StayCurrentMD · Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue
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Podcast10 min·Published Jan 2024Older

Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue

With Dr. Mary Brindle & Dr. Jamie Schnuck & Dr. Bill Chu · hosted by Dr. Cecilia Gigena & Dr. Em Gootee · StayCurrentMD
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What the experts said3 expert statements · 15 host summaries
Insurance coverage for laser hair reduction varies, with some agencies covering it while in Canada advocacy to health systems is needed, making effectiveness data important for coverage decisions.
OpinionMary Brindle
All three articles were chosen as PAPS Award winners at the annual conference.
ClinicalMary Brindle
The three studies represent evolutionary (rather than revolutionary) advances important for day-to-day pediatric surgical care management.
OpinionMary Brindle
The cryoanalgesia study compared patients from 2011 to 2021, with 29 patients receiving cryoanalgesia and 15 not receiving it.
Host summaryCecilia Gigena · not cited in answers
Patients who received cryoanalgesia had shorter hospital stays: 3.0 days versus 5.4 days for those without cryoanalgesia.
Host summaryCecilia Gigena · not cited in answers
Hospital costs were slightly lower (less than $1000 difference) in patients who received cryoanalgesia despite the expensive equipment.
Host summaryCecilia Gigena · not cited in answers
Cryoanalgesia was associated with a 70% decrease in complication rates, from approximately 33% down to 17%.
Host summaryMary Brindle · not cited in answers
The chest tube study included 130 lung resections performed between 2013 and 2022.
Host summaryMary Brindle · not cited in answers
Of the 130 procedures, 59 were lobectomies (group 1), 19 were diagnostic wedge resections (group 2), and 52 were excisional wedge resections (group 3).
Host summaryEm Gootee · not cited in answers
In lobectomy patients (group 1), 75% had no air leak and median chest tube duration was 2 days.
Host summaryJamie Schnuck · not cited in answers
In diagnostic wedge resection patients (group 2), nearly 90% had no air leak and median chest tube duration was 1 day.
Host summaryEm Gootee · not cited in answers
In excisional wedge resection patients (group 3), 80% had no air leak and median chest tube duration was 1 day.
Host summaryEm Gootee · not cited in answers
Most chest tubes were removed on the first day after surgery and a majority of patients did not have an air leak.
Host summaryJamie Schnuck · not cited in answers
The pilonidal disease study included 198 patients presenting between 2019 and 2022, with data prospectively gathered in a retrospective study design.
Host summaryMary Brindle · not cited in answers
The pilonidal disease cohort included 21 patients with skin types 1-2, 156 with skin types 3-4, and 21 with skin types 5-6, with approximately 151 having dark colored hair.
Host summaryCecilia Gigena · not cited in answers
To reach 75% hair reduction requires a mean of 4.8 to 6.8 laser ablation sessions depending on skin and hair characteristics.
Host summaryCecilia Gigena · not cited in answers
Dark hair and skin types 5-6 were associated with higher recurrence rates in pilonidal disease after laser hair reduction.
Host summaryCecilia Gigena · not cited in answers
The overall recurrence rate for pilonidal disease after laser hair reduction was 6%.
Host summaryCecilia Gigena · not cited in answers