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Reduction of Surgical Site Infections in Pediatric Patients with Complicated Appendicitis: Utilization of Antibiotic Stewardship Principles and Quality Improvement Methodology

AbstractBackgroundThe rate of surgical site infection (SSI) after appendectomy for complicated appendicitis (CA) was high at our children's...

12 listens πŸ“… Sep 21, 2021 articles
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Our Better Angels and the Invention of Hope

AbstractThis 2020 Presidential Address was given at the American Pediatric Surgical Association 2021 Virtual Annual Meeting, May 20-22, 2021.

πŸ“… Sep 20, 2021 articles
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Reduction of post-operative opioid use in neonates following open congenital diaphragmatic hernia repairs: A quality improvement initiative

AbstractBackground: A limited number of post-operative opioid reduction strategies have been implemented in the neonatal population. Given the...

πŸ“… Sep 20, 2021 articles
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An analysis of American physician professional statements about gun violence against children

AbstractBackgroundWe examine the content of physician professional association statements and assess the extent to which these statements kept gun...

πŸ“… Sep 20, 2021 articles
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Antibacterial and Anti-Inflammatory Effects of Lactobacillus reuteri in its Biofilm State Contribute to its Beneficial Effects in a Rat Model of Experimental Necrotizing Enterocolitis

AbstractIntroduction: Necrotizing enterocolitis (NEC) remains a significant surgical emergency in neonates. We have demonstrated the efficacy of...

πŸ“… Sep 20, 2021 articles
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Outcomes of a Telemedicine Bowel Management Program During COVID-19

AbstractPurposeDue to the COVID-19 pandemic, we transitioned from an in-person bowel management program (BMP) to a telemedicine BMP. The...

πŸ“… Sep 20, 2021 articles
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Long-term Safety Evaluation of Placental Mesenchymal Stromal Cells for In Utero Repair of Myelomeningocele in a Novel Ovine Model

AbstractPurposeAugmentation of in utero myelomeningocele repair with human placental mesenchymal stromal cells seeded onto extracellular matrix...

πŸ“… Sep 20, 2021 articles
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Same-Day Discharge Following the Nuss Repair: A Comparison

AbstractPurposeIntercostal Nerve Cryoablation (INC) has significantly improved pain control following the Nuss repair of pectus excavatum (PE)....

πŸ“… Sep 20, 2021 articles
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The Impact of Routine Post-Anesthesia Care Unit Extubation for Pediatric Surgical Patients on Safety and Operating Room Efficiency

ABSTRACTPURPOSEMaximizing operating room (OR) efficiency is essential for hospital cost containment and effective patient throughput. Little data...

πŸ“… Sep 20, 2021 articles
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It's Time to Deconstruct Treatment-Failure: A Randomized Controlled Trial of Nonoperative Management of Uncomplicated Pediatric Appendicitis with Antibiotics Alone

ABSTRACTBackground: Published data demonstrate that management of uncomplicated pediatric appendicitis with antibiotics-alone is safe and...

πŸ“… Sep 20, 2021 articles
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A Pumpless Artificial Lung without Systemic Anticoagulation: The Nitric Oxide Surface Anticoagulation System

AbstractBackground: Artificial lungs have the potential to serve as a bridge to transplantation or recovery for children with end-stage lung...

πŸ“… Sep 20, 2021 articles
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Implementing a standardized gastroschisis protocol significantly increases the rate of primary sutureless closure without compromising closure success or early clinical outcomes

ABSTRACTPurposeStandardized protocols have been shown to improve outcomes in several pediatric surgical conditions. We implemented a...

3 listens πŸ“… Sep 20, 2021 articles
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The Importance of the Ileocecal Valve and Colon in Achieving Intestinal Independence in Infants with Short Bowel Syndrome

AbstractPurpose: Infants with short bowel syndrome (SBS) wean from parenteral nutrition (PN) support at variable rates. Small bowel length is a...

πŸ“… Sep 20, 2021 articles
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Are pediatric surgery clinics LGBTQ+ inclusive?

AbstractPurpose: Creating inclusive LGBTQ+ environments is important in the provision of inclusive care. This cross sectional study assessed...

πŸ“… Sep 20, 2021 articles
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Long-term assessment of bilirubin and transaminase trends in pediatric intestinal failure patients during the era of hepatoprotective parenteral nutrition

AbstractType of Study: Retrospective CohortLevel of Evidence: IIIPurpose: This study aimed to characterize the relationship between...

πŸ“… Sep 20, 2021 articles
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Who manages burn injuries in children? A program director survey evaluating burn training during pediatric surgery fellowship

AbstractPurposeBurn is one of the leading causes of injury and death in children. Currently, the Residency Review Committee does not require...

πŸ“… Sep 20, 2021 articles
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RESULTS OF USING THE METHOD OF FULL EXTRAPERITONEAL ENDOSCOPICALLY ASSISTED LIGATION OF THE HERNIAL SAC WITH INGUINAL HERNIA IN CHILDREN

AbstractBackground/Purpose: The aim of this study was to evaluate the effectiveness of a new technique for inguinal hernia repair in children:...

πŸ“… Sep 20, 2021 articles
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Outcomes for Ladd's Procedure: Does Approach Matter?

AbstractBackgroundLaparoscopic Ladd's procedure has been proven safe and effective for the treatment of malrotation. However, the nationwide...

πŸ“… Sep 19, 2021 articles
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DEVELOPMENT OF AN ACADEMIC RVU (aRVU) SYSTEM TO PROMOTE PEDIATRIC SURGICAL ACADEMIC PRODUCTIVITY

AbstractBackground/Purpose: Improvements in patient care are directly affected by scientific discovery, and surgeons have historically played a...

πŸ“… Sep 19, 2021 articles
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Effect of transanastomotic feeding tubes on anastomotic strictures in patients with esophageal atresia and tracheoesophageal fistula: The Quebec experience

AbstractPurposeRecent studies have identified transanastomotic tubes (TATs) as a risk factor for the development of anastomotic strictures after...

9 listens πŸ“… Sep 19, 2021 articles
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Does the Mechanism Matter? Comparing Thrombelastography Between Blunt and Penetrating Pediatric Trauma Patients

AbstractBackground/PurposeThe utility of thrombelastography (TEG) in pediatric trauma remains unknown, and differences in coagulopathy between...

πŸ“… Sep 18, 2021 articles
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Usefulness of Strain Cardiac Magnetic Resonance for the Exposure of Mild Left Ventricular Systolic Abnormalities in Pectus Excavatum

AbstractBackgroundSystolic dysfunction in pectus excavatum (PEX) is usually very subtle and mainly focused on the right ventricle (RV), leading to...

πŸ“… Sep 17, 2021 articles
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Commentary-Surgical Management, Staging, and Outcomes of Wilms Tumours with Intravascular Extension: Results of the Import Study

AbstractThis is a commentary on the manuscript entitled "Surgical Management, Staging, and Outcomes of Wilms Tumours with Intravascular Extension:...

1 listens πŸ“… Sep 17, 2021 articles
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Long-Term Outcome of Children with Short Bowel Syndrome Treated with a Modification of the STEP Technique Avoiding Mesenteric Defect

BackgroundÒ€ƒThe Serial Transverse Enteroplasty Procedure (STEP) Registry has reported a 47% success to achieve enteral autonomy in pediatric...

3 listens πŸ“… Sep 18, 2021 articles
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The Full Story on CPAMs

Here we cover Congenital Pulmonary Airway Malformations (CPAMs) through a story with the help of Dr. Todd Ponsky, Dr. Pam Choi, Dr. Beth Rymeski,...

104 listens πŸ“… Sep 16, 2021 podcasts
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Commentary – Long-Term Active Problems in Patients with Cloacal Exstrophy: A Systematic Review

AbstractThis is a commentary on the manuscript entitled "Long-Term Active Problems in Patients with Cloacal Exstrophy: A Systematic Review" by...

πŸ“… Sep 16, 2021 articles
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Association between timing of re-introduction of enteral feeding and short-term outcomes following laparotomy for Necrotising Enterocolitis

AbstractPurposeTo investigate the relationship between timing of re-introduction of feeds following surgery for Necrotising Enterocolitis (NEC)...

1 listens πŸ“… Sep 16, 2021 articles
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Bladder urothelial cell carcinoma as a rare cause of haematuria in children: Our experience and review of current literature

AbstractObjectivesTo report our experience of bladder urothelial cell carcinoma (UCC) in children and review contemporary management and follow-up...

πŸ“… Sep 16, 2021 articles
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The American Academy of Pediatrics Firearm Safety Infographic Improves Firearm Safety Guidance: A Qualitative Study

AbstractPurposeApproximately 8,000 children annually suffer unintentional firearm injuries and deaths from unsecured firearms. These injuries are...

πŸ“… Sep 16, 2021 articles
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The Colorectal Quiz Episode 20: Hirschsprung Disease Obstruction Part 2

We've discussed Hirschsprung Disease at length before but today we visit a complicated topic that many deal with, obstruction. Dr. Levitt and Dr....

14 listens πŸ“… Sep 13, 2021 podcasts
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In response to β€œNever the same – A commentary on surgical trainee well-being in the COVID era”

It was with great interest that we read the commentary by Lopyan, et al, [1] regarding the well-being of surgical trainees during the COVID-19...

πŸ“… Sep 10, 2021 articles
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Cervical lymph node biopsies in the evaluation of children with suspected lymphoproliferative disorders: Experience in a tertiary pediatric setting

AbstractBackground/Purpose: The objectives of this study were: 1) to determine the incidence of lymphoproliferative disorders in a cohort of...

πŸ“… Sep 10, 2021 articles
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Letter to Editor Regarding 53rd Annual Pacific Association of Pediatric Surgeons Meeting

We have attended the annual meetings of the 53rd Annual Pacific Association of Pediatric Surgeons. International meetings are very exciting and...

πŸ“… Sep 09, 2021 articles
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SURGICAL MANAGEMENT, STAGING, AND OUTCOMES OF WILMS TUMOURS WITH INTRAVASCULAR EXTENSION: RESULTS OF THE IMPORT STUDY

ABSTRACTPurposeto review surgical management, tumour stage and clinical outcomes in children with intravascular extension of Wilms tumour (WT)...

πŸ“… Sep 09, 2021 articles
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Response to "Routine evaluation of vesicle-ureteric reflux in children with anorectal malformation does not reduce the rate of urinary tract infection"

We thank Middleton T, et al, for their thoughtful comments on our publication regarding the use of routine micturating cystourethrogram (MCUG) in...

πŸ“… Sep 09, 2021 articles
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How Safe is Adolescent Bariatric Surgery? An Analysis of Short-Term Outcomes

Background: The prevalence of childhood obesity in the U.S. has tripled over the last three decades. However, fewer than 1% of children with...

πŸ“… Sep 05, 2021 articles