Journal of Pediatric Surgery Article Review: February 2023, BAPS issue
With Dr. Mark Davenport & Dr. Govind Murti & Dr. Beth Rmey · hosted by Dr. Ellen Ancisco & Dr. Cecilia Gena & Dr. Todd Ponsky · StayCurrentMD
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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4 min · Published Feb 2025
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Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia
56 s · Published Feb 2024
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Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
48 s · Published Feb 2025
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Top Themes From The Stay Current App
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Esophageal Atresia
39 min · Published Nov 2018
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Thoracoscopic Repair of Tracheo-esophageal Fistula Tricks: Pediatric Surgery...
19 min · Published Jul 2017
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Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
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Pooling Patients to Study Rare Pediatric Tumors: An Introduction to PSORC
56 s · Published May 2026
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The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
44 s · Published May 2026
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Indocyanine green assists with sentinel lymph node mapping in pediatric and adolescent patients
1 min · Published May 2026
What the experts said
The Centre in Rocklaw has become the referral center for esophageal atresia and long gap esophageal atresia cases from the whole of Poland
Centers of excellence for esophageal atresia are showing better outcomes
Centralization of esophageal atresia care would be difficult to implement in the United States healthcare system
In the Sheffield study, 47% of Hirschsprung disease patients needed a stoma before primary pull-through
Of 20 patients who needed post-pull-through stoma formation, 7 occurred within 30 days and 13 occurred after 30 days
Most post-pull-through stomas after 30 days were needed because of constipation or soiling
The Sheffield study represents real life surgical reporting and reflects overall management of Hirschsprung's disease within the UK
The Sheffield Hirschsprung management sequence does not reflect typical practice in the United States
In US practice, most Hirschsprung patients undergo either neonatal pull-through or are sent home on irrigations for pull-through in the first couple of months of life
In US practice, pre-pull-through diversion is only done for delayed presentation with perforation or complicated cardiac babies
The Tanzania study used trained carers to direct the method of cleansing, concentrating on areas known to harbor commensal and pathogenic bacteria
Before implementing preoperative bathing in Tanzania, almost every pediatric surgery patient developed a wound infection
After implementing preoperative baths in Tanzania, wound infection rates dropped to nearly zero
The Tanzania soap bathing trial was well designed, analyzed in substantial detail, and has implications for low to middle income countries where surgical site infections are a major problem
In Poland, thoracoscopic esophageal atresia repair has been performed exclusively since 2005
The first thoracoscopic esophageal atresia procedure took almost 4 hours, but with experience it became a 1-hour procedure
Dr. Patkowski's team has had no conversions from thoracoscopic to open approach since beginning the technique
All esophageal atresia cases in Dr. Patkowski's center have been managed by one team using only the thoracoscopic approach since the beginning
Centralizing care for esophageal atresia patients is important even if transportation costs are higher, because complication costs are much higher
Dr. Patkowski's center handles 15 to 20 esophageal atresia cases per year, which provides sufficient volume for good experience
In the stoma cohort, 38 patients had ileostomies and the remaining had colostomies
The most common indication for initial stoma in Hirschsprung disease was washout failure, accounting for nearly 40% of cases
Sheffield primarily performs Duhamel pull-throughs while Cincinnati primarily performs Swenson procedures for Hirschsprung disease
The Tanzania soap bathing study included 252 patients, with 114 receiving a preoperative bath with plain soap
In the soap bathing group, 11.4% developed surgical site infections compared to 40.6% in the control group
Preoperative soap bathing reduced the odds of surgical site infections by 80%
Length of stay in the soap bathing intervention group was 12 days compared to 22 days in the non-intervention group