11% had spontaneous resolution
Ep 28 · 11:26
quote The more rigid teaching, at least for me in Chile, has been that if you don't feel the hernia for yourself, you do not operate on that child, you know.
Ep 28 · 11:35
clinical There was no diagnostic uncertainty in the one-stop surgery program
Ep 28 · 12:26
clinical A surgery journal article found that routine follow-up for pediatric surgical conditions like circumcision, orchiopexy, and inguinal hernia altered management less than 1% of the time
Ep 28 · 13:28
quote When you were facing medical problems with a low risk of complications, then family satisfaction becomes a surrogate for quality.
Ep 28 · 13:28
opinion When facing medical problems with low risk of complications, family satisfaction becomes a surrogate for quality