74 statements
· 4 topics
· summaries given as host listed separately
Featured statements
▶Ep 22 · 18:40
Placing a silk suture on the pulmonary vein before using energy device or stapler provides backup control if primary method fails, preventing patient death from loss of visibility during hemorrhage
Kansas City group has eliminated posterior crural sutures in fundoplication using minimal dissection technique, creating retroesophageal window but leaving posterior crura alone
Since abandoning phrenoesophageal membrane dissection during fundoplication, herniation is less frequent; fundoplication failure is now more common and easier to repair
Mesh is placed with midline cut and central circle, brought down to sit naturally without crossing anteriorly; posterior crossing depends on posterior crural appearance
Single posterior crural suture can cause mechanical esophageal obstruction if placed too anteriorly, as esophagus courses anterior-to-posterior crossing diaphragm
quoteI think it would be more heroic to keep neonatology from getting a chest X-ray than it was for Kurt Heist to get them to get anesthesia to back off from their NPO rules, which I have to just say, Kurt, is the most amazing thing I've heard a pediatric surgeon accomplish ever.↗
▶Ep 22 · 6:05
clinicalNeonatologists routinely obtain chest X-rays on newborns with prenatal diagnoses before surgical consultation↗
▶Ep 22 · 6:05
clinicalNeonatologists routinely obtain chest X-rays on newborns with prenatal diagnoses before surgical consultation↗
▶Ep 22 · 6:05
quoteI think it would be more heroic to keep neonatology from getting a chest X-ray than it was for Kurt Heist to get them to get anesthesia to back off from their NPO rules, which I have to just say, Kurt, is the most amazing thing I've heard a pediatric surgeon accomplish ever.↗
▶Ep 22 · 18:40
clinicalPlacing a silk suture on the pulmonary vein before using energy device or stapler provides backup control if primary method fails, preventing patient death from loss of visibility during hemorrhage↗
▶Ep 22 · 18:40
clinicalPlacing a silk suture on the pulmonary vein before using energy device or stapler provides backup control if primary method fails, preventing patient death from loss of visibility during hemorrhage↗
▶Ep 22 · 19:52
clinicalWhen vessel is dissected too cleanly with all adventitia removed, it may no longer be suitable for stapling↗
▶Ep 22 · 19:52
clinicalWhen vessel is dissected too cleanly with all adventitia removed, it may no longer be suitable for stapling↗
▶Ep 22 · 24:03
clinicalMedical acid suppression therapy will not provide lifelong solution for symptomatic paraesophageal hernia; repair is eventually necessary↗
▶Ep 22 · 24:03
clinicalMedical acid suppression therapy will not provide lifelong solution for symptomatic paraesophageal hernia; repair is eventually necessary↗
▶Ep 22 · 24:18
clinicalParaesophageal hernias after fundoplication will inevitably progress and create larger defects even if initially small↗
▶Ep 22 · 24:18
clinicalParaesophageal hernias after fundoplication will inevitably progress and create larger defects even if initially small↗
▶Ep 22 · 27:19
clinicalAdult data shows mesh reinforcement reduces recurrence risk in paraesophageal hernia repair, justifying low threshold for mesh use↗
▶Ep 22 · 28:12
clinicalAbsorbable mesh has not shown erosion problems but adult surgeons question its long-term effectiveness↗
▶Ep 22 · 28:25
clinicalOverlay mesh technique with SIS reduced redo-redo hernia rate in one center's experience↗
▶Ep 22 · 28:25
clinicalOverlay mesh technique with SIS reduced redo-redo hernia rate in one center's experience↗
▶Ep 22 · 28:38
clinicalSince abandoning phrenoesophageal membrane dissection during fundoplication, herniation is less frequent; fundoplication failure is now more common and easier to repair↗
▶Ep 22 · 28:38
clinicalSince abandoning phrenoesophageal membrane dissection during fundoplication, herniation is less frequent; fundoplication failure is now more common and easier to repair↗
▶Ep 22 · 29:01
clinicalMesh is placed with midline cut and central circle, brought down to sit naturally without crossing anteriorly; posterior crossing depends on posterior crural appearance↗
▶Ep 22 · 29:01
clinicalMesh is placed with midline cut and central circle, brought down to sit naturally without crossing anteriorly; posterior crossing depends on posterior crural appearance↗
▶Ep 22 · 36:46
clinicalSingle posterior crural suture can cause mechanical esophageal obstruction if placed too anteriorly, as esophagus courses anterior-to-posterior crossing diaphragm↗
▶Ep 22 · 36:46
clinicalSingle posterior crural suture can cause mechanical esophageal obstruction if placed too anteriorly, as esophagus courses anterior-to-posterior crossing diaphragm↗
▶Ep 22 · 37:11
clinicalIntraoperative contrast injection after removing suspected obstructing stitch can confirm resolution before replacing fundoplication sutures↗
▶Ep 22 · 37:11
clinicalIntraoperative contrast injection after removing suspected obstructing stitch can confirm resolution before replacing fundoplication sutures↗
▶Ep 22 · 38:45
clinicalEGD can be used throughout revision case to assess each intervention's effect on obstruction↗
▶Ep 22 · 38:45
clinicalEGD can be used throughout revision case to assess each intervention's effect on obstruction↗
▶Ep 22 · 41:51
clinicalKansas City group has eliminated posterior crural sutures in fundoplication using minimal dissection technique, creating retroesophageal window but leaving posterior crura alone↗
▶Ep 22 · 41:51
clinicalKansas City group has eliminated posterior crural sutures in fundoplication using minimal dissection technique, creating retroesophageal window but leaving posterior crura alone↗
▶Ep 22 · 43:07
clinicalKansas City group has eliminated collar stitches in fundoplication, now using only 3 stitches all on the fundus↗
▶Ep 22 · 43:07
clinicalKansas City group has eliminated collar stitches in fundoplication, now using only 3 stitches all on the fundus↗
Sean's statements about Congenital Pulmonary Airway Malformation14 statements
quoteI think it would be more heroic to keep neonatology from getting a chest X-ray than it was for Kurt Heist to get them to get anesthesia to back off from their NPO rules, which I have to just say, Kurt, is the most amazing thing I've heard a pediatric surgeon accomplish ever.↗
▶Ep 18 · 6:05
clinicalNeonatologists routinely obtain chest X-rays on newborns with prenatal diagnoses before surgical consultation↗
▶Ep 18 · 18:40
clinicalPlacing a silk suture on the pulmonary vein before using energy device or stapler provides backup control if primary method fails, preventing patient death from loss of visibility during hemorrhage↗
▶Ep 18 · 19:52
clinicalWhen vessel is dissected too cleanly with all adventitia removed, it may no longer be suitable for stapling↗
▶Ep 18 · 24:03
clinicalMedical acid suppression therapy will not provide lifelong solution for symptomatic paraesophageal hernia; repair is eventually necessary↗
▶Ep 18 · 24:18
clinicalParaesophageal hernias after fundoplication will inevitably progress and create larger defects even if initially small↗
▶Ep 18 · 28:25
clinicalOverlay mesh technique with SIS reduced redo-redo hernia rate in one center's experience↗
▶Ep 18 · 28:38
clinicalSince abandoning phrenoesophageal membrane dissection during fundoplication, herniation is less frequent; fundoplication failure is now more common and easier to repair↗
▶Ep 18 · 29:01
clinicalMesh is placed with midline cut and central circle, brought down to sit naturally without crossing anteriorly; posterior crossing depends on posterior crural appearance↗
▶Ep 18 · 36:46
clinicalSingle posterior crural suture can cause mechanical esophageal obstruction if placed too anteriorly, as esophagus courses anterior-to-posterior crossing diaphragm↗
▶Ep 18 · 37:11
clinicalIntraoperative contrast injection after removing suspected obstructing stitch can confirm resolution before replacing fundoplication sutures↗
▶Ep 18 · 38:45
clinicalEGD can be used throughout revision case to assess each intervention's effect on obstruction↗
▶Ep 18 · 41:51
clinicalKansas City group has eliminated posterior crural sutures in fundoplication using minimal dissection technique, creating retroesophageal window but leaving posterior crura alone↗
▶Ep 18 · 43:07
clinicalKansas City group has eliminated collar stitches in fundoplication, now using only 3 stitches all on the fundus↗
Sean's statements about Congenital Pulmonary Airway Malformation14 statements
quoteI think it would be more heroic to keep neonatology from getting a chest X-ray than it was for Kurt Heist to get them to get anesthesia to back off from their NPO rules, which I have to just say, Kurt, is the most amazing thing I've heard a pediatric surgeon accomplish ever.↗
▶Ep 19 · 6:05
clinicalNeonatologists routinely obtain chest X-rays on newborns with prenatal diagnoses before surgical consultation↗
▶Ep 19 · 18:40
clinicalPlacing a silk suture on the pulmonary vein before using energy device or stapler provides backup control if primary method fails, preventing patient death from loss of visibility during hemorrhage↗
▶Ep 19 · 19:52
clinicalWhen vessel is dissected too cleanly with all adventitia removed, it may no longer be suitable for stapling↗
▶Ep 19 · 24:03
clinicalMedical acid suppression therapy will not provide lifelong solution for symptomatic paraesophageal hernia; repair is eventually necessary↗
▶Ep 19 · 24:18
clinicalParaesophageal hernias after fundoplication will inevitably progress and create larger defects even if initially small↗
▶Ep 19 · 28:25
clinicalOverlay mesh technique with SIS reduced redo-redo hernia rate in one center's experience↗
▶Ep 19 · 28:38
clinicalSince abandoning phrenoesophageal membrane dissection during fundoplication, herniation is less frequent; fundoplication failure is now more common and easier to repair↗
▶Ep 19 · 29:01
clinicalMesh is placed with midline cut and central circle, brought down to sit naturally without crossing anteriorly; posterior crossing depends on posterior crural appearance↗
▶Ep 19 · 36:46
clinicalSingle posterior crural suture can cause mechanical esophageal obstruction if placed too anteriorly, as esophagus courses anterior-to-posterior crossing diaphragm↗
▶Ep 19 · 37:11
clinicalIntraoperative contrast injection after removing suspected obstructing stitch can confirm resolution before replacing fundoplication sutures↗
▶Ep 19 · 38:45
clinicalEGD can be used throughout revision case to assess each intervention's effect on obstruction↗
▶Ep 19 · 41:51
clinicalKansas City group has eliminated posterior crural sutures in fundoplication using minimal dissection technique, creating retroesophageal window but leaving posterior crura alone↗
▶Ep 19 · 43:07
clinicalKansas City group has eliminated collar stitches in fundoplication, now using only 3 stitches all on the fundus↗
Sean's statements about Esophageal Atresia16 statements
clinicalNeonatologists routinely obtain chest X-rays on newborns with prenatal diagnoses before surgical consultation↗
▶Ep 2 · 6:05
quoteI think it would be more heroic to keep neonatology from getting a chest X-ray than it was for Kurt Heist to get them to get anesthesia to back off from their NPO rules, which I have to just say, Kurt, is the most amazing thing I've heard a pediatric surgeon accomplish ever.↗
▶Ep 2 · 18:40
clinicalPlacing a silk suture on the pulmonary vein before using energy device or stapler provides backup control if primary method fails, preventing patient death from loss of visibility during hemorrhage↗
▶Ep 2 · 19:52
clinicalWhen vessel is dissected too cleanly with all adventitia removed, it may no longer be suitable for stapling↗
▶Ep 2 · 24:03
clinicalMedical acid suppression therapy will not provide lifelong solution for symptomatic paraesophageal hernia; repair is eventually necessary↗
▶Ep 2 · 24:18
clinicalParaesophageal hernias after fundoplication will inevitably progress and create larger defects even if initially small↗
▶Ep 2 · 27:19
clinicalAdult data shows mesh reinforcement reduces recurrence risk in paraesophageal hernia repair, justifying low threshold for mesh use↗
▶Ep 2 · 28:12
clinicalAbsorbable mesh has not shown erosion problems but adult surgeons question its long-term effectiveness↗
▶Ep 2 · 28:25
clinicalOverlay mesh technique with SIS reduced redo-redo hernia rate in one center's experience↗
▶Ep 2 · 28:38
clinicalSince abandoning phrenoesophageal membrane dissection during fundoplication, herniation is less frequent; fundoplication failure is now more common and easier to repair↗
▶Ep 2 · 29:01
clinicalMesh is placed with midline cut and central circle, brought down to sit naturally without crossing anteriorly; posterior crossing depends on posterior crural appearance↗
▶Ep 2 · 36:46
clinicalSingle posterior crural suture can cause mechanical esophageal obstruction if placed too anteriorly, as esophagus courses anterior-to-posterior crossing diaphragm↗
▶Ep 2 · 37:11
clinicalIntraoperative contrast injection after removing suspected obstructing stitch can confirm resolution before replacing fundoplication sutures↗
▶Ep 2 · 38:45
clinicalEGD can be used throughout revision case to assess each intervention's effect on obstruction↗
▶Ep 2 · 41:51
clinicalKansas City group has eliminated posterior crural sutures in fundoplication using minimal dissection technique, creating retroesophageal window but leaving posterior crura alone↗
▶Ep 2 · 43:07
clinicalKansas City group has eliminated collar stitches in fundoplication, now using only 3 stitches all on the fundus↗
Summaries Sean gave as host
· 6 summaries
Recaps of other experts' statements, not Sean's own clinical position.
Summaries Sean gave as host · Congenital Lung Lesions (CPAM)2 summaries
host summarySean Barnhart summarizing the discussion: Adult data shows mesh reinforcement reduces recurrence risk in paraesophageal hernia repair, justifying low threshold for mesh use↗
▶Ep 22 · 28:12
host summarySean Barnhart summarizing the discussion: Absorbable mesh has not shown erosion problems but adult surgeons question its long-term effectiveness↗
Summaries Sean gave as host · Congenital Pulmonary Airway Malformation2 summaries
host summarySean Barnhart summarizing the discussion: Adult data shows mesh reinforcement reduces recurrence risk in paraesophageal hernia repair, justifying low threshold for mesh use↗
▶Ep 18 · 28:12
host summarySean Barnhart summarizing the discussion: Absorbable mesh has not shown erosion problems but adult surgeons question its long-term effectiveness↗
Summaries Sean gave as host · Congenital Pulmonary Airway Malformation2 summaries
host summarySean Barnhart summarizing the discussion: Adult data shows mesh reinforcement reduces recurrence risk in paraesophageal hernia repair, justifying low threshold for mesh use↗
▶Ep 19 · 28:12
host summarySean Barnhart summarizing the discussion: Absorbable mesh has not shown erosion problems but adult surgeons question its long-term effectiveness↗
