https://library.globalcastmd.com/video/6360 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6360/thumbnail_6360_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Wendy Jo Svetanoff, IPEG - Presentation Watch Wendy Jo Svetanoff, MD, MPH, present her presentation on "Utilization of Enhanced Recovery After Surgery (ERAS) Protocols for Pediatric Metabolic and Bariatric Surgery."   https://library.globalcastmd.com/video/6360 2023-02-06T18:00:13+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7965 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7965/thumbnail_9495_2024-02-07_16-00-13.jpg Manish Raiji, MD - 2024 Pediatric Bariatric Surgery Update Course Manish Raiji, MD presents “Ethics of Pediatric Bariatric Surgery” including issues in those with developmental delay at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7965/file_9495_2024-02-07_16-00-13.mp4 2024-02-07T16:00:13+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7269 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7269/thumbnail_8759_2023-10-09_22-00-08.jpg Update Course 2023 - Updates in Pancreatitis This session is on Updates in Pancreatitis with Dr. Juan Gurria.   The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know! spaces/17/content/7269/file_8759_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 1 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4400 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4400/thumbnail_4400_2021-08-10_16-00-05.jpg Update Course Rewind: Omphalocele & Gastroschisis 2020 Abdominal wall defects like omphalocele and gastroschisis can present in interesting ways. At last year's Update Course, Drs. Shawn St. Peter, Miguel Guelfand, and Saleem Islam presented some interesting cases and updates in the management of these abnormalities. Don't forget to mark your calendar for our next Update Course on August 27, 2021. https://library.globalcastmd.com/video/4400 2021-08-10T16:00:05+00:00 39 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/4366 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4366/thumbnail_4366_2021-07-29_08-00-06.jpg Colorectal Collaboration: Neurogastroenterology/Motility Disorders Pediatric Colorectal Surgery is a team sport. That's why this episode is about how the pediatric colorectal surgery team, lead by Dr. Jason Frischer, collaborates with the neurogastroenterology department at Cincinnati Children's Hospital Medical Center. Guest speaker, Dr. Ajay Kaul, M.D.   Host: Rodrigo Gerardo https://library.globalcastmd.com/video/4366 2021-07-29T08:00:06+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9593 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9593/thumbnail_11150_2024-12-31_17-48-06.jpg Management and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review From the APSA Outcomes and Evidence-Based Practice Committee Carlos Theodore Huerta, Alana L. Beres, Brian R. Englum, Katherine Gonzalez, Tamar Levene, Derek Wakeman, Yasmine Yousef, Brian C. Gulack, Henry L. Chang, Emily R. Christison-Lagay, Phillip Benson Ham, III, Sara A. Mansfield, Afif N. Kulaylat, Donald J. Lucas, Rebecca M. Rentea, Christopher P. Pennell, Jason P. Sulkowski, Katie W. Russell, Robert L. Ricca, Lorraine I. Kelley-Quon, Jun Tashiro, Kristy L. Rialon on behalf of the American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee Methods: Three questions regarding LM management were generated according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Publicly available databases were queried to identify articles published from January 1, 1990, to December 31, 2021. A consensus statement of recommendations was generated in response to each question. Results: The initial search identified 9326 abstracts, each reviewed by two authors. A total of 600 abstracts met selection criteria for full manuscript review with 202 subsequently utilized for extraction of data. Medical therapy, such as sirolimus, can be used as an adjunct with percutaneous treatments or surgery, or for extensive LM. Sclerotherapy can achieve partial or complete response in over 90% of patients and is most effective for macrocystic lesions. Depending on the size, extent, and location of the malformation, surgery can be considered. Conclusion: Evidence supporting best practices for the safety and effectiveness of management for LMs is currently of moderate quality. Many patients benefit from multi-modal treatment determined by the extent and type of LM. A multidisciplinary approach is recommended to determine the optimal individualized treatment for each patient. https://library.globalcastmd.com/video/9593 2024-12-31T17:48:06+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6704 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6704/thumbnail_6704_2023-06-06_18-00-13.jpg Dr. Asa Yancey Sr.: Surgical Leader, Innovator and Pioneer Presented by: Gretchen Floan, MD, Naval Medical Center San Diego  Romeo C. ignacio, MD. Rady Children's Hospital San Diego  APSA Annual Meeting, May 10-13, 2023, Orlando Florida  spaces/8/content/6704/file_8150_2023-06-06_18-00-13.mp4 2023-06-06T18:00:13+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/7264 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7264/thumbnail_8754_2023-10-09_22-00-08.jpg Update Course 2023 - Who to Send Home from the OR This session is on who to send home from the OR with Drs. Justin Huntington, Tolu Oyetunji & Philip Ben III Ham.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know! spaces/17/content/7264/file_8754_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4143 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/4143/thumbnail_4143_2021-06-14_16-00-15.jpg IPEG 2021 - History of IPEG with Keith Georgeson The history of IPEG, the International Pediatric Endosurgery Group starting in Berlin in 1988. The story of how mutual frustrations lead to the organization as it exists to day, from endoscopy to pediatric surgery. https://library.globalcastmd.com/video/4143 2021-06-14T16:00:15+00:00 1 Medical Education yes IPEG no https://library.globalcastmd.com/video/6442 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6442/thumbnail_6442_2023-03-08_04-00-09.jpg Primary vs Salvage liver transplantation for Biliary Atresia Another article you should know by Dr. Alex Halpern "Primary vs. salvage liver transplantation for biliary atresia: A retrospective cohort study" Authors: Dor Yoeli, Rashikh A Choudhury, Shikha S Sundaram, Cara L Mack, Jonathan P Roach, Frederick M Karrer, Michael E Wachs, Megan A Adams Full article: https://www.jpedsurg.org/article/S0022-3468(22)00004-5/fulltext Abstract Introduction Kasai hepatoportoenterostomy is the standard of care for children with biliary atresia, but a majority of patients progress to end-stage liver disease and require a salvage liver transplant. Given the high failure rates of the hepatoportoenterostomy operation, some have advocated for primary liver transplantation as a superior treatment approach. The aim of this study was to compare outcomes of pediatric candidates with biliary atresia listed for primary vs. salvage liver transplantation. Methods The SRTR/OPTN database was retrospectively reviewed for all children with biliary atresia listed for liver transplant between March 2002 and February 2021. Candidates were categorized as primary liver transplant if they had not undergone previous abdominal surgery prior to listing and salvage liver transplant if they had. Salvage transplants were further categorized as early failure if listed within the first year of life or late failure if listed at an older age. Results 3438 children with biliary atresia were listed for transplant during the study period, with 15% of them listed for a primary transplant, 17% for salvage transplant after early failure, and 67% after late failure. Recipients of salvage liver transplant with late failure had lower bilirubin levels and were less critically ill as demonstrated by MELD/PELD scores and hospitalization status. Correspondingly, these recipients had higher waiting list and graft survival, though this did not remain statistically significant after adjustment in multivariable models. There were no differences in waiting lis https://library.globalcastmd.com/video/6442 2023-03-08T04:00:09+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10130 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/10130/e53aac01f859348d366bf13e7b1ad05b.jpg Posterior Sagittal Anorectoplasty Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital spaces/8/content/10130/96b054eb7c916ec2cdf08f13ce17653a.mp4 2025-03-28T11:28:02+00:00 14 drlevitt posteriorsagittalanorectoplasty psarp pediatricsurgery colorectalsurgery pediatriccolorectalsurgery childrensnationalhospital channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/7969 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7969/thumbnail_9499_2024-02-07_16-00-13.jpg Introduction - 2024 Pediatric Bariatric Surgery Update Course Stephanie Walsh, MD, Thomas Inge, MD, and Mark Wulkan, MD introduce the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7969/file_9499_2024-02-07_16-00-13.mp4 2024-02-07T16:00:13+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6003 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6003/thumbnail_6003_2022-10-20_18-00-09.jpg Posterior Rectal Advancement Anoplasty The posterior rectal advancement anoplasty technique is described in detail for both females and males with perineal fistulae within the elliptical sphincter complex and spares the anterior rectal wall at the time of the repair.  Center for Colorectal and pelvic Reconstruction, Nationwide Children's Hospital   https://d1dnj0gz56dmdu.cloudfront.net/b056a37c-e585-4e04-a10a-6436de1eef18/AppleHLS1/bf0c51822207b0363b6c8375c74da65f.m3u8 2022-10-20T18:00:09+00:00 15 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/10201 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10201/c23f1a84fc2fbabfbf3a10fe194d8ce3.jpg QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team In this special episode from the QUAD Conference hosted by Cincinnati Children’s, Lizzy Lee takes us inside one of the world’s largest and most advanced multidisciplinary programs for children with complex airway and digestive conditions: the Aerodigestive and Esophageal Center (ADEC). You'll hear from a diverse team of specialists—including speech-language pathologists, ENTs, GI, pulmonologists, and pediatric surgeons—who collaborate to manage complex conditions like esophageal atresia, TEF, chronic aspiration, GERD, and swallowing disorders. Key Highlights: Speech Pathology: VFSS, FEES, manometry, and innovative approaches to swallowing therapy Pulmonology: Airway clearance, aspiration management, bronchoscopy, and ventilator weaning ENT Perspective: Stratifying airway risk and managing vocal fold and structural anomalies Gastroenterology: Managing GERD, motility, EOE, and feeding disorders Surgical Insight: Feeding access, tracheopexy, and complex lung or airway repairs The episode is a masterclass in how cross-specialty teamwork leads to better diagnostics, better surgeries, and better long-term outcomes for children with aerodigestive disorders. https://library.globalcastmd.com/video/10201 2025-04-07T06:31:39+00:00 Aerodigestive Esophageal ADEC complex airway digestive conditions multidisciplinary ENT speech pathology GI gastroenterologist Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5903 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/5903/thumbnail_5903_2022-09-29_12-00-07.jpg Ovarian Torsion with Dr. Dasgupta Check out this week's StayCurrent short for a review of the workup and management of ovarian torsion in the pediatric patient, with Dr. Dasgupta.   Articles:  Lipsett SC, Haines L, Monuteaux MC, Hayes K, Michelson KA. Variation in Oophorectomy Rates for Children with Ovarian Torsion across US Children's Hospitals. J Pediatr. 2021;231:269-272.e1. doi:10.1016/j.jpeds.2020.12.019 Dasgupta R, Renaud E, Goldin AB, et al. Ovarian torsion in pediatric and adolescent patients: A systematic review. J Pediatr Surg. 2018;53(7):1387-1391. doi:10.1016/j.jpedsurg.2017.10.053   https://library.globalcastmd.com/video/5903 2022-09-29T12:00:07+00:00 6 channel#cchmc_grand_rounds jps-review Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/8077 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8077/thumbnail_9610_2024-03-13_11-19-29.jpg Efficacy and late kidney effects of nephron-sparing surgery in the management of unilateral Wilms tumor Newarticle you should know by Cecilia Gigena "Efficacy and late kidney effects of nephron-sparing surgery in the management of unilateral Wilms tumor: a systematic review and meta-analysis" Authors: Shan Li, Jinkui Wang, Mujie Li, Zhaoxia Zhang, Tao Mi, Xin Wu, Zhang Wang, Liming Jin, Dawei He  Full article: https://gcmd.co/3vgzJ9c Abstract To evaluate the efficiency and long-term renal function of nephron sparing surgery (NSS) in unilateral WT patients compared with radical nephrectomy (RN). The review was performed following Cochrane Handbook guidelines and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched five databases (Pubmed, Embase, Scopus, Web of Science and Cochrane) for studies reporting the efficiency and late renal function of NSS and/or RN on February 10, 2023. Comparative studies were evaluated by Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) and RoB 2.0. Assessed outcomes included survival rate, relapse rate, eGFR, renal dysfunction and hypertension. 26 studies involving 10322 unilateral WT cases underwent RN and 657 unilateral WT cases underwent NSS were enrolled. Overall effect estimates demonstrated that NSS significantly increased eGFR at follow-up (SMD, 0.38; 95% CI 0.05-0.72; p = 0.025) compared to that at diagnosis, and RN did not significantly decrease eGFR at follow-up (SMD, - 0.33; 95% CI - 0.77-0.11; p = 0.142) compared to that at diagnosis. Moreover, no significant difference was found in outcomes of survivability (OR, 1.38; 95% CI 0.82-2.32; p = 0.226), recurrence (OR, 0.62; 95% CI 0.34-1.12; p = 0.114), eGFR at follow-up (SMD, 0.16; 95% CI - 0.36-0.69; p = 0.538), renal dysfunction (OR, 0.36; 95% CI 0.07-1.73; p = 0.200) and hypertension (OR, 0.17; 95% CI 0.03-1.10; p = 0.063). Current evidence suggests that NSS is safe and effective for unilateral WT patients, because it causes better renal function and similar oncological outcomes compared with RN. Future effort https://library.globalcastmd.com/video/8077 2024-03-13T11:19:29+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6402 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6402/thumbnail_6402_2023-02-15_08-00-10.jpg Do you always operate on Congenital esophageal stenosis? Article you should know "Management and clinical outcomes of congenital esophageal stenosis in pediatric patients: Experience of a tertiary referral center" Şeref Selçuk Kılıç et.al. Full article: https://www.jpedsurg.org/article/S0022-3468(21)00474-7/fulltext Authors: Şeref Selçuk Kılıç, Hilmi Serdar İskit Abstract Purpose This study aimed to retrospectively investigate congenital esophageal stenosis (CES) cases managed at our institution using a non-aggressive strategy based on a step-up approach from esophageal balloon dilatations to surgery. Methods Patients’ charts with CES managed in a tertiary pediatric surgery department were retrospectively evaluated. Demographic characteristics, clinical features, pH-monitoring, imaging, and esophagoscopy results were recorded together with their treatments and outcomes. Results Nineteen patients, confirmed with radiologic and endoscopic investigations, were managed. Complete symptom resolution was achieved in 14 patients by a median of five (2–15) recurrent esophageal balloon dilatations lasting for 7.5 (2–108) months. Two more patients, after 7 and 15 dilatations, had mild dysphagia, not interfering with their daily living. One patient, in whom the initial dilatation attempt with 3 atm was unsuccessful, and two patients with persistent symptoms and growth retardation despite ongoing dilatation treatment, underwent surgery. After 48 (12–132) months of follow-up, 17 patients were symptom-free. Conclusion Conservative treatment with esophageal balloon dilatations is an efficient and reliable modality that can be used as a first-line treatment in CES. Surgical treatment option should be used when dilatation attempt is unsuccessful, or symptoms and growth retardation persist despite dilatation treatment. spaces/1/content/6402/file_7825_2023-02-15_08-00-10.mp4 2023-02-15T08:00:10+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6771 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6771/thumbnail_6771_2023-06-28_18-00-08.jpg Aggressive Pursuit of No Evidence of Disease Status in Hepatoblastoma Improves Survival Another article  you should know abou by Cecilia Gigena  “Aggressive Pursuit of No Evidence of Disease Status in Hepatoblastoma Improves Survival: An observational study” Fleming A et.al. Authors: Andrew M. Fleming, Andrew J. Murphy, Suraj Sarvode Mothi, Rodrigo B. Interiano 2, Amos Loh 3, Mary E. McCarville, Zachary Abramson, Sara A. Mansfield, Hafeez Abdelhafeez, Andrew M. Davidoff, Ankush Gosain, Jessica A. Gartrell, Wayne L. Furman, Max R. Langham Jr. Full Article: https://www.jpedsurg.org/article/S0022-3468(23)00142-2/fulltext Abstract Background The utility of repeated surgical interventions in hepatoblastoma to achieve no evidence of disease (NED) is not well-defined. We examined the effect of aggressive pursuit of NED status on event-free (EFS) and overall survival (OS) in hepatoblastoma with subgroup analysis of high-risk patients. Methods Hospital records were queried for patients with hepatoblastoma from 2005 to 2021. Primary outcomes were OS and EFS stratified by risk and NED status. Group comparisons were performed using univariate analysis and simple logistic regression. Survival differences were compared with log-rank tests. Results Fifty consecutive patients with hepatoblastoma were treated. Forty-one (82%) were rendered NED. NED was inversely correlated with 5-year mortality (OR 0.006; CI 0.001–0.056; P < .01). Ten-year OS (P < .01) and EFS (P < .01) were improved by achieving NED. Ten-year OS was similar between 24 high-risk and 26 not high-risk patients when NED was attained (P = .83). Fourteen high-risk patients underwent a median of 2.5 pulmonary metastasectomies, 7 for unilateral disease, and 7 for bilateral, with a median of 4.5 nodules resected. Five high-risk patients relapsed, and three were salvaged. Conclusions NED status is necessary for survival in hepatoblastoma. Repeated pulmonary metastasectomy and/or complex local control strategies to obtain NED can achieve long-term survival in high-risk patients. https://library.globalcastmd.com/video/6771 2023-06-28T18:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8942 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8942/thumbnail_10494_2024-07-29_16-46-31.jpg Testicular volume at puberty in boys with congenital cryptorchidism randomised to treatment at different ages New article you should know by Dr. Cecilia Gigena, selected by the Chilean Society of Pediatric Surgeons ”Testicular volume at puberty in boys with congenital cryptorchidism randomised to treatment at different ages” Authors: Claude Kollin, Agneta Nordenskjöld, Martin Ritzén Full article: https://gcmd.co/3YlqLDO Aim: To assess testicular volume at puberty for boys who underwent orchidopexy at 9 or at 36 months compared to boys with spontaneous postnatal descent. Methods: At age 6 months, boys with congenital unilateral cryptorchidism were randomised to surgery at 9 or 39 months of age and followed to 16 years in parallel with boys with spontaneous postnatal descent. Ultrasound was done at 11 and 16 years to determine testicular volume. The ratio of the initially undescended testis to its scrotal counterpart was used to assess testicular growth. Results: At age 16, the ratio was lower (p < 0.00) in the late group compared to the early group. At 16 years, the spontaneously descended testes were significantly smaller than their scrotal counterparts but larger than the operated groups (early p < 0.01 and late p < 0.00). Conclusion: Our data at 16 years show that orchidopexy at 9 months results in better testicular growth compared to 3 years but did not reach the corresponding volumes of their scrotal counterparts. This indicates that earlier surgery is beneficial to testicular growth. At age 16, the postnatally descended testes were not only larger than the surgically treated testes but also exhibited impaired testicular growth. https://library.globalcastmd.com/video/8942 2024-07-29T16:46:31+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5858 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5858/thumbnail_5858_2022-09-14_18-00-11.jpg Best of the Best Gen Surg - How Far is Too Far Cost-effectiveness Analysis of Regionalized Rectal Cancer Surgery - Dr. Leeds Listen to Ira Leeds gave his presentation of "How Far is Too Far Cost-effectiveness Analysis of Regionalized Rectal Cancer Surgery" at the first ever Best of the Best in General Surgery event. spaces/17/content/5858/file_7276_2022-09-14_18-00-11.mp4 2022-09-14T18:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2857 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2857/thumbnail_3804_2020-07-29_08-00-05.jpg IPEG 2020 TOP ABSTRACT: PSEUDOPANCREATIC CYST DRAINAGE WITH TRANSGASTRIC LAPAROSCOPIC CYSTOGASTROSTOMY IPEG 2020 Annual Meeting - Top Abstracts Authors: Ivan Molina, MD; Paula Jaimes, MD; Ossiris Gil, MD; Andres Ramirez, MD; Universidad Nacional De Colombia Introduction: Pancreatic pseudocysts occur as a complication of acute or chronic pancreatitis and are uncommon in children. Symptomatic or persistant pseudocysts may require surgical treatment; laparoscopic and endoscopic modalities have been described, we describe a mixed approach. Case presentation: We present the case of a 6-year-old boy with pancreatic pseudocyst secondary to pancreatitis after blunt abdominal trauma. The patient presented with abdominal pain, abdominal distension and vomiting. Computed tomography revealed a giant pancreatic pseudocyst. We performed an anterior laparoscopic transgastric approach. A stapled cystogastrostomy was created under laparoscopic and endoscopic vision. Control upper gastrointestinal endoscopy was performed 6 months after without pathological findings. Discussion: We believe this mixed minimally invasive approach is highly feasible and reproducible in the treatment of pancreatic pseudocysts in children. Presenter: Paula Jaimes, MD Email: paula_jaimes@hotmail.com   https://twitter.com/UnHomi https://co.linkedin.com/in/paula-jaimes-23078680 https://twitter.com/agramirezv https://twitter.com/ivanmolina60 https://twitter.com/Ossigil https://d1dnj0gz56dmdu.cloudfront.net/ac607815-e0ca-4a91-9a19-cf8dbfc668a0/AppleHLS1/073f176ed1976594b555a8b953cafa66.m3u8 2020-07-29T08:00:05+00:00 10 Medical Education yes IPEG no https://library.globalcastmd.com/video/9157 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9157/thumbnail_10711_2024-09-12_09-44-28.jpg Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project Omid Madadi-Sanjani, Joachim F. Kuebler, Julia Brendela, Sara Costanzod, Anna L. Granströmc, Emrah Aydin, Stavros Loukogeorgakish, Martin Lacher, Soeren Wiesner, Anja Domenghino, Pierre-Alain Clavien, Annika Mutanen, Simon Eaton, Benno M. Ure Background: The Clavien-Madadi classification is a novel instrument for the assessment and grading of unexpected events in pediatric surgery, based on the Clavien-Dindo classification. The system has been adjusted to better fit the pediatric population in a prospective single-center study. There is a need now to validate the Clavien-Madadi classification within an international expert network. Methods: A pediatric surgical working group created 19 case scenarios with unexpected events in a multi-staged process. Those were circulated within the European Reference Network of Inherited and Congenital Anomalies (ERNICA) and surgeons were instructed to rate the scenarios according to the Clavien-Madadi vs. Clavien-Dindo classification. Results: 59 surgeons from 12 European countries completed the questionnaire. Based on ratings of the case scenarios, the Clavien-Madadi classification showed significantly superior agreement rates of the respondents (85.9% vs 76.2%; p < 0.05) and was less frequently considered inaccurate for rating the pediatric population compared to Clavien-Dindo (2.1% vs 11.1%; p = 0.05). Fleiss’ kappa analysis showed slightly higher strength of agreement using the Clavien-Madadi classification (0.74 vs 0.69). Additionally, intraclass correlation coefficient was slightly higher for the Clavien-Madadi compared to the Clavien-Dindo classification (ICCjust 0.93 vs 0.89; ICCunjust 0.93 vs 0.89). More pediatric surgeons preferred the Clavien-Madadi classification for the case scenarios (43.0% vs 11.8%; p = 0.002) and advantages of the Clavien-Madadi were confirmed by 81.4% of the surgeons. Conclusion: The Clavien-Madadi classification is an accurate and reliable instrument for the grading of unexpected event https://library.globalcastmd.com/video/9157 2024-09-12T09:44:28+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9401 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9401/thumbnail_10957_2024-11-07_08-34-41.jpg Effect of Early vs Late Inguinal Hernia Repair on Serious Adverse Event Rates in Preterm Infants Martin L. Blakely, MD, MS; Andrea Krzyzaniak, MA; Melvin S. Dassinger, MD; Claudia Pedroza, PhD; Jorn-Hendrik Weitkamp, MD, PhD; Ankush Gosain, MD, PhD; Michael Cotten, MD; Susan R. Hintz, MD, MS; Henry Rice, MD; Sherry E. Courtney, MD; Kevin P. Lally, MD, MS; Namasivayam Ambalavanan, MD; Catherine M. Bendel, MD; Kim Chi T. Bui, MD; Casey Calkins, MD; Nicole M. Chandler, MD; Roshni Dasgupta, MD, MPH; Jonathan M. Davis, MD; Katherine Deans, MD, MS; Daniel A. DeUgarte, MD; Jeffrey Gander, MD; Carl-Christian A. Jackson, MD; Martin Keszler, MD; Karen Kling, MD; Stephen J. Fenton, MD; Kimberley A. Fisher, PhD; Tyler Hartman, MD; Eunice Y. Huang, MD, MS; Saleem Islam, MBBS, MPH; Frances Koch, MD; Shabnam Lainwala, MD, PhD; Aaron Lesher, MD; Monica Lopez, MD, MS; Meghna Misra, MD; Jamie Overbey, DO; Brenda Poindexter, MD, MS; Robert Russell, MD, MPH; Steven Stylianos, MD; Douglas Y. Tamura, MD; Bradley A. Yoder, MD; Donald Lucas, MD; Donald Shaul, MD; P. Ben Ham III, MD; Colleen Fitzpatrick, MD; Kara Calkins, MD; Aaron Garrison, MD; Diomel de la Cruz, MD; Shahab Abdessalam, MD; Charlotte Kvasnovsky, MD; Bradley J. Segura, MD, PhD; Joel Shilyansky, MD; Lynne M. Smith, MD; Jon E. Tyson, MD, MPH Importance  Inguinal hernia repair in preterm infants is common and is associated with considerable morbidity. Whether the inguinal hernia should be repaired prior to or after discharge from the neonatal intensive care unit is controversial. Objective  To evaluate the safety of early vs late surgical repair for preterm infants with an inguinal hernia. Design, Setting, and Participants  A multicenter randomized clinical trial including preterm infants with inguinal hernia diagnosed during initial hospitalization was conducted between September 2013 and April 2021 at 39 US hospitals. Follow-up was completed on January 3, 2023. Interventions  In the early repair strategy, infants underwent inguinal hernia repair before neonatal intensive care unit discharge. In the late repai spaces/1/content/9401/file_10957_2024-11-07_08-34-41.mp4 2024-11-07T08:34:41+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10465 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10465/54d1e356d72982fdb0f71084487242c7.jpg Quick Literature Updates Ep 19 We’re back with nineteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/38272766/ Fall F, Hu YY, Walker S, Baertschiger R, Gaffar I, Saltzman D, Stylianos S, Shapiro J, Wieck M, Buchmiller T, Brandt ML, Tracy T, Heiss K, Berman L. Peer Support to Promote Surgeon Well-being: The APSA Program Experience. J Pediatr Surg. 2024 Sep;59(9):1665-1671. doi: 10.1016/j.jpedsurg.2023.12.022. Epub 2024 Jan 6. PMID: 38272766. https://pubmed.ncbi.nlm.nih.gov/38914091/ Basurto D, Watananirun K, Cordier AG, Otaño J, Carriere D, Scuglia M, de Luna Freire Vargas AM, Prat J, Russo FM, Debeer A, Peralta CFA, De Coppi P, Gratacós E, Benachi A, Deprest J. Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study. Lancet Child Adolesc Health. 2024 Aug;8(8):580-588. doi: 10.1016/S2352-4642(24)00109-3. Epub 2024 Jun 21. PMID: 38914091. https://pubmed.ncbi.nlm.nih.gov/38015091/ Pio L, Brisse HJ, Alaggio R, Zambaiti E, Stenman J, Giuliani S, Montano V, Hinojosa AS, Hoel AT, Pevere A, Abu-Zaid A, Franchi-Abella S, Abdelhafeez AH, Davidoff AM, Losty PD. Image-guided core-needle or surgical biopsy for neuroblastoma diagnosis in children: A systematic review and meta- https://library.globalcastmd.com/video/10465 2025-05-14T13:05:33+00:00 1 channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7999 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7999/thumbnail_9529_2024-02-21_14-13-22.jpg El papel de la ostomía durante la creación del Pouch ileal coon anastomosis anal (IPAA) en la colitis ulcerosa pediátrica - JPS Nuevo articulo que tenes que conocer de la revista JPS por la Dra. Cecilia Gigena "El papel de la ostomía durante la creación del Pouch ileal coon anastomosis anal (IPAA) en la colitis ulcerosa pediátrica" Autores: Ursula Adams, Chris Agala, Topher McCauley, Laura Burkbauer, Jonathan Stem, Ajay Gulati, Matthew Egberg, Michael Phillips Artículo completo: https://gcmd.co/3OMJK4J Introducción En la colitis ulcerosa (CU) pediátrica, la cirugía a menudo se pospone hasta que la enfermedad ponga en peligro la vida o sea refractaria a la supresión inmune. En estos entornos, se teoriza que la ileostomía derivativa (DI) tiene un efecto protector sobre la nueva anastomosis. Sin embargo, los análisis se han realizado sólo en series de una sola institución y el verdadero impacto de realizar la DI en el momento de la IPAA sobre los resultados posoperatorios no está claro. Métodos Realizamos un estudio de cohorte retrospectivo utilizando datos de reclamaciones de la base de datos MarketScan® de International Business Machines (IBM). Los pacientes fueron clasificados en el grupo DI si portaban un código CPT para el cierre de la ostomía dentro de los 6 meses posteriores al procedimiento índice. Examinamos la demografía, los factores de riesgo preoperatorios y realizamos análisis de regresión para comparar los resultados posoperatorios a los 30 días entre los grupos. Resultados Identificamos 317 pacientes ≤18 años que se sometieron al procedimiento IPAA y cumplieron con los criterios de inclusión entre 2000 y 2019. De estos, 238 pacientes fueron asignados a la cohorte IPAA + DI y 79 pacientes fueron asignados a la cohorte IPAA. Los resultados adversos fueron comparables entre las cohortes. Las tasas de infección del sitio quirúrgico (ISQ) entre IPAA e IPAA + DI fueron 10,1 frente a 11,3% (p = 0,67). Las tasas de procedimientos de drenaje intraabdominal fueron del 3,8 frente al 2,1% (p = 0,39). Las tasas de reingresos a los 30 días fueron del 16,5 frente al 19, https://library.globalcastmd.com/video/7999 2024-02-21T14:13:22+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/4746 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4746/thumbnail_4746_2021-12-17_03-57-47.jpg Autologous intestinal reconstruction surgery in short bowel syndrome EUPSA & ERNICA Webinar                 Mikko Pakarinen (Helsinki, Finland) Lucas Wessel (Mannheim, Germany) moderated by Martin Lacher and Augusto Zani spaces/7/content/4746/file_5985_2021-12-17_03-57-47.mp4 2021-12-17T03:57:47+00:00 5 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/3366 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/3366/thumbnail_4321_2020-12-01_16-00-20.jpg Laparoscopic Skills: Suturing 101 Join Drs Colin Sue -Chue-Lam, Simon Laplante, Fouad Youssef and Georges Azzie from the University of Toronto Division of General Surgery as they show you the basics of laparoscopic suturing. https://library.globalcastmd.com/video/3366 2020-12-01T16:00:20+00:00 184 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2912 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2912/thumbnail_2912_2020-08-19_12-00-06.jpg IPEG 2020 TOP ABSTRACT: PHELPS (Pediatric Hernia Extraperitonal Ligation and Percutaneous Suturing)- IDEAL METHOD OF LAPAROSCOPIC HERNIORRHAPHY or END OF THE STORY OF HOOKS AND NEEDLES IPEG 2020 Annual Meeting - Top Abstracts Authors: Yury Kozlov1; Konstantin Kovalkov2; Pavel Krasnov1; Polina Baradieva1; Andrey Rasputin1; Chimit Ochirov1; Vadim Kochubei1; Vadim Kapuller3; 1Pediatric Hospital Irkutsk; 2Kemerovo Regional Children's Hospital; 3Hadassah University Medical Center, Hebrew University, Jerusalem PHELPS (Pediatric Hernia Extraperitonal Ligation and Percutaneous Suturing) is an original technique of laparoscopic herniorrhaphy, which allows performing a complete extraperitoneal bypass of the neck of the hernial sac with tying and ideal placement of a knot of hernial ligature at the level of the peritoneum similar to open technique. To implement this principle is used the special constructed needle. The lumen of the needle contains two ligatures of different colors, one of which is an endless loop. The other is a hernial ligature located in the lumen of the needle.  Using a single puncture of the preperitoneal space, a complete bypass of the neck of the hernial sac is performed. The ends of the hernial ligature is extracted to the outside so that through one puncture hole two ends of the hernial ligature come out on the skin. The hernial ligature is tied outside so that hernial knot is located preperitoneally. Presenter: Yury Kozlov Email: yuriherz@hotmail.com https://d1dnj0gz56dmdu.cloudfront.net/bd4d4776-34c4-418a-a1d6-51e6870aa2f0/AppleHLS1/b84bfa7ee9ea2412e10f18fa643d022d.m3u8 2020-08-19T12:00:06+00:00 23 Medical Education yes IPEG no https://library.globalcastmd.com/video/5887 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/5887/thumbnail_5887_2022-09-26_18-00-06.jpg Fugas urinarias en niños con trauma renal cerrado Otro articulo que tenes que saber por Cecilia Gigena "Fugas urinarias en niños con trauma renal cerrado" Ghani, Muhammad et.al. Articulo completo: pubmed.ncbi.nlm.nih.gov/34991128/   Autores: Muhammad Owais Abdul Ghani, Elizabeth Snyder, Mark C Xu, Katlyn G McKay, Jarrett Foster, Carmen Tong, Douglas B Clayton, Amber Greeno, Bassil Azam, Shilin Zhao, Marta Hernanz-Schulman, Harold N Lovvorn 3rd Abstract Background: Few consensus statements exist to guide the timely diagnosis and management of urine leaks in children sustaining blunt renal trauma (BRT). The aims of this study were to characterize kidney injuries among children who sustain BRT, evaluate risk factors for urine leaks, and describe the negative impact of urinoma on patient outcomes and resource consumption. Methods: A retrospective review was performed of 347 patients, younger than 19 years, who presented with BRT to a single American College of Surgeons-verified Level I Pediatric Trauma Center between 2005 and 2020. Frequency of and risk factors for urine leak after BRT were evaluated, and impact on patient outcomes and resource utilization were analyzed. Results: In total, 44 (12.7%) patients developed urine leaks, which exclusively presented among injury Grade 3 (n = 5; 11.4%), Grade 4 (n = 27; 61.4%), and Grade 5 (n = 12; 27.3%). A minority of urine leaks (n = 20; 45.5%) were discovered on presenting CT scan but all within 3 days. Kidney-specific operative procedures (nephrectomy, cystoscopy with J/ureteral stent, percutaneous nephrostomy) were more common among urine leak patients (n = 17; 38.6%) compared with patients without urine leaks (n = 3; 1.0%; p = 0.001). Patients with urine leak had more frequent febrile episodes during hospital stay (n = 24; 54.5%; p = 0.001) and showed increased overall 90-day readmission rates (n = 14; 33.3%; p < 0.001). Independent risk factors that associated with urine leak were higher grade (odds ratio [OR], 7.9; 95% confidence interval [CI], 2.6 https://library.globalcastmd.com/video/5887 2022-09-26T18:00:06+00:00 3 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/2865 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2865/thumbnail_2865_2020-08-05_12-00-05.jpg IPEG 2020 TOP ABSTRACT: Pushing the Limits of Pediatric Robotic Surgery IPEG 2020 Annual Meeting - Top Abstracts Authors: Maria C Mora, MD; Afif N Kulaylat, MD; Jennifer H Aldrink, MD; Marc P Michalsky, MD; Gail E Besner, MD; Karen A Diefenbach, MD; Department of Pediatric Surgery, Nationwide Children's Hospital Robotic-assisted minimally invasive surgery has been widely adopted by both adult and pediatric surgical specialties. Despite this, the small surgical working space associated with younger children poses potential technical limitations and resultant apprehension for the adoption of robotic surgery in the pre-adolescent and younger age groups. We present a single institutional series of robotically-assisted surgical procedures performed in small children, including median acute ligament release, transthoracic ganglioneuroblastoma resection, and the smallest single site robotic cholecystectomy to date. Patients were 3-4 years of age with weights between 14.3-22 kg. All patients were discharged to home as expected without complications. Although, robotic surgery may present some limitations with the currently available port and instrumentation sizes, in carefully selected patients it continues to prove valuable, even for very young patients. Presenter: Maria C Mora, MD Email: cmora306@gmail.com @MarcMichalskyMD @KarenDiefenbach @cmora306 @AfifKulaylat @nationwidekids https://d1dnj0gz56dmdu.cloudfront.net/593657a4-435f-4ad2-a895-32a9982c2be6/AppleHLS1/3e95b0cb2382dbf9dcbf9750ff677ec7.m3u8 2020-08-05T12:00:05+00:00 10 Medical Education yes IPEG no https://library.globalcastmd.com/video/1997 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1997/thumbnail_2916_2019-12-16_16-00-43.jpg Minimally Invasive Laryngoscopically Assisted Management of an Enlarging... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/1997 2019-12-16T16:00:43+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8466 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8466/thumbnail_10001_2024-04-01_13-44-50.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Shun Onishi Watch Dr. Shun Onishi present on "Successful laparoscopic hepaticojejunostomy for infant congenital biliary dilatation with both aberrant right hepatic artery and bile duct from the caudate region." spaces/17/content/8466/file_10001_2024-04-01_13-44-50.mp4 2024-04-01T13:44:50+00:00 1 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2238 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2238/thumbnail_3164_2020-02-24_19-58-22.jpg Cloacal Endoscopy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. spaces/1/content/2238/file_3164_2020-02-24_19-58-22.mp4 2020-02-24T19:58:22+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6746 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6746/thumbnail_6746_2023-06-16_18-00-11.jpg How to Change Your Child’s MiniACE Balloon Device Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to educate and empower you to independently care for your child’s MiniACE device at home. In this video we will review how to change your child’s MiniACE device. You should ONLY change your MiniACE device if you have been instructed to do so by your child’s medical team. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal https://d1dnj0gz56dmdu.cloudfront.net/55da14ba-6f03-4d38-a39c-220bfed2f9a4/AppleHLS1/e31a9d8284061fd0f0f0b0753fb24d0f.m3u8 2023-06-16T18:00:11+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/7273 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7273/thumbnail_8763_2023-10-09_22-00-08.jpg Update Course 2023 - Update Course 2022 and Best of the Best Recap This session is a recap on Update Course 2022 and Best of the Best with Dr. Cecilia Gigena.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! spaces/17/content/7273/file_8763_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2133 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2133/thumbnail_3058_2020-01-28_22-05-40.jpg Laparoscopic Repair of Paraesophageal Hernia This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2133 2020-01-28T22:05:40+00:00 29 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8094 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8094/thumbnail_9627_2024-03-20_09-12-10.jpg Paediatric Adhesive Small Bowel Obstruction is Associated with a Substantial Economic Burden and High Frequency of Postoperative Complications Another article you should know from Journal of Pediatric Surgery by Cecilia Gigena "Paediatric Adhesive Small Bowel Obstruction is Associated with a Substantial Economic Burden and High Frequency of Postoperative Complications" Authors: Cecilia Arana Håkanson, Fanny Fredriksson, Helene Engstrand Lilja Full article: https://gcmd.co/3TFasz1 Background Intra-abdominal adhesions can lead to adhesive small bowel obstruction (ASBO). The incidence of ASBO is higher in paediatric surgery than in adult surgery. However, ASBO related complications, economic burden and clear management guidelines in the treatment of ASBO are lacking. The aims of this study were to investigate underlying diagnoses, treatments, complications and costs in paediatric ASBO. Method An observational retrospective study in children 0–15 years, hospitalised for ASBO during 2000–2020. Data were extracted from the medical records. Complications were classified based on Clavien Dindo Classification of Surgical Complications. Descriptive statistics were presented as median, continuous variables and categorical variables summarised with frequencies. Time to ASBO was presented as a Kaplan–Meier estimate. Results In total, 101 patients with 137 episodes of ASBO were included whereof 58.4% underwent first (index) surgery during the neonatal period. Median follow-up was 11.3 (0.6–19) years and median time to the first ASBO was 3.76 months (95%CI 2.23–12.02). The most common diagnoses at index surgery were necrotising enterocolitis, duodenal obstruction and primary ASBO. In 86.6% of the patients, first ASBO did not resolve with conservative treatment and a laparotomy was needed. Postoperative complications were found in 52%. Median cost for one episode of acute ASBO was 36 236 USD (1629–236 159). Conclusion Neonatal surgery was the dominating cause of ASBO and surgical intervention the most common treatment with a high frequency of postoperative complications and significant hea spaces/1/content/8094/file_9627_2024-03-20_09-12-10.mp4 2024-03-20T09:12:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/632 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/632/thumbnail_719_2018-11-10_00-05-17.jpg Contemporary Management Of Appendicitis Dr. Whit Holcomb presents common scenarios of appendicitis. Topics of discussion include appendicitis categories of acute non perforated appendicitis, perforated appendicitis, appendicitis presenting with a well defined abscess. Multiple case presentations give rise to discussion of the time interval in which the patient should be operated on, ultrasound usage in adolescent females, surgical approaches- open, three-port laparoscopic, single-incision laparoscopy through the umbilicus, nonoperative appendicitis treatment, ruptured appendix with abscess, and appropriate antibiotics.  https://d1dnj0gz56dmdu.cloudfront.net/44711e0c-0a6b-421c-bf90-887431afe62c/AppleHLS1/06d877e0f31a6833dcadf68885218a51.m3u8 2018-11-10T00:05:17+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9891 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9891/thumbnail_9891_2025-02-18_19-47-11.jpg The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients Anne-Fleur R.L. van Hala, Irene P. Aanena, René M.H. Wijnena, Bas Pullensb, John Vlota Background: Oesophageal atresia (OA) is often accompanied by tracheomalacia (TM). The aim of this study was to evaluate its presence in OA patients during routine rigid tracheobronchoscopy (TBS) before primary correction and compare this to postoperative TBS and clinical signs of TM. Methods: This retrospective cohort study included patients born with OA between June 2013 and December 2022 who had received a TBS before OA correction and had been followed for at least twelve months. Definite TM was postoperatively diagnosed through TBS, and probable TM was defined as having symptoms of TM. Results: We analysed data from 79 patients, of whom 87% with OA type C. Preoperatively, TM was observed in 33 patients (42% of all patients), seven of whom had severe TM. Definite TM was observed in 21 patients (27%), of whom 15 had severe TM. Forty-one patients (52% of all patients) had developed symptoms of TM within twelve months, including harsh barking cough (n = 15), stridor and/or wheezing (n = 20), recurrent respiratory insufficiency (n = 11), or needing airway surgery (n = 7). The sensitivity of preoperative TBS for the presence of postoperative (definite and probable combined) TM is 50.0%, 95% CI [35.2–64.8], and the specificity 67.6%, 95% CI [51.7–81.1]. Clinical characteristics did not differ between the patients with or without postoperative TM. Conclusions: More than half of the studied patients with OA experienced symptoms of TM. While preoperative TBS is routinely performed prior to surgical OA correction, its predictive value for the presence of postoperative TM remains limited. spaces/1/content/9891/file_9891_2025-02-18_19-47-11.mp4 2025-02-18T19:47:11+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7762 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7762/thumbnail_9277_2023-12-07_22-00-05.jpg Update Course Rewind: Ovarian Torsion Management 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about ovarian torsion management with a sample case. Joining the discussion are Drs. Erin Rowell and Dan Von Allmen, both pediatric surgeons, and Dr. Lesley Breech, a pediatric gynecologist. Host: Em Gootee Resources: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/08/adnexal-torsion-in-adolescents Adnexal Torsion in Adolescents, ACOG Committee Opinion Number 783 August 2019 (Reaffirmed 2021) The North American Society for Pediatric and Adolescent Gynecology endorses this document. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists' Committee on Adolescent Health Care in collaboration with committee members Margaret Abraham, MD, MSc, and Erin A. Keyser, MD. https://library.globalcastmd.com/video/7762 2023-12-07T22:00:05+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9278 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9278/thumbnail_10833_2024-10-10_12-29-13.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 2 - Dr. Kara Markham Dr. Kara Markham speaks on "Neurologic implications of fetal cytomegalovirus infection: Can treating the pregnant patient alter the fetal disease?" on Day 2 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9278/file_10833_2024-10-10_12-29-13.mp4 2024-10-10T12:29:13+00:00 1 fetalday2 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/1954 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1954/thumbnail_2801_2019-11-26_16-00-30.jpg Minimally Invasive Repair of Pectus Carinatum This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/1954 2019-11-26T16:00:30+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7884 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7884/thumbnail_9413_2024-01-11_16-00-05.jpg Update Course Rewind: Updates in Screening for Blunt Cerebrovascular Injury 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Updates in Screening for Blunt Cerebrovascular Injury" with sample cases. Joining the discussion are Drs. Meera Kotagal & Katie Russell. Host: Em Gootee Resources: https://pubmed.ncbi.nlm.nih.gov/36693233/ Nickoles TA, Lewit RA, Notrica DM, Ryan M, Johnson J, Maxson RT, Naiditch JA, Lawson KA, Temkit M, Padilla B, Eubanks JW 3rd. Diagnostic accuracy of screening tools for pediatric blunt cerebrovascular injury: An ATOMAC multicenter study. J Trauma Acute Care Surg. 2023 Sep 1;95(3):327-333. doi: 10.1097/TA.0000000000003888. Epub 2023 Jan 25. PMID: 36693233. https://library.globalcastmd.com/video/7884 2024-01-11T16:00:05+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5861 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5861/thumbnail_5861_2022-09-14_18-00-11.jpg Best of the Best Gen Surg - Development of postoperative local tumors and distant metastases in diet, genetics and microbiome-dependent in a mouse model of colorectal cancer recurrence - Dr. Morgan Listen to Ryan Morgan gave his presentation of "Development of postoperative local tumors and distant metastases in diet, genetics and microbiome-dependent in a mouse model of colorectal cancer recurrence" at the first ever Best of the Best in General Surgery event. spaces/17/content/5861/file_7279_2022-09-14_18-00-11.mp4 2022-09-14T18:00:11+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5855 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5855/thumbnail_5855_2022-09-14_16-00-07.jpg Cryoablation after the Ravitch procedure "Cryoablation is associated with shorter length-of-stay and reduced opioid use after the Ravitch procedure" Rettig et al, March 2022, Journal of Pediatric Surgery Full article: https://www.jpedsurg.org/article/S0022-3468(22)00211-1/fulltext Video: Ellen Encisco https://library.globalcastmd.com/video/5855 2022-09-14T16:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3937 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/3937/thumbnail_3937_2021-04-23_13-03-23.jpg Neonatal Open Repair of Esophageal Atresia & Tracheo-esophageal Fistula EA_TEF. Dr Tamer Ashraf In this video, open thoracotomy and repair of esophageal atresia and distal tracheo-esophageal fistula is demonstrated in for a 3 day old baby. The video shows the surgeon's point of view (POV). This video is intended as an education material and should not replace formal surgical training. In this procedure, the operative steps are played in normal speed while some of the steps is played in faster speed for illustration purpose.The original video is one hour and 40 minutes. Surgical steps a described in the subtitles during the video. This is an educational video designed for junior pediatric surgeons in training. https://library.globalcastmd.com/video/3937 2021-04-23T13:03:23+00:00 153 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6603 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6603/thumbnail_6603_2023-04-26_16-00-11.jpg Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: An evaluation of the diagnostic accuracy of the contrast enema New article you should know about by Dr. Cecilia Gigena  "Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: An evaluation of the diagnostic accuracy of the contrast enema"  Authors: Robert M. Eeftinck Schattenkerk a , 1 , ∗, Laurens D. Eeftinck Schattenkerk a , b , 1 , Gijsbert D. Musters a , Joost van Schuppen c , Justin R. de jong a , Ramon R. Gorter a , Wouter J. de Jonge b , d , Ernest L.W. van Heurn a , b , Joep PM. Derikx    ABSTRACT Introduction Contrast enemas are often made prior to stoma reversal in order to detect distal intestinal strictures distal of the stoma. If untreated these strictures can cause obstruction which might necessitate redo-surgery. However, the value of contrast enemas is unclear. Therefore, we aim to evaluate the contrast enema’s diagnostic accuracy in detecting strictures in children with a stoma. Methods  Young children ( ≤3 years) treated with a stoma between 1998 and 2018 were retrospectively included. The STARD criteria were followed. Patients treated for anorectal malformations and those that died before stoma reversal were excluded. Surgical identification of strictures during reversal or redo- surgery within three months was used as gold standard. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and area under the curve (AUC) reflected diagnostic accuracy. Results In 224 included children, strictures were found during reversal in 10% of which 95% in patients treated for necrotizing enterocolitis. Contrast enema was performed in 68% of all patients and detected 92% of the strictures. In the overall cohort, the sensitivity was 100%, specificity 98%, PPV 88% and NPV 100% whilst the AUC was 0.98. In patients treated for NEC, the sensitivity was 100%, specificity 97%, PPV 88% and NPV 100% whilst the AUC was 0.98. Conclusion Strictures prior to stoma reversal seem to be mainly identified i https://library.globalcastmd.com/video/6603 2023-04-26T16:00:11+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6856 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6856/thumbnail_6856_2023-07-20_04-00-18.jpg Welcome to the new IPEG Join the NEW IPEG. Ipeg.org  spaces/2/content/6856/file_8312_2023-07-20_04-00-18.mp4 2023-07-20T04:00:18+00:00 *no*app* channel#ipeg channel#vimeo_migration Medical Education yes IPEG no https://library.globalcastmd.com/video/7268 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7268/thumbnail_8758_2023-10-09_22-00-08.jpg Update Course 2023 - Updates in Colorectal Pathology This session is on Updates in Colorectal Pathology with Drs. Caitlin Smith & Julia Grabowski.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know! spaces/17/content/7268/file_8758_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7651 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7651/thumbnail_9164_2023-11-15_16-00-07.JPG Transition of Care - Parent-child interactions Animation video on Parent-child interactions, from the video series 'Transition of Care'. ERNICA (https://ern-ernica.eu/) Target audience: Healthcare providers spaces/7/content/7651/file_9164_2023-11-15_16-00-07.mp4 2023-11-15T16:00:07+00:00 Transition channel#eupsa Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/6995 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6995/thumbnail_8454_2023-08-17_00-00-11.jpg Metabolic and bariatric surgery versus intensive non-surgical treatment for adolescents with severe obesity (AMOS2) Other article you should know by Cecilia Gigena from APSA PDC "Metabolic and bariatric surgery versus intensive non-surgical treatment for adolescents with severe obesity (AMOS2): a multicentre, randomised, controlled trial in Sweden"  Authors: Kajsa Järvholm, Annika Janson, Markku Peltonen, Martin Neovius, Eva Gronowitz, My Engström, Anna Laurenius, Andrew J Beamish, Jovanna Dahlgren, Lovisa Sjögren, Torsten Olbers Full article: https://pubmed.ncbi.nlm.nih.gov/36848922/ Background: Severe obesity in adolescents has a profound impact on current and future health. Metabolic and bariatric surgery (MBS) is increasingly used in adolescents internationally. However, to our knowledge, there are no randomised trials examining the currently most used surgical techniques. Our aim was to evaluate changes in BMI and secondary health and safety outcomes after MBS. Methods: The Adolescent Morbid Obesity Surgery 2 (AMOS2) study is a randomised, open-label, multicentre trial done at three university hospitals in Sweden (located in Stockholm, Gothenburg, and Malmö). Adolescents aged 13-16 years with a BMI of at least 35 kg/m2, who had attended treatment for obesity for at least 1 year, passed assessments from a paediatric psychologist and a paediatrician, and had a Tanner pubertal stage of at least 3, were randomly assigned (1:1) to MBS or intensive non-surgical treatment. Exclusion criteria included monogenic or syndromic obesity, major psychiatric illness, and regular self-induced vomiting. Computerised randomisation was stratified for sex and recruitment site. Allocation was concealed for both staff and participants until the end of the inclusion day, and then all participants were unmasked to treatment intervention. One group underwent MBS (primarily gastric bypass), while the other group received intensive non-surgical treatment starting with 8 weeks of low-calorie diet. The primary outcome was 2-year change in BMI, analysed as intention-to-treat. The trial is https://library.globalcastmd.com/video/6995 2023-08-17T00:00:11+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7802 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7802/thumbnail_9322_2023-12-19_16-00-06.JPG ERNICA Research Collaboration - Mental health of parents in the context of EA/TOF The title of this webinar is: Research findings on mental health of parents in the context of esophageal atresia (EA) / tracheoesophageal fistula (TEF): recommendations for digitalised psychological support. This interactive webinar aims to increase awareness of the psychological impact of children's feeding and swallowing difficulties on parents and carers. It will present proposed content for a psychoeducational film and a chance to provide feedback from both patient and health professionals perspectives. The moderator of this webinar will be Dr. Andre Rietman (Erasmus MC, Rotterdam, NL). Speakers: Dr Vuokko Wallace, University of Bath, Chartered Clinical Psychologist, researcher, and NHS Clinical Psychologists trainer. A survivor of EA/TEF and patient representative of Esophageal ATresia Global Support Groups (EAT). Dr. Vuokko Wallace will be joined by Ella Bailey, University of Bath, Clinical Psychologist in training Questions? Reach out to ern-ernica@erasmusmc.nl. spaces/7/content/7802/file_9322_2023-12-19_16-00-06.mp4 2023-12-19T16:00:06+00:00 1 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/8003 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8003/thumbnail_9535_2024-02-26_10-07-22.jpg Introduction - Best of the Best in Pediatric Surgery 2024 Todd Ponsky, Cecilia Gigena, & Brittany Levy introduce the 3rd annual Best of the Best in Pediatric Surgery! spaces/17/content/8003/file_9535_2024-02-26_10-07-22.mp4 2024-02-26T10:07:22+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7992 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7992/thumbnail_9522_2024-02-15_16-00-06.jpg Update Course Rewind: Firearm Screening 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Firearm Screening". Joining the discussion are Drs. Meera Kotagal & Katie Russell. Host: Em Gootee Resources: https://www.bulletpointsproject.org The BulletPoints Project gives clinicians the knowledge and tools they need to reduce the risk of firearm injury and death in their patients. https://ohioaap.org & https://ohioaap.org/storeitsafe/education Store it Safe (SIS) provides education to youth serving professionals seeking to help Ohio families with improving in-home safe storage of lethal means and other suicide prevention strategies. https://www.wcpo.com/news/local-news/hamilton-county/cincinnati/virtual-meets-reality-cincinnati-childrens-immersing-in-vr-to-reduce-gun-deaths-in-community From news: Virtual meets reality: Cincinnati Children's immersing in VR to reduce gun deaths in community. https://library.globalcastmd.com/video/7992 2024-02-15T16:00:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3892 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3892/thumbnail_3892_2021-04-09_20-14-41.jpg IPEG 2018 - THORACOSCOPIC RESECTION OF LARGE THYMIC CYST EXTENDING INTO THE LEFT NECK IPEG 2018  Annual Meeting Thoracoscopic Resection of Large Thymic Cyst Extending into the Left Neck Top 10 Abstracts S. Abdulhia, S. Boulanger, A. Schlager spaces/2/content/3892/file_4976_2021-04-09_20-14-41.mp4 2021-04-09T20:14:41+00:00 3 Medical Education yes IPEG no https://library.globalcastmd.com/video/3969 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3969/thumbnail_3969_2021-04-26_13-36-48.jpg IPEG 2018 - MASTERY LEARNING FOR PEDIATRIC SURGEONS IPEG 2018 Annual Meeting Scientific Session: Basic Science and Innovation Mastery Learning: The Correlation of Baseline Advanced Skill Metrics and Summative Performance K.A. Barsness   spaces/2/content/3969/file_5053_2021-04-26_13-36-48.mp4 2021-04-26T13:36:48+00:00 5 Medical Education yes IPEG no https://library.globalcastmd.com/video/5864 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5864/thumbnail_5864_2022-09-14_18-00-11.jpg Best of the Best Gen Surg - Predictors of Low and High Opioid Tablet Consumption after Inguinal Hernia Repair – an ACHQC Opioid Reduction Task Force Analysis - Dr. Warren Listen to Jeremy Warren gave his presentation of "Predictors of Low and High Opioid Tablet Consumption after Inguinal Hernia Repair – an ACHQC Opioid Reduction Task Force Analysis" at the first ever Best of the Best in General Surgery event. https://d1dnj0gz56dmdu.cloudfront.net/aec773ee-c883-4855-979a-7e8c1430b483/AppleHLS1/d1a4ee2fcf4970bd6b34fde0d65b72e4.m3u8 2022-09-14T18:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6476 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6476/thumbnail_6476_2023-03-14_22-00-11.jpg Caudal duplication stimulation Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  https://d1dnj0gz56dmdu.cloudfront.net/c7bf1df8-8de5-4951-9996-f25c31b06978/AppleHLS1/27f61dbaad59078e2b359010d8cd17db.m3u8 2023-03-14T22:00:11+00:00 1 channel#private_colorectal_channel pediatriccolorectalsurgery Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/7226 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7226/thumbnail_8713_2023-10-04_18-00-10.jpg Carga mental de la enfermedad pilonidal y mejora de la calidad de vida tras el tratamiento en adolescentes ¡Nuevo artículo que debes conocer! por la Dra. Cecilia Gigena “Carga mental de la enfermedad pilonidal y mejora de la calidad de vida tras el tratamiento en adolescentes” Autores: Fereshteh Salimi-Jazi, Claire Abrajano, Deanna Garza, Talha Rafeeqi, Razie Yousefi, Emi Hartman, Kira Hah, Melissa Wilcox, Modupeola Diyaolu, Stephanie Chao, Wendy Su, Thomas Hui, Claudia Mueller, Julie Fuchs y Bill Chiu Artículo completo: https://gcmd.co/3Q4Dx4Y Objetivo La Enfermedad Pilonidal (EP) afecta a los adolescentes en diferentes aspectos. Nuestra hipótesis es que los pacientes con diferente género, etnia y edad tienen diferentes medidas de calidad de vida (CV) que podrían mejorar con un tratamiento mínimamente invasivo (MIT). Métodos 131 pacientes con EP se sometieron a MIT (depilación láser ± trepanación) entre 2019 y 2021. Se registraron los datos demográficos de los pacientes. Antes y después del MIT, los pacientes recibieron un cuestionario de calidad de vida que constaba de cuatro categorías: actividades diarias, participación deportiva, asistencia a la escuela/trabajo y socialización. Los datos se analizaron mediante la prueba t de Student y multivariada. P < 0,05 se consideró estadísticamente significativo. Resultados Se incluyeron 101 (51 hombres, 50 mujeres) pacientes. Se excluyeron 30 pacientes con datos incompletos. El 54% de los pacientes tenían < 18 años. El 47,5% eran hispanos. La mediana de duración de los síntomas antes de la presentación fue de 5,4 (1,3-15) meses. Antes del MIT, la capacidad de los pacientes para realizar actividades diarias, participar en deportes, asistir a la escuela/trabajo y socializar se veía afectada moderada o gravemente en el 66 %, 57 %, 45 % y 23 % de los encuestados, respectivamente; después del MIT, sólo el 7%, 8%, 2% y 4% se vieron afectados (p < 0,01). La tasa de recurrencia fue del 6%. Antes del MIT, los pacientes mayores y los no hispanos informaron un peor impacto en su calidad de vida. La duración de https://library.globalcastmd.com/video/7226 2023-10-04T18:00:10+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6460 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6460/thumbnail_6460_2023-03-13_16-00-11.jpg Quick Literature Updates Episode 1 Introducing "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash Why do subcutaneous ports get stuck? A case-control study Crook JL, Lu Z, Wang X, Henderson N, Proctor KE, Maller VG, Prajapati HJ, Gold RE, Abdelhafeez AH, Talbot LJ, Pui CH, Davidoff AM, Hoffman JM, Murphy AJ. Why do subcutaneous ports get stuck? A case-control study. J Pediatr Surg. 2022 Sep;57(9):229-233. doi: 10.1016/j.jpedsurg.2021.08.003. Epub 2021 Aug 8. PMID: 34456040. Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study Vogel I, Eeftinck Schattenkerk LD, Venema E, Pandey K, de Jong JR, Tanis PJ, Gorter R, van Heurn E, Musters GD, Derikx JPM. Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study. J Pediatr Surg. 2022 Oct;57(10):402-406. doi: 10.1016/j.jpedsurg.2021.11.021. Epub 2021 Nov 27. PMID: 34949444. The natural history of prenatally diagnosed congenital pulmonary airway malformations and bronchopulmonary sequestrations Karlsson M, Conner P, Ehren H, Bitkover C, Burgos CM. The natural history of prenatally diagnosed congenital pulmonary airway malformations and bronchopulmonary sequestrations. J Pediatr Surg. 2022 Oct;57(10):282-287. doi: 10.1016/j.jpedsurg.2022.03.021. Epub 2022 Mar 26. PMID: 35431039. Trends in Routi https://library.globalcastmd.com/video/6460 2023-03-13T16:00:11+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9093 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9093/thumbnail_10647_2024-08-28_13-17-16.jpg 2024 Update Course - New Uses for Cryoanalgesia - Timothy Lautz, John DiFiore, & Thomas Inge This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Timothy Lautz, John DiFiore, with Thomas Inge moderator, speaks on the new uses for Cryoanalgesia.   Topics to be discussed: • Cryoanalgesia in PECTUS • Cryoanalgesia besides PECTUS   spaces/17/content/9093/file_10647_2024-08-28_13-17-16.mp4 2024-08-28T13:17:16+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6192 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6192/thumbnail_6192_2022-12-07_16-00-10.jpg Tissue adhesive, adhesive tape, and sutures for skin closure of paediatric surgical wounds: prospective randomized clinical trial "Tissue adhesive, adhesive tape, and sutures for skin closure of paediatric surgical wounds: prospective randomized clinical trial" Tandon et al, British Journal of Surgery Full text: https://academic.oup.com/bjs/article/109/11/1087/6652937 Video by Ellen Encisco https://library.globalcastmd.com/video/6192 2022-12-07T16:00:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/4741 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4741/thumbnail_5978_2021-12-14_16-00-10.jpg Intestinal rehabilitation: What is intestinal rehab? - Episode 1 We’re starting a new series about intestinal rehabilitation and all of its intricacies. We’re joined by Drs. Michael Helmrath and Paul Wales, leaders of the Intestinal Rehabilitation Program at Cincinnati Children’s. Hosted by: Todd Ponsky, Rod Gerardo, Ellen Encisco100:00:04,080 --> 00:00:06,560Hey, there, listeners, this is Rod Gerardo.200:00:07,040 --> 00:00:08,400This is Ellen Encisco. 300:00:08,400 --> 00:00:12,800We are research residents at Cincinnati Children's Hospital Medical Center400:00:13,040 --> 00:00:16,920and we're super excited because the intestinal500:00:16,920 --> 00:00:20,280rehabilitation team at Children's is growing.600:00:20,760 --> 00:00:22,960We've gained a new attending surgeon.700:00:23,120 --> 00:00:25,280And to celebrate this, we're going to start a new series.800:00:25,280 --> 00:00:28,480We're kicking this series off today about intestinal rehab.900:00:28,520 --> 00:00:30,560What is it? What is the diagnosis?1000:00:30,840 --> 00:00:32,960I know next to nothing about this.1100:00:32,960 --> 00:00:35,120I don't know about you, Ellen. Not enough.1200:00:35,840 --> 00:00:38,000This is the Stay Current Pediatric Surgery podcast.1300:00:43,400 --> 00:00:44,240Hello. 1400:00:44,320 --> 00:00:46,240I'm Michael Helmrath That's Dr. 1500:00:46,240 --> 00:00:47,120Michael Helmrath. 1600:00:47,120 --> 00:00:49,000He's a pediatric surgeon at Cincinnati Children's 1700:00:49,000 --> 00:00:51,520Hospital Medical Center and the former director1800:00:51,720 --> 00:00:54,320of the intestinal rehab program at Cincinnati Children's.1900:00:54,520 --> 00:00:56,440He's excited to bring in his friend. 2000:00:56,440 --> 00:01:00,160I'm Paul Wales, I'm a pediatric surgeon,2100:01:00,400 --> 00:01:04,160and he lead the intestinal rehab program at the Hospital for Sick Children2200:01:04,520 --> 00:01:06,080and is now joining Cincinnati 2300:01:06,080 --> 00:01:09,760Children's as the new and current director of the intestinal rehab program.2400:01:10,200 -- spaces/1/content/4741/file_5978_2021-12-14_16-00-10.mp4 2021-12-14T16:00:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7882 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7882/thumbnail_9411_2024-01-10_22-00-19.jpg Metaanálisis de protocolos de recuperación mejorada después de la cirugía para el tratamiento perioperatorio de la cirugía colorrectal pediátrica ¡Nuevo artículo que debes conocer! Del Journal of Pediatric Surgery de la Dra. Cecilia Gigena "Metaanálisis de protocolos de recuperación mejorada después de la cirugía para el tratamiento perioperatorio de la cirugía colorrectal pediátrica" Autores: Yingchun Su, Lu Xu, Jinhui Hu, Jiayinaxi Musha, Song Lin Artículo completo: https://gcmd.co/3RRiwul Objetivo Este metanálisis tuvo como objetivo investigar los efectos y la seguridad de la recuperación mejorada después de la cirugía (ERAS) para el tratamiento de la cirugía colorrectal pediátrica. Métodos Recuperamos estudios relevantes de PubMed, EMBASE, la Biblioteca Cochrane y la Infraestructura Nacional de Conocimiento de China (CNKI) desde su inicio hasta el 20 de mayo de 2022. El metanálisis se realizó con RevMan 5.4 y el análisis de potencia se calculó con G∗Power 3.1. Resultados Se incluyeron para el metanálisis diez estudios con 1298 pacientes. El metanálisis sugirió que el protocolo ERAS redujo significativamente los líquidos intraoperatorios (diferencia de medias [DM], −3,11; intervalo de confianza del 95 %, −4,99 a −1,22) y el uso posoperatorio de opioides (DM, −0,58; IC del 95 %, −1,08 a − 0,26), tiempo más corto hasta el retorno intestinal (DM, −12,02; IC del 95 %, −20,03 a −4,02), primera nutrición enteral (DM, −20,88; IC del 95 %, −28,34 a −13,42) e ingesta oral (DM, −1,40; IC del 95 %, −1,96 a −0,84), reducción de la tasa de reingreso en 30 días (riesgo relativo [RR], 0,61; IC del 95 %, 0,41 a 0,90), duración más corta de la estancia hospitalaria (DM, −1,50; 95 % IC, −1,25 a −1,09) y costos hospitalarios reducidos (DM, −0,26; IC del 95 %, −0,34 a −0,18); sin embargo, hubo una tasa comparable de complicaciones posoperatorias entre los dos grupos. El análisis de sensibilidad cambió significativamente el resultado de la tasa de reingreso en 30 días. El poder estadístico de todos los resultados osciló entre 26,84% y 99,44%. Conclusiones Nuestros hallazgos demuestran el papel spaces/14/content/7882/file_9411_2024-01-10_22-00-19.mp4 2024-01-10T22:00:19+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7867 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7867/thumbnail_9395_2024-01-04_16-00-06.jpg Update Course Rewind: Fertility Preservation 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about fertility preservation with sample cases. Joining the discussion are Drs. Erin Rowell and Dan Von Allmen, both pediatric surgeons, and Dr. Lesley Breech, a pediatric gynecologist. Host: Em Gootee Resources: https://pubmed.ncbi.nlm.nih.gov/32456570/ Meacham LR, Burns K, Orwig KE, Levine J. Standardizing Risk Assessment for Treatment-Related Gonadal Insufficiency and Infertility in Childhood Adolescent and Young Adult Cancer: The Pediatric Initiative Network Risk Stratification System. J Adolesc Young Adult Oncol. 2020 Dec;9(6):662-666. doi: 10.1089/jayao.2020.0012. Epub 2020 May 26. PMID: 32456570. https://pubmed.ncbi.nlm.nih.gov/28683892/ Corkum KS, Laronda MM, Rowell EE. A review of reported surgical techniques in fertility preservation for prepubertal and adolescent females facing a fertility threatening diagnosis or treatment. Am J Surg. 2017 Oct;214(4):695-700. doi: 10.1016/j.amjsurg.2017.06.013. Epub 2017 Jun 23. PMID: 28683892; PMCID: PMC6003699. https://pubmed.ncbi.nlm.nih.gov/32723489/ Harris CJ, Lautz TB, Rowell EE. Feasibility of laparoscopic ovarian tissue cryopreservation after open abdominopelvic tumor surgery. Am J Surg. 2020 Nov;220(5):1249-1252. doi: 10.1016/j.amjsurg.2020.06.040. Epub 2020 Jul 9. PMID: 32723489. https://library.globalcastmd.com/video/7867 2024-01-04T16:00:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9382 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9382/thumbnail_10938_2024-11-04_11-56-24.jpg Update Course Rewind: REBOA use in Pediatric Trauma 2024 In this recap from our 12th Annual Update Course in Pediatric Surgery, Lizzy Lee introduces a thought-provoking session on Resuscitative Endovascular Balloon Aortic Occlusion (REBOA) for pediatric trauma patients, featuring Drs. Regan Williams and Katie Russell. This emerging technique is categorized as both a Black Diamond (unproven) and Blue Square (newer) practice, sparking valuable discussion among trauma surgeons. Key Points Discussed: What is REBOA? A life-saving procedure used to control bleeding by inflating a balloon in the aorta, buying time for surgical intervention. Pediatric Use Challenges: REBOA is rarely performed in pediatric hospitals, making rapid application difficult, and there is no clear survival advantage in pediatric cases. Clinical Debate: A case study of a 16-year-old trauma patient illustrates the decision-making process, with most surgeons opting for laparotomy over REBOA. Algorithm Comparison: When to use REBOA versus resuscitative thoracotomy, based on guidelines from the Western Trauma Association. Learn more about this complex and evolving topic in pediatric trauma care. Don’t forget to like, comment, and subscribe for more updates from our 12th Annual Pediatric Surgery Update Course! https://library.globalcastmd.com/video/9382 2024-11-04T11:56:24+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6845 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/3/content/6845/thumbnail_6845_2023-07-20_04-00-10.jpg Colorectal Quiz Episode 2: When to redo a PSARP In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectoplasty? Listen as they walk you through their thought process on 2 different cases before a deep dive into a recent JPS article on redo outcomes. Read the article here: https://www.jpedsurg.org/article/S0022-3468(20)30423-1/pdfARM redo case 1 imageARM redo case 2 image https://library.globalcastmd.com/video/6845 2023-07-20T04:00:10+00:00 1 Medical Education yes Colorectal Channel - Old no https://library.globalcastmd.com/video/653 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/653/thumbnail_740_2018-11-10_00-05-18.jpg Esophageal Atresia - Arnold Coran: Update Course 2014 Dr. Arnold G. Coran, professor Emeritus of Surgery, University of Michigan Health System, opens the symposium with discussion of esophageal atresia patients. His presentation provides insight on the current management of esophageal atresia and tracheoesophageal fistula, areas of interest, management of post operative tracheomalacia, and esophageal replacement. This segment includes case study demonstrations, surgical illustrations, and comprehensive discussion amongst the panel and audience members.  https://library.globalcastmd.com/video/653 2018-11-10T00:05:18+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6432 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6432/thumbnail_6432_2023-03-01_16-00-12.jpg Did you know we are one step closer to treating neurodevelopmental problems in patients with IUGR? Article you should know by Dr. Cecilia Gigena "Brain protection by transamniotic stem cell therapy (TRASCET) in a model of intrauterine growth restriction (IUGR)" Authors: Ashlyn E Whitlock, Kamila Moskowitzova, Daniel F Labuz, Ina Kycia, David Zurakowski, Dario O Fauza Full article: https://www.jpedsurg.org/article/S0022-3468(22)00611-X/fulltext  Abstract Purpose Transamniotic stem cell therapy (TRASCET) with mesenchymal stem cells (MSCs) has been shown experimentally to reverse some of the effects of intrauterine growth restriction (IUGR), apparently by attenuating placental inflammation. Neurodevelopmental deficits driven by neuroinflammation are major complications of IUGR. We sought to determine whether MSC-based TRASCET also mitigates inflammation in the fetal brain. Methods Pregnant Sprague-Dawley dams (n = 8) were exposed to alternating 12-hour hypoxia (10.5% O2) cycles from gestational day 15 (E15) until term (E21). One group remained untreated (n = 28 fetuses). Three groups received volume-matched intra-amniotic injections into all fetuses (n = 72) of either saline (sham; n = 19), or a suspension of amniotic fluid-derived MSCs, either in native state (TRASCET; n = 20), or primed by exposure to interferon-gamma (IFN-γ) and interleukin-1beta (IL-1β) for 24 h prior to administration in vivo (TRASCET-Primed; n = 29). Donor MSCs were syngeneic Lewis rat cells phenotyped by flow cytometry. Normal fetuses served as controls (n = 20). Multiple analyses were performed at term, including ELISA in fetal brains for the pro-inflammatory cytokines tumor necrosis factor-alpha (TNF-α) and IL-1β. Statistical comparisons were by Wilcox-rank sum test, including Bonferroni-adjusted significance. Results Overall survival was 75% (88/116). Gross brain weights were significantly decreased from normal in both the untreated and sham groups (both p<0.001) and significantly increased in both TRASCET groups when compared to untreated and sham (p = 0.003 https://library.globalcastmd.com/video/6432 2023-03-01T16:00:12+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6372 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6372/thumbnail_6372_2023-02-08_16-00-13.jpg Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study Article you should know! "Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study" Vogel et al, J Ped Surg https://www.jpedsurg.org/article/S0022-3468(21)00795-8/fulltext Video: Todd Ponsky https://library.globalcastmd.com/video/6372 2023-02-08T16:00:13+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7270 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7270/thumbnail_8760_2023-10-09_22-00-08.jpg Update Course 2023 - Updates in Pediatric Achalasia Management This session is on Updates in Pediatric Achalasia Management with Drs. Timothy Kane & Mikael Petrosyan.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! spaces/17/content/7270/file_8760_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 4 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9233 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9233/thumbnail_10788_2024-10-03_09-06-00.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Introduction Dr. Charu Venkatesen and Dr. Kara Markham opents Day 1 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9233/file_10788_2024-10-03_09-06-00.mp4 2024-10-03T09:06:00+00:00 1 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6322 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6322/thumbnail_6322_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - WOFAPS Winner - Tran Ngoc Son, MD Watch the WOFAPS winner, Tran Ngoc Son, MD, present his presentation on "Single incision laparoscopic percutaneous extraperitoneal closure of processus vaginalis without hydrocelectomy in management of primary hydrocele in children." https://library.globalcastmd.com/video/6322 2023-02-01T22:00:11+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7278 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/7278/thumbnail_7278_2023-10-09_22-00-13.jpg Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula Center for Colorectal and Pelvic Reconstruction, Department of Pediatric Surgery, Nationwide Children's Hospital,  Carlos A. Reck MD, Victoria A. Lane MBChB, Richard J. Wood MD, Alessandra Gassior MD, Marc A. Levitt MD      spaces/8/content/7278/file_8768_2023-10-09_22-00-13.mp4 2023-10-09T22:00:13+00:00 2 channel#private_colorectal_channel ARM rectovaginalfistula Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/5419 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5419/thumbnail_5419_2022-05-24_18-00-27.jpg Update Course 2021: PNEUMOTHORAX We've seen a lot of recent updates about the management of primary spontaneous pneumothoraces. At the recent 2021 Pediatric Surgery Update Course, Dr. Ronnie Sullins, MD reviewed the latest literature regarding conservative management for primary spontaneous pneumothorax. Articles discussed: "Changing the Paradigm for Management of Pediatric Primary SpontaneousPneumothorax: A Simple Aspiration Test Predicts Need for Operation" https://www.sciencedirect.com/science/article/pii/S0022346819306955 "Conservative versus Interventional Treatment for Spontaneous Pneumothorax" https://www.nejm.org/doi/full/10.1056/NEJMoa1910775 https://library.globalcastmd.com/video/5419 2022-05-24T18:00:27+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7648 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7648/thumbnail_9161_2023-11-15_16-00-06.JPG Transition of Care - Alcohol and Smoking   Animation video on Alcohol and Smoking, from the video series 'Transition of Care'. ERNICA (https://ern-ernica.eu/) Target audience: Healthcare providers spaces/7/content/7648/file_9161_2023-11-15_16-00-06.mp4 2023-11-15T16:00:06+00:00 channel#eupsa Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/858 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/858/thumbnail_985_2019-01-11_00-05-32.jpg FAST Discharge for Laparoscopic G-tube Dr. Rachel Hanke and Dr. Todd Ponsky give a two-minute review of "Feeding Advancement and Simultaneous Transition to Discharge (FASTDischarge) after laparoscopic gastrostomy," an article published in the Journal of Pediatric Surgery. Dr. Richard Hendrickson, Dr. Tolulope Oyetunji and colleagues at Children's Mercy Hospital studied safety and efficacy of an expedited pathway with early feeding in patients receiving laparoscopic gastrostomy tube placement. Watch this video for a quick recap of their FAST Discharge pathway, and read the article for the details: http://ow.ly/PRpK30ng91I https://library.globalcastmd.com/video/858 2019-01-11T00:05:32+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6996 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6996/thumbnail_8455_2023-08-17_22-00-08.jpg Update Course Rewind: Congenital Lung Lesions 2022 We are back with another Update Course Rewind video! This time we are presenting you "Congenital Lung Lesions" with Dr. Charles Snyder from APSA Professional Development Committee. Host: Brittany Levy Register for #UpdateCourse2023 (Aug 29) here https://globalcastmd.wufoo.com/forms/zcvbzfd1xref8x/ https://library.globalcastmd.com/video/6996 2023-08-17T22:00:08+00:00 7 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6674 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6674/thumbnail_6674_2023-05-25_16-00-11.jpg Update Course Rewind: Management of Appendicitis 2022 Appendicitis is one of the most common conditions seen by pediatric surgeons but still has many controversies in management. This topic was discussed in the 10th annual Update Course in Pediatric Surgery 2022, with Drs. Meera Kotagal, Tolu Oyetunji, Shawn St. Peter, and Whit Holcomb we discuss the updates about treatment and management in appendicitis. Here is a summary of the most important aspects of the talk. If you want to see the whole video go to the Live event channel. Articles discussed: An evidence-based definition for perforated appendicitis derived from a prospective randomized trial Computed Tomography Utilization for the Diagnosis of Acute Appendicitis in Children Decreases With a Diagnostic Algorithm Single daily dosing ceftriaxone and metronidazole vs standard triple antibiotic regimen for perforated appendicitis in children: a prospective randomized trial Same-Day Discharge for Nonperforated Appendicitis in Children: An Updated Institutional Protocol Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Perforated Appendicitis: A Prospective Randomized Trial Decreased resource utilization since initiation of institutional clinical pathway for care of children with perforated appendicitis Safety of a new protocol decreasing antibiotic utilization after laparoscopic appendectomy for perforated appendicitis in children: A prospective observational study Association of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis   https://library.globalcastmd.com/video/6674 2023-05-25T16:00:11+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6325 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6325/thumbnail_6325_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - IBEROAMERICANA Winner - Lourenzo Sbragia, MD Watch the IBEROAMERICANA winner, Lourenzo Sbragia, MD, present his presentation on "Analysis of risk factors for neonatal short intestine syndrome in two tertiary centers in Brazil." https://library.globalcastmd.com/video/6325 2023-02-01T22:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7638 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7638/thumbnail_9151_2023-11-13_22-00-08.jpg Quick Literature Updates Episode 13 We’re back with thirteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee Bellía-Munzón G, Sanjurjo D, Toselli L, Vallee M, Elmo G, Martínez-Ferro M. Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum: The Titanic index. J Pediatr Surg. 2023 Apr;58(4):605-607. doi: 10.1016/j.jpedsurg.2022.12.010. Epub 2022 Dec 23. PMID: 36681535. https://www.jpedsurg.org/article/S0022-3468(22)00783-7/fulltext Namachivayam SP, Law S, Millar J, d'Udekem Y. Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis. Pediatr Crit Care Med. 2022 Oct 1;23(10):793-800. doi: 10.1097/PCC.0000000000003024. Epub 2022 Jul 15. PMID: 35839279. https://pubmed.ncbi.nlm.nih.gov/35839279/ Scalise PN, Durgin JM, Staffa SJ, Wynne N, Meisner J, Ngo P, Zendejas B, Kim HB, Demehri FR. Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes. J Pediatr Surg. 2023 Apr;58(4):613-618. doi: 10.1016/j.jpedsurg.2022.12.017. Epub 2022 Dec 22. PMID: 36646540. https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext https://library.globalcastmd.com/video/7638 2023-11-13T22:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7620 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/7620/thumbnail_9133_2023-11-13_16-00-11.jpg IPEG 2021 - SS1 HPB and Miscellaneous IPEG 2021 Annual Meeting Scientific Session 1 - Hepatobiliary and Miscellaneous  spaces/2/content/7620/file_9133_2023-11-13_16-00-11.mp4 2023-11-13T16:00:11+00:00 1 Medical Education yes IPEG no https://library.globalcastmd.com/video/7804 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7804/thumbnail_9324_2023-12-19_16-00-06.JPG Reliance on total parenteral nutrition (TPN) and travelling abroad Intestinal failure in children: Reliance on total parenteral nutrition (TPN) and travelling abroad - An ERNICA animation for patients and families Click here to access the tool and find out more information: https://www.ern-ernica.eu/intestinal-failure-vacation-tool  Video owned by ERNICA (Erasmus MC): https://ern-ernica.eu/ spaces/7/content/7804/file_9324_2023-12-19_16-00-06.mp4 2023-12-19T16:00:06+00:00 1 Intestinal Failure Parenteral Nutrition channel#eupsa Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/9269 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9269/thumbnail_10824_2024-10-10_07-29-27.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 2 - Dr. Darren Orbach Dr. Darren Orbach speaks on the advances in therapeutics for fetal neurological and neurosurgical disorders on Day 2 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9269/file_10824_2024-10-10_07-29-27.mp4 2024-10-10T07:29:27+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9502 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9502/thumbnail_11058_2024-12-09_08-30-09.jpg Laura Glaganski, MD & Jagroop (Rupi) Parikh - 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 In this presentation, Drs. Laura Galganski and Jagroop (Rupi) Parikh speak on the practical issues in the surgical care of patients with Trisomies. spaces/17/content/9502/file_11058_2024-12-09_08-30-09.mp4 2024-12-09T08:30:09+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9774 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9774/thumbnail_11339_2025-02-12_06-44-10.jpg Ovarian Tissue Collection for Fertility Preservation in Children: The Need for Standardised Surgical Practice Guidance Sarah Braungart, Sheila Lane, Christian M. Becker, Nicholas Alexander   Background: Chemotherapy, pelvic radiotherapy (including total body irradiation) and novel compounds used to treat children and teenagers with benign or malignant diseases can lead to impaired fertility. For prepubertal female patients at high risk of treatment-related infertility, upfront storage of ovarian tissue is increasingly being recognised as standard of care. No surgical guidelines exist to ensure best practice technique. We reviewed current UK practice to assess surgical management. Methods: A ten-item, anonymous multiple-choice survey was distributed to the lead surgeons in all paediatric centres in England/Wales undertaking ovarian procurement for cryopreservation. Results: There are currently 18 centres in England and Wales that provide ovarian procurement for cryopreservation. Responses were received from 100% of the invited paediatric surgical oncology centres in England and Wales. 39.3% of participants stated that in their centre 20 cases are undertaken per year. In 64% of centres surgery is performed by a paediatric surgeon with interest in oncology or fertility preservation. The majority of cases were performed by a Consultant or Senior Registrar (89%). Regarding the surgical technique, 82% of respondents stated they gain access to the abdominal cavity using standard 3-port laparoscopy, 7% use single-port laparoscopy. Most frequently used energy devices for ovary/ovarian tissue resection were Ligasure™ (44%) and Harmonic Scalpel™ (18.5%). 96% of respondents perform a total oophorectomy, 1 respondent stated they perform a hemi-oophorectomy. 53% stated they place the ovary into a retrieval bag only if the ovary was too big for easy removal via the camera port, 28.5% always place it in a retrieval bag. Most surgeons use the umbilical port site for retrieval (82%). Conclusion: This national survey shows significant heterogeneity in the surgical management of https://library.globalcastmd.com/video/9774 2025-02-12T06:44:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6499 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6499/thumbnail_6499_2023-03-15_08-00-09.jpg Do all PPVs turn into inguinal hernias? New Article you should know about by Dr. Cecilia Gigena "Natural history and consequence of patent processus vaginalis: An interim analysis from a multi-institutional prospective observational study" Jason D Fraser et.al. Authors: Jason D. Fraser a , ∗, Yara K. Duran a , KatherineJ. Deans b , CynthiaD. Downard c , Mary E. Fallat c , Samir K. Gadepalli d , Ronald B. Hirschl d , Dave R. Lal e , Matthew P. Landman f , Charles M. Leys g , Grace Z. Mak h , Troy A. Markel f , Peter C. Minneci b , Thomas T. Sato e , Shawn D. St. Peter a , on behalf of the Midwest Pediatric Surgery Consortium  Full article: https://www.jpedsurg.org/article/S0022-3468(22)00603-0/fulltext  Abstract Background The prevalence and natural history of patent processus vaginalis (PPV) are unknown. An interim analysis was performed of a multi-institutional, prospective, observational study in neonates undergoing laparoscopic pyloromyotomy during which bilateral inguinal canals were evaluated. Methods Infants under 4 months undergoing laparoscopic pyloromyotomy were enrolled at 8 children's hospitals. The presence of a PPV was evaluated and measurements recorded. Patients with a PPV are undergoing annual phone follow-up to 18 years of age. Interim analysis was performed. Results In a cohort of 610 patient, 80 did not have a PPV examined, 4 had consent issues and were excluded, leaving 526 patients. Of these, 433 (82%) were male, median age 1.2 months (IQR 0.9, 1.6), median weight 3.89 kg (IQR 3.4, 4.46), and EGA 39 weeks (IQR 37, 40). There were 283 PPVs, 132 bilateral (47%), 116 right (41%), and 35 left (12%). Patients with a PPV were significantly younger (1.1 months (IQR 0.9, 1.5) vs 1.3 months (IQR 0.9, 1.7), p=0.02), weighed less (3.76kg (IQR 3.35, 4.26) vs 3.9kg (IQR 3.4, 4.5) p=0.03) and had a significantly lower EGA at birth (38 weeks (IQR 37, 40) vs 39 weeks (IQR 38, 40) p=0.003). Of 246 eligible infants, 208 (85%) responded to at least one annual follow-up. Two https://library.globalcastmd.com/video/6499 2023-03-15T08:00:09+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7940 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7940/thumbnail_9470_2024-02-01_18-00-08.jpg Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia New article you should know by Cecilia Gigena "Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis "  Authors: Mengxin Zhang, Jinshi Huang, Wei Zhong, Xi Zhang, Ying Zhou, Shuiqing Chi, Liying Rong, Yang Zhang, Guoqing Cao, Shuai Li, Shao-Tao Tang Full article: https://pubmed.ncbi.nlm.nih.gov/37983822/ Background: Despite the rapid advancement of robotic surgery across various surgical domains, only cases of robotic repair (RR) for neonates with esophageal atresia (EA) have been reported. Comprehensive studies comparing RR and thoracoscopic repair (TR) are lacking. We aimed to compare the safety and efficacy of RR and TR for EA. Methods: A retrospective multicenter study was conducted on 155 EA neonates undergoing RR (79 patients) or TR (76 patients) between August 2020 and February 2023 using propensity score matching (PSM). Asymmetric port distribution and step-trocar insertion techniques were applied during RR. Demographics and surgical outcomes were compared. Results: After matching, 63 patients (out of 79) in RR group and 63 patients (out of 76) in TR group were included. There were no significant differences in short-term outcomes between two groups, except for longer total operative time (173.81 vs. 160.54 min; P<0.001) and shorter anastomotic time (29.52 vs. 40.21 min; P<0.001) in RR group. Compared with TR group, the RR group had older age at surgery (8.00 vs. 3.00 d; P<0.001), but a comparable pneumonia rate. More importantly, the incidence of anastomotic leakage (4.76% vs. 19.05%, P=0.013), anastomotic stricture (15.87% vs. 31.74%, P=0.036) within one year postoperatively, and unplanned readmission (32.26% vs. 60.00%, P=0.030) within two years postoperatively were lower in RR group than in TR group. Conclusions: RR is a technically safe and effective option for EA patients. This approach delays the age of surgery without increasing respiratory complication rates whi https://library.globalcastmd.com/video/7940 2024-02-01T18:00:08+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9240 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9240/thumbnail_10795_2024-10-03_11-08-13.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Hour 1 Q&A Dr. Charu Venkatesen, Dr. Jesse Skoch, and. Dr. Jose Peiro discuss the hour 1 sessions and answers questions from the audience. spaces/17/content/9240/file_10795_2024-10-03_11-08-13.mp4 2024-10-03T11:08:13+00:00 2 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5358 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/5358/thumbnail_5358_2022-04-29_12-00-11.jpg IPEG Best of the Best Winner The IPEG winner at the Best of the Best in Pediatric Surgery event on April 8th, 2022 was Caressa Chen with her presentation "NoLapse- The Stomal Prolapse Prevention Device". https://library.globalcastmd.com/video/5358 2022-04-29T12:00:11+00:00 8 Medical Education yes IPEG no https://library.globalcastmd.com/video/6120 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/6120/thumbnail_6120_2022-11-16_22-00-08.jpg Pediatric Polyposis Syndromes: Hereditary Non Polyposis Syndromes Join Dr. Joseph Palermo for a review of Hereditary Non Polyposis syndromes. This stay current short belongs to a collection of Pediatric Polyposis Syndrome videos, which can be found on the StayCurrent App.  https://library.globalcastmd.com/video/6120 2022-11-16T22:00:08+00:00 4 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/10046 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10046/a62072ec1905d691ad06080e5e0f98d5.jpg Dr. Kat Ford - Best of the Best in Pediatric Surgery 2025 Watch BAPS' Dr. Kat Ford’s presentation on “Evaluating prognosis in cloaca: an analysis of common channel length and bowel function outcome” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10046 2025-03-19T09:32:15+00:00 1 BOB2025 pediatric surgery some4pedsurg cloaca common channel length bowel function outcome channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5827 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5827/thumbnail_5827_2022-09-07_22-00-07.jpg Update Course 2022 - UPDATES IN MANAGEMENT OF ESOPHAGEAL LEAKS - Miguel Guelfand, Jorge Godoy, Michele Ugazzi, and Mac Harmon Everyone that has treated an esophageal atresia with an anastomosis looks out for any leak. And even the best pediatric surgeon has to deal with this challenging complication. Here are Drs. Miguel Guelfand, Michele Ugazzi, Jorge Godoy and Mac Harmon updating us in the new ways of dealing with esophageal leakages after an esophageal anastomosis. Resources: Mini Endovac creation for esophageal leaks by Dr. Jorge Godoy Early Management of Esophageal Leak in Esophageal Atresia: Changing Paradigms The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/7dd7b561-3d94-4e21-8e87-ed89085c8952/AppleHLS1/ef3114e1a35303834c1bdbdf66bd41d9.m3u8 2022-09-07T22:00:07+00:00 10 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7272 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7272/thumbnail_8762_2023-10-09_22-00-08.jpg Update Course 2023 - Updates in Fertility This session is about updates in fertility with Drs. Lesley Breech & Erin Rowell.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! spaces/17/content/7272/file_8762_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6763 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6763/thumbnail_6763_2023-06-21_22-00-08.jpg Utilizing a critical airway response team expedites esophageal button battery removal New article you should know! by Cecilia Gigena "Utilizing a critical airway response team expedites esophageal button battery removal” Brandt K et.al. Authors: Kylie Brandt, Katerina Dukleska, Morgan McKeown, John Brancato, Victoria Grossi, Scott Schoem, Tina Sacco, Jennifer D'Amato, Michael D. Bourque, Brendan T. Campbell Full article: https://www.jpedsurg.org/article/S0022-3468(23)00056-8/fulltext Abstract Background Esophageal button battery ingestion is a significant problem that can lead to significant complications such as tracheoesophageal fistula, esophageal perforation, and aortoesophageal fistula. Due to this, prompt recognition and treatment is integral in the care of these patients. Methods Patients who presented to a single institution from August 2015 to April 2022 with esophageal button battery ingestion were included in this study. All esophageal button battery ingestion patients were included in a clinical algorithm for Critical Airway Response Team (CART) activation in October 2019. Time from diagnosis to treatment was compared for pre-CART clinical algorithm implementation to post-CART. Results Data on pre-CART patients (n = 6) and post-CART patients (n = 7) was collected. Including esophageal button battery ingestions to CART activations shortened the time from chest x-ray to button battery removal from 73 ± 32 min to 35 ± 11 min (p < 0.05). Conclusion These data highlight the importance of implementation of a clinical care algorithm to shorten the time from diagnosis to treatment in patients with esophageal button battery ingestion. Level of evidence III https://library.globalcastmd.com/video/6763 2023-06-21T22:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6355 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6355/thumbnail_6355_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Marcela Bailez, CIPESUR - Presentation Watch Marcela Bailez, MD, present her presentation on "Gonadal Tumor development (GT) in 46xx DSD Patients." https://library.globalcastmd.com/video/6355 2023-02-06T18:00:13+00:00 4 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6894 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6894/thumbnail_8350_2023-07-20_08-00-13.jpg Introducing: Vic Garcia In today's episode, we want to introduce you to a pediatric surgeon whose reach expands beyond the walls of Cincinnati Children's Hospital Medical Center - Dr. Vic Garcia. His career in the OR is arguably as impressive as his career researching and improving public health. Here, he talks about how social determinants of health can greatly impact our patients. https://library.globalcastmd.com/video/6894 2023-07-20T08:00:13+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6672 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6672/thumbnail_6672_2023-05-24_22-00-12.jpg Lesiones de órgano sólido aisladas de bajo grado luego de un trauma abdominal cerrado… Nuevo articulo que tenes que conocer por la Dra Gigena Cecilia  “Lesiones de órgano sólido aisladas de bajo grado luego de un trauma abdominal cerrado: ¿Es tiempo de considerar el alta desde el departamento de urgencias?" Leah Plumblee 1, Regan Williams, Dennis Vane, Jingwen Zhang, Aaron Jensen, Bindi Naik-Mathuria, Lauren Evans, Christian J Streck Articulo completo: https://pubmed.ncbi.nlm.nih.gov/32769952/  Abstract Introducción: La intervención aguda (IA) por lesión de órgano sólido (IOE) es rara en niños hemodinámicamente estables. Las guías pediátricas recomiendan la admisión con laboratorios de seguimiento, incluso para lesiones de bajo grado. Métodos: Se utilizaron conjuntos de datos de dos grandes estudios observacionales prospectivos multicéntricos para analizar una cohorte de niños (edad, <17 años) con IO de grado I a III después de un traumatismo abdominal cerrado. Se excluyeron los niños con lesiones de víscera hueca. Los pacientes se dividieron en (a) aquellos con o sin otras lesiones mayores (OMI) (lesión cerebral traumática, hemotórax o neumotórax, fractura pélvica, operaciones ortopédicas o neuroquirúrgicas urgentes) y (b) con lesiones de grado I o II versus grado III. Los resultados incluyeron IA (transfusión, angiografía, operación abdominal) y disposición (unidad de ingreso y duración de la estancia). Resultados: Hubo 14.232 niños inscritos en los dos estudios, y 791 pacientes tenían un SOI (5,6%). Después de excluir a los pacientes con lesiones de víscera hueca y IO de grado superior, se incluyeron 517 pacientes con IO de grado I a III, y 262 de estos no tenían OMI. Entre los pacientes sin OMI, ninguno de los 148 pacientes con SOI de grado I o II se sometió a IA, mientras que solo 3 de 114 pacientes con lesiones de grado III se sometieron a IA (3 transfusiones/1 angioembolización). Los tres tenían hemoperitoneo; dos de los tres tenían un órgano adicional con una lesión de grado II. Entre los IOS de grado I y II sin OMI, 28 (18, https://library.globalcastmd.com/video/6672 2023-05-24T22:00:12+00:00 2 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6542 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6542/thumbnail_6542_2023-04-07_16-00-13.jpg Patient Driven Change; The Collaborative Care Model Children's National Hospital, Washington D.C. Grand Rounda January 2021  Marc Levitt, M.D., Chief Division of Colorectal and Pelvic Reconstruction   spaces/8/content/6542/file_7966_2023-04-07_16-00-13.mp4 2023-04-07T16:00:13+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6581 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6581/thumbnail_8007_2023-04-20_18-00-11.jpg Evento IPEG LATAM Latinos por el mundo: Primer Módulo El 11 de Abril de 2023 se realizó un evento híbrido de IPEG Latam en Buenos Aires, Argentina. El mismo constó de 2 módulos y tuvo a varios invitados Latinos que viven en distintas partes del mundo.  El primer módulo trata sobre atresia de esófago.  Imanes para la atresia de esófago y estenosis resistentes: Dr. Matias Bruzoni Actualización en atresia de Esófago: Dr. Miguel Guelfand Casos Clínicos: Dr. Maximiliano Maricic y Dr. Mauricio Copete Coordinadora General: Dra. Carolina Millan  Invitados especiales: Dra. María Marcela Bailez Organizadores: Dr. Mariano Bosich, Dra Cecilia Gigena, Dra Lara Rollan.  https://d1dnj0gz56dmdu.cloudfront.net/2ddc1939-3b68-412a-b49d-500663180ca6/AppleHLS1/808df75ee9fb803aa9e4cb5870120f13.m3u8 2023-04-20T18:00:11+00:00 10 Medical Education yes IPEG no https://library.globalcastmd.com/video/1230 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1230/thumbnail_1393_2019-03-07_00-05-18.jpg Induced, Controlled, Pneumothorax: A Useful Maneuver For Laparoscopic Left... Guest video: Induced, Controlled, Pneumothorax: A Useful Maneuver For Laparoscopic Left Diaphragmatic Eventration Repair - Toselli L., Millán C., Rabinovich F., Valverde S., Bellía Munzón G., Bignon H., Martínez Ferro M. From Fundacion Hospitalaria Private Children's Hospital in Buenos Aries, Argentina spaces/1/content/1230/file_1393_2019-03-07_00-05-18.mp4 2019-03-07T00:05:18+00:00 15 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8554 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8554/thumbnail_10093_2024-04-29_04-26-40.jpg Postoperative Antibiotics, Outcomes, and Resource Use in Children With Gangrenous Appendicitis New article you should know about by Cecilia Gigena, Selected by Dr. Jose Campos and the Chilean society of Pediatric Surgery "Postoperative Antibiotics, Outcomes, and Resource Use in Children With Gangrenous Appendicitis" Authors: Shannon L. Cramm, MD, MPH; Dionne A. Graham, PhD; Martin L. Blakely,MD, MS; Shaun M. Kunisaki, MD, MSc; Nicole M. Chandler, MD; Robert A. Cowles, MD; Christina Feng, MD; Katherine He, MD; Robert T. Russell, MD, MPH; Myron Allukian, MD; Brendan T. Campbell, MD, MPH; Sarah J. Commander,MD, MHS; Jennifer R. DeFazio, MD; Katerina Dukleska, MD; Justice C. Echols, MD; Joseph R. Esparaz, MD, MPH; Claire Gerall, MD; Cornelia L. Griggs, MD; David N. Hanna, MD; Olivia A. Keane, MD; Aaron M. Lipskar, MD; Sean E. McLean, MD; Elizabeth Pace, MD; Matthew T. Santore,MD, MPH; Stefan Scholz, MD, PhD; Shelby R. Sferra, MD, MPH; Elisabeth T. Tracy, MD; Lucy Zhang, MD; Shawn J. Rangel, MD, MSCE; for the Eastern Pediatric Surgery Network Full article: https://gcmd.co/4b4Cda3 Importance  Gangrenous, suppurative, and exudative (GSE) findings have been associated with increased surgical site infection (SSI) risk and resource use in children with nonperforated appendicitis. Establishing the role for postoperative antibiotics may have important implications for infection prevention and antimicrobial stewardship. Objective  To compare SSI rates in children with nonperforated appendicitis with GSE findings who did and did not receive postoperative antibiotics. Design, Setting, and Participants  This was a retrospective cohort study using American College of Surgeons’ National Surgical Quality Improvement Program (NSQIP)–Pediatric Appendectomy Targeted data from 16 hospitals participating in a regional research consortium. NSQIP data were augmented with operative report and antibiotic use data obtained through supplemental medical record review. Children with nonperforated appendicitis with GSE findings who underwent appendectomy between July 1, 201 https://library.globalcastmd.com/video/8554 2024-04-29T04:26:40+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6855 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6855/thumbnail_6855_2023-07-20_04-00-18.jpg IPEG 2020 TOP ABSTRACT: Endoscopically Assisted Laparoscopic Transgastric Resection of Pancreatic Rest Utilizing Laparoscopic... Presenter: Afua Amoabin, BS Email: aamoabin@mcw.eduSocial Media: Facebook @medicalcollegeofwisconsin Instagram @medicalcollegeofwi Facebook @childrenswi Instagram @childrenswi Authors: Afua Amoabin, BS; Malek Ayoub, BS; Alexis N Bowder, MD; Katherin Flynn O'Brien, MD, MPH; Alfonso M Martinez, MD; Sabina Siddiqui, MD; Children's Hospital of WisconsinHeterotopic pancreas (HP) is a congenital anomaly defined as the presence of pancreatic tissue outside its normal location that lacks anatomic or vascular continuity with the pancreas itself. It is often asymptomatic, but can present with pain, gastric outlet obstruction, vomiting, and dysphagia. Pyloric obstructions from HP can cause several of these symptoms and require surgical intervention. This case report documents the first surgical resection of a symptomatic HP using a laparoscopic transgastric approach, under endoscopic guidance preformed on an 18-year-old male. This innovative method is a minimally invasive option for HP resection compared to open abdominal surgery, allowing for a faster recovery and limited complications.  spaces/2/content/6855/file_8311_2023-07-20_04-00-18.mp4 2023-07-20T04:00:18+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/6713 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6713/thumbnail_6713_2023-06-12_16-00-11.jpg Quick Literature Updates Episode 8 We’re back with eighth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash https://www.jpedsurg.org/article/S0022-3468(22)00139-7/fulltext Morgan KM, Anderson KT, Johnston ME, Dasgupta R, Crowley JJ, Fahy AS, Lapidus-Krol E, Baertschiger RM, Lautz TB, Many BT, Marquart JP, Gainer H, Lal DR, Rich BS, Glick RD, MacArthur TA, Polites SF, Kastenberg ZJ, Short SS, Meyers RL, Talbot L, Abdelhafeez A, Prajapati H, Davidoff AM, Rubaclava N, Newman E, Ehrlich PF, Rothstein DH, Roach JP, Ladd P, Janek KC, Le HD, Leraas HJ, Tracy ET, Bisset L, Mora MC, Warren P, Aldrink JH, Malek MM. Interhospital variability in localization techniques for small pulmonary nodules in children: A pediatric surgical oncology research collaborative study. J Pediatr Surg. 2022 Jun;57(6):1013-1017. doi: 10.1016/j.jpedsurg.2022.01.061. Epub 2022 Feb 23. PMID: 35307194. https://www.jpedsurg.org/article/S0022-3468(21)00635-7/fulltext Rettig RL, Rudikoff AG, Annie Lo HY, Lee CW, Vazquez WD, Rodriguez K, Shaul DB, Conte AH, Banzali FM, Sydorak RM. Same-day discharge following the Nuss repair: A comparison. J Pediatr Surg. 2022 Jan;57(1):135-140. doi: 10.1016/j.jpedsurg.2021.09.023. Epub 2021 Sep 20. PMID: 34670678. https://www.jpedsurg.org/article/S0022-3468(22)00685-6/fulltext Whitlock AE, Moskowitzova K, Kycia I, Zurakowski D, Fauza DO. Transamnio https://library.globalcastmd.com/video/6713 2023-06-12T16:00:11+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6710 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6710/thumbnail_6710_2023-06-08_16-00-15.jpg Update Course Rewind: Staging and Management of Neuroblastoma 2022 We are back with another Update Course Rewind video! This time we are presenting you updates in "Staging and Management of Neuroblastoma" with Dr. Paul Jeziorczak from APSA Professional Development Committee. Host: Ellen Encisco https://library.globalcastmd.com/video/6710 2023-06-08T16:00:15+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7919 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7919/thumbnail_9449_2024-01-26_16-30-04.jpg QUAD #2 Thoracoscopic Tracheopexy with Dr. Aaron Garrison Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to review thoracoscopic tracheopexy and aortopexy for tracheomalacia with Dr. Aaron Garrison, a pediatric surgeon from Cincinnati Children's. Host: Em Gootee https://library.globalcastmd.com/video/7919 2024-01-26T16:30:04+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2235 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2235/thumbnail_3161_2020-02-24_19-58-22.jpg Staged Closure of Gastroschisis with Spring-loaded Silo This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2235 2020-02-24T19:58:22+00:00 15 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6703 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6703/thumbnail_6703_2023-06-06_18-00-13.jpg Redo Posterior Sagittal Anorectoplasty for Lateral Mislocation in Patients with Anorectal Malformations Redo Posterior Sagittal Anorectoplasty for Lateral Mislocation in Patients with Anorectal Malformations Hira Ahmad, Devin R. Halleran, Elias Maloof, Jae Beck, Alessandra Gasior, Jacob C. Langer, Marc A. Levitt, Richard J. Wood  Department of Pediatric Colorectal Pelvic Reconstruction Surgery December 2019 https://d1dnj0gz56dmdu.cloudfront.net/96129eef-5af9-498b-8719-fd5c21854eaf/AppleHLS1/4b0d0c62a7ccc546b225a3e79e1a3596.m3u8 2023-06-06T18:00:13+00:00 7 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/9061 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9061/thumbnail_10615_2024-08-26_06-55-45.jpg Introduction of a Warming Bundle to Reduce Hypothermia in Neonatal Surgical Patients New article review by Dr. Alex Halpern! Joshua K Ramjist, Pattamon Sutthatarn, Christine Elliott, Kyong-Soon Lee, Annie Fecteau https://www.jpedsurg.org/article/S0022-3468(24)00068-X/abstract Introduction: Hypothermia in the neonatal surgical population has been linked with significant morbidity and mortality. Our goal was to decrease intra and postoperative hypothermia. Intervention: In November 2021, a radiant warmer and hat were included along with standard warming methods prior to the start of General Surgery procedures to minimize episodes of hypothermia. Primary outcome: Core body temperature was measured pre, intra and post-operatively. Methods: Data were prospectively collected from electronic medical records from July 2021 to March 2023. A retrospective analysis was performed. Hypothermia was defined as a temperature <36.5C. Control charts were created to analyze the effect of interventions. Results: A total of 277 procedures were identified; 226 abdominal procedures, 31 thoracic, 14 skin/soft tissue and 6 anorectal. The median post-natal age was 36.1 weeks (IQR: 33.2-39.2), with a pre-surgical weight of 2.3 kg (IQR: 1.6-3.0) and operative duration of 181 min (IQR: 125-214). Hat and warmer data were unavailable for 59 procedures, both hat and warmer were used for 51 % procedures, hat alone for 29 %, warmer alone for 10 % and neither for 10 % of procedures. Over time there was a significant increase in hat utilization while warmer usage was unchanged. There was a significant increase in the mean lowest intra-operative temperature and decrease in proportion of hypothermic patients intra-operatively and post-operatively. Conclusions: The inclusion of a radiant warmer and hat decreased the proportion of hypothermic patients during and after surgery. Further studies are necessary to analyze the impact on surgical outcomes. spaces/1/content/9061/file_10615_2024-08-26_06-55-45.mp4 2024-08-26T06:55:45+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11554 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11554-eec6666edf.jpg Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study Kathleen Heller, Brielle V Ochoa, Stephanie F Brierley, Benjamin E Padilla; Pediatric Inguinal Hernia Collaborative Group; Amir Alhajjat, Emily Byrd, Stephanie D Chao, Christopher Clinker, Jose Diaz-Miron, Goeto Dantes, R Scott Eldredge, Elizabeth A Fialkowski, Yigit Guner, Juan P Gurria, Zaid Haddadin, Alexandra Highet, Carlos T Huerta, Olivia A Keane, Lorraine I Kelley-Quon, Pablo Laje, Hau Le, Justin Lee, Aaron Lesher, Saunders Lin, Lauren Lym, Samir R Pandya, Steven Papastefan, Raphael H Parrado, Eduardo A Perez, Cynthia Ramazani, Warren Rehrer, Katie W Russell, Leigh Selesner, Blynn L Shidele, Bethany J Slater, Michael A Stellon, Caroline Stephens, Krysta M Sutyak, KuoJen Tsao, Cristine S Velazco, Nell Weber, Nathaniel Westbrook, Minna M Wiec, Peter YuPurpose: This study aimed to investigate effect of surgeon annual case volume on pediatric inguinal hernia recurrence rates.Methods: Surgeons' individual annual case volumes were calculated from a retrospectively collected data set of pediatric inguinal hernia repairs including 21 hospitals from 2017 to 2019. Quartiles were defined based on surgeons' annual case volumes for each year: Lower Volume = Q1-3 and Higher Volume = Q4. Descriptive statistics and bivariate regression were utilized for analysis.Results: For all repair techniques, there were 207 surgeons accounting for 548 surgeon-years with 8519 operations. For all repairs, Higher Volume was defined as > 22 operations per year. On regression analysis, presence of a ventriculoperitoneal shunt, peritoneal dialysis, laparoscopic technique, and surgery performed by a lower volume surgeon were associated with recurrence risk. For open repairs, there were 193 surgeons, 465 surgeon-years, and 5726 operations. Higher Volume was defined as >18 operations per year. On regression analysis, history of an omphalocele, a connective tissue disorder, and tracheostomy dependence contributed to recurrence risk, while surgeon volume did not. For laparoscopic repairs, there we https://library.globalcastmd.com/video/11554 2026-02-23T21:00:32+00:00 pediatric inguinal hernia pediatric inguinal hernia recurrence rates ventriculoperitoneal shunt peritoneal dialysis laparoscopic technique laparoscopic repairs connective tissue disorder tracheostomy dependence laparoscopic inguinal hernia repair pediatric surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7597 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7597/thumbnail_9110_2023-11-08_22-00-07.jpg Meta-Analysis of Enhanced Recovery After Surgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery Another article you should know by Cecilia Gigena from JPS "Meta-Analysis of Enhanced Recovery After Surgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery" Authors: Yingchun Su, Lu Xu, Jinhui Hu, Jiayinaxi Musha, Song Lin Full article: https://gcmd.co/3u7nnzp Objective This meta-analysis aimed to investigate the effects and safety of enhanced recovery after surgery (ERAS) for the management of pediatric colorectal surgery. Methods We retrieved relevant studies from PubMed, EMBASE, the Cochrane Library, and China National Knowledgement Infrastructure (CNKI) from its inception until 20 May 2022. Meta-analysis was performed using RevMan 5.4, and power analysis was calculated using G∗Power 3.1. Results Ten studies involving 1298 patients were included for meta-analysis. Meta-analysis suggested that ERAS protocol significantly lessened intraoperative fluids (mean difference [MD], −3.11; 95% confidence interval, −4.99 to −1.22) and postoperative opioid usage (MD, −0.58; 95% CI, −1.08 to −0.26), shortened time to bowel return (MD, −12.02; 95% CI, −20.03 to −4.02), first enteral nutrition (MD, −20.88; 95% CI, −28.34 to −13.42) and oral intake (MD, −1.40; 95% CI, −1.96 to −0.84), lowered readmission rate in 30 days (relative risk [RR], 0.61, 95% CI, 0.41 to 0.90), shortened length of hospital stay (MD, −1.50; 95% CI, −1.25 to −1.09), and reduced in-hospital costs (MD, −0.26; 95% CI, −0.34 to −0.18); however, there was a comparable rate of postoperative complications between the two groups. Sensitivity analysis significantly changed the result of the readmission rate in 30 days. The statistical power of all outcomes ranged from 26.84% to 99.44%. Conclusions Our findings demonstrate the beneficial role of the ERAS protocol in accelerating rehabilitation, shortening the length of hospital stay, and decreasing in-hospital costs among pediatric patients undergoing colorectal surgery. https://library.globalcastmd.com/video/7597 2023-11-08T22:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3012 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3012/thumbnail_3964_2020-09-16_16-00-06.jpg IPEG 2020 TOP ABSTRACT: Crucial steps in in laparoscopic management of torted paraovarian cysts IPEG 2020 Annual Meeting - Top Abstracts CRUCIAL STEPS IN IN LAPAROSCOPIC MANAGEMENT OF TORTED PARAOVARIAN CYSTS. Malgorzata Fryczek; Marcin Ma?lanka; Wojciech Górecki; Department of Pediatric Surgery, of the University Children's Hospital of the Jagiellonian University Medical College in Kraków Identification of paraovarian tumors may be challenging, and result in needless dissection and iatrogenic injury to both ovary and tube. Torted adnexa may change anatomy of the ovary, tube and the paraovarian cyst. Correct identification of the latter is the key to appropriate management and adnexal preservation during surgery. We prefer the following steps for appropriate management of the torted paraovarian cyst. Presenter: Malgorzata Fryczek gosia.grochot@gmail.com facebook.com/gosia.grochot.1 https://d1dnj0gz56dmdu.cloudfront.net/ed04e7fa-1100-487d-9ed5-05614cebb3d6/AppleHLS1/63e9f7ce7a768aa646afd75a3078a065.m3u8 2020-09-16T16:00:06+00:00 9 Medical Education yes IPEG no https://library.globalcastmd.com/video/3651 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3651/thumbnail_3651_2021-02-08_22-01-13.jpg IPEG 2021 Annual Meeting Promo IPEG's 2021 Annual Meeting June 11 & 14, 2021. spaces/2/content/3651/file_4729_2021-02-08_22-01-13.mp4 2021-02-08T22:01:13+00:00 8 Medical Education yes IPEG no https://library.globalcastmd.com/video/8019 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8019/thumbnail_9551_2024-02-26_10-48-34.jpg Jingying Jiang, MD - Best of the Best in Pediatric Surgery 2024 Watch PAPS' Dr. Jingying Jiang’s presentation on “Clinical characteristics and prognosis of biliary atresia with low serum matrix metalloproteinase-7 levels.” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8019/file_9551_2024-02-26_10-48-34.mp4 2024-02-26T10:48:34+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2867 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2867/thumbnail_3814_2020-08-05_16-00-05.jpg IPEG 2020 TOP ABSTRACT: Persistent Müllerian Duct Syndrome (PMDS) type 1 in a 46XY Male. MIS Trick to Preserve both Gonads IPEG 2020 Annual Meeting - Top Abstracts Authors: Emiro Redondo, MD; Pablo D`Alessandro, MD; Marcela Bailez, MD; Children's Hospital Garrahan PMDS is a disorder with persistence of Müllerian duct in 46XY. Cryptorchidism is a usual presenting symptom. Aim: Show a novel MIS technique to preserve both gonads. A 4.9-year-old boy was referred because of the finding of Müllerian structures during a laparoscopic bilateral 1st stage Fowler Stephens procedure. He had a 46XY cariotype, a low AMH and normal testosterone, LH and FSH A rudimentary uterus with symmetrical fallopian tubes, and testis-appearing gonads without a vas were found. Trick: As no spermatic pedicle was available and no vas existed we designed the rigth testicle descent using a flap keeping the right tube which was detached from the uterus and the left one using the whole uterus with the left tube and round ligament pedicle. We managed to move them to the scrotum with good vascular supply. Result: Both testicles present with good size and vascularity in control doppler US. Presenter: Marcela Bailez, MD Email: mariamarcelabailez4@gmail.com https://www.facebook.com/mariamarcela.bailez https://www.youtube.com/channel/UC_VaZq22_cD2kvpO3x9XQtQ?fbclid=IwAR3msFslmubGXrgPwFnLBIhG5TyfkEMLih8xtRfy61UYw8zuDm-VphzYtVE https://www.facebook.com/cesim.garrahan https://www.facebook.com/emiro.redondo https://www.instagram.com/cesim_quirurgico_garrahan https://d1dnj0gz56dmdu.cloudfront.net/3aa7870f-0319-4956-bf3a-244bf1c0af96/AppleHLS1/fbcc1b6f04bba1c12e5d34f39d295719.m3u8 2020-08-05T16:00:05+00:00 7 Medical Education yes IPEG no https://library.globalcastmd.com/video/2936 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2936/thumbnail_3887_2020-08-26_08-00-17.jpg IPEG 2020 Top Abstract: Robotic excision of type IV choledochal cyst with hepaticoduodenostomy IPEG 2020 Annual Meeting - Top Abstracts Authors: Sarah Khalil, MD1; Kyra Folkert, MD1; Michael J Leinwand, MD, FACS, FAAP2; 1Western Michigan University Homer Stryker M.D. School of Medicine; 2Bronson Children's Hospital We present our video of a robotic choledochal cyst excision with choledochoduodenostomy reconstruction. This is an excellent example of the benefits of robotic surgery with its superior visualization and articulating instruments facilitating a complex dissection and anastomosis. The patient is an 8 year-old girl who presented with right upper quadrant pain and weight loss and was found on ultrasound and MRCP to have a type IV choledochal cyst. She did well postoperatively without any complications. A brief review of the relevant literature is also included. As compared to hepaticojejunostomy, hepaticoduodenostomy for reconstruction after excision of type IV choledochal cyst is well supported in the literature. It has been shown to have shorter operative times, a lower risk of postoperative bile leak, and decreased fat malabsorption, without an increased risk of cholangitis. Presenter: Sarah Khalil, MD Email: theleanone@msn.com spaces/2/content/2936/file_3887_2020-08-26_08-00-17.mp4 2020-08-26T08:00:17+00:00 5 Medical Education yes IPEG no https://library.globalcastmd.com/video/9037 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9037/thumbnail_10591_2024-08-19_06-13-02.jpg Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study New article review by Alex Halpern, MD! Full text: https://www.jpedsurg.org/article/S0022-3468(24)00077-0/fulltext Background: Enteral feeding is an essential part of the management of infants with gastroschisis. We hypothesized that exclusive breast milk is associated with improved neonatal outcomes. Methods: We conducted a retrospective review of infants with uncomplicated gastroschisis through the Canadian Pediatric Surgery Network (CAPSNet) and Canadian Neonatal Network (CNN). The primary outcome was time to full enteral feeds. Results: We identified 411 infants with gastroschisis treated at CAPSNet centres from 2014 to 2022. 144 patients were excluded due to gestational age <32 weeks, birth weight <1500 g, other congenital anomalies, or complicated gastroschisis. Of the remaining 267 participants, 78% (n = 209) received exclusive breast milk diet in the first 28 days of life, whereas 22% (n = 58) received supplemental or exclusive formula. Infants who received exclusive breast milk experienced higher time to reach full enteral feeding (median 24 vs 22 days, p = 0.047) but were more likely to have undergone delayed abdominal closure (32% vs 17%, p = 0.03). After adjustment, there were no significant differences between groups in time to reach full enteral feeds, duration of parenteral nutrition, or length of stay. Infants who received supplemental or exclusive formula had a similar risk of necrotizing enterocolitis (4% vs 3%) but were less likely to transition to exclusive breast milk at discharge (73% vs 11%, p < 0.001). Conclusion: Early use of exclusive breast milk in infants with uncomplicated gastroschisis is associated with similar outcomes compared to supplemental or exclusive formula. Patients who received supplemental or exclusive formula were unlikely to transition to exclusive breastfeeding by discharge. https://library.globalcastmd.com/video/9037 2024-08-19T06:13:02+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6852 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/3/content/6852/thumbnail_6852_2023-07-20_04-00-10.jpg Colorectal Quiz Episode 17: Cloaca Part 1 The treatment for cloacal malformations are a great example of collaboration between pediatric colorectal surgery, gynecology, and urology. In today's episode, Dr. Marc Levitt and Dr. Jason Frischer talk to Dr. Richard Wood about the initial workup for these patients. Hosted by Dr. Amanda Jensen and Dr. Hira Ahmad Seminars article: https://pubmed.ncbi.nlm.nih.gov/33288135/    https://library.globalcastmd.com/video/6852 2023-07-20T04:00:10+00:00 2 Medical Education yes Colorectal Channel - Old no https://library.globalcastmd.com/video/7301 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/7301/thumbnail_8791_2023-10-10_16-00-08.jpg How to Care for Your Child’s MiniACE Balloon Device Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to educate and empower you to independently care for your child’s MiniACE device at home. In this video we will review both routine care measures for your child’s device as well as how to exchange the device at home if instructed to do so by your child’s care team. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal/resources-for-families/educational-videos  spaces/8/content/7301/file_8791_2023-10-10_16-00-08.mp4 2023-10-10T16:00:08+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6503 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6503/thumbnail_6503_2023-03-15_22-00-12.jpg Reoperation for a patient with Hirschsprung disease and fecal incontinence Andrea Badillo, M.D., Anil Darbari, M.D., Wilfried Krois, M.D., Carlos Reck, M.D., Shikib Mostamand, M.D., Marc A. Levitt, M.D.  Division of Colorectal & Pelvic Reconstruction, Children's National Hospital  https://childrensnational.org/departments/colorectal  https://d1dnj0gz56dmdu.cloudfront.net/8ebc9278-2ebf-4a61-a054-7083e51dba84/AppleHLS1/a6018a064bbb6a7816bb89a6388c027b.m3u8 2023-03-15T22:00:12+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6765 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6765/thumbnail_6765_2023-06-22_12-00-07.jpg Update Course Rewind: Effects of Mechanical Bowel Prep on SSIs 2022 We are back with another Update Course Rewind video! This time we are presenting you "Effects of Mechanical Bowel Prep on SSIs" with Dr. Paul Jeziorczak from APSA Professional Development Committee. Host: Ellen Encisco https://library.globalcastmd.com/video/6765 2023-06-22T12:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8461 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8461/thumbnail_9996_2024-04-01_12-11-27.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Atsuhisa Fukuta Watch Dr. Atsuhisa Fukuta present on "Intra abdominal graft reduction technique in laparoscopic living-donor hepatectomy." spaces/17/content/8461/file_9996_2024-04-01_12-11-27.mp4 2024-04-01T12:11:27+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/646 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/646/thumbnail_733_2018-11-10_00-05-18.jpg Empyema and Pneumothorax: Update Course 2014 Dr. Dan Ostlie, Division of Pediatric Surgery, American Family Children's Hospital, presents on empyema. His discussion of patient scenarios generating discussion of topics including empyema initial diagnostic evaluation, treatment, chest tube insertion, video assisted thoracoscopic surgery, simple aspiration, and pneumothorax.  spaces/1/content/646/file_733_2018-11-10_00-05-18.mp4 2018-11-10T00:05:18+00:00 10 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/657 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/657/thumbnail_744_2018-11-10_00-05-19.jpg Persistent Abdominal Pain - Median Arcuate Ligament Syndrome: Update Course 2014 Dr. Abdalla E. Zarroug discusses minimally invasive treatment of median arcuate ligament syndrome (MALS). His presentation involves discussion of persistent abdominal pain in adolescents, celiac artery compression syndrome, celiac axis syndrome, appendectomy, cholecystectomy, angiography, and duplex ultrasound. The presentation is followed by a comprehensive panel discussion.  spaces/1/content/657/file_744_2018-11-10_00-05-19.mp4 2018-11-10T00:05:19+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6321 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6321/thumbnail_6321_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - AAP Winner - Shelby Sferra, MD Watch the AAP winner, Shelby Sferra, MD, present her presentation on "Racial and Ethnic Disparities in Outcomes Among Newborns with Congenital Diaphragmatic Hernia: Results from a National Children's Hospital Database." https://library.globalcastmd.com/video/6321 2023-02-01T22:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7113 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7113/thumbnail_8586_2023-09-06_18-00-07.jpg Mucous fistula refeeding in neonates: a systematic review and meta-analysis New article you should know by Cecilia Gigena "Mucous fistula refeeding in neonates: a systematic review and meta-analysis" Authors: Gonzalo Solís-García, Bonny Jasani Full article: https://fn.bmj.com/content/108/5/523# Abstract Background and objective Mucous fistula refeeding (MFR) aims to maximise bowel function when an ostomy is active after abdominal surgery, by introducing the proximal ostomy effluent into the distal mucous fistula to maintain intestinal physiology. The aim of the study was to assess the effectiveness and complications of MFR in neonates following abdominal surgery. Design, setting and interventions Systematic review and meta-analysis of randomised controlled trials and observational studies. PubMed, Embase, Cochrane and CINAHL were searched until June 2022 for studies including neonates with ostomy receiving MFR compared with neonates with ostomy without MFR. Outcomes The primary outcome was duration of parenteral nutrition. Secondary outcomes were time to full enteral feeds, rates of cholestasis, peak total serum bilirubin, sepsis, time to reanastomosis and length of hospital stay. Results A total of 16 observational studies were included (n=623). Compared with comparator group, neonates who received MFR had fewer days of parenteral nutrition (mean difference 37.17 days, 95% CI −63.91 to −10.4, n=244, 5 studies, GRADE: low). In addition, neonates who received MFR had lower rates of cholestasis, shorter time to reach full feeds and shorter hospital stay. Conclusion Low certainty of evidence suggests that MFR is associated with shorter duration of parenteral nutrition in neonates following abdominal surgery and stoma creation. Results of ongoing and future randomised trials may help to corroborate these findings. https://library.globalcastmd.com/video/7113 2023-09-06T18:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13831 2026-08-01 monthly 0.7 01_Marc_Levitt_01 About Dr. Marc Levitt_Introducing Marc_Levitt_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_01 About Dr. Marc Levitt_Introducing Marc_Levitt_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737406356 2026-07-29T23:11:04+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8467 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8467/thumbnail_10002_2024-04-01_13-44-55.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Hiroki Ishii Watch Dr. Hiroki Ishii present on "Robot assisted surgery has advantages over laparoscopic surgery for patients with congenital biliary dilatation weighing 10 kg or less." spaces/17/content/8467/file_10002_2024-04-01_13-44-55.mp4 2024-04-01T13:44:55+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6634 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6634/thumbnail_6634_2023-05-12_18-00-12.jpg Reunión de la Medicina de Emergencia - Controversias en el manejo del asma grave en urgencias Moderado por: Dr. Javier Gonzalez del Rey Tema de discusión: Controversias en el manejo del asma grave en urgencias En esta ocasión los panelistas son: Dr. Javier Benito, Dra. Natalia Paniagua, & Dr. Viviana Pavlicich spaces/17/content/6634/file_8060_2023-05-12_18-00-12.mp4 2023-05-12T18:00:12+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7705 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7705/thumbnail_9218_2023-11-23_00-00-07.jpg Delayed versus early repair of inguinal hernia in preterm infants Another Article you should know by Dr. Cecilia Gigena  "Delayed versus early repair of inguinal hernia in preterm infants: A systematic review & meta-analysis" Authors: Candy SC Choo, Yong Chen, Merrill McHoney Full Article: https://gcmd.co/3uqGGUH Objectives To evaluate the clinical outcomes of herniotomy in preterm infants undergoing early versus delayed repair, the risk factors for complications, and to identify best timing of surgery. Methods Medline, Embase and Central databases were searched from inception until 25 Jan 2021 to identify publications comparing the timing of neonatal inguinal hernia repair between early intervention (before discharge from first hospitalization) and delayed (after first hospitalisation discharge) intervention. Inclusion criteria was preterm infants diagnosed with inguinal hernia during neonatal intensive care unit admission. Results were analyzed using fixed and random effects meta-analysis (RevManv5.4). Results Out of 721 articles found, six studies were included in the meta-analysis. Patients in the early group had lower odds of developing incarceration [odds ratio (OR) 0.43, 95% confidence interval (CI) 0.34–0.55, I2 = 0%, p < 0.001]; but higher risk of post-operative respiratory complications (OR 4.36, 95% CI 2.13–8.94, I2 = 40%, p < 0.001). No significant differences were reported in recurrence rate (OR 3.10, 95% CI 0.90–10.64, I2 = 0%, p = 0.07) and surgical complication rate (OR 0.94, 95% CI 0.18–4.83, I2 = 0%, p = 0.94) between early and delayed groups. Conclusion While early inguinal hernia repair in preterm infants reduces the risk of incarceration, it increases the risk of post-operative respiratory complications compared to delayed repair. Surgeons should discuss the risks and benefits of delaying inguinal hernia repair with the caregivers to make an informed decision best suited to the patient physiology and circumstances. https://library.globalcastmd.com/video/7705 2023-11-23T00:00:07+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/346 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/346/thumbnail_375_2018-09-16_15-21-20.jpg Isotonic maintenance fluid: Practice Gap discussion at Update Course 2018 At the 6th Annual Pediatric Surgery Update Course, Drs Charles Snyder, Craig Lillehei and David Powell discuss the top ten practice gaps of 2018. Here they discuss type of maintenance fluid, emphasizing use of normotonic fluids to reduce risk of hyponatremia in surgical patients. spaces/1/content/346/file_375_2018-09-16_15-21-20.mp4 2018-09-16T15:21:20+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3237 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3237/thumbnail_3237_2020-10-28_05-00-07.jpg IPEG 2020 TOP ABSTRACT: DEVELOPMENT OF AN ORIGINAL DEVICE THAT REPLACES THE LAPAROSCOPIC TOWER IN PEDIATRIC SIMULATORS IPEG 2020 Annual Meeting - Top Abstracts Ruth Kaller, MD; Carolina Millan; Soledad Valverde; Ignacio Diaz Saubidet; Fernando Rabinovich; Rogelio Dominguez; Enrique Buela; Luzia Toselli; Silvana Prodan; Patricio Cieri; Horacio Bignon; Jorge Martinez; Gaston Bellia Munzon; Santiago Callelo; Nicolas Meer; Marcelo Martinez Ferro; Fundacion Hospitalaria Introduction: We present the use of a webcam to replace a laparoscopic tower and allows to dispense of the second operator for training Objective: Validation of a prototype of the endocamera with an integrated light and original support Methods: The endocamera was built using a Logitech®webcam, led lights and a 3Dprinted support. Were used in the MT-BOX1training simulator to perform exercises by surgeons gathered according to their experience in MIS Evaluated with a survey: Collision between the instruments and the camera Lighting, focus, contrast,delay, panoramic vision Range of motion Results: All of them agreed that it was ergonomic, practical and aesthetically acceptable. There was no vision delay in any exercise and the vision was evaluated as “very good”. Range of motion were similar. All of them emphasized the utility of this to perform exercises without other operator Conclusion: The endocamera has proved to be a useful tool to perform exercises Ruth Kaller, MD ruthkaller@gmail.com spaces/2/content/3237/file_4191_2020-10-28_05-00-07.mp4 2020-10-28T05:00:07+00:00 9 Medical Education yes IPEG no https://library.globalcastmd.com/video/749 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/749/thumbnail_853_2018-11-16_00-00-08.jpg VATS H-Type Fistula Repair - Technique Dr. Steven Rothenberg describes his technique for thoracoscopic repair of an H-type tracheoesophageal fistula.  Key steps to the procedure include opening of the apical pleura with a vessel sealer, identification of the esophagus and the trachea, development of a plane between the esophagus and trachea below the fistula, development of a retro-fistula plane, retraction of the fistula with a 2-0 silk suture, division of the fistula with a stapler, coverage of the esophageal staple line with apical fat, and closure of the pleura. spaces/1/content/749/file_853_2018-11-16_00-00-08.mp4 2018-11-16T00:00:08+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9105 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9105/thumbnail_10659_2024-08-30_06-24-11.jpg QUAD #15: Managing A-Frame Deformities with Dr. Matt Smith In this video, we dive into the complexities of tracheal A-frame deformities, a common issue following airway surgeries like tracheostomies or reconstructions. What Are A-Frame Deformities? A tracheal deformity that typically occurs at the site of a previous tracheostomy, affecting about a third of patients with prior airway surgery. Challenges in Airway Sizing: Traditional endotracheal tube sizing is unreliable for A-frame deformities due to the oblong shape of the airway, making it crucial to assess both static and dynamic aspects of the deformity. Symptoms and Progression: Symptoms may take 1-2 years to manifest post-decannulation, often presenting as exercise intolerance, dyspnea, or obstructive sleep apnea. Surgical Interventions: Dr. Smith demonstrates two approaches for treating A-frame deformities—open repair with tracheoplasty or anterior graft placement, and endoscopic resection using a CO2 laser. Case Studies: Real-life examples of successful interventions, including a 6-year-old with campomelic dysplasia and a 12-year-old with subglottic and tracheal stenosis, highlighting the effectiveness of both open and endoscopic procedures. https://library.globalcastmd.com/video/9105 2024-08-30T06:24:11+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7964 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7964/thumbnail_9494_2024-02-07_16-00-13.jpg Janey Pratt, MD and David Lanning, MD - 2024 Pediatric Bariatric Surgery Update Course Janey Pratt and David Lanning, MD presents on “Alternative and Revisional Procedures" at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7964/file_9494_2024-02-07_16-00-13.mp4 2024-02-07T16:00:13+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/735 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/735/thumbnail_834_2018-11-13_00-04-31.jpg Outcomes and Complications in Hirschsprung Disease Dr. Alberto Peña presents complications and cases of Hirschsprung's Disease. Dr. Peña discusses complications post pullthrough, non preventable enterocolitis, and constipation complications. Dr. Rintala presents on the outcomes of Hirschsprung's disease in adults. He discusses the functional outcomes of Hirschsprung's Disease, bowel function score, GIGLI score, and aganglionosis. Dr. de la Torre presents pole questions audience members regarding a case. Other topics discussed include suction rectal biopsy, anorectal malformation, anal dilation, and contrast enema.  spaces/1/content/735/file_834_2018-11-13_00-04-31.mp4 2018-11-13T00:04:31+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13836 2026-08-01 monthly 0.7 Keynote_speech_by_DR._Marc_Levitt_july_2022.mov This is "Keynote_speech_by_DR._Marc_Levitt_july_2022.mov" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/742359792 2026-07-29T23:11:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10865 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/10865/f4a53b9c676ff31850adadf392802c3b.jpg Enhancing Urethral Meatus Creation in Cloacal Malformations: A New Technique Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org) spaces/8/content/10865/cf37e3e90eddcb868c53e92f92911bb6.mp4 2025-08-25T09:23:05+00:00 colorectal colorectalsurgery cloaca cloacalmalformations cloacalmalformation urology levitt drlevitt drmarclevitt marclevitt Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8629 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8629/thumbnail_10171_2024-05-16_09-17-52.jpg What Proportion of Children With Complex Oesophageal Atresia Require Oesophageal Lengthening Procedures? New article you should know from the Journal of Pediatric Surgery,  Summarized by Kim Priban RN Made possible by @cincychildrens#SoMe4PedSurg Full Article- "What Proportion of Children With Complex Oesophageal Atresia Require Oesophageal Lengthening Procedures?" Phillips L et al. Link-  What Proportion of Children With Complex Oesophageal Atresia Require Oesophageal Lengthening Procedures? Authors: Laura Phillips, Bruce Jaffray Full article:  DOI: 10.1016/j.jpedsurg.2023.10.014 Background Babies with oesophageal atresia (OA) who cannot achieve a primary anastomosis (complex OA) may be treated by attempted oesophageal lengthening. We contrast reported outcomes of lengthening with our experience of managing complex OA. Methods A consecutive series treated in an English regional centre was completed. Outcomes of interest were the rate of retention of the native oesophagus, complications requiring thoracotomy, rates of anastomotic leak, stricture, fundoplication, and mortality. Possible explanatory variables were the surgical techniques applied. Results 29/215 (13%) OA were complex, and 25/207 survived to repair. 14/25 (56%) had no distal fistula, pure OA, while 11/25 (44%) had a long gap with distal fistula. 18/25 (72%) had delayed primary anastomosis, while 7/25 (28%) required oesophageal replacement. However, 2 of the replacements were salvage procedures following failed traction. Only 4/207 (2%) of OA were potentially treatable by traction. Salvage surgery was required in 2/23 (9%) complex OA not subjected to lengthening. The native oesophagus was retained without utilising lengthening in 200/207 (97%). Amongst complex OA where traction techniques had not been attempted, the native oesophagus was retained in 18/23 (78%) of cases, with median time to oesophageal continuity of 77 days. There was no in hospital mortality following treatment of complex OA, and overall survival was identical to non-complex OA among cases surviv https://library.globalcastmd.com/video/8629 2024-05-16T09:17:52+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9732 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9732/thumbnail_11295_2025-01-30_05-30-41.jpg Quick Literature Updates Episode 16 We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/36805142/ Brandt K, Dukleska K, McKeown M, Brancato J, Grossi V, Schoem S, Sacco T, D'Amato J, Bourque MD, Campbell BT. Utilizing a critical airway response team expedites esophageal button battery removal. J Pediatr Surg. 2023 May;58(5):810-813. doi: 10.1016/j.jpedsurg.2023.01.037. Epub 2023 Jan 19. PMID: 36805142. https://pubmed.ncbi.nlm.nih.gov/38413262/ Hodgson E, Briatico D, Klapman S, Skarsgard E, Beltempo M, Shah PS, Huisman E, Walton JM, Livingston MH; Canadian Association of Pediatric Surgeons Network (CAPSNet) and Canadian Neonatal Network (CNN) investigators. Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study. J Pediatr Surg. 2024 May;59(5):863-868. doi: 10.1016/j.jpedsurg.2024.01.045. Epub 2024 Feb 3. PMID: 38413262. https://pubmed.ncbi.nlm.nih.gov/36494205/ Lai K, Notrica DM, McMahon LE, Kang P, Molitor MS, Egan JC, Bae JO, Hunteman ZM, Ostlie DJ, Lee JH, Padilla BE. Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use. J Pediatr Surg. 2023 Aug;58(8):1435-1439. doi: 10.1016/j.jpedsurg.2022.10.051. Epub 2022 Nov 7. PMID: 36494205. https://library.globalcastmd.com/video/9732 2025-01-30T05:30:41+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8110 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8110/thumbnail_9643_2024-03-27_06-31-26.jpg International Consensus Criteria for Pediatric Sepsis and Septic Shock New article you should know selected by the Chilean Society of Pediatric Surgeons summarized by Dr. Cecilia Gigena "International Consensus Criteria for Pediatric Sepsis and Septic Shock" Authors: Luregn J. Schlapbach, MD, PhD; R. Scott Watson, MD, MPH; Lauren R. Sorce, PhD, RN; Andrew C. Argent, MD, MBBCh, MMed; Kusum Menon, MD, MSc; Mark W. Hall, MD; Samuel Akech, MBChB, MMED, PhD; David J. Albers, PhD; Elizabeth R. Alpern, MD, MSCE; Fran Balamuth, MD, PhD, MSCE; Melania Bembea, MD, PhD; Paolo Biban, MD; Enitan D. Carrol, MBChB, MD; Kathleen Chiotos, MD; Mohammod Jobayer Chisti, MBBS, MMed, PhD; Peter E. DeWitt, PhD; Idris Evans, MD, MSc; Cláudio  Flauzino de Oliveira, MD, PhD; Christopher M. Horvat, MD, MHA; David Inwald, MB, PhD; Paul Ishimine, MD; Juan Camilo Jaramillo-Bustamante, MD; Michael Levin, MD, PhD; Rakesh Lodha, MD; Blake Martin, MD; Simon Nadel, MBBS; Satoshi Nakagawa, MD; Mark J. Peters, PhD; Adrienne G. Randolph, MD, MS; Suchitra Ranjit, MD; Margaret N. Rebull, MA; Seth Russell, M; Halden F. Scott, MD; Daniela Carla de Souza, MD, PhD; Pierre Tissieres, MD, DSc; Scott L. Weiss, MD, MSCE; Matthew O. Wiens, PharmD, PhD; James L. Wynn, MD; Niranjan Kissoon, MD; Jerry J. Zimmerman, MD, PhD; L. Nelson Sanchez-Pinto, MD; Tellen D. Bennett, MD, MS; for the Society of Critical Care Medicine Pediatric Sepsis Definition Task Force Ful article: https://gcmd.co/3xaLrTC Importance   Sepsis is a leading cause of death among children worldwide. Current pediatric-specific criteria for sepsis were published in 2005 based on expert opinion. In 2016, the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) defined sepsis as life-threatening organ dysfunction caused by a dysregulated host response to infection, but it excluded children. Objective   To update and evaluate criteria for sepsis and septic shock in children. Evidence Review   The Society of Critical Care Medicine (SCCM) convened a task force of 35 pediatric e https://library.globalcastmd.com/video/8110 2024-03-27T06:31:26+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6484 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6484/thumbnail_6484_2023-03-14_22-00-12.jpg Rectal Prolapse in Anorectal Malformations Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/bea387eb-1000-48a8-85fa-40c38ec1a47e/AppleHLS1/3b42a42fb7d174898803988b4904a005.m3u8 2023-03-14T22:00:12+00:00 9 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/3584 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3584/thumbnail_3584_2021-01-25_22-00-53.jpg Sacral Nerve Stimulator Placement: A Novel Surgical Navigation Tool for Complex Anatomy This video demonstrates an image-guided technique for sacral nerve stimulator insertion by Dr. Jason Frischer at Cincinnati Children's Hospital Medical Center in Cincinnati, OH. This type of neuromodulation is used as an adjunct in the management of bowel and urinary retention and incontinence. This video was presented at the American Pediatric Surgical Association Annual Meeting 2019 in Boston, MA. https://d1dnj0gz56dmdu.cloudfront.net/28d107d2-fcde-49fd-828a-538915777a43/AppleHLS1/a56d3ecfb66220c23297e7c84b42d362.m3u8 2021-01-25T22:00:53+00:00 6 Medical Education yes IPEG no https://library.globalcastmd.com/video/6777 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6777/thumbnail_6777_2023-07-06_16-00-11.jpg Update Course Rewind: Firearm Advocacy as a Pediatric Surgeon 2022 For the first time in recorded history, firearm injuries in children have exceeded motor vehicle crashes. The deaths from suicide and homicide are both on the rise, particularly and very young. In this Update Course Rewind video, we are presenting you " Firearm Advocacy as a Pediatric Surgeon" with Dr. Marion Henry from University of Chicago. Host: Todd Ponsky, MD Register for #UpdateCourse2023 (Aug 28) here https://globalcastmd.wufoo.com/forms/zcvbzfd1xref8x/ https://library.globalcastmd.com/video/6777 2023-07-06T16:00:11+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6340 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6340/thumbnail_6340_2023-02-06_16-00-12.jpg BOB Ped Surg 2023 - Tran Ngoc Son, WOFAPs - Presentation Watch Tran Ngoc Son, MD, present his presentation on "Single incision laparoscopic percutaneous extraperitoneal closure of processus vaginalis without hydrocelectomy in management of primary hydrocele in children." https://library.globalcastmd.com/video/6340 2023-02-06T16:00:12+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10574 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10574/97049f30e2e904c744eaebeab34d1922.jpg Update Course Rewind: Part 1 Non-Pectus Uses of Cryoanalgesia 2024 In this engaging session from the 12th Annual Update Course in Pediatric Surgery, Dr. Timothy Lautz explores the expanding role of cryoanalgesia in pediatric thoracotomy beyond pectus repair. As more institutions embrace this technique, Dr. Lautz breaks down its use, safety, and clinical advantages for thoracotomy pain control. Key Highlights: Beyond Pectus Repair: While commonly used for pectus excavatum, cryoanalgesia is now being applied in thoracotomy cases to improve postoperative recovery. How It Works: Temporary nerve blockade is achieved by freezing the intercostal nerves, reducing or eliminating the need for epidurals and long-term opioids. Safety & Recovery: The procedure is safe, repeatable, and allows even small children to benefit from reduced pain and faster recovery timelines. Clinical Implementation: Dr. Lautz offers insight into when and how his team applies cryo, including tips for technique, timing, and avoiding complications. This talk underscores the value of multidisciplinary collaboration and highlights how surgical innovation can reduce patient discomfort and streamline recovery. https://library.globalcastmd.com/video/10574 2025-06-18T09:07:10+00:00 1 cryoanalgesia update course update course rewind update course 2024 pediatric thoracotomy Pectus repair pain control pectus excavatum postoperative recovery intercostal nerves Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9458 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9458/thumbnail_11014_2024-11-26_11-32-51.jpg QUAD #22: What is CHARGE syndrome? with Dr. Catherine Hart In this educational video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, provides an overview of CHARGE syndrome, a rare genetic disorder that affects multiple organ systems. Learn about its diagnosis, clinical features, and the comprehensive care required for patients with this condition. Key Highlights: What is CHARGE Syndrome? The acronym stands for coloboma, heart defects, atresia of the choanae, retardation of growth and development, genital/urinary anomalies, and ear malformations. Causes and Diagnosis: CHARGE is typically caused by a CHD7 mutation on chromosome 8 but can also be diagnosed clinically with specific major and minor criteria. Multisystem Impact: The syndrome’s highly variable expression means it can affect almost every organ system, requiring coordinated care. Care through an Aerodigestive Center: The Aerodigestive Center at Cincinnati Children’s ensures comprehensive management of airway, feeding, and developmental challenges. Learn how Cincinnati Children’s provides expert care for patients with CHARGE syndrome, helping them overcome complex challenges and improve quality of life. Don’t forget to like, comment, and subscribe for more pediatric insights! https://library.globalcastmd.com/video/9458 2024-11-26T11:32:51+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6320 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6320/thumbnail_6320_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - CIPESUR Winner - Georgina Falcioni, MD Watch the CIPESUR winner, Georgina Falcioni, MD, present her presentation on "Comparative effectiveness of Telesimulation vs standard simulation for MIS essential skills training." https://library.globalcastmd.com/video/6320 2023-02-01T22:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6115 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6115/thumbnail_6115_2022-11-16_22-00-07.jpg Does every CPAM prenatally diagnosed need surgery? New article you should know! by Cecilia Gigena "The natural history of prenatally diagnosed congenital pulmonary airway malformations and bronchopulmonary sequestrations" Matilda Karlsson https://bit.ly/3B2KCfv. Full article: https://www.jpedsurg.org/article/S0022-3468(22)00253-6/fulltext #SoMe4PedSurg #pedsurg Journal of Pediatric Surgery Abstract Background The natural history of congenital pulmonary airway malformations (CPAM) and bronchopulmonary sequestrations (BPS) is not fully understood, and the management of the newborn with an asymptomatic lesion is a controversial issue. We aimed to study the natural history and outcome of CPAM/BPS at our institution with a policy of watchful waiting, and to investigate if any prognostic factors in the pre- and/or postnatal- period may predict the need for surgery. Material and methods A retrospective review study was conducted of children prenatally diagnosed with CPAM and/or BPS during the 18-year period, from 2002 to 2020. Data from the pre and postnatal period was collected and analysed. Results Sixty- six patients with prenatally observed lung lesions were entered in the study, with an overall survival rate of 94%. Fifty-six percent of the lesions decreased in size during gestation. Thirty-one percent had surgery and 69% could be managed conservatively with a median follow-up of 4 years. Nineteen percent developed symptoms after the neonatal period. Children with a presence of mediastinal shift on postnatal imaging (p = 0.003), with a high CVR (p = 0.005) and a large lesion size during gestation (p = 0.014) were significantly more likely to require surgery. Conclusion Prenatal regression is common among prenatally diagnosed CPAM/BPS and the majority of children that are asymptomatic beyond the neonatal period will remain asymptomatic throughout their childhood. Future analysis with a longer follow-up might give new insights in order to identify children at risk of developing symptoms https://d1dnj0gz56dmdu.cloudfront.net/6e450be9-9799-4441-83d1-5d673eaeeade/AppleHLS1/a4de960ce47b78a141baf63b46473da7.m3u8 2022-11-16T22:00:07+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8867 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8867/thumbnail_10419_2024-07-16_08-43-16.jpg Update Course Rewind - Who to send home from the OR #3 - Pyloromyotomy We're back with another Update Course Rewind! This time we have Who to send from the OR?: #Pyloromyotomy with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji & Phillip Ben Ham. https://library.globalcastmd.com/video/8867 2024-07-16T08:43:16+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/325 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/325/thumbnail_351_2018-09-14_23-19-59.jpg Challenging Dogma: Does Colostomy Type Matter? Dr. Todd Ponsky reviews the article "loop versus divided colostomy for the management of anorectal malformations: a systematic review and meta-analysis," by Dr. Fouad Youssef, Dr. Baird and colleagues at The Montreal Children's Hospital of the McGill University Health Centre, Montreal, Quebec.DOI: doi: 10.1016/j.jpedsurg.2017.01.044 https://library.globalcastmd.com/video/325 2018-09-14T23:19:59+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6343 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6343/thumbnail_6343_2023-02-06_16-00-12.jpg BOB Ped Surg 2023 - Steven Scoville, IPSO - Presentation Watch Steven Scoville MD, present his presentation on "Comparison of outcomes between surveillance ultrasound and completion lymph node dissection in children and adolescents with sentinel lymph node positive cutaneous melanoma." https://library.globalcastmd.com/video/6343 2023-02-06T16:00:12+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6270 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6270/thumbnail_6270_2023-01-11_18-00-07.jpg Anti-reflux surgery in children with congenital diaphragmatic hernia - JPS article "Anti-reflux surgery in children with congenital diaphragmatic hernia: A prospective cohort study on a controversial practice" Montalva et al, JPS Full article: https://www.jpedsurg.org/article/S0022-3468(22)00323-2/fulltext Video: Ellen Encisco https://library.globalcastmd.com/video/6270 2023-01-11T18:00:07+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6478 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6478/thumbnail_6478_2023-03-14_22-00-11.jpg Rectal Stenosis Victoria A. Lane, Richard J. Wood, Marc A. Levitt  Video Credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/c4166e8c-c863-4ae1-ab40-55b41d8d1d27/AppleHLS1/3e274f7823b0f2e21c9562f8e9db877a.m3u8 2023-03-14T22:00:11+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6173 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/15/content/6173/thumbnail_6173_2022-11-30_18-00-05.jpg Closing remark & acknowledgement Closing remark & acknowledgement (Prof Long LI) https://library.globalcastmd.com/video/6173 2022-11-30T18:00:05+00:00 channel#capital_institute_of_pediatrics_beijing_china Medical Education yes Capital Institute of Pediatrics, Beijing China no https://library.globalcastmd.com/video/674 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/674/thumbnail_674_2018-11-10_00-05-20.jpg Congenital Diaphragmatic Hernia: Update Course 2015 Dr. Mark Wulkan presents on congenital diaphragmatic hernias. Dr. Wulkman discusses pulmonary hypertension management, technique used to repair congenital diaphragmatic hernias, right diaphragmatic hernia, CDH patch repair and the types of patches used, complications with MIS versus OPEN repair, VV ECMO versus VA ECMO, repair timing -beofre or after ECMO and the type of repair.  https://d1dnj0gz56dmdu.cloudfront.net/5a63332c-d90b-4611-ab9d-cc39678f0477/AppleHLS1/928cfdd9cc35f7c435076dfd0daaa412.m3u8 2018-11-10T00:05:20+00:00 5 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6579 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6579/thumbnail_6579_2023-04-19_16-00-08.jpg El cuidado perioperatorio estandarizado reduce las infecciones del sitio quirúrgico en niños Nuevo articulo que tenes que conocer por l Dr. Carlos Colunga "El cuidado perioperatorio estandarizado reduce las infecciones del sitio quirúrgico en niños" Joseph Tobias et.al. Articulo completo: https://www.jpedsurg.org/article/S0022-3468(22)00624-8/fulltext   https://library.globalcastmd.com/video/6579 2023-04-19T16:00:08+00:00 4 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6570 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6570/thumbnail_6570_2023-04-13_16-00-12.jpg The Value and Weaknesses of Medical Mission Work in ARM Video Credit: Dr. Carlos Reck, Producer  spaces/8/content/6570/file_7996_2023-04-13_16-00-12.mp4 2023-04-13T16:00:12+00:00 2 channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/13838 2026-08-01 monthly 0.7 01_Marc_Levitt_07 To all Ministers of Health_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_07 To all Ministers of Health_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737413683 2026-07-29T23:11:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7857 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7857/thumbnail_9385_2023-12-29_08-00-05.jpg Update Course Rewind: Perineal Body Sparing PSARP 2023   Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Perineal Body Sparing PSARP". Joining the discussion are Drs. Steven Lee, Caitlin Smith and Julia Grabowski. Host: Em Gootee, MD References: https://pubmed.ncbi.nlm.nih.gov/36356590/ Badillo A, Tiusaba L, Jacobs SE, Al-Shamaileh T, Feng C, Russell TL, Bokova E, Sandler A, Levitt MA. Sparing the Perineal Body: A Modification of the Posterior Sagittal Anorectoplasty for Anorectal Malformations with Rectovestibular Fistulae. Eur J Pediatr Surg. 2023 Dec;33(6):463-468. doi: 10.1055/a-1976-3611. Epub 2022 Nov 10. PMID: 36356590. https://pubmed.ncbi.nlm.nih.gov/36592252/ Ostertag-Hill CA, Nandivada P, Dickie BH. Saving the perineal body-A modification of the posterior sagittal anorectoplasty. Pediatr Surg Int. 2023 Jan 2;39(1):71. doi: 10.1007/s00383-022-05350-5. PMID: 36592252.   https://library.globalcastmd.com/video/7857 2023-12-29T08:00:05+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7863 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7863/thumbnail_9391_2024-01-04_00-00-06.jpg Impacto de la Crioanalgesia durante la reparación del Pectus Excavatum en la estadia hospitalaria y los costos en la población pediátrica Otro artículo que tenes que conocer de JPS por la Dra. Cecilia Gigena "Impacto de la Crioanalgesia durante la reparación del Pectus Excavatum en la estadia hospitalaria y los costos en la población pediátrica" Autores: Brittany N. Hegde, Elenir Avritscher, Seyed A. Arshad, Elisa I. Garcia, Nutan B. Hebballi, Maryam Broussard, KuoJen Tsao Articulo completo: https://gcmd.co/3S4NBMB Introducción La reparación quirúrgica del pectus excavatum es un procedimiento doloroso que requiere un control del dolor multimodal con una estancia hospitalaria históricamente prolongada. Este estudio tuvo como objetivo evaluar el impacto de la crioanalgesia durante la reparación mínimamente invasiva del pectus excavatum (MIRPE) en los días de hospitalización (HD), los costos hospitalarios totales (HC) y las complicaciones. Nuestra hipótesis es que la crioanalgesia se asociaría con una reducción de las HD y de las HC totales sin un aumento de las complicaciones posoperatorias. Métodos Realizamos una revisión retrospectiva de pacientes pediátricos que se sometieron a MIRPE de 2011 a 2021. Se resumieron los detalles de MIRPE y los resultados posoperatorios dentro de los 90 días. Las HD totales incluyeron el índice MIRPE de ingresos y reingresos dentro de los 90 días. Los HC se obtuvieron del sistema de contabilidad del hospital, ajustando retroactivamente la inflación médica. Se utilizaron modelos lineales generalizados bayesianos con previo neutral asumiendo que no hay efecto. Las diferencias entre los grupos de tratamiento se evaluaron mediante distribución gamma (HD y HC) y Poisson (complicaciones posoperatorias). Todos los modelos utilizaron un enlace de registro y controlaron la edad, el sexo, la raza y el índice de Haller. Resultados Cuarenta y cuatro pacientes se sometieron a MIRPE durante el período de estudio. Se utilizó crioanalgesia en 29 (66%) pacientes. La probabilidad de una reducción con crioanalgesia frente a ninguna crioanalgesia fue del 99 % para los H spaces/14/content/7863/file_9391_2024-01-04_00-00-06.mp4 2024-01-04T00:00:06+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/3077 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3077/thumbnail_4030_2020-09-30_05-00-07.jpg IPEG 2020 Top Abstract: Laparoscopic Left Mesocolic Hernia Repair IPEG 2020 Annual Meeting - Top Abstracts Phillip B Ham, MD, MS; Nicholas Georgalas, MD; Kathryn Bass, MD, MBA; Oishei Children's Hospital Purpose: Left mesocolic hernias are congenital internal hernias that most commonly present in adulthood and have historically been treated mostly with open repair. We report a case of a pediatric patient who underwent laparoscopic repair. Case Presentation: A 15 year old male presented with sudden acute abdominal pain and bilious vomiting, with a history of chronic abdominal pain. Imaging was concerning for an internal hernia despite no history of surgery. He underwent diagnostic laparoscopy with laparoscopic repair of a left mesocolic (paraduodenal) hernia. He did well postoperatively and was discharged postoperative day two. Discussion: While there are only a few reports of laparoscopic approaches for left mesocolic hernias in children, it allows for confirmation of diagnosis and effective treatment with minimal morbidity. Early discharge is feasible with this approach as well as excellent pain control and cosmesis. Conclusion: Laparoscopic left mesocolic hernia repair in pediatric patients is a safe and effective approach that may offer less morbidity, pain, and earlier discharge than an open approach. Presenter: Phillip B Ham, MD, MS pbenhamiii@gmail.com @BensonHam https://d1dnj0gz56dmdu.cloudfront.net/c81e81ee-5fee-4733-b851-b8b7b0e68f50/AppleHLS1/a693d0fa3ec91a29b309db2ba06d1f34.m3u8 2020-09-30T05:00:07+00:00 15 Medical Education yes IPEG no https://library.globalcastmd.com/video/5875 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5875/thumbnail_5875_2022-09-19_18-00-07.jpg Artificial Intelligence Applications in Healthcare - Transforming Healthcare, Episode 7, Part 2 In a previous video we introduced the concept of artificial intelligence aka AI. In this video we’ll discuss the way to apply AI in healthcare with some examples. Here’s what you need to know in a nutshell! Host: Em Tombash, MD Currently, roles for AI in medical settings mostly for clinical decision support and imaging analysis. While clinical decision support tools help providers make decisions about treatments, medications, mental health and other patient needs; AI tools are being used to analyze CT scans, x-rays, MRIs in medical imaging. But AI has so much more to give healthcare. https://www.ibm.com/case-studies/innocens-bv-ai A healthcare startup, Innocens BV uses predictive AI to identify infants at risk of developing sepsis by up to several hours, which creates a higher chance for a better outcome for these infants. Neonatologist Dr. David Van Laere who is the Founder of Innocens BV explains their product “The edge computing solution we developed—which uses real-time data from medical sensors and runs on IBM Cloud—reduces the time required to identify at-risk infants by up to several hours. And the fact that it’s 75% accurate in detecting severe sepsis, generating less than one false alarm per week, keeps doctors focused on where it matters most.” Harvard University’s teaching hospital doctors developed AI-enhanced microscopes to scan for harmful bacterias like E. coli and staphylococcus in blood samples at a faster rate than is possible using manual scanning. 25,000 images of blood samples are being used by scientists to teach the machines how to search for bacteria. Now the machines know how to identify and predict harmful bacteria in blood with 95 percent accuracy. Johns Hopkins Hospital uses predictive AI techniques to improve the efficiency of patient operational flow. With some help, AI quickly prioritized hospital activity to benefit patients. Since implementing the program, the facility has assigned patients admitted to the emerge https://library.globalcastmd.com/video/5875 2022-09-19T18:00:07+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10426 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10426/11e6937d38cdca502a56495ab7f50431.jpg Anastomotic Leak and its implications: a multicenter analysis of Type C esophageal atresia TEF Ankur Datta, Karna Murthy, Isabella Zaniletti, Yigit Guner , Michael A Padula, Theresa R Grover, Benjamin Zendejas, Shawn D St Peter,Jose Diaz-Miron, Mark Speziale, Jacquelyn R Evans, Loren Berman Purpose Repair of type C esophageal atresia with tracheo-esophageal fistula (EA/TEF) may be complicated by esophageal anastomotic leak. Risk factors associated with leak and the impact of leak on inpatient outcomes remains uncertain. Our objectives are to estimate the associations between clinical factors and esophageal anastomotic leak and quantify the association of leak with length of stay (LOS) in infants who underwent repair of type C EA/TEF. Methods Using the Children’s Hospitals Neonatal Database (CHND), we identified infants with type C EA/TEF from 2021 to 2023. The main outcomes were anastomotic leak and LOS. Multivariable associations between patient and clinical factors and these outcomes were quantified using logistic regression (leak) and Cox proportional hazards modelling (LOS). Results Among 365 infants at 36 centers, anastomotic leak occurred in 55 (15.1 %) infants, and thoracoscopic approach, lower birthweight, small for gestational age less than 10th percentile, male sex, staged repair, ventricular septal defect, and center were independently associated with leak (area under receiver operating curve = 0.853). Also, LOS was increased in infants with leak compared to those without [hazard ratio (HR): 0.655, 95 % CI = 0.431–0.996, p = 0.044], independent of birth weight, surgical approach, male sex, or VSD. The adjusted LOS demonstrated a 11-fold inter-center variation (p = 0.034). Conclusions Several clinical and operative factors are associated with esophageal anastomotic leak in infants after type C EA/TEF repair. Leak significantly prolongs LOS. The magnitude of inter-center variability in LOS also suggests that identifying best practices could aid in improving patient care in this patient population. https://library.globalcastmd.com/video/10426 2025-04-29T08:15:58+00:00 1 channel#pediatric_surgery Lizzy Lee neonate anastomosis congenital anomaly EA/TEF pedsurg surgery SoMe4PedSurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6118 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6118/thumbnail_6118_2022-11-16_22-00-08.jpg Polyposis Syndromes: Familial Adenomatous Polyposis Join Dr. Joseph Palermo for a review of Familial Adenomatous Polyposis syndromes. This stay current short belongs to a collection of Pediatric Polyposis Syndrome videos, which can be found on the StayCurrent App.  spaces/1/content/6118/file_7538_2022-11-16_22-00-08.mp4 2022-11-16T22:00:08+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7599 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7599/thumbnail_9112_2023-11-10_16-00-07.JPG Quality of life in relation to eating in children and adults born with esophageal atresia - ERNICA Research Collaboration The title of this webinar is: Eat to live, or live to eat? - Quality of life in relation to eating in children and adults born with esophageal atresia. This interactive webinar will explore quality of life in relation to eating in both children and adults with esophageal atresia, drawing on qualitative and quantitative findings, cultural and cross-country differences and patient perspectives. It will explore implications for future research. The moderator of this webinar will be Dr. Jens Dingemann (Medizinische Hochschule Hannover, DE). Dr. Michaela Dellenmark Blom (The Queen Silvia Children’s Hospital and Department of Women’s and Children’s Health, Karolinska Institute, Stockholm, SE) will focus on quality of life in relation to eating in children with esophageal atresia. Dr. Andre Rietman (Erasmus MC, Rotterdam, NL) will focus on quality of life in relation to eating in adults with esophageal atresia. Anke Widenmann (The Federation of Esophageal Atresia and Tracheo-Esophageal Fistula support groups (EAT) and KEKS Germany) will draw on the patient perspective. Questions? Reach out to ern-ernica@erasmusmc.nl. spaces/7/content/7599/file_9112_2023-11-10_16-00-07.mp4 2023-11-10T16:00:07+00:00 channel#eupsa research Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/6741 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6741/thumbnail_6741_2023-06-16_16-00-16.jpg Care Following a Pull-Through Procedure for a Child with Hirschsprung Disease Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to make you feel confident and comfortable caring for your child after they have had surgery to treat their Hirschsprung Disease. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal spaces/8/content/6741/file_8189_2023-06-16_16-00-16.mp4 2023-06-16T16:00:16+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/7778 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7778/thumbnail_9293_2023-12-13_16-00-07.jpg Peripherally inserted central catheters can be an alternative to tunneled central venous catheters in chemotherapy for hematological and oncological pediatric patients New article you should know by Dr. Cecilia Gigena  "Peripherally inserted central catheters can be an alternative to tunneled central venous catheters in chemotherapy for hematological and oncological pediatric patients" Authors: Yuko Kamata, Yuki Mizuno, Kentaro Okamoto, Shota Okamoto, Yoshifumi Ito, Aya Nishigata  Full article: https://link.springer.com/article/10.1007/s00383-023-05545-4 Purpose Tunneled central venous catheters (TCVs) are commonly used for pediatric chemotherapy. Recently, peripherally inserted central catheters (PICCs) have been used instead. Although PICC has the advantages of simpler insertion and fewer severe complications, there is little information on the efficacy of PICC compared to TCV in pediatric chemotherapy. Methods Patients, aged younger than 18 years, with primary malignancy who received chemotherapy with PICC or TCV at our institution from December 2007 to August 2022 were included in the study. We retrospectively compared PICC and TCV using medical records. Results Within the observation period, 133 catheters (73 PICCs and 60 TCVs) were inserted. The median indwelling time was 99 days for PICCs and 182 days for TCVs, with TCVs being significantly longer (p < 0.001). There were no significant differences in the incidence of complications, such as infections, thrombosis, obstruction, or mechanical accidents. Comparing patients treated with PICC (PICC group) versus those with TCV (TCV group), the time from diagnosis to insertion was significantly shorter in the PICC group (p < 0.001). In the PICC group, none of the patients required general anesthesia, and chemotherapy was completed with PICC only. Conclusion PICC can be an alternative to TCV in pediatric chemotherapy. spaces/1/content/7778/file_9293_2023-12-13_16-00-07.mp4 2023-12-13T16:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8013 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8013/thumbnail_9545_2024-02-26_10-32-35.jpg Heat 2 Winner: Matthew Urichuk, PhD - Best of the Best in Pediatric Surgery 2024 Watch the voting from the first heat!  Presentations from heat two: Bailey Roberts, MD: Extracellular vesicles from metastatic osteosarcoma contribute to creation of a pre-metastatic nich. Dominique Simons, MSc: Multimodal 3-D visualization of pediatric neuroblastoma: Aiding surgical planning beyond anatomical information Yuichiro Miyake, MD: Using microinjection for drug delivery with nanoparticles in lung explants to study prenatal treatment of congenital diaphragmatic hernia Matthew Urichuk, PhD: Individuals with thoracoabdominal congenital surgical anomalies are at increased risk of adverse mental health outcomes: a longitudinal retrospective cohort study. Second Heat Winner: Matthew Urichuk, PhD: Individuals with thoracoabdominal congenital surgical anomalies are at increased risk of adverse mental health outcomes: a longitudinal retrospective cohort study. spaces/17/content/8013/file_9545_2024-02-26_10-32-35.mp4 2024-02-26T10:32:35+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9143 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9143/thumbnail_10697_2024-09-11_01-24-55.jpg The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial Assad Ameer, Muhammad Bilal Mirza, Nabila Talat Background: Patients undergoing stoma reversal may experience surgical site infections and poor scarring. A purse-string closure approach may lower the incidence of surgical site infections due to its inherent ability to drain wound exudates. This study compared the frequency of surgical site infections and the cosmetic outlook of the scar among patients undergoing stoma reversal with linear and purse-string skin closure techniques. Setting and duration: Department of Pediatric Surgery, University of Child Health Sciences Lahore with a duration of one year (June 2021 to June 2022). Methods: This randomized controlled trial (TCTR20210417001) was conducted with IRB approval. A total of 124 patients undergoing stoma reversal were randomly assigned to two groups (62 in each): Group A received conventional linear skin closure, while Group B received purse-string wound closure. The study evaluated surgical site infection, cosmetic outcome, and length of stay. Results: Both groups had similar age, gender ratio, indication for surgery, and length of stay. The purse-string group had a significantly lower incidence of SSI (38.7 % vs. 14.5 %; p = 0.002) and better scar quality (Manchester scar scale showed 'good' scar quality in 63 % of patients vs. 22.6 % in the linear closure group, p-value <0.0001). Conclusion: The purse-string technique for skin closure resulted in fewer surgical site infections and improved scar appearance. spaces/1/content/9143/file_10697_2024-09-11_01-24-55.mp4 2024-09-11T01:24:55+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9421 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9421/thumbnail_10977_2024-11-13_14-24-08.jpg Venous Thromboembolism Prophylaxis in High-Risk Pediatric Trauma Patients Amanda B. Witte; Kyle Van Arendonk; Carisa Bergner; Martin Bantchev; Richard A. Falcone Jr; Suzanne Moody; Heather A. Hartman; Emily Evans; Rajan Thakkar; Kelli N. Patterson; Peter C. Minneci; Grace Z. Mak; Mark B. Slidell; MacKenton Johnson; Matthew P. Landman; Troy A. Markel; Charles M. Leys; Linda Cherney Stafford; Jessica Draper; David S. Foley; Cynthia Downard; Tracy M. Skaggs; Dave R. Lal; David Gourlay; Peter F. Ehrlich.   Question:  Does the application of high-risk guidelines allow for safe and appropriate administration of venous thromboembolism (VTE) prophylaxis following pediatric trauma? Design, Setting, and Participants:  This cohort study was completed between October 2019 and October 2022 in 8 free-standing pediatric hospitals designated as American College of Surgeons level I pediatric trauma centers. Participants were pediatric trauma patients younger than 18 years who met defined high-risk criteria on admission. It was hypothesized that cVTE would be safe and reduce the incidence of VTE. Findings:  In this cohort study applying high-risk criteria to guide VTE prophylaxis, more than half of patients received prophylaxis without any documented bleeding complications. Increased time to prophylaxis initiation was significantly associated with increased likelihood of developing VTE. spaces/1/content/9421/file_10977_2024-11-13_14-24-08.mp4 2024-11-13T14:24:08+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9501 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9501/thumbnail_11057_2024-12-09_08-13-38.jpg Introduction - 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 Leandra Tolusso, Dr. Mallory Hoffman, and Dr. Laura Galanski introduce the 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 event. Speakers/Topics include: • Dan Swarr, MD - Perinatal Outcomes of Fetuses and Infants Diagnosed with Trisomy 13 and 18 • Mallory Hoffman, MD - Pregnancy Management and Considerations • James Cnota, MD - Update on postnatal cardiac therapies • Laura Galganski, MD and Jagroop (Rupi) Parikh, MD - Practical Issues in the surgical care of Patients with Trisomies • Natalia Henner, MD - Family centered prenatal counseling and support • John Carey, MD - Future directions and research for Trisomy 13 and 18 spaces/17/content/9501/file_11057_2024-12-09_08-13-38.mp4 2024-12-09T08:13:38+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5871 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5871/thumbnail_5871_2022-09-19_18-00-07.jpg Telemonitoring - Transforming Healthcare, Episode 6 We’re back with another new technology that we believe will transform healthcare. Telemonitoring… Here’s what you need to know in a nutshell! Hosts: Em Tombash, MD, Todd Ponsky, MD Telemonitoring is the use of information technology to monitor patients at a distance. This monitoring involves recording vital signs, for example, blood pressure and pulse, and transmitting this information electronically which allows the patient's medical team to track and monitor a patient's vitals on a regular basis, then use this data to identify signs of deterioration, intervene promptly and prevent admission to hospital. With COVID-19, healthcare systems had to rethink the optimal delivery of healthcare services and this has increased the demand for general medicine providers like internal medicine, family medicine, and emergency medicine. https://journals.lww.com/journalpatientsafety/Fulltext/2021/12000/Inpatient_Respiratory_Arrest_Associated_With.5.aspx Before the pandemic, data suggested that routinely monitoring hospitalized patients with continuous pulse oximetry and heart rate devices was associated with reduced mortality. In this study, which involved more than a hundred thousand patient discharges, early recognition of hypoxemia and respiratory depression were largely responsible for the observed decrease in mortality. https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-018-0814-6 Here is another article where, “The focus group included 181 patients and telemonitoring was valued by those who found it empowering and convenient. This, combined with initial professional concern that increased surveillance may create dependency led to the development of a more patient-led service.” https://pubmed.ncbi.nlm.nih.gov/34586072/ Home telemonitoring has emerged as a potential solution to reduce these costs, but the evidence is mixed. According to this meta-analysis, “Health care costs showed ambiguous results, with 3 studies reporting an increase in health car https://library.globalcastmd.com/video/5871 2022-09-19T18:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5872 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5872/thumbnail_5872_2022-09-19_18-00-07.jpg Artificial Intelligence - Transforming Healthcare, Episode 7, Part 1 We’re back with another new technology that we believe will transform healthcare. Artificial intelligence… Here’s what you need to know in a nutshell! Hosts: Em Tombash, MD, Todd Ponsky, MD, Ramy Shaaban MD, PhD Artificial intelligence is the simulation of human intelligence processes by machines, especially computers. AI requires a foundation of specialized hardware and software for writing and training machine learning algorithms. We will talk about machine learning in future episodes, so stay tuned! In general, AI systems work by ingesting large amounts of labeled training data, analyzing the data for correlations and patterns, and using these patterns to make predictions about future states. AI programming focuses on three cognitive skills: learning, reasoning and self-correction. Learning processes focus on acquiring data and creating rules for how to turn the data into actionable information. The rules, which are called algorithms, provide computing devices with step-by-step instructions for how to complete a specific task. While reasoning processes focus on choosing the right algorithm to reach a desired outcome, self-correction processes are designed to continually fine-tune algorithms and ensure they provide the most accurate results possible. Couple of advantages of AI are - Being good at detail-oriented jobs, - Reducing time for data-heavy tasks, - Delivering consistent results. AI has changed our world and made our lives more convenient and interesting. Some of the many uses of AI you may know include: - Self-driving cars. Machine learning and visual recognition are used in autonomous vehicles to help the car understand its surroundings and be able to react accordingly. These cars can learn and adapt to traffic patterns, signs, and more. - Voice recognition. Most people know to call out for Siri when they need directions, or to ask their smart home Alexa to set a timer. - Streaming services learn about your preferen https://library.globalcastmd.com/video/5872 2022-09-19T18:00:07+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/743 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/743/thumbnail_842_2018-11-13_00-04-32.jpg Overview of Prenatal Diagnosis: Cincinnati Fetal Center Dr. Mark P. Johnson, research chair in fetal therapy, discusses an overview of prenatal diagnosis of fetal lower urinary tract obstruction. Dr. Johnson describes the most common causes of lower urinary tract obstructions, progressive oligohydramnios, physical deformations, pulmonary hypoplasia, renal fibrocystic dysplasia, prune belly phenotype, fetal sheep models, in utero vesicoamniotic shunt therapy, fetal obstructive uropathy, kidney evaluation, evaluation of cortical parenchymal cysts, distal penile meatal stenosis, anterior urethral valves, patent arches, megacystic microcolon, hypoperistalsis syndrome, fetal karyotype analysis, evaluation of existing renal injury, prenatal urinary prognosis, shunt insertion technique, and fetal karyotype analysis by urine test. Dr. Ryan describes management options for fetal lower urinary tract obstruction, fetal bladder shunt insertion, amnioinfusion, bladder drainage impact on perinatal survival, PLUTO trial, spontaneous bladder decompression, megacystis microcolon Intestinal hypoperistalsis syndrome, and cloacal dysgenesis.  spaces/1/content/743/file_842_2018-11-13_00-04-32.mp4 2018-11-13T00:04:32+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6117 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6117/thumbnail_6117_2022-11-16_22-00-08.jpg An Article You Should Know! Stoma Complications in Children   Check out this article that YOU Should know! Vogel I, Eeftinck Schattenkerk LD, Venema E, et al. Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study. J Pediatr Surg. 2022;57(10):402-406. doi:10.1016/j.jpedsurg.2021.11.021 https://www.jpedsurg.org/article/S0022-3468(21)00795-8/fulltext   https://d1dnj0gz56dmdu.cloudfront.net/205af37a-ce37-45a4-8bdc-0bbf52e311b3/AppleHLS1/c1e19ce692b981373af195ab99a11f36.m3u8 2022-11-16T22:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6470 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6470/thumbnail_6470_2023-03-14_18-00-10.jpg Laparoscopic Resection of Bilateral Ovarian Cystic Teratomas with Ovarian Sparing Surgery Lorraine I. Kelley-Quon, MD, MSHS, Carolos Reck, MD, Geri D. Hewitt, MD, Jennifer H. Aldrink, MD  Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/2e394f81-61b6-4cfa-b8f4-737866d7623e/AppleHLS1/16e4faaaee411bcb866b2b1633b61582.m3u8 2023-03-14T18:00:10+00:00 5 channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/10528 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10528/594486a1bda7542ceb6682e8d7137bf9.jpg Laparoscopic Pediatric Hernia Repair 2025 Full 2025 Laparoscopic Pediatric Hernia Repair Event https://library.globalcastmd.com/video/10528 2025-06-04T06:36:48+00:00 5 Laparoscopic Pediatric Hernia Repair 2025 laparoscopic pediatric surgery hernia repair some4pedsurg channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8474 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8474/thumbnail_10011_2024-04-04_06-25-46.jpg Update Course Rewind: Peroral endoscopic Myotomy (POEM) for Achalasia We are back with another Update Course Rewind video from the Update course in Pediatric Surgery 2023. This time we are presenting you “Peroral endoscopic myotomy (POEM) for Achalasia" with Drs. Mikael Petrosyan & Tymothy Kane Hosts: Cecilia Gigena Brought to you by @cincychildrens https://library.globalcastmd.com/video/8474 2024-04-04T06:25:46+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6742 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6742/thumbnail_6742_2023-06-16_16-00-16.jpg How to Perform a Rectal Enema on Your Child Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to teach you the right way to administer an enema. An enema will clean your child’s colon of stool. We want this to be a good experience for you and your family. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal https://d1dnj0gz56dmdu.cloudfront.net/35463e8f-6912-4964-86af-2fa719b1f5a3/AppleHLS1/49a2caa8389e79d06117634c96743622.m3u8 2023-06-16T16:00:16+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/10122 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10122/61b4cd1b13f76e0dac7ebc996708857c.jpg Multi-Institutional Analysis of Choledocholithiasis in Pediatric vs Adult Patients Goeto Dantes, Jessica L. Rauh, Savannah Smith, Eunice Aworanti, Marshall W. Wallace, Irving J. Zamora, Derek Krinock, Sabina Siddiqui, Amanda Witte, Katherine Flynn-O-Brien, Utsav M. Patwardhan, Romeo C. Ignacio, Eric Knauer, Lucas Neff, Hanna Alemayehu Background: In adults, upfront intraoperative cholangiogram with laparoscopic common bile duct exploration (LCBDE) is well accepted for management of choledocholithiasis. Despite recent evidence supporting LCBDE utility in children, there has been hesitation to adopt this surgery first (SF) approach over ERCP first (EF) due to perceived technical challenges. We compared rates of successful stone clearance during LCBDE between adult and pediatric patients to evaluate if pediatric surgeons could anticipate similar rates of successful clearance. Methods: A multicenter, retrospective review of pediatric (<18 years) and adult patients with choledocholithiasis managed from 2018 to 2024 was performed. Demographic and clinical data were obtained. Rate of successful duct clearance with LCBDE was compared. Surgical and endoscopic complications (infections, bleeding, pancreatitis, bile leak) were also compared. Results: 724 patients, 333 (45.9%) pediatric and 391 (54.0%) adults, were included. The median age of pediatric vs adult patients was 15.2 years [13.1, 16.6] vs 55.5 years [34.1, 70.5], respectively. Of these, 201 (60.4%) pediatric vs 169 (43.2%) adult patients underwent SF, p < 0.001. LCBDE was attempted in 84 (41.7%) pediatric vs 140 (82.8%) adults, p = 0.002. LCBDE success was higher in pediatric vs adult patients (82.1% vs 71.4%, p = 0.004). Complications rates were similar however, pediatric patients who underwent EF had higher endoscopic complications (9.1% vs 3.6%, p = 0.03). Conclusion: LCBDE is highly successful in children vs adults with no increased surgical complications. This data, coupled with the limited ERCP access for children, supports that LCBDE is an equally effective tool for managing cho https://library.globalcastmd.com/video/10122 2025-03-27T08:05:06+00:00 channel#pediatric_surgery lbcde Alex halpern Pediatric Endoscopy Common bile duct exploration Choledocholithiasis bile duct bile stone surgery pediatric surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7275 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/7275/thumbnail_7275_2023-10-09_22-00-13.jpg How to Give Your Child an Antegrade Malone Flush Using a Coude Catheter Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of the Malone flush is to mechanically clean the colon of stool every 24 hours and be free from accidents. In this video, we will walk through the steps to successfully perform an Antegrade Malone Flush using a Coude Catheter on your child. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal spaces/8/content/7275/file_8765_2023-10-09_22-00-13.mp4 2023-10-09T22:00:13+00:00 3 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/4353 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4353/thumbnail_4353_2021-07-22_08-00-06.jpg Esophageal Atresia/Tracheoesophageal Fistula Bronchoscopy and Surgical Technique Is there any case that gets a pediatric surgery fellow more excited than the repair of an Esophageal Atresia with a Tracheoesophageal Fistula? In today's episode, we hear from Dr. Dan von Allmen, Dr. Mike Rutter, Dr. Aaron Garrison, and Dr. Todd Ponsky about the preoperative planning and surgical approach to this bread and butter pediatric surgery case. Hosted by Rod GerardoLink for video: https://youtu.be/oB7-ysybG5Q  https://library.globalcastmd.com/video/4353 2021-07-22T08:00:06+00:00 21 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/744 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/744/thumbnail_843_2018-11-13_00-04-32.jpg Fetal Diagnostic Imaging: Cincinnati Fetal Center Dr. William Polzin, Division of Maternal-Fetal Medicine, discusses fetal diagnosis imaging and predictors as well as amnioinfusions by amnioport. Dr. Ron Jaekle, University of Cincinnati Department of Obstetrics & Gynecology, proceeds Dr. Polzin in a discussion on fetal genitourinary imaging. Dr. Jaekle's presentation covers early justational diagnosis, dilated ureter identification ambiguity, pulmonary hypoplasia, and using MRI for renal abnormalities.  spaces/1/content/744/file_843_2018-11-13_00-04-32.mp4 2018-11-13T00:04:32+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5857 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5857/thumbnail_5857_2022-09-14_18-00-11.jpg Best of the Best Gen Surg - Therapeutic Effect of Oridonin against Inflammatory Bowel Disease Involves Inhibition of Intestinal Fibrosis via NF-kB and p38STAT1 Pathways - Dr. Mao Listen to Rui-Min Mao gave her presentation of "Therapeutic Effect of Oridonin against Inflammatory Bowel Disease Involves Inhibition of Intestinal Fibrosis via NF-kB and p38STAT1 Pathways" at the first ever Best of the Best in General Surgery event. spaces/17/content/5857/file_7275_2022-09-14_18-00-11.mp4 2022-09-14T18:00:11+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8080 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8080/thumbnail_9613_2024-03-13_19-52-09.jpg Update Course Rewind: Updates in Achalasia 2023 Our 11th Annual Update Course in Pediatric Surgery was hel past August. In this video series, we'll recap the sessions and share the main highlights with you! Today we will talk about "Updates in Achalasia". Joining the discussion are Dr. Mikael Petrosyan, Dr. Timothy Kane and Dr. George (Whit) Holcomb. Host: Cecilia Gigena https://library.globalcastmd.com/video/8080 2024-03-13T19:52:09+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2298 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/2298/thumbnail_2298_2020-03-03_22-06-41.jpg Venous Vexation: A Central Line Conundrum At the 7th Annual Pediatric Surgery Update Course, Dr. Alexander Gibbons discusses a central line conundrum involving Venous Vexation https://library.globalcastmd.com/video/2298 2020-03-03T22:06:41+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5862 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5862/thumbnail_5862_2022-09-14_18-00-11.jpg Best of the Best Gen Surg - Age Exacerbates Inequity in Telemedicine Use Among GI Surgery Patients in the Deep South During the COVID-19 Pandemic - Dr. Shao Listen to Connie Shao gave her presentation of "Age Exacerbates Inequity in Telemedicine Use Among GI Surgery Patients in the Deep South During the COVID-19 Pandemic" at the first ever Best of the Best in General Surgery event. spaces/17/content/5862/file_7280_2022-09-14_18-00-11.mp4 2022-09-14T18:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/633 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/633/thumbnail_720_2018-11-10_00-05-17.jpg Tricks - Laparoscopic Epigastric Herniorrhaphy This segment displays a presentation of laparoscopic epigastric herniorrhaphy, followed by a comprehensive discussion discussion.  spaces/1/content/633/file_720_2018-11-10_00-05-17.mp4 2018-11-10T00:05:17+00:00 11 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6502 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6502/thumbnail_6502_2023-03-15_22-00-11.jpg The Center Concept: How can this idea improve patient care? Marc A. Levitt, M.D., Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video Credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/8859e4a6-1f0c-45e1-8c7d-59c088078942/AppleHLS1/1e93cfb0b4ed8abbe007ede19f4bb84f.m3u8 2023-03-15T22:00:11+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6227 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6227/thumbnail_6227_2022-12-15_22-00-08.jpg DrBeen Medical Lectures: Dr. Marc Levitt, MD Discusses Hirschsprung Disease Dr. Marc A. Levitt, MD Discusses Hirschsprung Disease on YouTube Live with Drbeen Medical Lectures. Link to DrBeen website: https://www.drbeen.com  spaces/8/content/6227/file_7649_2022-12-15_22-00-08.mp4 2022-12-15T22:00:08+00:00 2 channel#private_colorectal_channel hirschsprungdisease Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/4106 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/4106/thumbnail_4106_2021-06-02_11-45-10.jpg IPEG 2015 - EXPERT PANEL: MIS Revisional Surgery IPEG 2015 Annual Meeting  Expert Panel: Here We Go Again - MIS Revisional Surgery Indications & Outcomes M. Wulkan, L. Li, M. Bailez, L. Alvarez spaces/2/content/4106/file_5336_2021-06-02_11-45-10.mp4 2021-06-02T11:45:10+00:00 2 Medical Education yes IPEG no https://library.globalcastmd.com/video/5822 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5822/thumbnail_5822_2022-09-07_22-00-06.jpg Update Course 2022 - UPDATES IN CONGENITAL ESOPHAGEAL STENOSIS MANAGEMENT - Ajay Kaul, Seref Selcuk Kilic, and Dan von Allmen This session is about updates in the management of congenital esophageal estenosis with Drs. Ajay Kaul, Seref Selcuk Kilic, and Dan von Allmen.  Article discussed: Management and clinical outcomes of congenital esophageal stenosis in pediatric patients: Experience of a tertiary referral center The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/81a9bfed-d5f4-4734-954a-4ec7cb7fc151/AppleHLS1/3421c3a057040fa9d1a189dcc65b940f.m3u8 2022-09-07T22:00:06+00:00 10 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6979 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6979/thumbnail_8438_2023-08-09_18-00-15.jpg Tratamiento del granuloma umbilical en lactantes con aplicación tópica de sal común Nueva infografia por el Dr. Jose Campos y la sociedad chilena de cirugía pediátrica "Tratamiento del granuloma umbilical en lactantes con aplicación tópica de sal común: una revisión de alcance" Autores: Arka Banerjee, Gayatri Munghate, Minnie Bodhanwala, Pradnya S. Bendre Articulo completo: https://www.jpedsurg.org/article/S0022-3468(23)00193-8/fulltext    Introducción  La sal común es un remedio casero seguro, eficaz y económico para el granuloma umbilical. El objetivo de esta revisión de alcance es identificar y resumir la evidencia disponible y examinar la investigación realizada sobre el tratamiento con sal para el granuloma umbilical. Métodos Se realizó una búsqueda bibliográfica en la segunda semana de septiembre de 2022 utilizando las bases de datos Google Scholar, PubMed, MEDLINE y EMBASE utilizando las palabras clave "granuloma umbilical" y "tratamiento con sal" para identificar todos los artículos en inglés relacionados con el tratamiento con sal para el granuloma umbilical. Se realizaron tablas para resumir las características metodológicas, los resultados y las pautas de dosificación de la sal utilizadas por diferentes autores. Se utilizó la herramienta de la Colaboración Cochrane para evaluar el riesgo de sesgo en los ECA. También se anotaron los estados de indexación de las revistas que publican estos estudios. La efectividad general con el uso de sal común se calculó sumando las tasas de éxito mencionadas en cada estudio. Resultados Se incluyeron 24 artículos (2 revisiones sistemáticas, 6 ensayos controlados aleatorios, 11 estudios de cohortes prospectivos, 1 estudio de casos y controles, 3 series de casos retrospectivos y 1 informe de caso). Se observó una tasa de éxito general del 93,91 % (1033/1100) con la aplicación de sal común, sin informes de complicaciones/recurrencias. Conclusión La aplicación tópica de sal común para los granulomas umbilicales es simple, efectiva y económica. Esta revisión de alcance prop https://library.globalcastmd.com/video/6979 2023-08-09T18:00:15+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6225 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6225/thumbnail_6225_2022-12-14_16-00-08.jpg Does surgeon volume on pediatric thyroidectomy matters? New article you should know! by @gigenace "Effect of surgeon volume on pediatric thyroid surgery outcomes: A systematic review" Syned L. Olson et. al.  Full article: https://www.jpedsurg.org/article/S0022-3468(21)00834-4/fulltext Authors: Sydney L. Olson, Martha-Conley E. Ingram, Peter M. Graffy, Peggy M. Murphy, Yao Tian, Jill H. Samis, Jami L. Josefson, Jeffery C. Rastatter, Mehul V. Raval Abstract Background Pediatric thyroidectomy has been identified as a surgical procedure that may benefit from concentrating cases to high-volume surgeons. This systematic review aimed to address the definition of “high-volume surgeon” for pediatric thyroidectomy and to examine the relationship between surgeon volume and outcomes. Methods PubMed, Embase, Cochrane Library, Scopus, Web of Science, ClinicalTrials.gov, and OpenGrey databases were searched for through February 2020 for studies which reported on pediatric thyroidectomy and specified surgeon volume and surgical outcomes. Results Ten studies, encompassing 6430 patients, were included in the review. Five single-center retrospective studies reported only on high-volume surgeons, one single center retrospective study reported on only low-volume surgeons, and four national database studies (2 cross sectional, 2 retrospective reviews) reported outcomes for both high-volume and low-volume surgeons. Majority of patients underwent total thyroidectomy (54.9%); common indications for surgery were malignancy (41.7%) and hyperthyroidism/thyroiditis (40.5%). Rates of transient hypocalcemia (11.4% - 74.2%), transient recurrent laryngeal nerve injury (0% - 9.7%), and bleeding (0.5% - 4.3%) varied across studies. Definitions for high-volume pediatric thyroid surgeons ranged from ≥9 annual pediatric thyroid operations to >200 annual thyroid operations (with >30 pediatric cases). Four studies reported significantly better outcomes, including lower post-operative complications and shorter length of hospital st https://d1dnj0gz56dmdu.cloudfront.net/8182ed21-d38a-4d43-bcc3-f8e9f90717b5/AppleHLS1/704ee65deb024b0b53590e21d210def7.m3u8 2022-12-14T16:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6693 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6693/thumbnail_6693_2023-05-31_16-00-14.jpg Gabapentin is Associated With Decreased Postoperative Opioid Use and Length of Stay After Appendectomy in Children With Perforated Appendicitis - JPS article Article you should know! "Gabapentin is Associated With Decreased Postoperative Opioid Use and Length of Stay After Appendectomy in Children With Perforated Appendicitis: A Propensity Score-Matched Analysis" Lascano et al, Journal of Pediatric Surgery https://www.jpedsurg.org/article/S0022-3468(23)00195-1/fulltext Video by Alex Halpern https://library.globalcastmd.com/video/6693 2023-05-31T16:00:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5411 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5411/thumbnail_5411_2022-05-24_12-00-31.jpg Update Course Rewind 2021 - Updates in Pectus In this session from the 2021 Update Course, Dr. Steven Lee, MD presents updates in the perioperative care of patient with pectus excavatum including perioperative pain control, Nuss bar length measurements, right vs left approach, and much more. https://d1dnj0gz56dmdu.cloudfront.net/20666102-c50d-4284-90b7-d7f5490c7c9c/AppleHLS1/d1b3fcb58f9bce02e322bad34c6af90b.m3u8 2022-05-24T12:00:31+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5828 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5828/thumbnail_5828_2022-09-07_22-00-07.jpg Update Course 2022 - Conclusion - Todd Ponsky The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/bd4b8106-0d2c-46ba-af0c-2f8d36c2ed1a/AppleHLS1/fcd7e38fac4edbc005cdff7f4a58e2ff.m3u8 2022-09-07T22:00:07+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2253 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2253/thumbnail_3179_2020-02-24_19-58-28.jpg Laparoscopic Pyloromyotomy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. spaces/1/content/2253/file_3179_2020-02-24_19-58-28.mp4 2020-02-24T19:58:28+00:00 8 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7050 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7050/thumbnail_8520_2023-08-23_22-00-12.jpg Disruption of enterohepatic Circulation of Bile acids ameliorates small bowel resection associated hepatic injury New article you should know by Cecilia Gigena "Disruption of enterohepatic Circulation of Bile acids ameliorates small bowel resection associated hepatic injury"  Authors: Maria E. Tecos, Allie E. Steinberger, Jun Guo, Deborah C. Rubin, Nicholas O. Davidson, Brad W. Warner Full article: https://www.jpedsurg.org/article/S0022-3468(23)00152-5/fulltext Background Massive small bowel resection (SBR) is associated with liver injury and fibrosis. Efforts to elucidate the driving force behind hepatic injury have identified multiple factors, including the generation of toxic bile acid metabolites. Methods Sham, 50% proximal, and 50% distal SBR were carried out in C57BL/6 mice to determine the effect of jejunal (proximal SBR) versus ileocecal resection (distal SBR) on bile acid metabolism and liver injury. Tissues were harvested at 2 and 10-week postoperative timepoints. Results When compared with 50% proximal SBR, mice that underwent distal SBR exhibited less hepatic oxidative stress as verified by decreased mRNA expression of tumor necrosis factor-α (TNFα, p ≤ 0.0001), nicotinamide adenine dinucleotide phosphate oxidase (NOX, p ≤ 0.0001), and glutathione synthetase (GSS, p ≤ 0.05). Distal SBR mice also exhibited a more hydrophilic bile acid profile with reduced abundance of insoluble bile acids (cholic acid (CA), taurodeoxycholic acid (TCA), and taurolithocholic acid (TLCA)), and increased abundance of soluble bile acids (tauroursodeoxycholic acid (TUDCA)). In contrast with proximal SBR, ileocecal resection alters enterohepatic circulation leading to reduced oxidative stress and promotes physiological bile acid metabolism. Conclusion These findings challenge the notion that preservation of the ileocecal region is beneficial in patients with short bowel syndrome. Administration of selected bile acids may present potential therapy to mitigate resection-associated liver injury. https://library.globalcastmd.com/video/7050 2023-08-23T22:00:12+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6531 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6531/thumbnail_6531_2023-04-03_12-00-09.jpg Quick Literature Updates Episode 3 We’re back with third episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash Puberty and growth in patients with pediatric intestinal failure Culbreath K, Keefe G, Staffa SJ, Wynne N, Grimstad F, Jimenez L, Jaksic T, Modi BP. Puberty and growth in patients with pediatric intestinal failure. J Pediatr Surg. 2022 Jun;57(6):1045-1049. doi: 10.1016/j.jpedsurg.2022.01.057. Epub 2022 Feb 14. PMID: 35287963. Ultrasound-guided percutaneous insertion of Broviac lines in infants less than 5kg: Prospective study of 100 consecutive procedures Reddy SM, Soccorso G, Lawrence L, Bennett J, Jester I, Pachl M, McGuirk S, Singh M, Bugg N, Gee O, Stansfield J, Bromley PN, Arul GS. Ultrasound-guided percutaneous insertion of Broviac lines in infants less than 5kg: Prospective study of 100 consecutive procedures. J Pediatr Surg. 2022 Nov;57(11):534-537. doi: 10.1016/j.jpedsurg.2022.01.005. Epub 2022 Jan 15. PMID: 35181123. Whether prophylactic intraoperative chest drain insertion in esophageal atresia-tracheoesophageal fistula is an evidence-based practice or just a prejudice: A systematic review and meta-analysis Anand S, Singh A, Krishnan N, Yadav DK. Whether prophylactic intraoperative chest drain insertion in esophageal atresia-tracheoesophageal fistula is an evidence-based practice or just a prejudice: A systematic review and met https://library.globalcastmd.com/video/6531 2023-04-03T12:00:09+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8506 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8506/thumbnail_10044_2024-04-11_08-55-06.jpg La traqueopexia posterior primaria en el momento de la reparación de la atresia esofágica reduce significativamente la morbilidad respiratoria Nueva infografía del Dr. José Campos y la Sociedad Chilena de Cirujanos Pediátricos del Journal of Pediatric Surgery "La traqueopexia posterior primaria en el momento de la reparación de la atresia esofágica reduce significativamente la morbilidad respiratoria" Autores: Somala Mohammed, Ali Kamran, Shawn Izadi, Gary Visner, Leah Frain, Farokh R. Demehri, Hester F. Shieh, Russell W. Jennings, Charles J. Smithers, Benjamin Zendejas Artículo completo: https://gcmd.co/3xtjR42 Objetivo La atresia esofágica con fístula traqueoesofágica (EA/TEF) a menudo se asocia con traqueobroncomalacia (TBM), lo que contribuye a la morbilidad respiratoria. La traqueopexia posterior (PT) es una técnica establecida para tratar la TBM que se desarrolla después de la reparación EA/TEF. Este estudio evalúa el impacto del PT primario en el momento de la reparación inicial de EA/TEF. Métodos Revisión de todas las reparaciones primarias de EA/TEF de recién nacidos (2016-2021) en dos instituciones. Se excluyeron los casos de EA de larga duración y reoperatorios. Según la preferencia del cirujano y la broncoscopia preoperatoria, los recién nacidos se sometieron a PT primario (Grupo EA + PT) o no (Grupo EA). Se evaluaron los resultados perioperatorios, respiratorios y nutricionales durante el primer año de vida. Resultados Entre 63 recién nacidos, 21 (33%) se sometieron a PT durante la reparación EA/TEF. Los grupos fueron similares en términos de demografía, enfoque y complicaciones. Los recién nacidos en el grupo EA + PT tenían significativamente menos probabilidades de tener infecciones respiratorias que requirieran hospitalización durante el primer año de vida (0 % frente a 26 %, p = 0,01) o episodios azules (0 % frente a 19 %, p = 0,04). Además, demostraron puntuaciones z de peso para la edad mejoradas a los 12 meses de edad (0,24 frente a −1,02, p <0,001). De los bebés que no se sometieron a PT primario, 10 (24%) desarrollaron síntomas graves de TBM y se sometieron spaces/14/content/8506/file_10044_2024-04-11_08-55-06.mp4 2024-04-11T08:55:06+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6467 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6467/thumbnail_6467_2023-03-14_16-00-13.jpg Colostomy closure (no audio) Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/92a70c0d-b05d-48f0-a5e6-02e0c58890e6/AppleHLS1/98b794f29f145e4d89d7fea878b38232.m3u8 2023-03-14T16:00:13+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2243 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2243/thumbnail_3169_2020-02-24_19-58-27.jpg Thoracoscopic Left Lower Lobectomy for Congenital Pulmonary Airway Malformation This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2243 2020-02-24T19:58:27+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7335 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7335/thumbnail_8826_2023-10-18_22-00-13.jpg Crioablación en 350 procedimientos de Nuss: evolución de la duración de la estancia hospitalaria y el uso de opioides Otro artículo que debes conocer de la Dra. Cecilia Gigena "Crioablación en 350 procedimientos de Nuss: evolución de la duración de la estancia hospitalaria y el uso de opioides" Autores: Krista Lai, David M. Notrica, Lisa E. McMahon, Paul Kang, Mark S. Molitor, J. Craig Egan, Jae-O Bae, Zebediah M. Hunteman, Daniel J. Ostlie, Justin H. Lee, Benjamin E. Padilla Artículo completo: https://gcmd.co/3M28m8k Introducción Los estudios actuales muestran que la crioablación reduce las necesidades de opioides y la duración de la estancia hospitalaria (LOS) en pacientes sometidos al procedimiento de Nuss para el pectus excavatum. Este estudio evaluó la relación entre la crioablación y los resultados clínicos del procedimiento de Nuss. Métodos Se realizó una revisión retrospectiva de las historias clínicas de un solo centro de pacientes sometidos al procedimiento de Nuss con crioablación intercostal entre diciembre de 2017 y agosto de 2021. Se resumieron los datos demográficos, la evolución hospitalaria y las complicaciones posoperatorias. Para evaluar la evolución de los resultados a lo largo del tiempo, se comparó el primer trimestre (Q1) de pacientes con crioablación con el último trimestre (Q4). Resultados Durante 45 meses se realizaron 350 procedimientos de Nuss con crioablación. La edad media al momento de la operación fue de 15,7 ± 2,3 años con un índice de Haller promedio de 5,4 ± 4,2. El tiempo operatorio medio fue de 136 ± 40,5 minutos. En promedio, los pacientes utilizaron 2,8 ± 2,5 OME/kg de opioide en el hospital con una LOS de 2,7 ± 1,1 días. Los pacientes del Q4 fueron dados de alta 1,3 días antes (p<0,05) que los pacientes del Q1, y el 80% de los pacientes del Q4 fueron dados de alta el segundo día posoperatorio frente al 23% en el Q1 (p<0,05). Los pacientes del cuarto trimestre recibieron un 74% (p<0,05) menos opioides en el hospital y un 21% (p<0,05) menos al alta. Dentro de los 90 días posteriores a la operación, las tasas de compli https://library.globalcastmd.com/video/7335 2023-10-18T22:00:13+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7656 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7656/thumbnail_9169_2023-11-15_16-00-07.JPG Transition of care - The development of transition of care programs for colorectal patients   Video on the development of transition of care programs for colorectal patients: Experiences from three European centers (Chapter 2 of the Helsinki series). ERNICA (https://ern-ernica.eu/) spaces/7/content/7656/file_9169_2023-11-15_16-00-07.mp4 2023-11-15T16:00:07+00:00 channel#eupsa transition Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/7271 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7271/thumbnail_8761_2023-10-09_22-00-08.jpg Update Course 2023 - Over and Under the Radar: Literature Updates in Pediatric Surgery This session is on over and under the radar: literature updates in Pediatric Surgery with Drs. Jose Campos & Maria Puentes.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! spaces/17/content/7271/file_8761_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6349 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6349/thumbnail_6349_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Maria Tecos, AAP - Presentation Watch Maria Tecos, MD, present her presentation on "Disruption of Enterohepatic Circulation Ameliorates Small Bowel Resection Associated Hepatic Injury." https://library.globalcastmd.com/video/6349 2023-02-06T18:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7998 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7998/thumbnail_9528_2024-02-21_07-59-23.jpg The Role of Diversion During Ileal Pouch Anal Anastomosis (IPAA) Creation in Pediatric Ulcerative Colitis - JPS New article you should know from Journal of Pediatric Surgery by Cecilia Gigena  "The Role of Diversion During Ileal Pouch Anal Anastomosis (IPAA) Creation in Pediatric Ulcerative Colitis" Authors: Ursula Adams, Chris Agala, Topher McCauley, Laura Burkbauer, Jonathan Stem, Ajay Gulati, Matthew Egberg, Michael Phillips Full article: https://www.jpedsurg.org/article/S0022-3468(23)00444-X/abstract Abstract Introduction In pediatric ulcerative colitis (UC), surgery is often postponed until disease is life-threatening or refractory to immune suppression. In these settings, diverting ileostomy (DI) is theorized to have a protective effect on the new anastomosis. However, analyses have been performed only in single-institution series and the true impact of performing DI at the time of IPAA on postoperative outcomes is unclear. Methods We performed a retrospective cohort study using claims data from the International Business Machines (IBM) MarketScan® database. Patients were sorted to the DI group if they carried a CPT code for ostomy closure within 6 months of index procedure. We examined demographics, preoperative risk factors, and performed regression analysis to compare 30-day postoperative outcomes between groups. Results We identified 317 patients ≤18yo that underwent IPAA procedure and met inclusion criteria from 2000 to 2019. Of these, 238 patients were assigned to the IPAA + DI cohort and 79 patients were assigned to the IPAA cohort. Adverse outcomes were comparable between cohorts. Surgical site infection (SSI) rates between IPAA and IPAA + DI were 10.1 vs. 11.3% (p = 0.67). Rates of intra-abdominal drainage procedures were 3.8 vs. 2.1% (p = 0.39). The rates of 30-day readmissions were 16.5 vs. 19.3% (p = 0.39). Creation of a DI was not associated with higher odds of 30-day readmission (OR = 1.4, p = 0.31). Conclusion Creating a DI necessitates an additional surgery for closure and is not associated with decreased adverse ou https://library.globalcastmd.com/video/7998 2024-02-21T07:59:23+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10435 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10435/f2d7ac12f96eba0d16ec781233fdd58c.jpg Tracheobronchopexy to Avoid Tracheostomy in Esophageal Atresia Patients With Severe Life-Threatening Tracheobronchomalacia Hester F Shieh, Russell W Jennings, Thomas E Hamilton , Shawn Izadi , Benjamin Zendejas , C Jason Smithers  Background: Esophageal atresia (EA) is associated with tracheobronchomalacia (TBM), which in its most severe form, causes blue spells, brief resolved unexplained events (BRUEs) that can require cardiopulmonary resuscitation (CPR), and positive pressure ventilation (PPV) or ventilator dependence, often requiring tracheostomy. We study the role of tracheobronchopexy, as an alternative to tracheostomy, in EA patients with severe life-threatening TBM. Methods: We reviewed EA patients who underwent tracheobronchopexy for blue spells, BRUEs, and failure to wean PPV or extubate from February 2013 to September 2021 at two institutions. Patient characteristics, surgical techniques, and respiratory outcomes were reviewed. Results: 80 EA patients (most Gross type C 92.5 %) underwent 91 tracheobronchopexies at median age 6 (IQR 3-14) months for blue spells/BRUEs (53 %), PPV (21 %), and ventilator dependence (26 %). On preoperative dynamic bronchoscopy, most (90 %) demonstrated complete airway collapse. Surgical approach for tracheobronchopexy was posterior (73 %), anterior (23 %), and simultaneous posterior and anterior (4 %). Tracheobronchopexy included thoracic trachea alone (58 %), trachea and bronchi (41 %), and bronchi alone (1 %). At latest follow up of median 39 (IQR 14-64) months, there were no recurrent blue spells/BRUEs (p < 0.001) and significantly reduced PPV and ventilator dependence (p < 0.001). Nearly all patients (n = 75, 94 %) avoided tracheostomy. Mortality was 5 %, one 30-day operative mortality and three long-term mortalities related to underlying comorbidities. Conclusions: In EA patients with severe life-threatening TBM, tracheobronchopexy significantly reduces blue spells/BRUEs, PPV, and ventilator dependence, and avoids tracheostomy. This surgical strategy should be considered the treatment of choice for EA patients with severe life-thr https://library.globalcastmd.com/video/10435 2025-04-29T10:20:45+00:00 LizzyLee tracheopexy tracheobronchopexy tracheostomy esophageal atresia BRUEs blue spells TBM tracheobronchomalacia channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8565 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8565/thumbnail_10104_2024-05-03_18-20-19.jpg PFIC Family & Scientific Conference - Day 2 Please enjoy this recording of the PFIC Family & Scientific Conference - Day 2! spaces/17/content/8565/file_10104_2024-05-03_18-20-19.mp4 2024-05-03T18:20:19+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6844 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6844/thumbnail_6844_2023-07-19_22-00-15.jpg Esophageal Surveillance Practices in Esophageal Atresia Patients Another article you should know by Cecilia Gigena "Esophageal Surveillance Practices in Esophageal Atresia Patients: A Survey by the Eastern Pediatric Surgery Network"  Authors: Malcolm N. Hamilton-Hall III, Dana Jungbauer, Christine Finck, William Middlesworth, Benjamin Zendejas, Samuel M. Alaish, Cornelia L. Griggs, Robert T. Russell, Hester F. Shieh, Stefan Scholz, Shaun M. Kunisaki, Christina Feng, Melissa E. Danko. Jennifer R. DeFazio. Charles J. Smithers. Irving J. Zamora. J. Leslie Knod, On behalf of theEastern Pediatric Surgery Network Full article: https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext Abstract Introduction Endoscopic surveillance guidelines for patients with repaired esophageal atresia (EA) rely primarily on expert opinion. Prior to embarking on a prospective EA surveillance registry, we sought to understand EA surveillance practices within the Eastern Pediatric Surgery Network (EPSN). Methods An anonymous, 23-question Qualtrics survey was emailed to 181 physicians (surgeons and gastroenterologists) at 19 member institutions. Likert scale questions gauged agreement with international EA surveillance guideline-derived statements. Multiple-choice questions assessed individual and institutional practices. Results The response rate was 77%. Most respondents (80%) strongly agree or agree that EA surveillance endoscopy should follow a set schedule, while only 36% claimed to perform routine upper GI endoscopy regardless of symptoms. Many institutions (77%) have an aerodigestive clinic, even if some lack a multi-disciplinary EA team. Most physicians (72%) expressed strong interest in helping develop evidence-based guidelines. Conclusions Our survey reveals physician agreement with current guidelines but weak adherence. Surveillance methods vary greatly, underscoring the lack of evidence-based data to guide EA care. Aerodigestive clinics may help implement surveillance schedules. Respondents support evid https://library.globalcastmd.com/video/6844 2023-07-19T22:00:15+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5815 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5815/thumbnail_5815_2022-09-07_16-00-05.jpg Antifibrinolytics in Pediatric Hemorrhage Check out this APSA Article of Interest, You Should Know!   Spinella, Philip C. MD1; Leonard, Julie C. MD, MPH2; Gaines, Barbara A. MD3; Luther, James F. MA4; Wisniewski, Stephen R. PhD4; Josephson, Cassandra D. MD5; Leeper, Christine M. MD, MS6;  for the MAssive Transfusion epidemiology and outcomes In Children (MATIC) Investigators and BloodNet. Use of Antifibrinolytics in Pediatric Life-Threatening Hemorrhage: A Prospective Observational Multicenter Study. Critical Care Medicine: April 2022 - Volume 50 - Issue 4 - p e382-e392 doi: 10.1097/CCM.0000000000005383 https://library.globalcastmd.com/video/5815 2022-09-07T16:00:05+00:00 channel#pediatric_surgery jps-review Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6582 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6582/thumbnail_6582_2023-04-20_22-00-13.jpg Evento IPEG LATAM Latinos por el mundo: Segundo Módulo El 11 de Abril de 2023 se realizó un evento híbrido de IPEG Latam en Buenos Aires, Argentina. El mismo constó de 2 módulos y tuvo a varios invitados Latinos que viven en distintas partes del mundo.  El segundo módulo trata sobre Vía Biliar ITipo de reconstrucciones en resección de quiste de colédoco: Dr. Matias Bruzoni Actualización en Verde de Indocianina: Dr. Joel Cazares Casos Clínicos: Dr. Joel Cazares, Dr. Jorge Godoy Coordinadora General: Dra. Carolina Millan  Invitados especiales: Dra. María Marcela Bailez, Dr. Eduardo Pérez, Dr. Cristobal Abello, Dr. Rodolfo Soto Ravelo, Dr. Mauricio Copete y Dr. Paul Astudillo Organizadores: Dr. Mariano Bosich, Dra Cecilia Gigena, Dra Lara Rollan.  Colaboradores: Dr. Carlos Colunga, Dra. Angela Shailer https://d1dnj0gz56dmdu.cloudfront.net/c61839b0-b51e-4d3d-937a-cfdc8dcd1b42/AppleHLS1/269c8bbb6bc426ab32137b8eb2c73539.m3u8 2023-04-20T22:00:13+00:00 6 Medical Education yes IPEG no https://library.globalcastmd.com/video/7393 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7393/thumbnail_8886_2023-10-23_22-00-09.jpg CNA Conference - Dr. Narayanguru Kowlgi - Experimental CNA at Mayo Clinic Dr. Narayanguru Kowlgi presents “Experimental CNA at Mayo Clinic” at the Second World Congress on Cardioneuroablation. spaces/17/content/7393/file_8886_2023-10-23_22-00-09.mp4 2023-10-23T22:00:09+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7267 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7267/thumbnail_8757_2023-10-09_22-00-08.jpg Update Course 2023 - Updates in the use of ICG This session is on updates in the use of ICG with Dr. Seth Goldstein.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know! spaces/17/content/7267/file_8757_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9038 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9038/thumbnail_10592_2024-08-19_08-02-39.jpg QUAD #13 Esophageal Strictures & Endoscopic Interventions with Dr. Phil Putnam In this video, we explore the diagnosis and management of esophageal strictures, focusing on the importance of a patient-centered approach and the various techniques available for dilation. Symptom Assessment: Esophageal stricture symptoms vary by age, oral intake, and stenosis severity. Accurate diagnosis involves evaluating nutritional status and secretion management. Diagnostic Tools: Endoscopy and esophagram are essential for assessing stricture location, diameter, and extent. Dilation Techniques: Learn about different tools like controlled radial expansion balloons, hurricane balloons, and bougienage. Understand when and how to use each method safely. Fluoroscopy Guidance: The advantages of using fluoroscopy for pre- and post-dilation esophagrams, ensuring accurate dilation and detecting complications like perforation. Incremental Dilation: The importance of cautious, gradual dilation to minimize risks and improve outcomes. Choosing the Right Method: Tailor the dilation technique to each patient’s anatomy, with a focus on careful scar remnant removal. https://library.globalcastmd.com/video/9038 2024-08-19T08:02:39+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6354 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6354/thumbnail_6354_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Lieke Josephine Van Heurn, EUPSA - Presentation Watch Lieke Josephine Van Heurn, MD, present her presentation on "Risk of malignant transformation and tumor recurrence of sacrococcygeal teratoma." https://library.globalcastmd.com/video/6354 2023-02-06T18:00:13+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6447 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6447/thumbnail_6447_2023-03-09_22-00-09.jpg Update Course Rewind: Implicit and Explicit Bias 2022 We are back with another Update Course Rewind video. This time we are presenting you “Implicit and Explicit Bias" with Dr. Craig Lillehei from APSA Professional Development Committee. Hosts: Brittany Levy https://library.globalcastmd.com/video/6447 2023-03-09T22:00:09+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6422 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6422/thumbnail_6422_2023-02-22_22-00-09.jpg National trends in pediatric firearm and automobile fatalities - JPS article "National trends in pediatric firearm and automobile fatalities" Stevens et al, Journal of Pediatric Surgery https://www.jpedsurg.org/article/S0022-3468(22)00621-2/fulltext Video: Ellen Encisco #some4pedsurg #pediatrictrauma https://library.globalcastmd.com/video/6422 2023-02-22T22:00:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6357 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6357/thumbnail_6357_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Maria Jose Rosell Echevarria, IBEROAMERICANA - Presentation Watch Dr. Maria Jose Rosell Echevarria, present her presentation on "Urinary osmolarity: useful parameter to assess renal function before and after surgery for obstruction of the ureteropelvic junction. " https://library.globalcastmd.com/video/6357 2023-02-06T18:00:13+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7899 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7899/thumbnail_9428_2024-01-17_18-00-06.jpg Pectus Arcuatum a Pectus Unlike any Other New article you should know about From JPS by Dr. Cecilia GIgena "Pectus Arcuatum: A Pectus Unlike Any Other"  Authors: Sarah Abdellaoui, Aurélien Scalabre, Christian Piolat, Frédéric Lavrand, Amane-Allah Lachkar, Anne Lehn, Clémence Klipfel, Brice Henry, Valentin Soldea, Frédéric Hameury, François Becmeur Full article: https://gcmd.co/48bwRZ9 Background Pectus arcuatum is often mistaken for a type of pectus carinatum. However, pectus arcuatum is a unique clinical form of pectus caused by premature obliteration of the sternal sutures (manubrial sternum, four sternebrae and xiphoïd process), whereas pectus carinatum is due to abnormal growth of the costal cartilage. In order to better describe pectus arcuatum, we analysed the files of patients with pectus arcuatum followed in our centers. Methods Multicenter retrospective study of young patients’ files diagnosed with pectus arcuatum. Results The clinical diagnosis of pectus arcuatum was made in 34 patients with a mean age at diagnosis of 10.3 years (4–23 years). A chest profile X-ray or a CT scan was performed in 16 patients (47%) and confirmed the diagnosis of PA by the presence of a sternal fusion. It was complete in 12 patients. A malformation was associated in 35% of cases (Noonan syndrome 33%, scoliosis 25% or cardiopathy 16%). 11 patients (32%) had a family history of skeletal malformation. Orthopedic treatment was initiated in 3 patients without any success. 11 patients underwent surgical correction, which was completed in 7 of them. Conclusion The diagnosis of pectus arcuatum is based on clinical experience and if necessary, on a profile chest X-ray showing the fusion of the sternal pieces. It implies the search for any associated malformations (musculoskeletal, cardiac, syndromic). Bracing treatment is useless for pectus arcuatum. Corrective surgery, based on a sternotomy associated with a partial chondro-costal resection, can be performed at the end of growth. https://library.globalcastmd.com/video/7899 2024-01-17T18:00:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/660 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/660/thumbnail_747_2018-11-10_00-05-19.jpg C-Spine Injury - Shawn Safford: Update Course 2014 Dr. Shawn Safford, Surgeon-in-chief, Carilion Clinic Children's Hospital, presents on cervical spine injury. Dr. Safford presents various c-spine case presentations discussed among the panel members. Plan of action in these patients are debated as well as imaging approaches.  spaces/1/content/660/file_747_2018-11-10_00-05-19.mp4 2018-11-10T00:05:19+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2254 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2254/thumbnail_3180_2020-02-24_19-58-28.jpg Cloacal Endoscopy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. spaces/1/content/2254/file_3180_2020-02-24_19-58-28.mp4 2020-02-24T19:58:28+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9473 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9473/thumbnail_11029_2024-12-02_06-44-08.jpg Machine learning to predict pediatric choledocholithiasis: A Western Pediatric Surgery Research Consortium retrospective study Gretchen Floan Sachs MD, Shadassa Ourshalimian MPH, Aaron R. Jensen MD, MEd, MS, FACS, Lorraine I. Kelley-Quon MD, MSHS, FACS, Benjamin E. Padilla MD, FACS, Stephen B. Shew MD, FACS, Katrine M. Lofberg MD, FACS, Caitlin A. Smith MD, FACS, Jonathan P. Roach MD, FACS, Samir R. Pandya MD, FACS, Katie W. Russell MD, FACS, Romeo C. Ignacio Jr. MD, MS, MPath, FACS, Western Pediatric Surgery Research Consortium Choledocholithiasis Investigative Group Background: The purpose of this study was to accurately predict pediatric choledocholithiasis with clinical data using a computational machine learning algorithm. Methods: A multicenter retrospective cohort study was performed on children <18 years of age who underwent cholecystectomy between 2016 to 2019 at 10 pediatric institutions. Demographic data, clinical findings, laboratory, and ultrasound results were evaluated by bivariate analyses. An Extra-Trees machine learning algorithm using k-fold cross-validation was used to determine predictive factors for choledocholithiasis. Model performance was assessed using the area under the receiver operating characteristic curve on a validation dataset. Results: A cohort of 1,597 patients was included, with an average age of 13.9 ± 3.2 years. Choledocholithiasis was confirmed in 301 patients (18.8%). Obesity was the most common comorbidity in all patients. Choledocholithiasis was associated with the finding of a common bile duct stone on ultrasound, increased common bile duct diameter, and higher serum concentrations of aspartate aminotransferase, alanine transaminase, lipase, and direct and peak total bilirubin. Nine features (age, body mass index, common bile duct stone on ultrasound, common bile duct diameter, aspartate aminotransferase, alanine transaminase, lipase, direct bilirubin, and peak total bilirubin) were clinically important and included in the machine learning algorithm. Our 9-feature model deployed on new patients was found to be highly predictive for choledo https://library.globalcastmd.com/video/9473 2024-12-02T06:44:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8052 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8052/thumbnail_9585_2024-03-06_08-49-33.jpg La campaña de mejora de la calidad mejoró la utilización de la resonancia magnética de secuencia rápida para el diagnóstico de la apendicitis pediátrica Nueva artículo que debes conocer del Journal of Pediatric Surgery de Cecilia Gigena "La campaña de mejora de la calidad mejoró la utilización de la resonancia magnética de secuencia rápida para el diagnóstico de la apendicitis pediátrica" Autores: Bailey D. Lyttle, Marina L. Reppucci, Connor Prendergast, Ioannis A. Ziogas, Suhong Tong, Shannon N. Acker, Sarah Milla, Jeffrey J. Tutman, Amanda Rutherford, Jonathan Orsborn, Tellen D. Bennett, Lisa DeCamp, José L. Díaz-Mirón Artículo completo: https://gcmd.co/3wFqtMo Introducción La apendicitis es la indicación más común de cirugía general de emergencia en la población pediátrica. La tomografía computarizada (CT) o la resonancia magnética (MRI) se pueden utilizar para el diagnóstico cuando los resultados de la ecografía son equívocos. Sin embargo, la tomografía computarizada implica una exposición innecesaria a la radiación si se dispone de resonancia magnética. Después de introducir un protocolo de apendicitis por resonancia magnética de secuencia rápida (rsMRI) en nuestra institución, la TC todavía se usaba preferentemente. Por lo tanto, implementamos una campaña de mejora de la calidad (QI) para reducir la tasa de TC y aumentar la tasa de rsMRI. Aquí, evaluamos la efectividad de la campaña de QI mientras evaluamos las barreras potenciales para el uso de rsMRI. Métodos Realizamos un estudio de métodos mixtos, primero realizamos entrevistas a las partes interesadas que informaron el diseño de una campaña de MC iniciada en mayo de 2021 y una encuesta de retroalimentación a mitad de camino en diciembre de 2021. Luego se realizó un estudio de cohorte retrospectivo de niños evaluados por apendicitis en nuestra institución entre el 1 de enero de 2021. , 2016 y 30 de abril de 2022. Las tasas de CT y rsMRI se compararon antes y después de la implementación de la campaña de MC. Resultados Hubo una disminución significativa en la tasa de TC y un aumento en la tasa de rsMRI realizadas después del inici spaces/14/content/8052/file_9585_2024-03-06_08-49-33.mp4 2024-03-06T08:49:33+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8113 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8113/thumbnail_9646_2024-03-27_10-52-13.jpg Criterios de consenso internacional para la sepsis y el shock séptico pediátricos Nuevo artículo que tenes que conocer seleccionado por la Sociedad Chilena de Cirugía pediátrica, resumido por la Dra. Cecilia Gigena "Criterios de consenso internacional para la sepsis y el shock séptico pediátricos"  Autores: Luregn J. Schlapbach, MD, PhD; R. Scott Watson, MD, MPH; Lauren R. Sorce, PhD, RN; Andrew C. Argent, MD, MBBCh, MMed; Kusum Menon, MD, MSc; Mark W. Hall, MD; Samuel Akech, MBChB, MMED, PhD; David J. Albers, PhD; Elizabeth R. Alpern, MD, MSCE; Fran Balamuth, MD, PhD, MSCE; Melania Bembea, MD, PhD; Paolo Biban, MD; Enitan D. Carrol, MBChB, MD; Kathleen Chiotos, MD; Mohammod Jobayer Chisti, MBBS, MMed, PhD; Peter E. DeWitt, PhD; Idris Evans, MD, MSc; Cláudio  Flauzino de Oliveira, MD, PhD; Christopher M. Horvat, MD, MHA; David Inwald, MB, PhD; Paul Ishimine, MD; Juan Camilo Jaramillo-Bustamante, MD; Michael Levin, MD, PhD; Rakesh Lodha, MD; Blake Martin, MD; Simon Nadel, MBBS; Satoshi Nakagawa, MD; Mark J. Peters, PhD; Adrienne G. Randolph, MD, MS; Suchitra Ranjit, MD; Margaret N. Rebull, MA; Seth Russell, MS; Halden F. Scott, MD; Daniela Carla de Souza, MD, PhD; Pierre Tissieres, MD, DSc; Scott L. Weiss, MD, MSCE; Matthew O. Wiens, PharmD, PhD; James L. Wynn, MD; Niranjan Kissoon, MD; Jerry J. Zimmerman, MD, PhD; L. Nelson Sanchez-Pinto, MD; Tellen D. Bennett, MD, MS; for the Society of Critical Care Medicine Pediatric Sepsis Definition Task Force Articulo completo: https://gcmd.co/3xaLrTC Importancia La sepsis es una de las principales causas de muerte entre niños en todo el mundo. Los criterios pediátricos actuales para la sepsis se publicaron en 2005 basándose en la opinión de expertos. En 2016, el Tercer Consenso Internacional de Definiciones de Sepsis y Choque Séptico (Sepsis-3) definió la sepsis como una disfunción orgánica potencialmente mortal causada por una respuesta desregulada del huésped a la infección, pero excluyó a los niños. Objetivo Actualizar y evaluar criterios de sepsis y shock séptico en niños. Revis https://library.globalcastmd.com/video/8113 2024-03-27T10:52:13+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/9498 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9498/thumbnail_11054_2024-12-09_08-04-05.jpg Dan Swarr, MD - 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 In this presentation, Dr. Dan Swarr speaks on the Perinatal Outcomes of Fetuses and Infants Diagnosed with Trisomy 13 and 18. spaces/17/content/9498/file_11054_2024-12-09_08-04-05.mp4 2024-12-09T08:04:05+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5909 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5909/thumbnail_5909_2022-10-06_16-00-07.jpg Intestinal Rehabilitation, Episode 4: Surgical Management, Part 1 We're back with a new topic, discussing surgical management with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital. Hosts: Ellen Encisco & Em Tombash Don't forget to like and subscribe to see more entertaining medical educational videos! https://www.youtube.com/channel/UC7tyknq3hgjWGVLgLXqV1pA https://library.globalcastmd.com/video/5909 2022-10-06T16:00:07+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7539 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7539/thumbnail_9050_2023-11-01_22-00-11.jpg El momento de la reparación de la HDC en ECMO influye en el riesgo de hemorragia quirúrgica Otro artículo de JPS de Cecilia Gigena que debes conocer "El momento de la reparación de la hernia diafragmática congénita mediante oxigenación por membrana extracorpórea influye en el riesgo de hemorragia quirúrgica" Autores: C. Jason Smithers, Jill M. Zalieckas, Samuel E. Rice-Townsend, Ali Kamran, David Zurakowski, Terry L. Buchmiller Artículo completo: https://gcmd.co/3ShoG94 introducción El momento óptimo para la reparación quirúrgica de los lactantes con hernia diafragmática congénita (CDH) tratados con soporte de oxigenación por membrana extracorpórea (ECMO) sigue siendo controvertido. Muchos centros consideran el riesgo de hemorragia quirúrgica como un factor principal a la hora de determinar el momento preferido para la reparación de la HDC en los lactantes que requieren soporte con ECMO. Este estudio compara el sangrado quirúrgico después de la reparación de CDH con ECMO de manera temprana versus tardía. Métodos Una revisión retrospectiva de 146 bebés que se sometieron a reparación de CDH mientras recibían soporte de ECMO entre 1995 y 2021. La reparación temprana se produjo durante las primeras 48 h después de la canulación de ECMO (ER) y la reparación tardía después de 48 h (DR). El sangrado quirúrgico se definió por el requisito de una nueva intervención para hemostasia o descompresión. Resultados 102 lactantes tuvieron ER y 44 lactantes DR. El sangrado quirúrgico fue más frecuente en el grupo de DR (36 % frente a 5 %, p < 0,001) con un odds ratio de 11,7 (IC del 95 %: 3,48–39,3, p < 0,001). El nivel de nitrógeno ureico en sangre el día de la reparación estuvo significativamente elevado entre los que sangraron (mediana 63 mg/dL, IQR 20-85) frente a los que no lo hicieron (mediana 9 mg/dL, IQR 7-13) (p < 0,0001 ). La duración del soporte ECMO fue más corta en el grupo de urgencias (mediana 13 frente a 18 días, p = 0,005). La supervivencia no fue estadísticamente diferente entre los dos grupos (ER 60 % frente a DR 57 %, p = 0,737). Conclusión Demo https://library.globalcastmd.com/video/7539 2023-11-01T22:00:11+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/748 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/748/thumbnail_852_2018-11-16_00-00-08.jpg Laparoscopic Jejunal Atresia Repair - Technique Dr. Steven Rothenberg describes his technique for laparoscopic repair of jejunal atresia with apple peel defect.  Key steps to the procedure include Veress entry, identification of the proximal and distal segments of jejunum, mobilization and resection of the short segment of dilated proximal jejunum with a laparoscopic stapler, a stapled end-to-side jejunojejunostomy, closure of the enterotomy, and decompression and retrieval of the specimen. https://library.globalcastmd.com/video/748 2018-11-16T00:00:08+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2957 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2957/thumbnail_3909_2020-09-02_17-51-22.jpg IPEG 2020 TOP ABSTRACT: Robotic Duodenal polypectomy in a case of Peutz-Jeghers IPEG 2020 Annual Meeting - Top Abstracts Authors: Rosie Cresner; Carmen Sofia Chacon; Simon Clarke, MR; Chelsea and Westminster Children's Hospital, London We present a step-by-step demonstration technique of a robotic duodenal enterotomy and polypectomy. The patient was a 7y old girl with known background of Peutz Jeger’s Syndrome who presented via clinic with intermittent upper abdominal pain and non-bilious vomiting. She was dehydrated and acidotic pre-operatively due to profuse vomiting. A D1 duodenal polyp causing obstruction was seen on duodenoscopy. The base was 2.5 cm and too large to snare endoscopically. We performed a robotic enterotomy and polypectomy. 3 robotic,1 balloon accessory ports and a liver retractor were placed. The robot allowed much easier manipulation of the duodenum, retrieval and eversion of the polyp from within the lumen, and allowed easy closure of the enterotomy with 2 layer running suture. The patient had excellent uneventful recovery with reintroduction of enteral fluids 48h after the surgery and discharge on the forth post-operative day. This technique should be considered for further cases. Presenter: Rosie Cresner rosiecresner@gmail.com spaces/2/content/2957/file_3909_2020-09-02_17-51-22.mp4 2020-09-02T17:51:22+00:00 9 Medical Education yes IPEG no https://library.globalcastmd.com/video/6539 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6539/thumbnail_6539_2023-04-05_16-00-08.jpg Does presence of a VACTERL anomaly predict an associated gynecologic anomaly in females with anorectal malformations? JPS article "Does presence of a VACTERL anomaly predict an associated gynecologic anomaly in females with anorectal malformations?: A Pediatric Colorectal and Pelvic Learning Consortium Study" Ahmad et al, Journal of Pediatric Surgery https://www.jpedsurg.org/article/S0022-3468(22)00396-7/fulltext Video: Ellen Encisco https://library.globalcastmd.com/video/6539 2023-04-05T16:00:08+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7220 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7220/thumbnail_8707_2023-09-27_18-00-07.jpg Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery New article you should know by Dr. Alex Halpern "Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis" Authors: Siva P Namachivayam, Suvikrom Law, Johnny Millar, Yves d'Udekem Full article: https://pubmed.ncbi.nlm.nih.gov/35839279/ Abstract Objective: Peritoneal dialysis (PD) is used in several cardiac surgical units after cardiac surgery, and early initiation of PD after surgery may have the potential to influence postoperative outcomes. This systematic review and meta-analysis aims to summarize the evidence for the association between early PD after cardiac surgery and postoperative outcomes. Data sources: MEDLINE, Embase, and PubMed from 1981 to November 1, 2021. Study selection: Observational studies and randomized trials reporting on early PD after pediatric cardiac surgery. Data extraction: Random-effects meta-analysis was used to estimate the pooled odds ratios (ORs) and their 95% CIs for postoperative mortality and pooled mean difference (MD) (95% CI) for duration of mechanical ventilation and ICU length of stay. Data synthesis: We identified nine studies from the systematic review, and five were considered suitable for meta-analysis. Early initiation of PD after cardiac surgery was associated with a reduction in postoperative mortality (OR, 0.43 (95% CI, 0.23-0.80); number of estimates = 4). Early commencement of PD shortened duration of mechanical ventilation (MD [95% CI], -1.09 d [-1.86 to -0.33 d]; I2 = 56.1%; p = 0.06) and intensive care length of stay (MD [95% CI], -2.46 d [-3.57 to -1.35 d]; I2 = 18.7%; p = 0.30], respectively. All three estimates had broad 95% prediction intervals (crossing null) denoting major heterogeneity between studies and wide range of possible study estimates in similar future studies. Overall, studies reporting on the effects of early PD included only a subset of infants undergoing cardiac surgery (typically high-risk https://library.globalcastmd.com/video/7220 2023-09-27T18:00:07+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7274 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/7274/thumbnail_7274_2023-10-09_22-00-13.jpg How to Give Your Child an Antegrade Malone Flush Using a MiniACE Balloon Device Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of the Malone flush is to mechanically clean the colon of stool every 24 hours and be free from accidents. In this video, we will walk through the steps to successfully perform an Antegrade Malone Flush using a MiniACE Balloon Device on your child. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal spaces/8/content/7274/file_8764_2023-10-09_22-00-13.mp4 2023-10-09T22:00:13+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/9334 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9334/thumbnail_10889_2024-10-22_09-06-13.jpg Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study David Basurto, Kanokwaroon Watananirun, Anne-Gael Cordier, Juan Otaño, Diane Carriere, Marianna Scuglia, Anna Moraes de Luna Freire Vargas, Jordi Prat, Francesca Maria Russo, Anne Debeer, Cleisson Fábio Andrioli Peralta, Paolo De Coppi, Eduard Gratacós, Alexandra Benachi, Jan Deprest Background: Temporary fetoscopic endoluminal tracheal occlusion (FETO) promotes lung growth and increases survival in selected fetuses with congenital diaphragmatic hernia (CDH). FETO is performed percutaneously by inserting into the trachea a balloon designed for vascular occlusion. However, reports on the potential postnatal side-effects of the balloon are scarce. This study aimed to evaluate the prevalence of tracheomalacia in infants with CDH managed with and without FETO and other consequences related to the use of the balloon. Methods: In this multicentre, retrospective cohort study, we included infants who were live born with CDH, either with FETO or without, who were managed postnatally at four centres (UZ Leuven, Leuven, Belgium; Antoine Béclère, Clamart, France; BCNatal, Barcelona, Spain; and HCor-Heart Hospital, São Paulo, Brazil) between April 5, 2002, and June 2, 2021. We primarily assessed the prevalence of all (symptomatic and asymptomatic) tracheomalacia as reported in medical records among infants with and without FETO. Secondarily we assessed the prevalence of symptomatic tracheomalacia and its resolution as reported in medical records, and compared tracheal diameters as measured on postnatal x-rays. Crude and adjusted risk ratios (aRRs) and 95% CIs were calculated via modified Poisson regression models with robust error variances for potential association between FETO and tracheomalacia. Variables included in the adjusted model were the side of the hernia, observed-to-expected lung-to-head ratio, and gestational age at birth. Crude and adjusted mean differences and 95% CIs were calculated via linear regression models to assess the presence and magnitude of assoc spaces/1/content/9334/file_10889_2024-10-22_09-06-13.mp4 2024-10-22T09:06:13+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8475 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8475/thumbnail_10012_2024-04-04_07-23-55.jpg Successful Adolescent Varicocelectomy Improves Total Motile Sperm Count New article you should know about from JPS by Kim Priban DNP, RN "Successful Adolescent Varicocelectomy Improves Total Motile Sperm Count" Authors: Raymond Lay, Tanya Logvinenko, Michael P. Kurtz, Saafia Masoom, Alyssia Venna & David A Diamond Full article: https:/doi.org/10.1016/j.jpedsurg.2023.08.007 Abstract Background: Management of the adolescent varicocele focuses on optimizing fertility potential, but to date there is limited data on the success of varicocelectomy on optimizing semen parameters for individual adolescent patients. We reviewed our database of over 1600 adolescent varicocele patients to find those with pre- and postoperative semen analyses to determine the impact of varicocele correction. Methods: 15 Tanner stage V patients with unilateral clinically apparent left-sided with pre- and postoperative semen analyses were identified. Mixed models were used to compare semen parameters pre- and post-varicocelectomy in patients with successful management. Results: Complete elimination of the varicocele was achieved in 12/15 (80%) patients. Three patients had persistent varicocele (with down-grading in two) and declined further intervention. Median time between pre- and postoperative semen analyses was 24.2 months. For those with successful varicocele correction, total motile sperm count (TMSC) improved in all but one (Figure 1), with an average increase of 44.0 million (95% CI: 18.7–69.3) in post-varicocelectomy analyses compared to pre-varicocelectomy (p = 0.0016). Mean percent improvement was 649.2%. It went from abnormal to normal (≥20 million/cc) in 55.6% (5/9). For the three patients with persistent varicocele, one had improved TMSC from abnormal to normal range, one had worsening within normal range, and one had effectively no change. Conclusion: Successful correction of adolescent varicocele may improve TMSC. In over half of our institution's cases, an abnormal value normalized. Surgical intervention may be con https://library.globalcastmd.com/video/8475 2024-04-04T07:23:55+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6176 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/15/content/6176/thumbnail_6176_2022-11-30_18-00-05.jpg Lecture 3 Redo Pull-through after Complications in Hirschsprung’s Disease Lecture 3 Redo Pull-through after Complications in Hirschsprung’s Disease (Dr Qi LI), Q+A panel discussion (Moderator: Prof PKH TAM, HKU; Prof Wei CHENG, HKU; Prof Long LI, Capital Institute of Pediatrics) https://library.globalcastmd.com/video/6176 2022-11-30T18:00:05+00:00 channel#capital_institute_of_pediatrics_beijing_china Medical Education yes Capital Institute of Pediatrics, Beijing China no https://library.globalcastmd.com/video/9262 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9262/thumbnail_10817_2024-10-09_08-48-00.jpg Peer Support to Promote Surgeon Well-being: The APSA Program Experience Fari Fall,Yue Yung Hu, Sarah Walker, Reto Baertschiger, Iljana Gaffar, Daniel Saltzman, Steven Stylianos, Jo Shapiro, Minna Wieck, Terry Buchmiller, Mary L. Brandt, Thomas Tracy, Kurt Heiss, Loren Berman Background: Peer support programs have evolved to train physicians to provide outreach and emotional first aid to their colleagues when they experience the inevitable challenge of a serious adverse event, whether or not it is related to a medical error. Most pediatric surgeons have experienced the trauma of a medical error, yet, in a survey of APSA membership, almost half said that no one reached out to them, and few were satisfied with their institution's response to the error. Thus, the APSA Wellness Committee developed an APSA-based peer support program to meet this need. Methods: Peer supporters were nominated by fellow APSA members, and the group was vetted to ensure diversity in demographics, practice setting, and seniority. Formal virtual training was conducted before the program went live in 2020. Trained supporters were surveyed 6 months after the program launched to evaluate their experiences with providing peer support. Results: 15 referrals were made in the first year, 60 % of which were self-initiated. Most referrals were for distress related to adverse events or toxic work environments (33 % each). While only about 25 % of trained supporters had provided formal support through the APSA program, more than 80 % reported using the skills to support colleagues and trainees within their own institutions. Conclusion: Our experience in the first year of the APSA peer support program demonstrates the feasibility of building and maintaining a national program to provide emotional first aid by a professional society to expand the safety net for surgeons who are suffering.   https://library.globalcastmd.com/video/9262 2024-10-09T08:48:00+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7604 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7604/thumbnail_9117_2023-11-10_16-00-07.JPG Care and Nutrition in Esophageal Atresia: An ERNICA animation for parents and families Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals. This is an ERNICA animation. Please consult your own care provider for local protocols. Video owned by ERNICA (Erasmus MC). More information and languages: https://ern-ernica.eu/   spaces/7/content/7604/file_9117_2023-11-10_16-00-07.mp4 2023-11-10T16:00:07+00:00 1 channel#eupsa Esophageal Atresia Nutrition Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/8937 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8937/thumbnail_10489_2024-07-29_08-11-11.jpg Exploración laparoscópica trancística del conducto biliar común en pacientes pediátricos con coledocolitiasis Nuevo artículo que tienes que conocer por Cecilia Gigena del JPS "Exploración laparoscópica trancística del conducto biliar común en pacientes pediátricos con coledocolitiasis" Autores: Jessica Rauh, Goeto Dantes, Marshall Wallace, Amelia Collings, Gloria D. Sanin, Gabriel E. Cambronero, Maggie E. Bosley, Aravindh S. Ganapathy, James W. Patterson, Romeo Ignacio, Jennifer Leslie Knod, Bethany Slater, Kylie Callier, Michael H. Livingston,  Hanna Alemayehu, Katerina Dukleska, Stefan Scholz, Matthew T. Santore, Irving J. Zamora, Lucas P. Neff Artículo completo: https://www.jpedsurg.org/article/S0022-3468(23)00657-7/abstract Introducción Los pacientes con coledocolitiasis suelen ser tratados con colangiopancreatografía retrógrada endoscópica (CPRE) seguida de colecistectomía laparoscópica (CL). La LC inicial, la colangiografía intraoperatoria (IOC) y una posible exploración laparoscópica transcística del conducto biliar común (LCBDE) podrían evitar potencialmente la necesidad de una CPRE. Presumimos que LC + IOC ± LCBDE por adelantado disminuirá la duración de la estadía (LOS) y el número total de intervenciones para niños con sospecha de coledocolitiasis. Métodos Se realizó un estudio de cohorte retrospectivo multicéntrico en pacientes pediátricos (<18 años) entre 2018 y 2022 con sospecha de coledocolitiasis. Se compararon los datos demográficos y clínicos para la CL inicial + COI ± LCBDE y la posible CPRE posoperatoria (OR1.ª) versus la CPRE preoperatoria antes de la CL (OR2.ª). Las complicaciones se definieron como pancreatitis posoperatoria, coledocolitiasis recurrente, sangrado o absceso. Resultados En cuatro centros, 252 niños con sospecha de coledocolitiasis fueron tratados con OR1st (n = 156) o OR2nd (n = 96). No hubo diferencias en edad, sexo o índice de masa corporal. De los pacientes con LCBDE (72/156), el 86% tuvo un manejo intraoperatorio definitivo y el 14% restante requirió CPRE postoperatoria. Las complicaciones fueron menores y la estanc https://library.globalcastmd.com/video/8937 2024-07-29T08:11:11+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6764 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6764/thumbnail_6764_2023-06-21_22-00-10.jpg Utilizar un equipo de respuesta de vía aerea crítica acelera la extracción de la pila botón esofágica ¡Nuevo artículo que debes conocer! por Cecilia Gigena "Utilizar un equipo de respuesta de vía aerea crítica acelera la extracción de la pila botón esofágica" Brandt K et.al. Autores: Kylie Brandt, Katerina Dukleska, Morgan McKeown, John Brancato, Victoria Grossi, Scott Schoem, Tina Sacco, Jennifer D'Amato, Michael D. Bourque, Brendan T. Campbell Artículo completo: https://www.jpedsurg.org/article/S0022-3468(23)00056-8/fulltext Abstract Introducción  La ingestión de pilas botón que se alojan en el esófago son un problema que puede provocar complicaciones importantes, como fístula traqueoesofágica, perforación esofágica y fístula aortoesofágica. Debido a esto, el reconocimiento y el tratamiento oportunos son integrales en el cuidado de estos pacientes. Métodos En este estudio se incluyeron pacientes que acudieron a una sola institución desde agosto de 2015 hasta abril de 2022 con ingestión de pila botón hallada en esófago. Todos los pacientes con ingestión de pila botón en el esófago se incluyeron en un algoritmo clínico para la activación del Equipo de respuesta de la vía aérea dificultosa (CART) en octubre de 2019. Se comparó el tiempo desde el diagnóstico hasta el tratamiento para la implementación del algoritmo clínico previo al CART con el posterior al CART. Resultados Se recopilaron datos sobre pacientes pre-CART (n = 6) y pacientes post-CART (n = 7). La inclusión de las ingestiones de pilas botón esofágicas en las activaciones de CART redujo el tiempo desde la radiografía de tórax hasta la extracción de las mismas de 73 ± 32 min a 35 ± 11 min (p < 0,05). Conclusión Estos datos resaltan la importancia de la implementación de un algoritmo de atención clínica para acortar el tiempo desde el diagnóstico hasta el tratamiento en pacientes con ingestión de pilas de botón esofágicas. Nivel de evidencia III https://library.globalcastmd.com/video/6764 2023-06-21T22:00:10+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8460 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8460/thumbnail_9995_2024-04-01_11-58-46.jpg IPEG 2024 Round Table Discussion from East Asia - Introduction Go Miyano introduces IPEG's 2024 Round Table Discussion from East Asia! spaces/17/content/8460/file_9995_2024-04-01_11-58-46.mp4 2024-04-01T11:58:46+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6569 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6569/thumbnail_6569_2023-04-13_12-00-10.jpg Update Course Rewind: NPO Guidelines 2022 We are back with another Update Course Rewind video! This time we are presenting you “Updates in NPO Guidelines" with Dr. Mary Edwards from APSA Professional Development Committee. Host: Brittany Levy Don't forget to like and subscribe to our YouTube channel to see more entertaining medical educational videos!   https://library.globalcastmd.com/video/6569 2023-04-13T12:00:10+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2229 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2229/thumbnail_3155_2020-02-24_19-58-22.jpg Thoracoscopic Resection of Bronchopulmonary Foregut Malformation This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2229 2020-02-24T19:58:22+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8804 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8804/thumbnail_10354_2024-07-05_06-37-52.jpg Resultados después de la cirugía para niños en África Nuevo artículo que tienes que conocer, seleccionado por la Sociedad Chilena de Cirugía Pediátrica, resumido por la Dra. Cecilia Gigena "Resultados después de la cirugía para niños en África (ASOS-Paeds): un estudio de cohorte observacional prospectivo de 14 días" Autores: ASOS-Paeds Artículo completo: https://gcmd.co/4eWHXFR Antecedentes: La anestesia y la cirugía seguras son un imperativo de salud pública. Hay pocos datos que describan los resultados de los niños sometidos a anestesia y cirugía en África. Nuestro objetivo era obtener datos epidemiológicos sólidos para describir la atención al paciente y los resultados de los niños sometidos a anestesia y cirugía en hospitales de África. Métodos: Este estudio fue un estudio de cohorte observacional, prospectivo, internacional, de 14 días de duración, de niños (<18 años) sometidos a cirugía en África. Reclutamos tantos hospitales como fuera posible en todos los niveles de atención (primero, segundo y tercero) que brindaran tratamiento quirúrgico. Cada hospital reclutó a todos los niños elegibles durante un período de 14 días que comenzó en la fecha elegida por cada hospital participante dentro del período de reclutamiento del estudio del 15 de enero al 23 de diciembre de 2022. Los datos se recopilaron de forma prospectiva para pacientes consecutivos en formularios de registro de casos en papel. El resultado primario fueron las complicaciones postoperatorias intrahospitalarias dentro de los 30 días posteriores a la cirugía y el resultado secundario fue la mortalidad hospitalaria dentro de los 30 días posteriores a la cirugía. También recopilamos datos a nivel hospitalario que describen los equipos, las instalaciones y los protocolos disponibles. Este estudio está registrado en ClinicalTrials.gov, NCT05061407. Hallazgos: Reclutamos a 8625 niños de 249 hospitales en 31 países africanos. La edad media fue de 6,1 (DE 4,9) años, y 5.675 (66.0%) de 8.600 niños eran varones. La mayoría de los niños (6110 [7 https://library.globalcastmd.com/video/8804 2024-07-05T06:37:52+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/5916 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5916/thumbnail_7336_2022-10-13_22-00-06.jpg Is IPA-CHG safe for neonatal surgery? Another Article you should know by Cecilia Gigena  "Optimizing skin antisepsis for neonatal Surgery: A quality improvement initiave" Sophie Carr et.al. Full article: https://www.jpedsurg.org/article/S0022-3468(22)00200-7/pdf Authors: Sophie Carr, Carmina Gogal, Kourosh Afshar, Joseph Ting, Erik Skarsgard Abstract Purpose Surgical site infections (SSIs) are a significant determinant of morbidity in the Neonatal Intensive Care Unit (NICU). Chlorhexidine gluconate/isopropyl alcohol (CHG-IPA) skin prep has demonstrated superiority over Povidone-Iodine (PI) in preventing SSIs in adults, however FDA labeling discourages CHG use in infants <2 months. This project aimed to i) create evidence for safe CHG skin antisepsis in neonates; and ii) evaluate the safety and effectiveness of CHG skin prep for neonatal surgery. Methods A literature review was conducted to assess the safety and effectiveness of neonatal CHG skin antisepsis. Following stakeholder engagement, a CHG surgical skin prep protocol and validated neonatal skin integrity tool to assess prep-associated skin injury were implemented in 50 consecutive, eligible neonates ≥1500 g and ≥34 weeks post conceptual age undergoing abdominal or thoracic surgery. SSI rates were compared to a matched, historical PI skin prep cohort. Results 2%CHG-70%IPA or 0.5%CHG-70%IPA were used based on gestational age cutoffs. None of the CHG patients experienced adverse skin prep outcomes while 8% developed SSIs, compared to 14% in the historical PI cohort. Conclusion This project engaged NICU stakeholders in quality improvement work and informed the implementation of a safe and effective CHG skin prep protocol for neonatal surgery. https://library.globalcastmd.com/video/5916 2022-10-13T22:00:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6523 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6523/thumbnail_6523_2023-03-29_16-00-08.jpg Did you know that With just soap you can reduce SSIs? New article you should know! by @gigenace "A randomised control trial using soap in the prevention of surgical site infection in Tanzania” Godfrey Sama Philipo et.al. Authors: Godfrey Sama Philipo, Zaitun Mohamed Bokhary, Neema Lala Bayyo, Soham Bandyopadhyay, Miriam Gerd Pueschel, Rajabu Athumani Bakari, Kokila Lakhoo Full article: https://www.jpedsurg.org/article/S0022-3468(22)00701-1/fulltext Abstract Background Surgical site infections (SSIs) are common and serious complications of surgery. Guidelines on preventing SSIs have been developed, but the role of preoperative bathing with plain soap among paediatric population is unclear. We aimed to assess the effectiveness of pre-operative bathing using plain soap in preventing SSIs among paediatric surgical patients. Materials and Methods An open-label, randomised trial was conducted at Muhimbili National Hospital in Tanzania. Preoperatively, patients in the intervention group washed their body using plain soap, while those in the control group did not. The primary outcome was SSI postoperatively. Statistical tests included χ2, Wilcoxon rank sum, and univariate and multivariable logistic regression. Results Of the 252 patients recruited,114 were randomised to the intervention arm. In the control arm, 40.6% (56/138) of participants developed SSIs compared to 11.4% (13/114) in the intervention arm (p < 0.01). After adjusting for confounding factors in multivariable analysis, the intervention reduced the odds of an SSI by 80% (OR: 0.20 [95% CI: 0.10, 0.41]; p < 0.01). Preoperative antibiotics were deemed to be an effect modifier of the association between the intervention and SSI (p = 0.05). The intervention significantly reduced the odds of an SSI by 88% among participants not given preoperative antibiotics (OR: 0.12 [95% CI: 0.05, 0.30]; p < 0.01). Conclusion This study has shown that preoperative bathing with soap significantly reduces SSIs in paediatric surgical patients. It is a https://library.globalcastmd.com/video/6523 2023-03-29T16:00:08+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5878 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5878/thumbnail_5878_2022-09-22_12-00-08.jpg Journal of Pediatric Surgery Article Review: June 2022, AAP Issue Here's the June 2022 issue of JPS article highlights. This time we're talking to Dr. Nicole Chandler and authors Drs. Elizabeth Beierle, Marcus Malek, Biren Modi, Amelia Collings and Katherine Flynn O'Brien. Hosts: Ellen Encisco, Em Tombash Articles: Collings AT, Farazi M, Van Arendonk K, et al; Midwest Pediatric Surgery Consortium. Impact of "Stay-at-Home" orders on non-accidental trauma: A multi-institutional study. J Pediatr Surg. 2022 Jun;57(6):1062-1066. https://www.jpedsurg.org/article/S0022-3468(22)00130-0/fulltext Marayati R, Julson JR, Bownes LV, et al. Metastatic human hepatoblastoma cells exhibit enhanced tumorigenicity, invasiveness and a stem cell-like phenotype. J Pediatr Surg. 2022 Jun;57(6):1018-1025. https://www.jpedsurg.org/article/S0022-3468(22)00129-4/fulltext Morgan KM, Anderson KT, Johnston ME, et al. Interhospital variability in localization techniques for small pulmonary nodules in children: A pediatric surgical oncology research collaborative study. J Pediatr Surg. 2022 Jun;57(6):1013-1017. https://www.jpedsurg.org/article/S0022-3468(22)00139-7/fulltext Culbreath K, Keefe G, Staffa SJ, et al. Puberty and growth in patients with pediatric intestinal failure. J Pediatr Surg. 2022 Jun;57(6):1045-1049. https://www.jpedsurg.org/article/S0022-3468(22)00132-4/fulltext https://library.globalcastmd.com/video/5878 2022-09-22T12:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2236 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2236/thumbnail_3162_2020-02-24_19-58-22.jpg Laparoscopic Heller Myotomy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2236 2020-02-24T19:58:22+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7392 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7392/thumbnail_8885_2023-10-23_22-00-09.jpg CNA Conference - Dr. John Clark - A case of CNA for Long QT Syndrome Dr. John Clark presents “A case of CNA for Long QT Syndrome” at the Second World Congress on Cardioneuroablation. spaces/17/content/7392/file_8885_2023-10-23_22-00-09.mp4 2023-10-23T22:00:09+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5355 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/5355/thumbnail_5355_2022-04-27_12-00-13.jpg MANAGEMENT OF CLOACAL EXTROPHY EUPSA & eUROGEN joint webinar Thomas Boemers (Cologne Germany)   Ivo de Blaauw and Wout Feitz (Nijmengen, The Netherlands) Moderated by Martin Lacher (Leipzig, Germany) and Augusto Zani (Toronto, Canada) https://d1dnj0gz56dmdu.cloudfront.net/f36b4172-f0bc-4a8b-b09e-68ccc13b6ed2/AppleHLS1/4ce8b9beb0969b66eb67f030c2694f30.m3u8 2022-04-27T12:00:13+00:00 14 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/9232 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9232/thumbnail_10787_2024-10-03_09-05-58.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Dr. Charu Venkatesen Dr. Charu Venkatesen speaks on the outcomes of patients with prenatal diagnosis of Congenital Aqueductal Stenosis on Day 1 of the Frontiers in Fetal Neurology 2-day interactive webinar series.  spaces/17/content/9232/file_10787_2024-10-03_09-05-58.mp4 2024-10-03T09:05:58+00:00 1 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10735 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10735/fa392d0c9fd453a87964e5ec877f7fcf.jpg Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024 In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. David Vitale, Luke Neff, and Jeffrey Ponsky explore strategies for preventing gallstone pancreatitis in pediatric patients with biliary stones. This session is classified as a Green Circle (established practice). Key Highlights: Managing complex cases: When to use conservative management with antibiotics for neutropenic, thrombocytopenic patients. Gallstone pancreatitis: How to differentiate management from typical choledocholithiasis cases. Timing of cholecystectomy: Why surgery should be based on clinical improvement rather than complete biochemical normalization. ERCP and IOC coordination: Determining when early ERCP is necessary and incorporating intraoperative cholangiograms for safe stone clearance. Clinical judgment matters: How local resources and patient-specific factors shape decision-making. This session emphasizes balancing early intervention with patient safety and tailoring care to individual circumstances. https://library.globalcastmd.com/video/10735 2025-07-29T05:51:25+00:00 2 pediatric surgery some4pedsurg pediatric surgery update course update course 2024 prevention gallstone pancreatitis pediatric patients Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8015 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8015/thumbnail_9547_2024-02-26_10-36-45.jpg Joseph Davidson, MA(Oxon), MBBS MRCS(Eng) - Best of the Best in Pediatric Surgery 2024 Watch EUPSA's Dr. Joseph Davidson presentation on “Sexual Function and fertility outcomes in women with Hischsprung disease” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8015/file_9547_2024-02-26_10-36-45.mp4 2024-02-26T10:36:45+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5807 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5807/thumbnail_5807_2022-09-01_18-00-08.jpg Update Course Rewind: Pectus Excavatum 2021 Did you miss our 9th Annual Update Course last year?  Don't worry, we are summarizing our favorite sessions in this podcast!  In this Episode Drs. Steven Lee, Shawn St. Peter, Victor García, Steven Rothenberg, Whit Holcomb, & Justin Wagner will talk you through some updates in pain control management and tricks for the Nuss procedure.  Hosts: Dr Todd Ponsky, Dr Ellen Encisco & Dr Cecilia Gigena Also, Mark your calendars for our next 10 Annual Update course 2022 in August 30! Join us: https://globalcastmd.wufoo.com/forms/zjvig871ne79wa/ https://library.globalcastmd.com/video/5807 2022-09-01T18:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7961 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7961/thumbnail_9491_2024-02-07_16-00-12.jpg Guillermo Ares, MD and Mark Wulkan, MD - 2024 Pediatric Bariatric Surgery Update Course Guillermo Ares, MD and Mark Wulkan, MD presents on “Robotics – Pros and Cons” at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7961/file_9491_2024-02-07_16-00-12.mp4 2024-02-07T16:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/13834 2026-08-01 monthly 0.7 01_Marc_Levitt_06 Marc about a CTO Mission_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_06 Marc about a CTO Mission_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737412755 2026-07-29T23:11:05+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10299 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10299/42d2b225a5be23f75153bfccb3617bcc.jpg Same-Day Discharge for Elective Pediatric Laparoscopic Gastrostomy Tube Insertion is Safe and Increasing in Frequency; A NSQIP Pediatric Retrospective Review 2017 to 2021 Background: There is limited literature reviewing same-day discharge for elective pediatric gastrostomy tube placement. Our aim was to assess the outcomes and national trends of same-day discharge following elective pediatric laparoscopic gastrostomy. Methods: ACS NSQIP-P registry data from 2017 to 2021 was used to evaluate elective pediatric laparoscopic gastrostomy patients who presented from home and discharged home with a diagnosis of failure to thrive, feeding difficulty or dysphagia. Patients discharged same-day postoperatively (SDD) were compared to those discharged 1–2 days postoperatively (non-SDD) for the primary outcome of unplanned 30-day readmission. Secondary outcomes included bleeding events, wound infection, and 30-day reoperation. Results: There were 5,947 patients identified; 4.7% were discharged same-day. The annual rate of SDD over 5 years went from 2.7% to 4.6%–4.8% to 4.5%–6.3%. There were no significant differences between SDD and non-SDD patients for early readmission or reoperation (0.7% vs 0.3%, p = 0.279), 30-day unplanned readmission (8.5% vs 8.0%, p = 0.407), reoperation (0.1% vs 1.4%, p = 1.000), or any other complications (p > 0.05). Binary logistic regression found pre-operative steroid use within 30 days increased risk of serious complication (OR 2.02, 95% CI 1.29–3.15, p = 0.002) and 30-day readmission or reoperation (OR 2.10, 95% CI 1.34–3.27, p = 0.001). All 6 patients (0.1%) who required reoperation within 3 days were identified prior to discharge, and none of the 16 patients readmitted within 3 days of surgery required reoperation. Conclusion: Though rates of same-day discharge following pediatric gastrostomy tube placement are low, they continue to increase annually. There were no significant differences in outcomes between same-day and non-same-day day discharge for elective cases presenting from and discharging home. In non-steroid using patients, same-day discharge following laparoscopic gastrostomy can be a safe op https://library.globalcastmd.com/video/10299 2025-04-10T08:00:30+00:00 3 channel#pediatric_surgery NSQIP ACS american college of surgery gastrostomy tube Alex halpern journal of pediatric surgery eras same day discharge elective pediatric laparoscopic gastrostomy Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13735 2026-08-01 monthly 0.7 Jeffrey L. Ponsky Master Educator in Endoscopy This is "Jeffrey L. Ponsky Master Educator in Endoscopy" by SAGES Webmaster on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/443547467 2026-07-29T22:56:58+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10353 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10353/6b83be850674b4b622184303a2b4fca7.jpg Six Years of Quality Improvement in Pectus Excavatum Repair: Implementation of Intercostal Nerve Cryoablation and ERAS Protocols for Patients Undergoing Nuss Procedure Jordan M. Rook, Lisa K. Lee, Justin P. Wagner, Veronica F. Sullins, Steven L. Lee, Shant Shekherdimian, Daniel A. DeUgarte, Christine E. Dichter, Howard C. Jen   Background: The Nuss procedure for pectus excavatum is associated with prolonged hospitalizations due to pain. We evaluated implementation of intercostal nerve cryoablation and enhanced recovery after surgery (ERAS) protocols on outcomes of Nuss procedures performed over six years at a single institution. Methods: This retrospective cohort study included patients who underwent Nuss procedure from 10/2017 to 09/2023. Patients received epidurals prior to 06/2019, cryoablation from 06/2019 to 07/2021, and ERAS with cryoablation and intraoperative methadone administration after 07/2021. We used multivariable linear regression to evaluate length of stay (LOS), inpatient morphine milligram equivalents (MMEs), and discharge opioids. We assessed the balancing measures of operative time, postoperative pain scores, and complications. Results: We identified 62 patients; 15 who received epidurals, 18 cryoablation, and 29 cryoablation with ERAS. Cryoablation was associated with a 62.3% (p < 0.001) decrease in length of stay, an 86.6% (p < 0.001) decrease in inpatient MMEs, and a 72.9% (p < 0.001) decrease in discharge opioids. Cryoablation was additionally associated with 24.5% (p = 0.02) longer operative times and 46.4% (p = 0.04) higher postoperative day one pain scores. Subsequent implementation of an ERAS protocol was associated with a further 82.8% (p = 0.04) decrease in discharge opioids and a 25.0% (p = 0.04) decrease in postoperative day one pain scores. Conclusions: Over six years of quality improvement efforts, we found the implementation of cryoablation and ERAS protocols to be associated with a significant decrease in length of stay and opioid exposures. Protocolized pain management and cryoablation may work synergistically to improve outcomes without compromising patient experience. spaces/1/content/10353/3e9fb510b5b4b22f017340df9563d660.mp4 2025-04-15T21:12:56+00:00 1 channel#pediatric_surgery Lizzy Lee pectus excavatum cryoablation ERAS methadone Nuss procedure pedsurg JPS Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7129 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7129/thumbnail_8613_2023-09-13_22-00-08.jpg Chest Tube Management following Lung Resection in Pediatric patients New article you should know about by @gigenace "Chest Tube Management following Lung Resection in Pediatric patients" Authors: Schnuck J.K., Javid P.J, Riehle KJ, Rothstein DH Full article: https://www.jpedsurg.org/article/S0022-3468(23)00171-9/fulltext Background: Pleural drainage following lung resection is almost universally practiced in pediatric surgery, but its necessity has been questioned in adult literature. We performed a cross-sectional study of pediatric patients undergoing lung resection to characterize chest tube (CT) practices and clarify their utility. Method: Retrospective chart review of patients <21 years of age undergoing pulmonary lobectomy or wedge resection at an academic children's hospital from 2013 to 2022. Variables regarding demographics and post-operative CT management were recorded. Results: 130 procedures meet inclusion criteria: 59 lobectomies (group 1), 19 diagnostic wedges (group 2), and 52 excisional wedges (group 3). 74.6% of group 1 patients had no air leak, and median CT duration was 2 days. In group 2, 89.5% had no air leak and median CT duration was 1 day. In Group 3, 80.8% had no air leak and median CT duration was 1 day. Overall, 43.1% patients had their CT removed on postoperative day 1 and 21.5% on post-operative day 2. Conclusion: CT duration following lung resection in pediatric patients is typically brief, with most patients having no air leak and CT removal within 2 days https://library.globalcastmd.com/video/7129 2023-09-13T22:00:08+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8464 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8464/thumbnail_9999_2024-04-01_12-28-27.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Eri Ueda (Abe) Watch Dr. Eri Ueda (Abe) present on "Portal hypertension after Kasai without jaundice." spaces/17/content/8464/file_9999_2024-04-01_12-28-27.mp4 2024-04-01T12:28:27+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8005 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8005/thumbnail_9537_2024-02-26_10-14-31.jpg Toshio Harumatsu, MD, PhD - Best of the Best in Pediatric Surgery 2024 Watch WOFAPS' Dr. Toshio Harumatsu presentation on “Analysis of the potential risk factors for defecation problems and their bowel management based on the long-term bowel function in patients with persistent cloaca: Results of a nationwide survey in Japan” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8005/file_9537_2024-02-26_10-14-31.mp4 2024-02-26T10:14:31+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6609 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6609/thumbnail_6609_2023-04-27_16-00-10.jpg Update Course Rewind: Intraoperative Radiation Safety 2022 We are back with another Update Course Rewind video! This time we are presenting you "Intraoperative Radiation Safety" with Dr. Mary Edwards from APSA Professional Development Committee. Host: Brittany Levy https://library.globalcastmd.com/video/6609 2023-04-27T16:00:10+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9756 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9756/thumbnail_11321_2025-02-05_06-49-41.jpg Association of Operative Approach With Postoperative Outcomes in Neonates Undergoing Surgical Repair of Esophageal Atresia and Tracheoesophageal Fistula Paulo Castro, Fari Fall, Devon Pace, Shale J. Mack, David H. Rothstein,Courtney L. Devin, Emily Sagalow, Allison F. Linden, Matthew Boelig,Lindsey Asti, Loren Berman Introduction: Minimally invasive surgery (MIS) is gaining traction as a first-line approach to repair congenital anomalies. This study aims to evaluate outcomes for neonates undergoing open versus MIS repairs for esophageal atresia/tracheoesophageal fistula (EA/TEF). Methods: In this retrospective study, neonates undergoing EA/TEF repair from 2013 to 2020 were identified using the National Surgical Quality Improvement Program-Pediatric database. Proportions of operative approach (open vs. MIS) over time were analyzed. A propensity score-matched analysis using preoperative characteristics was performed and outcomes were compared including composite morbidity and reintervention rates (overall, major [thoracoscopy, thoracotomy], and minor [chest/feeding tube placement, endoscopy]) between operative approaches. Pearson's chi-square or Fisher's exact tests were used as appropriate. Results: We identified 1738 neonates who underwent EA/TEF repair. MIS utilization increased over time. Pre-match, neonates undergoing open repair were more likely to be premature, lower weight, ventilator dependent, and have cardiac risk factors with higher severity. Post-match, the groups were similar and included 340 neonates per group. MIS repair was associated with longer median operative time (209 vs.174 min, p <0.001) and increased overall post-operative intervention rates (7.6% vs. 2.9%, p ¼0.01). There were no differences in composite morbidity (24.4% vs. 25.0%, p ¼0.86) outside of reintervention. Conclusion: MIS approach for neonates with EA/TEF appears to be associated with a higher rate of reinterventions. Further studies evaluating MIS approaches for the repair of EA/TEF are needed to better define short- and long-term outcomes. spaces/1/content/9756/file_11321_2025-02-05_06-49-41.mp4 2025-02-05T06:49:41+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6098 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6098/thumbnail_6098_2022-10-26_16-00-07.jpg Why do subcutaneous ports get stuck? "Why do subcutaneous ports get stuck? A case-control study" Crook et al., Journal of Pediatric Surgery Read the article: https://www.jpedsurg.org/article/S0022-3468(21)00537-6/fulltext Video by Ellen Encisco https://library.globalcastmd.com/video/6098 2022-10-26T16:00:07+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6469 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6469/thumbnail_6469_2023-03-14_18-00-10.jpg Female - No fistula Clare Skerritt, Victoria A. Lane, Carlos Reck, Richard J. Wood, Marc A. Levitt  Center for Colorectal & Pelvic Reconstruction, Nationwide Children's Hospital    spaces/8/content/6469/file_7892_2023-03-14_18-00-10.mp4 2023-03-14T18:00:10+00:00 1 channel#private_colorectal_channel pediatriccolorectalsurgery Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8117 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8117/thumbnail_9650_2024-03-27_15-10-59.jpg Update Course Rewind: Massive Transfusion Protocol 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Massive Transfusion Protocol". Joining the discussion are Drs. Meera Kotagal & Katie Russell. Host: Em Gootee Resources: https://www.jpedsurg.org/article/S0022-3468(21)00676-X/abstract Reppucci ML, Pickett K, Stevens J, Phillips R, Recicar J, Annen K, Moulton SL. Massive transfusion in pediatric trauma-does more blood predict mortality? J Pediatr Surg. 2022 Feb;57(2):308-313. doi: 10.1016/j.jpedsurg.2021.09.051. Epub 2021 Oct 8. PMID: 34736771. https://pubmed.ncbi.nlm.nih.gov/35213410/ Spinella PC, Leonard JC, Marshall C, Luther JF, Wisniewski SR, Josephson CD, Leeper CM; Massive Transfusion In Children (MATIC) Investigators and BloodNet. Transfusion Ratios and Deficits in Injured Children With Life-Threatening Bleeding. Pediatr Crit Care Med. 2022 Apr 1;23(4):235-244. doi: 10.1097/PCC.0000000000002907. Epub 2022 Feb 28. PMID: 35213410. https://journals.lww.com/jtrauma/abstract/2023/01000/recognizing_life_threatening_bleeding_in_pediatric.14.aspx#:~:text=Pediatric%20critical%20administration%20threshold%20(CAT,activation%20of%20massive%20transfusion%20protocols. Morgan, Katrina M. MD; Gaines, Barbara A. MD; Richardson, Ward M. MD; Strotmeyer, Stephen PhD; Leeper, Christine M. MD, MS. Recognizing life-threatening bleeding in pediatric trauma: A standard for when to activate massive transfusion protocol. Journal of Trauma and Acute Care Surgery 94(1):p 101-106, January 2023. | DOI: 10.1097/TA.0000000000003784 https://library.globalcastmd.com/video/8117 2024-03-27T15:10:59+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/662 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/662/thumbnail_749_2018-11-10_00-05-19.jpg Biliary Atresia - Robert Parry: Update Course 2014 Dr. Robert Parry, Director of Pediatric Surgery, Akron Children's Hospital, presents a clinical case of biliary atresia diagnosis. Topics discussed include kasai procedure, HIDA scan for biliary atresia, postoperative corticosteroids, and routine postoperative antibiotics.  spaces/1/content/662/file_749_2018-11-10_00-05-19.mp4 2018-11-10T00:05:19+00:00 8 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9119 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9119/thumbnail_10673_2024-09-05_08-22-05.jpg Acute Pancreatitis - Pancreatic Pathologies by the Pancreas Care Center at CCHMC Welcome to this educational video presented by GlobalCastMD and Cincinnati Children's Hospital, where we explore the diagnosis and treatment of acute pancreatitis in children. In collaboration with experts from the Pancreas Care Center, Dr. Maisam A. Abu-El-Haija, Dr. Andrew Trout, and Dr. Juan Gurría, we break down the key points of this critical condition. Key Topics Covered: What is Acute Pancreatitis?: Learn about the inflammation of the pancreas, its causes, and symptoms such as intense upper abdominal pain, nausea, vomiting, and fever. Diagnosis: We discuss the criteria for diagnosing acute pancreatitis, including the use of ultrasound, CT, and MRI. Treatment: Fluid resuscitation, the importance of early enteral nutrition, and the use of Lactated Ringer's (LR) solution for better outcomes. Plus, why antibiotics are no longer needed in most cases. This video is part of our series on Pancreatic Pathologies by the Pancreas Care Center at Cincinnati Children's. Stay tuned for more insights to improve child health worldwide! https://library.globalcastmd.com/video/9119 2024-09-05T08:22:05+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9279 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9279/thumbnail_10834_2024-10-10_12-31-45.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 2 - Hour 2 Q&A Drs. Usha Nagaraj, Charu Venkatesen, and Kara Markham discuss the hour 2 sessions and answers questions from the audience. spaces/17/content/9279/file_10834_2024-10-10_12-31-45.mp4 2024-10-10T12:31:45+00:00 1 fetalday2 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2796 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2796/thumbnail_3740_2020-07-16_18-00-07.jpg Aerodigestive Management of Pediatric Aspiration - FULL SHOW The Aerodigestive and Esophageal Center at Cincinnati Children’s is internationally known for our team approach to caring for children with airway and esophageal disorders. We have the multidisciplinary expertise to treat even the most complex esophageal, airway, pulmonary, upper digestive tract, sleep and feeding disorders. The center is equipped to treat a wide variety of conditions, both surgically and non-surgically.9:10am - Definition of Aspiration9:30am - What can be aspirated and how to diagnosis it10:10am - Functional Surgical Management10:30am - Surgical Management of Anatomical Anomalies spaces/1/content/2796/file_3740_2020-07-16_18-00-07.mp4 2020-07-16T18:00:07+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9723 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/9723/thumbnail_11286_2025-01-29_06-08-46.jpg Rectal Prolapse Repair Following a Posterior Sagittal Anorectoplasty Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital spaces/8/content/9723/file_11286_2025-01-29_06-08-46.mp4 2025-01-29T06:08:46+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/11457 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11457-da673d439b.jpg A multi-institutional comparison of management techniques for infants with giant omphalocele Alyssa Stetson, Samantha Leonard, Katherine Flynn-O'Brien, Seth Goldstein, Tiffany Wright, Cynthia Downard, Kyle J Van Arendonk, Charles M Leyes, Linda Cherney-Stafford, Karen Speck, Peter C Minneci, Troy A Markel, Shawn D St Peter, Dave Lal, Michael Sobolic, Matthew P Landman, Beth Rymeski; Midwest Pediatric Surgery ConsortiumPurpose: Giant omphaloceles (GO) are uncommon with no consensus on treatment strategy. Placement of a DuoDerm® silo (DDS) is a novel management technique. We sought to identify optimal approach by comparing outcomes of patients who underwent DDS placement, paint and wait (P&W), operative silo placement (OSP), or alternative compression techniques (ACT).Methods: A multi-institutional retrospective review between 7/1/2012-5/31/2023 of patients with GO (fascial defect >5 cm). Patients were identified via ICD codes and chart review.Results: There were 117 children with GO from nine centers. Twelve children (10 %) were managed with DDS, 83 (71 %) with P&W, 11 (9 %) with OSP, and 11 (9 %) with ACT. Patients in the OSP group were more likely to have a torn or ruptured sac (p < 0.001) but there was no difference in number of organs present in the sac (p = 0.22). There was no difference in percentage of patients with fascial closure between groups (p = 0.16). Age at fascial closure was lowest in the OSP group (0.6 months) followed by the DDS group (1.5 months) (p = 0.003). Patients in the DDS group had the highest rate of primary fascial closure (9, 82 %), followed by the P&W (49, 78 %), OSP (4, 40 %), and ACT (2, 20 %) (p < 0.001). Forty-three patients (37 %) experienced a complication, equal between groups (p = 0.71).Conclusions: Half the infants in our cohort did not achieve fascial closure until ≥6 months. While median time to fascial closure was lowest for OSP, patients with DDS placement achieved the highest rate of primary fascial closure. Further research could help optimize patient selection for GO closure strategy. https://library.globalcastmd.com/video/11457 2026-02-04T13:36:00+00:00 Abdominal wall condition Clinical outcomes DuoDERM silo Giant omphalocele pediatric surgery some4pedsurg alternative compression techniques operative silo placement OSP GO Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13835 2026-08-01 monthly 0.7 01 CTO-Georgia_Marc Levitt_h264_1080p25_20k_230207.mov This is "01 CTO-Georgia_Marc Levitt_h264_1080p25_20k_230207.mov" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/799209759 2026-07-29T23:11:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9084 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9084/thumbnail_10638_2024-08-28_12-28-31.jpg 2024 Update Course - Updates in Pilonidal Disease - Nelson Rosen & George 'Whit' Holcomb This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Dr. Nelson Rosen, with George 'Whit' Holcomb as moderator, speaks on updates in Pilonidal Disease.   Topics to be discussed: • Pilonidal: laser epilation, GIPS, GIPS+Phenol, EPSIT spaces/17/content/9084/file_10638_2024-08-28_12-28-31.mp4 2024-08-28T12:28:31+00:00 10 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9184 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9184/thumbnail_10738_2024-09-20_07-54-18.jpg Pectus Bar Dislocation: Comparison Between Three Different Stabilization Techniques Adopted in a Single Centre Francesco Donati, Maria Stella Cipriani, Angela Pistorio, Vittorio Guerriero, Girolamo Mattioli, Michele Torre Background: Bar dislocation has always been considered a fearsome complication of Minimally Invasive Repair of Pectus Excavatum (MIRPE), therefore multiple techniques and types of stabilization have been introduced. The aim of the study is to compare different stabilization techniques in a cohort of patients operated by the same first operator. Methods: MIRPE was adopted at our institution in 2005. Data on MIRPE patients from January 2013 to December 2022 were collected prospectively and reviewed. Patients with a follow-up of at least 12 months were included. Throughout the years different ways of stabilization were used. Patients were divided in 3 groups according to the stabilization strategy adopted- Group A: no stabilizer; Group B: single bar fixation; Group C: bridge fixation. Dislocation was diagnosed if a bar rotated more than 30° or displaced laterally for more than 1.5 cm. We compared bar dislocation percentage of each group. Results: We positioned 733 bars in 468 patients. Group A included 113 bars (15.4%), Group B 415 bars (56.6%), Group C 205 bars (28%). No patients were lost at follow-up. Total dislocation rate was 4.1% (30 bars). Dislocation was observed in 10 bars of group A (8.8%), 20 bars of group B (4.8 %), 0 bars of group C (0%). Differences between groups were statistically significant. Conclusions: The use of stabilizers reduced dislocation percentage. In particular, bridge fixation technique reduced to zero bar dislocation and is now our preferred technique of stabilization. spaces/1/content/9184/file_10738_2024-09-20_07-54-18.mp4 2024-09-20T07:54:18+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/414 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/414/thumbnail_414_2018-09-16_15-21-25.jpg Laparoscopic Pediatric Hernia Repair: Online Course 2017 This was a half-day course focused on teaching the fine points of a the laparoscopic pediatric hernia repair led by Drs Ian Mitchell, Todd Ponsky, Jeff Gander, Sophia Abdulhai, Abdulraouf Lamoshi, Louis Seya.​We presented many of the different options available for the non-mesh lap inguinal hernia repair and then focus on the specific steps of the lap-assisted, percutaneous technique. The different techniques and instrumentation are demonstrated through in-depth, evidence-based discussions, review of edited surgical videos, and discussion of surgical tips and tricks.  https://d1dnj0gz56dmdu.cloudfront.net/bee6433e-ed55-4e0a-aa70-1833a52d1018/AppleHLS1/5634c68e3e73aeaf89a048be07f29a8b.m3u8 2018-09-16T15:21:25+00:00 24 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2241 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2241/thumbnail_3167_2020-02-24_19-58-22.jpg Laparoscopic Orchidopexy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2241 2020-02-24T19:58:22+00:00 44 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13837 2026-08-01 monthly 0.7 01_Marc_Levitt_02 The Concept of Integrated Care_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_02 The Concept of Integrated Care_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737408013 2026-07-29T23:11:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9456 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9456/thumbnail_11012_2024-11-26_10-49-54.jpg Update Course Rewind: DVT Prophylaxis 2024 In this recap from the 12th Annual Pediatric Surgery Update Course, Drs. Regan Williams and Katie Russell delve into the latest approaches to deep vein thrombosis (DVT) prophylaxis in pediatric trauma patients. Learn when to start chemical prophylaxis, how to balance bleeding risks, and the best options for discharge medication. Key Points Covered: Timing is Critical: Start chemical DVT prophylaxis within 24 hours of admission for stable trauma patients to reduce the risk of venous thromboembolism (VTE). Guideline Recommendations: Follow EAST guidelines and assess factors like Injury Severity Score (ISS) to determine risk levels. Discharge Medications: Recent studies show aspirin is as effective as Lovenox for DVT prevention and offers easier compliance for pediatric patients at home. Join us as we explore how new evidence is shaping DVT prevention strategies in pediatric trauma care. Don’t forget to like, comment, and subscribe for more updates from the Pediatric Surgery Update Course! https://library.globalcastmd.com/video/9456 2024-11-26T10:49:54+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7119 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7119/thumbnail_8599_2023-09-06_22-00-08.jpg Realimentación de Fistula Mucosa en Neonatos: Una revisión sistemática con meta-análisis Nuevo artículo que tenes que conocer por Cecilia Gigena "Realimentación por fistula mucosa en neonatos: Revisión sistemática con meta-análisis"  Autores: Solís-García G, Jasani B. Artículo completo: https://fn.bmj.com/content/108/5/523# Abstract Antecedentes y objetivo La realimentación de la fístula mucosa (MFR) tiene como objetivo maximizar la función intestinal cuando una ostomía está activa después de una cirugía abdominal, mediante la introducción del efluente de la ostomía proximal en la fístula mucosa distal para mantener la fisiología intestinal. El objetivo del estudio fue evaluar la efectividad y las complicaciones de la MFR en recién nacidos después de una cirugía abdominal. Diseño, ámbito e intervenciones Revisión sistemática y metanálisis de ensayos controlados aleatorios y estudios observacionales. Se realizaron búsquedas en PubMed, Embase, Cochrane y CINAHL hasta junio de 2022 en busca de estudios que incluyeran recién nacidos con ostomía que recibieron MFR en comparación con recién nacidos con ostomía sin MFR. Medición de Resultados El resultado primario fue la duración de la nutrición parenteral. Los resultados secundarios fueron el tiempo hasta la alimentación enteral completa, las tasas de colestasis, el pico de bilirrubina sérica total, la sepsis, el tiempo hasta la reanastomosis y la duración de la estancia hospitalaria. Resultados Se incluyeron un total de 16 estudios observacionales (n=623). En comparación con el grupo de comparación, los recién nacidos que recibieron MFR tuvieron menos días de nutrición parenteral (diferencia de medias 37,17 días, IC del 95 %: −63,91 a −10,4, n = 244, 5 estudios, GRADE: bajo). Además, los recién nacidos que recibieron MFR tuvieron tasas más bajas de colestasis, menor tiempo para alcanzar la alimentación completa y estancia hospitalaria más corta. Conclusión La baja certeza de la evidencia sugiere que la MFR se asocia con una duración más corta de la nutrición parenter https://library.globalcastmd.com/video/7119 2023-09-06T22:00:08+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/5387 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5387/thumbnail_6635_2022-05-12_12-00-25.jpg Thymic Sling The steps for a Thymic Sling procedure are difficult to understand and sometimes more difficult to see. Here, Dr. Brittany Levy, MD will follow Dr. Mike Rutter, MD as he walks her through this complicated procedure but to make things more easily visible, Dr. Levy will be using play dough! If you want to learn more about pediatric ENT surgery, register for the QUAD Conference, October 10-14th in Cincinnati, OH gcmd.co/3vZRQOn https://library.globalcastmd.com/video/5387 2022-05-12T12:00:25+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6365 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6365/thumbnail_6365_2023-02-06_18-00-14.jpg BOB Ped Surg 2023 - Rachel Livergant, WOFAPS - Presentation Watch Rachel Livergant present her presentation on "Postoperative morbidity and mortality in pediatric Indigenous populations: A scoping, review and meta-analysis." https://library.globalcastmd.com/video/6365 2023-02-06T18:00:14+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7918 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7918/thumbnail_9448_2024-01-26_16-30-04.jpg Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee New article you should know by Cecilia Gigena "Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee" Authors: K. Elizabeth Speck, Afif N. Kulaylat Joanne E. Baerg, Shannon N. Acker, Robert Baird, Alana L. Beres, Henry Chang, S. Christopher Derderian, Brian Englum, Katherine W. Gonzalez, Akemi Kawaguchi, Lorraine Kelley-Quon, Tamar L. Levene, Rebecca M. Rentea, Kristy L. Rialon, Robert Ricca, Stig Somme, Derek Wakeman, Yasmine Yousef, Shawn D. St. Peter, Donald J. Lucas, on behalf of the APSA Outcomes and Evidence Based Practice Committee Full article: https://gcmd.co/3Ohfjn3 Introduction Controversy exists in the optimal management of adolescent and young adult primary spontaneous pneumothorax. The American Pediatric Surgical Association (APSA) Outcomes and Evidence-Based Practice Committee performed a systematic review of the literature to develop evidence-based recommendations. Methods Ovid MEDLINE, Elsevier Embase, EBSCOhost CINAHL, Elsevier Scopus, and Wiley Cochrane Central Register of Controlled Trials databases were queried for literature related to spontaneous pneumothorax between January 1, 1990, and December 31, 2020, addressing (1) initial management, (2) advanced imaging, (3) timing of surgery, (4) operative technique, (5) management of contralateral side, and (6) management of recurrence. The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed. Results Seventy-nine manuscripts were included. Initial management of adolescent and young adult primary spontaneous pneumothorax should be guided by symptoms and can include observation, aspiration, or tube thoracostomy. There is no evidence of benefit for cross-sectional imaging. Patients with ongoing air leak may benefit from early operative intervention within 24–48 h. A video-assisted thoracoscopic surgery (VATS) ap spaces/1/content/7918/file_9448_2024-01-26_16-30-04.mp4 2024-01-26T16:30:04+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9082 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9082/thumbnail_10636_2024-08-28_11-56-35.jpeg 2024 Update Course - Recapping of 2023 - Em Gootee This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence. In this clip, Dr. Em Gootee recaps the 2024 Best of the Best in Pediatric Surgery and the 2023 Update Course. spaces/17/content/9082/file_10636_2024-08-28_11-56-35.mp4 2024-08-28T11:56:35+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7734 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7734/thumbnail_9249_2023-11-29_22-00-05.jpg Updated APSA Guidelines for the Management of Blunt Liver and Spleen Injuries New article you should know about from the Journal of Pediatric Surgery by Dr. Cecilia Gigena "Updated APSA Guidelines for the Management of Blunt Liver and Spleen Injuries"  Authors: Regan F. Williams, Harsh Grewal, Ramin Jamshidi, Bindi Naik-Mathuria, Mitchell Price, Robert T. Russell, Adam Vogel, David M. Notrica, Steven Stylianos, John Petty Full article: https://gcmd.co/3N792cP Background Non-operative management of blunt liver and spleen injuries was championed initially in children with the first management guideline published in 2000 by the American Pediatric Surgical Association (APSA). Multiple articles have expanded on the original guidelines and additional therapy has been investigated to improve care for these patients. Based on a literature review and current consensus, the management guidelines for the treatment of blunt liver and spleen injuries are presented. Methods A recent literature review by the APSA Outcomes committee [2] was utilized as the basis for the guideline recommendations. A task force was assembled from the APSA Committee on Trauma to review the original guidelines, the literature reported by the Outcomes Committee and then to develop an easy to implement guideline. Results The updated guidelines for the management of blunt liver and spleen injuries are divided into 4 sections: Admission, Procedures, Set Free and Aftercare. Admission to the intensive care unit is based on abnormal vital signs after resuscitation with stable patients admitted to the ward with minimal restrictions. Procedure recommendations include transfusions for low hemoglobin (<7 mg/dL) or signs of ongoing bleeding. Angioembolization and operative exploration is limited to those patients with clinical signs of continued bleeding after resuscitation. Discharge is based on clinical condition and not grade of injury. Activity restrictions remain the same while follow-up imaging is only indicated for symptomatic patients. Conclusion The https://library.globalcastmd.com/video/7734 2023-11-29T22:00:05+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9234 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9234/thumbnail_10789_2024-10-03_09-11-48.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Dr. Jesse Skoch Dr. Jesse Skoch speaks on the Surgical management of Congenital Aqueductal Stenosis on Day 1 of the Frontiers in Fetal Neurology 2-day interactive webinar series.  spaces/17/content/9234/file_10789_2024-10-03_09-11-48.mp4 2024-10-03T09:11:48+00:00 2 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9275 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/9275/thumbnail_10830_2024-10-10_10-24-02.jpg Cloacal Exstrophy: A Modification of the Newborn Operation - Leaving the Cecal Plate Untouched Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org)  spaces/8/content/9275/file_10830_2024-10-10_10-24-02.mp4 2024-10-10T10:24:02+00:00 3 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/5795 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/5795/thumbnail_5795_2022-08-24_18-00-06.jpg Es tiempo del TEG en pediatría para pacientes con trauma Otro artículo que tenes que conocer! @dragigenacecilia “Es tiempo para el #TEG en pacientes pediátricos de #trauma..." Ryan Philips et.al. Artículo completo spaces/14/content/5795/file_7213_2022-08-24_18-00-06.mp4 2022-08-24T18:00:06+00:00 7 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/10689 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10689/edbac97b7e5cec9d98965effd41e42b4.jpg VACTERL Screening in Newborns With Anorectal Malformations - An Opportunity to Optimize Screening Practices, add Gynecologic and Spinal Conditions, and Utilize a New Acronym: VACTE(G)RLS Thomas O. Xu, Rachel E. Hanke, Kirsten Das, Melanie Bowser, Butool Hisam, Inbal Samuk, Hussein Wissanji, Erin Teeple, Allison Mayhew, John S. Myseros, Andrea Badillo, Marc A. Levitt,Briony K. Varda, Christina Feng Introduction: Spinal cord and gynecologic anomalies may be overlooked as part of the traditional VACTERL screening for patients with anorectal malformations (ARM). We investigated the rates of associated anomalies in patients with ARM using the Pediatric Health Information Systems (PHIS) database. Methods: A retrospective multi-institutional cohort study was performed between 1/2016-12/2022. ARM patients were identified using ICD10 diagnosis and procedure codes. We assessed the rate of associated anomaly diagnosis at a patient's initial newborn admission and across all hospital encounters using ICD10 diagnosis codes. Results: 1467 patients (34 % female) were observed across 46 hospitals. The rates of VACTERL diagnoses on initial admission were 35.0 % vertebral/spinal, 72.9 % cardiac, 9.5 % TEF, 34.7 % renal, and 13.3 % limb. Diagnosis rates were all higher across all hospital encounters: 45.4 % vertebral/spinal, 77.4 % cardiac, 10.2 % TEF, 39.9 % renal, and 15.7 % limb. Among female patients, 16.1 % had a congenital gynecologic malformation diagnosed at birth and 25.8 % across all hospital encounters. Among sub-category diagnoses, the rates of lower Mullerian tract malformations (+11 %), spinal cord malformations (+12 %), and vesicoureteral reflux (+14 %) had the greatest discrepancy between newborn diagnosis and diagnosis across all hospital encounters on a one-tailed comparison of proportions (all p < 0.001) Conclusion: The most commonly associated anomalies in ARM are cardiac, vertebral/spinal, renal, and gynecologic (in females). Many are diagnosed as newborns however some are diagnosed later, suggesting an opportunity to improve screening, especially with spinal cord and gynecologic malformations. We suggest changing the VACTERL acronym to spaces/1/content/10689/6cfa6ad6eec017935c43fafbb91258ce.mp4 2025-07-18T09:59:36+00:00 2 VACTERL VACTEGRLS Anorectal malformations Spinal dysraphisms Gynecologic malformations Screening pediatric surgery Alex Halpern some4pedsurg gynecology Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8114 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8114/thumbnail_9647_2024-03-27_11-58-27.jpg QUAD #6 Slide Tracheoplasty for TEF, Otolaryngology Approach with Dr. Mike Rutter Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to review TEF management, otolaryngology approach with Dr. Mike Rutter, a pediatric otolaryngologist from Cincinnati Children's. Host: Kim Priban https://library.globalcastmd.com/video/8114 2024-03-27T11:58:27+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7735 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7735/thumbnail_9250_2023-11-29_22-00-08.jpg Guías APSA actualizadas para el tratamiento de lesiones contusas del hígado y del bazo Nuevo artículo que debes conocer del Journal of Pediatric Surgery de la Dra. Cecilia Gigena "Guías APSA actualizadas para el tratamiento de lesiones contusas del hígado y del bazo" Autores: Regan F. Williams, Harsh Grewal, Ramin Jamshidi, Bindi Naik-Mathuria, Mitchell Price, Robert T. Russell, Adam Vogel, David M. Notrica, Steven Stylianos, John Petty Artículo completo: https://gcmd.co/3N792cP Introducción El tratamiento no quirúrgico de las lesiones contusas del hígado y del bazo fue defendido inicialmente en niños con la primera guía de tratamiento publicada en 2000 por la Asociación Estadounidense de Cirugía Pediátrica (APSA). Varios artículos han ampliado las pautas originales y se han investigado terapias adicionales para mejorar la atención de estos pacientes. Con base en una revisión de la literatura y el consenso actual, se presentan las pautas de manejo para el tratamiento de lesiones contusas del hígado y del bazo. Métodos Se utilizó una revisión bibliográfica reciente realizada por el comité de resultados de APSA [2] como base para las recomendaciones de la guía. Se formó un grupo de trabajo del Comité de Trauma de la APSA para revisar las pautas originales, la literatura informada por el Comité de Resultados y luego desarrollar una pauta fácil de implementar. Resultados Las pautas actualizadas para el tratamiento de lesiones contusas del hígado y del bazo se dividen en 4 secciones: Ingreso, Procedimientos, Liberación y Cuidados posteriores. El ingreso a la unidad de cuidados intensivos se basa en signos vitales anormales después de la reanimación con pacientes estables ingresados ​​en la sala con restricciones mínimas. Las recomendaciones de procedimiento incluyen transfusiones en caso de niveles bajos de hemoglobina (<7 mg/dL) o signos de sangrado continuo. La angioembolización y la exploración quirúrgica se limitan a aquellos pacientes con signos clínicos de sangrado continuo después de la reanimación. El alta se basa en la cond https://library.globalcastmd.com/video/7735 2023-11-29T22:00:08+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/734 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/734/thumbnail_833_2018-11-13_00-04-31.jpg History of Hirschsprung Disease Dr. Alberto Peña introduces a discussion on Hirschsprung disease. Dr. Bischoff, pediatric surgeon at Cincinnati Children’s Hospital Medical Center, begins the conference with poll questions of the history of Hirschsprung disease.  spaces/1/content/734/file_833_2018-11-13_00-04-31.mp4 2018-11-13T00:04:31+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8564 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8564/thumbnail_10103_2024-05-03_16-33-52.png PFIC Family & Scientific Conference - Day 1 Please enjoy this recording of the PFIC Family & Scientific Conference - Day 1 spaces/17/content/8564/file_10103_2024-05-03_16-33-52.mp4 2024-05-03T16:33:52+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/1540 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1540/thumbnail_1780_2019-07-20_12-00-06.jpg Suspected Hirschsprung's-associated enterocolitis (HAEC) Treatment Guideline... Dr. Meera Kotagal discusses one approach to the management of known or suspected Hirschsprung's-associated enterocolitis. Here is more detail on the guideline in place at Cincinnati Children's Hospital [June 2019]. https://library.globalcastmd.com/video/1540 2019-07-20T12:00:06+00:00 14 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6363 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6363/thumbnail_6363_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Basma Magdy, PAPSA - Presentation Watch Dr. Basma Magdy present her presentation on "Thoracoscopic posterior tracheopexy in esophageal atresia patients, single institute experience." https://library.globalcastmd.com/video/6363 2023-02-06T18:00:13+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4785 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4785/thumbnail_4785_2021-12-28_12-00-16.jpg Decision making in Pediatric Colorectal Surgery - A webinar of case discussions June 2020     Webinar of case discussion      A collaboration of EUPSA - Washington Children's National - European Journal of Pediatric Surgery Reports     Discussant Marc Levitt, M.D., chief, Division of Colorectal and Pelvic Reconstructive Surgery At Children’s National Hospital, Washington DC, USA.           International panel: Giulia Brisighelli (Johannesburg, ZA) Martin Lacher (Leipzig, Germany), Paola Midrio (Triviso, Italy), Carlos Reck (Vienna, Austria), Pim Sloots (Rotterdam, Netherlands), Gaia Tamaro (EUPSA Office), Alejandra Villanova (Madrid, Spain), Tomas Wester (Stockholm, Sweden) spaces/7/content/4785/file_6024_2021-12-28_12-00-16.mp4 2021-12-28T12:00:16+00:00 2 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/10155 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10155/4cc3ec7a247c5d53efc15091900c7ced.jpg Scoping it Out: The Use of Laparoscopy After Penetrating Trauma in Stable Children Utsav M. Patwardhan, Casey R. Erwin, Alexandra S. Rooney, Bryan Campbell, Benjamin Keller, Andrea Krzyzaniak, Vishal Bansal, Michael J. Sise, Michael J. Krzyzaniak, Romeo C. Ignacio Jr. Introduction: In stable children with penetrating abdominal trauma, literature regarding the use of laparoscopy (LAP) remains limited. Given increasing evidence in favor of LAP for selective adult trauma patients, we reviewed contemporary practices and outcomes in pediatric trauma patients. Methods: The American College of Surgeons (ACS) Trauma Quality Programs data was utilized to identify children (<18 years) from 2016 to 2021 with a penetrating abdominal injury who underwent surgery within 24 h of admission. Patients with non-abdominal abbreviated injury score (AIS) 3, Glasgow Coma Scale (GCS) <13, or instability using a shock index pediatric adjusted (SIPA) cutoff were excluded. Patients were compared based on whether they had LAP, open, or laparoscopic converted to open (LCO) exploration. Primary outcomes were length of stay (LOS) and complications, including missed injuries. Results: Among 1945 patients who underwent abdominal surgery for penetrating trauma, 32% were stabbed and 68% had gunshot wounds (GSW). LAP occurred in 235 (12%) and LCO in 145 (7.4%) patients. The proportion of LAP did not change over the study period. LAP was used more in patients presenting with stab wounds than GSW (24% vs. 7%, p < .01). There was higher use of LAP at pediatric centers (p < .01). Although there was no difference in mortality or complications by operative type, open patients were more severely injured, had a longer LOS (p < .01), and had more subsequent procedures (11% of open, 2% LAP, 7% LCO, p < .01). Conclusion: In stable children with penetrating abdominal trauma, LAP is most often utilized after stabbing and at pediatric trauma centers, but its overall use remains uncommon. LAP patients had lower rates of subsequent procedures and no increase in unexpected operat https://library.globalcastmd.com/video/10155 2025-04-01T20:57:33+00:00 1 channel#pediatric_surgery Lizzy Lee jps pedsurg abdominal trauma laparaoscopy laparatomy outcomes penetrating Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7862 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7862/thumbnail_9390_2024-01-03_22-00-05.jpg Impact of Cryoanalgesia Use During Minimally Invasive Pectus Excavatum Repair on Hospital Days and Total Hospital Costs Among Pediatric Patients New article you should know about from JPS by Dr. Cecilia Gigena "Impact of Cryoanalgesia Use During Minimally Invasive Pectus Excavatum Repair on Hospital Days and Total Hospital Costs Among Pediatric Patients" Authors: Brittany N. Hegde, Elenir Avritscher, Seyed A. Arshad, Elisa I. Garcia, Nutan B. Hebballi, Maryam Broussard, KuoJen Tsao  Full article: https://gcmd.co/3S4NBMB Introduction Surgical repair of pectus excavatum is a painful procedure requiring multimodal pain control with historically prolonged hospital stay. This study aimed to evaluate the impact of cryoanalgesia during minimally invasive repair of pectus excavatum (MIRPE) on hospital days (HDs), total hospital costs (HCs), and complications. We hypothesized that cryoanalgesia would be associated with reduced HDs and total HCs with no increase in post-operative complications. Methods We conducted a retrospective review of pediatric patients who underwent MIRPE from 2011 to 2021. MIRPE details and post-operative outcomes within 90 days were abstracted. Total HDs included the index MIRPE admission and readmissions within 90 days. HCs were obtained from the hospital accounting system, retroactively adjusting for medical inflation. Bayesian generalized linear models with neutral prior assuming no effect were used. Differences between treatment groups were assessed using gamma distribution (HDs and HCs) and poisson (post-operative complications). All models used log link and controlled for age, gender, race, and Haller index. Results Forty-four patients underwent MIRPE during the study period. Cryoanalgesia was utilized in 29 (66%) patients. The probability of a reduction with cryoanalgesia vs. no cryoanalgesia was 99% for HDs (3.0 vs. 5.4 days; Bayesian RR: 0.6, 95% CrI: 0.5–0.8), 89% for HCs ($18,787 vs. $19,667; RR: 0.9, 95% CrI: 0.8–1.1), and 70% for postoperative complications (17% vs 33%; RR: 0.8, 95% CrI: 0.3–1.9). Conclusion Cryoanalgesia use in MIRPE likely reduc https://library.globalcastmd.com/video/7862 2024-01-03T22:00:05+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6181 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6181/thumbnail_6181_2022-12-01_16-00-09.jpg Reparación de una hernia diafragmática con Imanes por el Dr. Fernando Rabinovich En el siguiente video el Dr. Fernando Rabinovich nos explica algunos trucos para poder realizar una reparación minimamente invasiva de una hernia diafragmática con imanes.  https://d1dnj0gz56dmdu.cloudfront.net/f84f02e8-b21e-4a16-85b0-87bb18fb05b4/AppleHLS1/19da9ce208c9d1f3ed8b15ed4dac08ab.m3u8 2022-12-01T16:00:09+00:00 14 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7383 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7383/thumbnail_8876_2023-10-23_22-00-08.jpg CNA Conference - Introduction - Second World Congress on Cardioneuroablation John Clark, MD, José Pachón, MD, Stephen Manu, MD, & Brian Tilton introduce the Second World Congress on Cardioneuroablation. spaces/17/content/7383/file_8876_2023-10-23_22-00-08.mp4 2023-10-23T22:00:08+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/631 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/631/thumbnail_718_2018-11-10_00-05-17.jpg Tricks - Imperforate Anus and Rectourethral Fistula Dr. Atsuyuki Yamataka discusses laparoscopic surgery for male imperforate anus and rectourethral fistula. Presentation discussion topics include measuring the residual fistula, thoracoscopic repair, and preoperative gap assessment.  spaces/1/content/631/file_718_2018-11-10_00-05-17.mp4 2018-11-10T00:05:17+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7941 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7941/thumbnail_9471_2024-02-01_18-00-08.jpg Update Course Rewind: Botox in Hirschsprung Disease 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Botox in Hirschsprung Disease". Joining the discussion are Drs. Steven Lee, Caitlin Smith and Julia Grabowski. Host: Em Gootee, MD References: https://pubmed.ncbi.nlm.nih.gov/21238663/ Patrus B, Nasr A, Langer JC, Gerstle JT. Intrasphincteric botulinum toxin decreases the rate of hospitalization for postoperative obstructive symptoms in children with Hirschsprung disease. J Pediatr Surg. 2011 Jan;46(1):184-7. doi: 10.1016/j.jpedsurg.2010.09.089. PMID: 21238663. https://pubmed.ncbi.nlm.nih.gov/35690464/ Svetanoff WJ, Lim-Beutal IIP, Wood RJ, Levitt MA, Rentea RM. The utilization of botulinum toxin for Hirschsprung disease. Semin Pediatr Surg. 2022 Apr;31(2):151161. doi: 10.1016/j.sempedsurg.2022.151161. Epub 2022 Apr 8. PMID: 35690464. https://pubmed.ncbi.nlm.nih.gov/33422904/ Rentea RM, Noel-MacDonnell JR, Bucher BT, Dorman MR, Lautz TB, Pruitt LCC, Oyetunji TA. Impact of Botulinum Toxin on Hirschsprung-Associated Enterocolitis After Primary Pull-Through. J Surg Res. 2021 May;261:95-104. doi: 10.1016/j.jss.2020.12.018. Epub 2021 Jan 7. PMID: 33422904. https://pubmed.ncbi.nlm.nih.gov/37221126/ Encisco EM, Lim IIP, Velazco CS, Rosen NG, Garrison AP, Rymeski B, Frischer JS. Hirschsprung-Associated Enterocolitis at a Referral Institution: A Retrospective Review. J Pediatr Surg. 2023 Aug;58(8):1578-1581. doi: 10.1016/j.jpedsurg.2023.04.008. Epub 2023 Apr 20. PMID: 37221126. https://pubmed.ncbi.nlm.nih.gov/33001257/ Svetanoff WJ, Dekonenko C, Osuchukwu O, Oyetunji TA, Aguayo P, Fraser JD, Juang D, Snyder CL, Hendrickson R, Peter SS, Rentea RM. Inpatient management of Hirschsprung's associated enterocolitis treatment: the benefits of standardized care. Pediatr Surg Int. 2020 Dec;36(12):1413-1421. doi: 10.1007/s00383-020-04747-4. Epub 2020 Oct 1. PMID: 3300 https://library.globalcastmd.com/video/7941 2024-02-01T18:00:08+00:00 8 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6275 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/6275/thumbnail_6275_2023-01-12_16-00-08.jpg Juvenile Polyposis Syndromes with Dr. Joseph Palermo Join Dr. Joseph Palermo for a review of Juvenile Polyposis syndromes. This stay current short belongs to a collection of Pediatric Polyposis Syndrome videos, which can be found on the StayCurrent App.  https://library.globalcastmd.com/video/6275 2023-01-12T16:00:08+00:00 6 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/5786 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5786/thumbnail_5786_2022-08-24_15-05-12.jpg Pyloric Stenosis Guideline Recap Dr. Meera Kotagal discusses the preoperative and post-operative management of pyloric stenosis. These guidelines are currently followed at Cincinnati Children's Hospital (January 2019) as guided by the following studies:Dalton BGA, et al. Optimizing fluid resuscitation in hypertrophic pyloric stenosis. J Pediatr Surg 2016;51(8):1279-1282. Markel TA, et al. A randomized trial to assess advancement of enteral feeds following surgery for hypertrophic pyloric stenosis. J Pediatr Surg 2017;52(4):534-539.Adibe OO, et al. Protocol versus ad libitum feeds after laparoscopic pyloromyotomy: A prospective randomized trial. J Pediatr Surg 2014;49(1):129-132. Graham KA, et al. A review of postoperative feeding regimens in infantile hypertrophic pyloric stenosis. J Pediatr Surg 2013;48:2175-2179.  https://library.globalcastmd.com/video/5786 2022-08-24T15:05:12+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8018 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8018/thumbnail_9550_2024-02-26_10-47-13.jpg Heat 3 Winner: Shruthi Srinivas, MD - Best of the Best in Pediatric Surgery 2024 Watch the voting from the third heat!  Presentations from heat three: Mina Yeganeh, BSc: Lipid nanoparticle delivery of miRNA-148a attenuates intestinal inflammation during experimental. Joseph Davidson, MA(Oxon), MBBS, MRCS(Eng): Sexual Function and fertility outcomes in women with Hischsprung disease. Shruthi Srinivas, MD: Outcomes from Colonic Pull-Through for Cloacal Exstrophy Differ by Colon Length: A Multi-Institutional Study. Giussepe Cala, PhD Candidate: Single-cell guided prenatal derivation of primary fetal epithelial organoids from the human amniotic and tracheal fluids. Jingying Jiang, MD: Clinical characteristics and prognosis of biliary atresia with low serum matrix metalloproteinase-7 levels. Third Heat Winner: Shruthi Srinivas, MD: Outcomes from Colonic Pull-Through for Cloacal Exstrophy Differ by Colon Length: A Multi-Institutional Study. spaces/17/content/8018/file_9550_2024-02-26_10-47-13.mp4 2024-02-26T10:47:13+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4782 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4782/thumbnail_4782_2021-12-28_12-00-13.jpg Decision Making in Colorectal Surgery May 2021                 A collaboration of EUPSA - Washington Children's National - European Journal of Pediatric Surgery Reports                 Discussion of clinical scenarios in a Quiz-format Faculty: Marc Levitt Panelists: Alejandra Vilanova Sanchez, Paola Midrio, Stefano Giuliani Moderated by Martin Lacher and Augusto Zani https://d1dnj0gz56dmdu.cloudfront.net/58013b69-7cf5-4db3-97f9-a3999bddb219/AppleHLS1/4fab4b56563504d651397677a12e276f.m3u8 2021-12-28T12:00:13+00:00 3 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/8896 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/8896/thumbnail_10448_2024-07-19_13-51-13.jpg Cloacal repair - long common channel with a short urethra - the urogenital separation technique Division of Colorectal & Pelvic Reconstruction, Washington, D.C. - https://www.childrensnational.org/get-care/departments/colorectal  spaces/8/content/8896/file_10448_2024-07-19_13-51-13.mp4 2024-07-19T13:51:13+00:00 5 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8470 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8470/thumbnail_10005_2024-04-01_13-52-54.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Tetsuya Ishimaru Watch Dr. Tetsuya Ishimaru present on "Laparoscopic repair of pancreaticobiliary maljunction without dilatation of the extrahepatic bile duct." spaces/17/content/8470/file_10005_2024-04-01_13-52-54.mp4 2024-04-01T13:52:54+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10048 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10048/b9e1e87f34059cb9cc5c3b2e284c1cd8.jpg Dr. Mallory Perez - Best of the Best in Pediatric Surgery 2025 Watch APSA's Dr. Mallory Perez’s presentation on “Heeding the Black Box: Leveraging National Surgical Quality Improvement Project-Pediatric for Hospital-level Assessment of Opioid Prescribing” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10048 2025-03-19T09:34:14+00:00 1 BOB2025 pediatric surgery some4pedsurg Black Box Surgical Quality Improvement Project-Pediatric Hospital-level Opioid Prescribing channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10039 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10039/12f171d1d19ddf33947a88ed78cb8b05.jpg Dr. Marietta Jank - Best of the Best in Pediatric Surgery 2025 Watch CAPS' Dr. Marietta Jank's presentation on “CITED2 is disrupted in human congenital diaphragmatic hernia (CDH) lungs" at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10039 2025-03-19T09:16:07+00:00 2 BOB2025 pediatric surgery some4pedsurg CITED2 human congenital diaphragmatic hernia CDH lungs channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10429 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10429/87c44ee12dbb9fb81ebf80d92a122dc0.jpg Trends and outcomes in pediatric laparoscopic appendectomy: a NSQIP‑P analysis of same‑day discharge and readmission rates John M. Woodward, Stephanie F. Brierley, Krystle Bittner, Katherine Foote, Hector Osei, Carroll M. Harmon & P. Benson Ham III Purpose Practice patterns of same-day discharge for pediatric laparoscopic appendectomy for non-perforated appendicitis are not well-analyzed. Our aim is to evaluate current practice patterns and outcomes of same-day discharge for these patients. Methods NSQIP-P retrospective registry identified patients (2017–2021) who underwent laparoscopic appendectomy for non-perforated appendicitis. Annual same-day discharge (SDD) rate was determined. SDD patients were compared to those discharged postoperative days 1–2 (non-SDD). Sub-group analysis was performed on ICD-10 code K35.30. Regression was performed. Results Overall, 67,214 patients were identified. The SDD rate increased from 33.3% (2017) to 52.5% (2021) with decreased 30-day readmissions between SDD and non-SDD (1.3% vs 2.1%, p < 0.001). Sub-group analysis identified 7,330 patients with SDD rates from 50.7% (2019) to 60.4% (2021) with decreased 30-day readmissions (1.3% vs 2.1%, p < 0.001) for SDD versus non-SDD. No increase in adverse events for SDD occurred in either analysis. Regression identified esophageal/gastric/intestinal diseases increased odds of early readmission or reoperation (OR 1.85, p = 0.042). Conclusion Same-day discharge after pediatric laparoscopic appendectomy for non-perforated acute appendicitis continues to increase in frequency without a significant increase in adverse outcomes. SDD rates are 20–30% lower than previously published single-center studies, indicating there is a likely a larger percentage of patients that could discharge same-day https://library.globalcastmd.com/video/10429 2025-04-29T08:22:27+00:00 channel#pediatric_surgery LizzyLee pedsurg NSQIP appendectomy laparoscopic discharge readmission Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6346 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6346/thumbnail_6346_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Christina Theodorou, CAPS - Presentation Watch Christina Theodorou, MD, present her presentation on "Evaluation of a novel biodegradable polyurethane patch for repair of diaphragmatic hernia in a rat model: a pilot study." https://library.globalcastmd.com/video/6346 2023-02-06T18:00:12+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4778 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4778/thumbnail_4778_2021-12-28_12-00-09.jpg NEC Diagnostic & Therapeutic Challenges April 2021                                                     An EUPSA and ERNICA Webinar                                                     Jan Hulscher (Groningen, The Netherlands)                                                     Antti Koivusalo (Helsinki, Finland)                                                     Moderated by Augusto Zani (Toronto, Canada) and Mikko Pakarinen (Helsinki, Finland) https://d1dnj0gz56dmdu.cloudfront.net/7e762548-4bef-44d9-8398-bad142fefc6e/AppleHLS1/d06a74d891640c80b63065555b983135.m3u8 2021-12-28T12:00:09+00:00 10 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/2252 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2252/thumbnail_3178_2020-02-24_19-58-27.jpg Laparoscopic Heller Myotomy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2252 2020-02-24T19:58:27+00:00 8 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9626 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9626/thumbnail_11186_2025-01-10_09-53-25.jpg Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations Mark B Slidell, Jarod McAteer, Doug Miniati, Stig Sømme, Derek Wakeman, Kristy Rialon, Don Lucas, Alana Beres, Henry Chang, Brian Englum, Akemi Kawaguchi, Katherine Gonzalez, Elizabeth Speck, Gustavo Villalona, Afif Kulaylat, Rebecca Rentea, Yasmine Yousef, Sarkis Darderian, Shannon Acker, Shawn St Peter, Lorraine Kelley-Quon, Robert Baird, Joanne Baerg Background: No consensus exists for the initial management of infants with gastroschisis. Methods: The American Pediatric Surgical Association (APSA) Outcomes and Evidenced-based Practice Committee (OEBPC) developed three a priori questions about gastroschisis for a qualitative systematic review. We reviewed English-language publications between January 1, 1970, and December 31, 2019. This project describes the findings of a systematic review of the three questions regarding: 1) optimal delivery timing, 2) antibiotic use, and 3) closure considerations. Results: 1339 articles were screened for eligibility; 92 manuscripts were selected and reviewed. The included studies had a Level of Evidence that ranged from 2 to 4 and recommendation Grades B-D. Twenty-eight addressed optimal timing of delivery, 5 pertained to antibiotic use, and 59 discussed closure considerations (Figure 1). Delivery after 37 weeks post-conceptual age is considered optimal. Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until definitive closure. Studies support primary fascial repair, without staged silo reduction, when abdominal domain and hemodynamics permit. A sutureless repair is safe, effective, and does not delay feeding or extend length of stay. Sedation and intubation are not routinely required for a sutureless closure. Conclusions: Despite the large number of studies addressing the above-mentioned facets of gastroschisis management, the data quality is poor. A wide variation in gastroschisis management was documented, indicating a need for high quality RCTs to provide an evidence-based approa https://library.globalcastmd.com/video/9626 2025-01-10T09:53:25+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2866 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2866/thumbnail_2866_2020-08-05_12-00-05.jpg IPEG 2020 TOP ABSTRACT: Thoracoscopic Pulmonary Metastasectomy for Hepatoblastoma Using Indocyanine Green IPEG 2020 Annual Meeting - Top Abstracts Authors: Alyssa R Mowrer, MD1; Katherine T Flynn-O'Brien, MD, MPH2; Mariko Suchi, MD, PhD2; David R Lal, MD, MPH2; John C Densmore, MD2; 1University of Illinois College of Medicine; 2Medical College of Wisconsin Metastatic hepatoblastoma management in the pediatric population presents numerous challenges. Resection of pulmonary lesions has previously been described but presents several technical difficulties in both localization and surgical resection. This video illustrates the use of indocyanine green (ICG) dye and UV laser imaging to successfully identify lesions intraoperatively while maintaining a thorascopic approach for resection. One significant advantage of this novel application is increased sensitivity for lesions unidentified by pre-operative CT scan. The demonstrated technique allows for a more focused, parenchymal sparing resection of pulmonary lesions in a superficial location as compared to traditional pre-operative wire localization. This video exhibits the feasibility, safety, and improved accuracy of thorascopic hepatoblastoma metastasectomy resection augmented by use of indocyanine green. Presenter: Alyssa R Mowrer, MD Email: mowrer.alyssa@gmail.com spaces/2/content/2866/file_3813_2020-08-05_12-00-05.mp4 2020-08-05T12:00:05+00:00 4 Medical Education yes IPEG no https://library.globalcastmd.com/video/5613 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/5613/thumbnail_5613_2022-07-26_18-00-14.jpg "Management of recurrent tracheoesophageal fistula (TEF)" Endoscopic Chemocauterization - Manuel Lopez (Barcelona, Spain) Thoracoscopic ligation - Dariusz Patkowski (Wroclaw, Poland) Moderated by Martin lacher and Augusto Zani April 2022 https://d1dnj0gz56dmdu.cloudfront.net/fc7ceb15-8fbc-4f91-a0cc-508153a89fd0/AppleHLS1/ca1ae68613f7fbc2345983139c0a6e2c.m3u8 2022-07-26T18:00:14+00:00 7 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/8031 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8031/thumbnail_9563_2024-02-28_08-44-09.jpg La colecistectomía al ingreso por colecistitis aguda reduce las tasas de reingreso a 30 días en pacientes pediátricos Nuevo artículo que tenes que conocer por Cecilia Gigena "La colecistectomía al ingreso por colecistitis aguda reduce las tasas de reingreso a 30 días en pacientes pediátricos" Autores: Sagar J Pathak, Hyun Ji, Amar Nijagal, Patrick Avila, Sun-Chuan Dai, Mustafa A Arain, Abdul Kouanda Artículo completo: https://gcmd.co/4bOu0Ih Abstract Introducción Los pacientes adultos con colecistitis que no se someten a colecistectomía en el ingreso inicial tienen peores resultados; sin embargo, hay escasez de datos sobre el papel de la colecistectomía durante la hospitalización inicial en la población pediátrica. Nuestro objetivo fue determinar los resultados y las tasas de reingreso entre los pacientes pediátricos con colecistitis que se sometieron a una colecistectomía inicial frente a los que no. Métodos Realizamos un estudio retrospectivo de niños (<18 años) ingresados ​​con colecistitis aguda (CA) que requirieron hospitalización utilizando la Base de datos nacional de readmisión (NRD) de 2018. Los criterios de exclusión incluyeron edad ≥ 18 años y muerte en el momento del ingreso inicial. Se realizó un análisis de regresión logística multivariable para identificar factores asociados con los reingresos a los 30 días. Resultados Identificamos 550 ingresos por colecistitis aguda de índice único. La edad media fue 14,6 ± 3,0 años. La mayoría de los pacientes eran mujeres (n = 372, 67,6%). La colecistectomía índice se realizó en (n = 435, 79,1%) de los casos. La tasa de reingreso a los treinta días fue del 2,8% en los pacientes que se sometieron a colecistectomía índice y del 22,6% en los que no (p <0,001). En el análisis multivariable, los pacientes que no se sometieron a colecistectomía índice tuvieron mayores probabilidades de reingreso a los 30 días que aquellos que no se sometieron (OR 10,66; IC del 95 %: 5,06 a 22,45, p < 0,001). Las pacientes femeninas también tenían mayores probabilidades de reingreso a los 30 días en comparación con los homb https://library.globalcastmd.com/video/8031 2024-02-28T08:44:09+00:00 2 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/9708 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9708/thumbnail_11270_2025-01-27_12-45-29.jpg Update Course Rewind: CO2 Laser Use Cases 2024 In this recap from the 12th Annual Pediatric Surgery Update Course, Dr. Carlos Colunga highlights the potential of CO2 lasers in pediatric surgery. From circumcisions to frenulectomies and pilonidal cyst ablations, CO2 lasers are gaining traction for their precision, reduced pain, and shorter operating times. Key Highlights: Clinical Applications: Successfully used for circumcision, frenulectomy, perianal fistulas, pilonidal cysts, and more. Benefits of CO2 Lasers: Reduced bleeding, lower complication rates, shorter operative times, and improved cosmetic outcomes. Evidence-Based Insights: Meta-analyses show CO2 laser-assisted surgeries have better results than traditional techniques in specific cases. Challenges: High equipment cost, steep learning curve, and the need for specialized training remain barriers to adoption. Join us to explore how CO2 lasers are transforming pediatric surgery and learn about the exciting possibilities for the future! Host: Lizzy Lee, PA-C https://library.globalcastmd.com/video/9708 2025-01-27T12:45:29+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2895 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2895/thumbnail_3842_2020-08-12_08-00-06.jpg IPEG 2020 TOP ABSTRACT: Laparoscopic takedown of an ileocolic fistula. IPEG 2020 Annual Meeting - Top Abstracts Authors: Dorothy Rocourt, MD, FACS1; William Wong, DO2; Danielle Peterson, MD2; 1Penn State Children's Hospital; 2Penn State Health This is a video demonstrating the take down of an ileocolic fistula. The key elements of this procedure were patient position to allow further evaluation and using a penrose to isolate the fistula. Our patient is a 17 year old male presenting with complaints of severe back and leg pain for 1 week. He had a history of Ulcerative Colitis (UC). A computed tomography (CT) revealed inflammation of the distal colon and a right lateral perirectal fistula communicating with a presacral abscess. Two weeks later, he had a CT guided presacral drain study which showed fistulous communications between the presacral abscesses within the rectum and the distal ileum. He was taken to the operating room for laparoscopic takedown of the fistula and fecal diversion. Postoperatively, he was started on Remicade. Three months later, he had a normal colonoscopy and barium enema. He then had a laparoscopic ileocectomy with primary stapled ileocolic anastomosis. Final pathology was consisted with Crohn’s ileitis. Presenter: William Wong, MD Email: wwong@pennstatehealth.psu.edu https://www.linkedin.com/in/william-wong-79041965 spaces/2/content/2895/file_3842_2020-08-12_08-00-06.mp4 2020-08-12T08:00:06+00:00 5 Medical Education yes IPEG no https://library.globalcastmd.com/video/6093 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6093/thumbnail_6093_2022-10-24_12-00-09.jpg Malone appendicostomy in a Patient with Prior Abdominal Surgery via a prior abdominal incision This new technique spares the midline fascia, offers an opportunity to perform a scar revision, and provides abdominal access for the plication when performing a Malone appendicostomy in patients who have had previous abdominal surgery, such as colostomy.  spaces/8/content/6093/file_7513_2022-10-24_12-00-09.mp4 2022-10-24T12:00:09+00:00 4 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6367 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6367/thumbnail_6367_2023-02-06_18-00-14.jpg BOB Ped Surg 2023 - Rustam Yuldashev, WOFAPS - Presentation Watch Rustam Yuldashev present his presentation on "Angiographic patterns of portal venous system in children with extrahepatic portal hypertension and its etiological and clinical relevance." https://library.globalcastmd.com/video/6367 2023-02-06T18:00:14+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6331 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/6331/thumbnail_6331_2023-02-02_12-00-11.jpg EUPSA webinar "The surgery of portal hypertension in children: Exrtra hepatic portal vein obstruction and and beyond." Riccardo A. Superina, MD - Lurie Children's Hospital of Chicago Caroline Lemoine, MD - Lurie Children's Hospital of Chicago Moderated by Augusto Zani (Toronto) and Martin Lacher (Leipzig) January 2023   spaces/7/content/6331/file_7754_2023-02-02_12-00-11.mp4 2023-02-02T12:00:11+00:00 2 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/622 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/622/thumbnail_709_2018-11-10_00-05-16.jpg Managing Advanced Chronic Kidney Disease: Cincinnati Fetal Center Dr. Foong-Yen Lim introduces the session topics of discussion, the challenges of neonatal dialysis, the pathway of renal transplantation, and pulmonary survivor qualifications. Dr. Paul Kingma, Neonatal Director, Cincinnati Fetal Center, discusses the pulmonary survivor odds based upon amniotic fluid status and postnatal factors.  Dr. Jens W. Goebel discusses managing chronic kidney disease. Dr. Goebel presents a case of a fetus who had undergone interventions of vesicoamniotic shunts and amnioinfusions elsewhere and delivered at 35 weeks. The baby was born with poor initial pulmonary and renal status. The baby received urgent valve ablation and bilateral ureteral stunting after birth and began to improve and urinate.  Dr. Goebel discusses lower urinary tract management, infant chronic kidney disease therapy, adult chronic kidney disease management, infant dialysis, peritoneal dialysis, and transplants. A discussion among the panel followed Dr. Goebel's presentation. Discussion topics include chronic ventilation, peritonitis development, aquafloresis, dialysis catheter, and nutrition.  spaces/1/content/622/file_709_2018-11-10_00-05-16.mp4 2018-11-10T00:05:16+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6350 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6350/thumbnail_6350_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Jason Fraser, APSA - Presentation Watch Jason Fraser, MD, present his presentation on "Natural History and Consequence of Patent Processus Vaginalis: Interim Analysis from a Multi-Institutional Prospective Observational Study." https://library.globalcastmd.com/video/6350 2023-02-06T18:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5784 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5784/thumbnail_5784_2022-08-24_15-05-12.jpg 8th Annual Pediatric Surgery Update Course - FULL SHOW This full day symposium is designed to give an annual update of the contemporary management of common problems in pediatric surgery. This course highlights what's new in pediatric surgery that you NEED TO KNOW! https://d1dnj0gz56dmdu.cloudfront.net/790a9b78-0c85-4dac-bc4e-ca8c6e87220a/AppleHLS1/bdf205bb3e24e3fb065958c7cd7a7bfa.m3u8 2022-08-24T15:05:12+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8705 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8705/thumbnail_10252_2024-06-05_11-04-06.jpg Update Course Rewind: Who to Send Home from the OR: Gastrostomy 2023 We are back with another Update Course Rewind video from the Update course in Pediatric Surgery 2023. This time we are presenting you "Who to Send Home from the OR: Gastrostomy 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham. Host: Cecilia Gigena   https://library.globalcastmd.com/video/8705 2024-06-05T11:04:06+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2823 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2823/thumbnail_3770_2020-07-22_22-00-05.jpg IPEG 2020 TOP ABSTRACT: LAPAROSCOPIC CHOLEDOCHAL CYST EXCISION WITH DUCTOPLASTY AND HEPATICODUODENOSTOMY USING A RIGHT LATERAL APPROACH   Jessica Zagory, MD; Mark Ryan, MD; Samir Pandya, MD; UT Southwestern Medical Center Clinical History: This is a 4-year-old female who initially presented with epigastric abdominal pain and nonbilious emesis. After an inconclusive ultrasound to evaluate for appendicitis, a CT scan was obtained, which demonstrated pancreatic inflammation and a cystic structure within the porta hepatis. The initial lipase level was 6000. An MRCP was then performed, which showed a type 1 choledochal cyst measuring 4.2 cm in diameter. Following resolution of her pancreatitis, she was brought to the operating room two months later for laparoscopic resection of the choledochal cyst. Operative Technique: Since the primary surgeon was left-handed, we chose a right lateral approach for port placement. We utilized a four-port technique with 5 mm short instruments, a 5 mm vessel sealing device, and a 5 mm stapler. Intraoperatively, an accessory hepatic duct was noted originating from the right posterolateral portion of the cyst. This was sutured intracorporeally to the proximal common hepatic duct to construct a common channel. The hepaticoduodenostomy was performed from the patient’s right side, suturing primarily with the left hand. Hospital Course: The patient experienced an uneventful recovery. She was started on a regular diet on postoperative day 4. She did not experience postoperative jaundice and bowel movements were normal in appearance. She was discharged on postoperative day 6. Pathology for the specimen was consistent with a choledochal cyst. No subsequent issues were noted at follow up 3 months after discharge. Presenter: Jessica Zagory, MD Email @jessicazagory @MarkLikesTrauma @samir_pandya_md @UTSW_Surgery spaces/2/content/2823/file_3770_2020-07-22_22-00-05.mp4 2020-07-22T22:00:05+00:00 15 Medical Education yes IPEG no https://library.globalcastmd.com/video/10437 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10437/3a2989f0f9a521b1487661c8c3306598.jpg Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls Osamuyi Asemota, Gabrielle Derraugh, Matthew Levesque, Anna C Shawyer, Suyin A Lum Min, Richard Keijzer Background: Research on long-term cognitive outcomes of children with gastroschisis is limited and inconsistent. This study aimed to compare the educational outcomes of children with gastroschisis to age-matched controls using a population-based repository of educational data. Methods: We performed a retrospective study of all children born with gastroschisis between 1991 and 2022. We compared the educational outcomes of children with simple and complex gastroschisis to date-of-birth matched controls using the: Early Development Instrument (EDI) and Grades 3, 7, and 8 assessments. We used odds ratio (OR) to compare the likelihood of children with gastroschisis failing an assessment compared to controls. We did subgroup analyses for simple and complex gastroschisis cases. Results: A total of 208 gastroschisis cases and 2075 controls were included. There were 136 children with simple gastroschisis and 72 children with complex gastroschisis. Children with gastroschisis were more likely to fail a middle school assessment than controls (OR = 2.93, 95%CI = 1.73, 5.09). Even children with simple gastroschisis were more likely to fail a middle school assessment (OR = 2.66, 95%CI = 1.42, 5.13). Moreover, children with severe gastroschisis were at even greater odds of failing a middle school assessment than controls (OR = 4.57, 95%CI = 1.71, 13.60). Conclusion: The academic performance of children born with gastroschisis, both simple and complex, is inferior to age-matched controls in middle school. Caregivers should be aware of the ongoing challenges that children born with gastroschisis face and seek early support. https://library.globalcastmd.com/video/10437 2025-04-29T10:26:46+00:00 education LizzyLee JPedsurg surgery gastroschisis neurodevelopment channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6364 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6364/thumbnail_6364_2023-02-06_18-00-14.jpg BOB Ped Surg 2023 - Ismael Elhalaby, PAPSA - Presentation Watch Ismael Elhalaby present his presentation on "A randomized comparative study in thoracoscopic sympatectomy" https://library.globalcastmd.com/video/6364 2023-02-06T18:00:14+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6471 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6471/thumbnail_6471_2023-03-14_18-00-10.jpg Transanal recto colonic resection for idiopathic constipation (No audio) Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/d161ac5d-27f3-455d-96aa-410be9036240/AppleHLS1/8e51b71408a65fdd244dc5375d9c9aa0.m3u8 2023-03-14T18:00:10+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2110 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2110/thumbnail_3035_2020-01-21_12-00-39.jpg Thoracoscopic Repair of Left Bochdalek Hernia This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2110 2020-01-21T12:00:39+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/638 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/638/thumbnail_725_2018-11-10_00-05-17.jpg Tricks - Supine Positioning For Bilateral VATS Dr. Nick Bruns gives a presentation of a clinical case of supine positioning for bilateral video-assisted thorascopic surgery (VATS). Dr. Brun's demonstration includes topics of open thoracotomy versus VATS, pleurodesis, blood patch technique, and pleurectomy.  spaces/1/content/638/file_725_2018-11-10_00-05-17.mp4 2018-11-10T00:05:17+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11264 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11264-9236e70964.jpg Exploring Organ-Specific Extracellular Vesicles in Metabolic Improvements Following Bariatric Surgery in Youth With Obesity Ahlee Kim, Tsuyoshi Okura, Kwangmin Choi, Rupinder Gill, Vishnupriya J Borra, Kazutoshi Murakami, Andrew Poulos, Xiang Zhang, Todd Jenkins, Amy Sanghavi Shah, Michael Helmrath, Takahisa Nakamura Objective: Vertical sleeve gastrectomy (VSG) promotes significant metabolic improvements, though the underlying molecular mechanisms are not fully understood. Emerging evidence suggests that small extracellular vesicles (sEVs) contribute to metabolic improvements post VSG, such as improved fatty liver disease or adipose tissue function; however, it is unclear how different organ-specific sEVs interact with various metabolic parameters. The objective of this study is to establish the role of organ-specific sEVs in the metabolic improvements post VSG. Methods: Demographic and anthropometric data, metabolic parameters, and sEV samples were collected pre VSG and 3-6 months post VSG in youth with obesity. sEV RNA was sequenced for bioinformatics analyses. Results: A significant reduction of the liver-enriched mRNA cargo in sEVs was observed post VSG, whereas adipose-enriched mRNA cargo showed no such reduction. Liver-enriched mRNA cargo correlated with BMI, leptin, and resistin 6 months post VSG. Analysis of delta values (post minus pre surgery) revealed that adipose-enriched mRNA cargo correlated with markers of liver damage, whereas liver-derived mRNA cargo correlated with branched-chain amino acids. Conclusions: Following VSG, significant changes occur in the liver-enriched mRNA cargo of sEVs. Liver-derived sEVs appear to influence adipose metabolism, whereas adipose-derived sEVs are linked with liver function, suggesting dynamic intertissue cross talk that shapes systemic metabolic outcomes. https://library.globalcastmd.com/video/11264 2025-11-18T21:31:31+00:00 BMI BCAA leptin pedsurg sEVs VSG gastrectomy Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7776 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7776/thumbnail_9291_2023-12-11_18-00-06.jpg Quick Literature Updates Episode 14 We’re back with fourteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee Ahmad H, Wood RJ, Avansino JR, Calkins CM, Dickie BH, Durham MM, Frischer J, Fuller M, Ralls M, Reeder RW, Rentea RM, Rollins MD, Saadai P, Oelschlager AEA, Breech LL, Hewitt GD, Kluivers K, van Leeuwen KD, McCracken KA. Does presence of a VACTERL anomaly predict an associated gynecologic anomaly in females with anorectal malformations?: A Pediatric Colorectal and Pelvic Learning Consortium Study. J Pediatr Surg. 2023 Mar;58(3):471-477. doi: 10.1016/j.jpedsurg.2022.06.006. Epub 2022 Jun 23. PMID: 35879143. https://www.jpedsurg.org/article/S0022-3468(22)00396-7/fulltext Perez Holguin RA, DeAngelo N, Sinha A, Shen C, Tsai AY. Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure. J Pediatr Surg. 2023 Apr;58(4):608-612. doi: 10.1016/j.jpedsurg.2022.12.011. Epub 2022 Dec 22. PMID: 36646539. https://www.jpedsurg.org/article/S0022-3468(22)00784-9/fulltext Bokova E, McKenna E, Krois W, Reck CA, Al-Shamaileh T, Jacobs SE, Tiusaba L, Russell TL, Darbari A, Feng C, Badillo AT, Levitt MA. Reconstructing the anal sphincters to reverse iatrogenic overstretching following a pull-through for Hirschsprung disease. One-year outcomes. J Pediatr Surg. 2023 Mar;58(3):484-489. doi: 10.1016/j.jpedsurg.2022.10.052 https://library.globalcastmd.com/video/7776 2023-12-11T18:00:06+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8524 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8524/thumbnail_10062_2024-04-17_10-02-31.jpg Contemporary Trends in Laparoscopy and Ovarian Sparing Surgery for Ovarian Torsion in the Pediatric Population New article you should know about by Kim Priban "Contemporary Trends in Laparoscopy and Ovarian Sparing Surgery for Ovarian Torsion in the Pediatric Population" Authors: Carlos Theodore Huerta 1Cindy Rodriguez, Joshua Parreco, Chad M. Thorson, Juan E. Sola, Eduardo A. Perez Full Article can be found at https://doi.org/10.1016/j.jpedsurg.2023.10.042 Purpose Although total oophorectomy (TO) was historically performed in cases of nonviable-appearing ovaries, considerable evidence has demonstrated equivalent outcomes after ovarian sparing surgery (OSS) as well as long-term fertility preservation benefits. This study sought to compare outcomes of OSS and TO for patients with ovarian torsion. Methods Females 50 covariates (demographics, medical comorbidities, ovarian diagnoses, etc.) was constructed between those receiving TO and OSS. Results There were 3,161 females (median 15 [12–18] years) with ovarian torsion, and concomitant pathologies included cysts (42%), benign masses (25%), and malignant masses (<1%). Open approaches were more common (52% vs. 48% laparoscopic), and ovarian resection (OSS or TO) was performed in 87% (39% OSS and 48% TO). OSS was more commonly performed with laparoscopic detorsions (60% vs. 40% TO), while TO was more frequent in open operations (59% vs. 41% TO; both p < 0.001). No differences in overall readmissions (7% OSS vs. 8% TO) or readmissions for recurrent torsion (<1% overall) and ovarian masses (<1%) were observed (both groups <1%; p = 0.612). After PSMA, laparoscopy was still utilized less frequently with TO (39% vs. 53%; p < 0.001) despite similar rates of malignant masses. Conclusions Overall, these data offer additional support for the current practice guidelines that give preference to OSS as the primary method of treatment for pediatric ovarian torsion in the majority of cases. Level of Evidence III. Type of Study Retrospective Comparative Study.   spaces/1/content/8524/file_10062_2024-04-17_10-02-31.mp4 2024-04-17T10:02:31+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7927 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7927/thumbnail_9457_2024-01-29_16-00-08.jpg Quick Literature Updates Episode 15 We’re back with fifteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://www.jpedsurg.org/article/S0022-3468(23)00037-4/fulltext Sutthatarn P, Lapidus-Krol E, Smith C, Halaweish I, Rialon K, Ralls MW, Rentea RM, Madonna MB, Haddock C, Rocca AM, Gosain A, Frischer J, Piper H, Goldstein AM, Saadai P, Durham MM, Dickie B, Jafri M, Langer JC. Hirschsprung-associated inflammatory bowel disease: A multicenter study from the APSA Hirschsprung disease interest group. J Pediatr Surg. 2023 May;58(5):856-861. doi: 10.1016/j.jpedsurg.2023.01.018. Epub 2023 Jan 24. PMID: 36801072. https://www.jpedsurg.org/article/S0022-3468(22)00799-0/fulltext Ramsey WA, Huerta CT, Ingle SM, Gilna GP, Saberi RA, O'Neil CF Jr, Ribieras AJ, Parreco JP, Perez EA, Sola JE, Thorson CM. Outcomes of laparoscopic versus open resection of pediatric choledochal cyst. J Pediatr Surg. 2023 Apr;58(4):633-638. doi: 10.1016/j.jpedsurg.2022.12.024. Epub 2022 Dec 22. PMID: 36670004. https://pubmed.ncbi.nlm.nih.gov/32769952/ Plumblee L, Williams R, Vane D, Zhang J, Jensen A, Naik-Mathuria B, Evans L, Streck CJ. Isolated low-grade solid organ injuries in children following blunt abdominal trauma: Is it time to consider discharge from the emergency department? J Trauma Acute Care Surg. 2020 Nov;89(5):887-893. doi: 10.1097/TA.0000000000002899. PMID: 3276 https://library.globalcastmd.com/video/7927 2024-01-29T16:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8546 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8546/thumbnail_10085_2024-04-24_07-14-24.jpg Update Course Rewind: Management of Chronic Pancreatitis 2023 We are back with another Update Course Rewind video from the Update course in Pediatric Surgery 2023. This time we are presenting you “Management of Chronic Pancreatitis" with Dr. Juan Gurría. Host: Cecilia Gigena Brought to you by Cincinnat Children's https://library.globalcastmd.com/video/8546 2024-04-24T07:14:24+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8672 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8672/thumbnail_10216_2024-05-30_11-09-41.jpg Abdominal Ultrasound Scanning for NEC in Babies at the Threshold of Viability New article you should know about by Kim Priban RN, selected by @‌jpedsurg Made possible by @‌cincychildrens "Abdominal Ultrasound Scanning for NEC in Babies at the Threshold of Viability- A Single Centre Experience” Full article: https://gcmd.co/4bob7uG Authors: Natalie Vallant, Hemanshoo Thakkar, Haran Jogeesvaran, Iain Yardley Aim Neonatal units are caring for increasing numbers of babies born <24 weeks gestation. These babies are vulnerable to developing necrotising enterocolitis (NEC). Their presentation is often atypical, both clinically and radiologically. Optimal diagnostic strategies are not yet known. We report our experience of abdominal ultrasound scanning (AUSS) to clarify its role. Methods All babies in a single neonatal surgical centre born <24 weeks gestation undergoing AUSS for suspected NEC from January 2015 to January 2023 were included. We compared abdominal ultrasound findings with plain radiographs and correlated these to intraoperative findings. Results Thirty-nine babies born <24 weeks gestation were diagnosed with NEC during the study period, and of these seventeen had an AUSS and formed the study cohort. Twelve underwent laparotomy at which NEC was confirmed, and the remaining five were managed non-operatively. Abdominal radiograph findings were: Paucity of gas (12), gaseous dilatation (2), paucity of gas with proximal dilatation (1), pneumatosis (1), and lucencies over the liver (1). In twelve cases who underwent surgery, AUSS findings were (more than one possible): Complex ascites (6), inflamed bowel (4), aperistaltic bowel (3), mass/collection (4), pneumatosis (1). All had NEC confirmed at laparotomy. In five cases who did not progress to surgery, findings were: Simple free fluid (2), pneumatosis (2), inflamed bowel (1), aperistaltic bowel (1). None of these cases subsequently underwent surgery or died of complications of NEC. Conclusion AUSS is a useful imaging modality for NEC in babies born <2 https://library.globalcastmd.com/video/8672 2024-05-30T11:09:41+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6482 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6482/thumbnail_6482_2023-03-14_22-00-12.jpg Transpubic approach for the repair of complex anorectal and urogenital malformations Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/8543afe3-8b95-4f1e-a983-206fd1f0c972/AppleHLS1/56f56d8039ea5d39051392d45e4878b6.m3u8 2023-03-14T22:00:12+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/1040 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/1040/thumbnail_1040_2019-01-11_16-41-50.jpg Focus on Technique - Laparoscopic Pediatric Hernia Repair 2014 Recently, the non-mesh laparoscopic pediatric hernia repair in children and adolescents has gained immense popularity. This event, "Focus on Technique: Laparoscopic Pediatric Hernia Repair" is designed to provide practicing surgeons what they need to know in order to perform this procedure on their own and will focus on the fine points of the technique. We will present many of the different options available for the non-mesh lap hernia repair and then focus on the specific steps of the lap-assisted, percutaneous technique as described by Darius Patkowski.  The different techniques and instrumentation are demonstrated through in-depth, evidence-based discussions, review of edited surgical videos, and discussion of surgical tips and tricks. https://d1dnj0gz56dmdu.cloudfront.net/76131e7d-b1a5-4c5c-80cc-6c5829d8a282/AppleHLS1/3a34aae9235e945da4e0dafa84a03766.m3u8 2019-01-11T16:41:50+00:00 8 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8023 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8023/thumbnail_9555_2024-02-26_10-56-52.jpg Heat 4 Winner: David Grabski, MD - Best of the Best in Pediatric Surgery 2024 Watch the voting from the third heat!  Presentations from heat three: Peter Juviler, MD: Reduction in Unplanned Intubations After Children’s Surgery: A Quality Improvement Project. David Grabski, MD: Post-Operative Opioid Reduction Protocol Reduces Racial Disparity of Clinical Outcome in Children. Kasra Khalaj, MSc, PhD: Human amniotic fluid stem cell extracellular vesicles rescue features of lung development in human hypoplastic fetal lungs. William G. Lee, MD: Sex-based disparities in the management of pediatric gonadal torsion. Third Heat Winner: David Grabski, MD: Post-Operative Opioid Reduction Protocol Reduces Racial Disparity of Clinical Outcome in Children. spaces/17/content/8023/file_9555_2024-02-26_10-56-52.mp4 2024-02-26T10:56:52+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9500 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9500/thumbnail_11056_2024-12-09_08-09-27.jpg Mallory Hoffman, MD - 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 In this presentation, Dr. Mallory Hoffman speaks on Pregnancy Management and Considerations. spaces/17/content/9500/file_11056_2024-12-09_08-09-27.mp4 2024-12-09T08:09:27+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/635 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/635/thumbnail_722_2018-11-10_00-05-17.jpg Tricks - Omphalocele - Approach & Component Separation For Suture Closure &... This segment displays a presentation of omphalocele, separation of components and closure of the abdominal wall. The topics discussed include incision placement, component separation, patch closure, ideal time to operate, early versus delayed closure, and the duodenum technique.   https://d1dnj0gz56dmdu.cloudfront.net/078d48e0-006a-4b3f-b1a0-baa5186e85a3/AppleHLS1/b3f3e4fbd42fb248c5fe1155537f9cad.m3u8 2018-11-10T00:05:17+00:00 82 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9276 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9276/thumbnail_10831_2024-10-10_11-48-51.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 2 - Hour 1 Q&A Drs. David Ritter, Charu Venkatesen, and. Kara Markham discuss the hour 1 sessions and answers questions from the audience. spaces/17/content/9276/file_10831_2024-10-10_11-48-51.mp4 2024-10-10T11:48:51+00:00 1 fetalday2 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7568 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7568/thumbnail_9079_2023-11-06_16-00-09.jpeg Intestinal Rehabilitation Webinar Pediatric Intestinal Failure is a complex condition with potential for high morbidity. Multidisciplinary programs like the one at Cincinnati Children’s Hospital are critical to optimize intestinal function and minimize complications. Please rewatch Drs. Helmrath and Wales as they dive into the current medical and surgical therapies available in their interactive Virtual Webinar! https://library.globalcastmd.com/video/7568 2023-11-06T16:00:09+00:00 10 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7753 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7753/thumbnail_9268_2023-12-01_18-00-07.jpg Approaches to Biliary Atresia Care at Cincinnati Children's - Amy Taylor, MD - Successes in collaborative management of the post-kasai patient Amy Taylor, MD presents “Successes in collaborative management of the post-kasai patient” at the first ever Approaches to Biliary Atresia Care at Cincinnati Children’s. spaces/17/content/7753/file_9268_2023-12-01_18-00-07.mp4 2023-12-01T18:00:07+00:00 5 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9083 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9083/thumbnail_10637_2024-08-28_12-24-11.jpg 2024 Update Course - Enlarging the Scope of ICG: Thyroid Use - P. Ben Ham & Justin Huntington This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.    In this clip, Drs. P. Ben Ham & Justin Huntington speaks on enlarging the scope of ICG: Thyroid Use. Topic to be discussed: • ICG for Thyroid cancer spaces/17/content/9083/file_10637_2024-08-28_12-24-11.mp4 2024-08-28T12:24:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/13839 2026-08-01 monthly 0.7 01_Marc_Levitt_05 Patients, please reach out to us_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_05 Patients, please reach out to us_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737412176 2026-07-29T23:11:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6612 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6612/thumbnail_6612_2023-05-01_22-00-09.jpg Quick Literature Updates Episode 5 We’re back with fifth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash https://www.jpedsurg.org/article/S0022-3468(22)00211-1/fulltext Rettig RL, Yang CJ, Ashfaq A, Sydorak RM. Cryoablation is associated with shorter length-of-stay and reduced opioid use after the Ravitch procedure. J Pediatr Surg. 2022 Jul;57(7):1258-1263. doi: 10.1016/j.jpedsurg.2022.02.040. Epub 2022 Mar 13. PMID: 35379492. https://www.jpedsurg.org/article/S0022-3468(21)00795-8/fulltext Vogel I, Eeftinck Schattenkerk LD, Venema E, Pandey K, de Jong JR, Tanis PJ, Gorter R, van Heurn E, Musters GD, Derikx JPM. Major stoma related morbidity in young children following stoma formation and closure: A retrospective cohort study. J Pediatr Surg. 2022 Oct;57(10):402-406. doi: 10.1016/j.jpedsurg.2021.11.021. Epub 2021 Nov 27. PMID: 34949444. https://www.jpedsurg.org/article/S0022-3468(21)00676-X/fulltext Reppucci ML, Pickett K, Stevens J, Phillips R, Recicar J, Annen K, Moulton SL. Massive transfusion in pediatric trauma-does more blood predict mortality? J Pediatr Surg. 2022 Feb;57(2):308-313. doi: 10.1016/j.jpedsurg.2021.09.051. Epub 2021 Oct 8. PMID: 34736771. https://pubmed.ncbi.nlm.nih.gov/34991128/ Ghani MOA, Snyder E, Xu MC, McKay KG, Foster J, Tong C, Clayton DB, Greeno A, Azam B, Zhao S, Hernanz-Schulman M, Lovvorn HN 3rd. Urine leaks in children https://library.globalcastmd.com/video/6612 2023-05-01T22:00:09+00:00 1 channel#pediatric_surgery didyouknow Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6837 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6837/thumbnail_6837_2023-07-12_18-00-10.jpg Unanticipated consequences of COVID-19 pandemic policies on pediatric acute appendicitis surgery New article you should know by Dr. Cecilia Gigena "Unanticipated consequences of COVID-19 pandemic policies on pediatric acute appendicitis surgery" Authors: Paula R. Quaglietta, Joshua K. Ramjist, Jeffrey Antwi, Ashby Kissoondoyal, Eveline Lapidus-Krol, Reto M. Baertschiger Full article: https://www.jpedsurg.org/article/S0022-3468(23)00040-4/fulltext Abstract Background Global pandemics may limit access to specialized care, delaying diagnosis and treatment of common acute surgical diseases. We analyzed the impact of the novel coronavirus disease 2019 (COVID-19) pandemic on acute appendicitis at an urban tertiary care center. We hypothesize that pandemics are associated with delayed presentation and worsened clinical sequelae, specifically, higher incidences of perforation in children. Methods We retrospectively assessed patients admitted to our institution with acute appendicitis in pre-pandemic control (February 2018–June 2019) and COVID-19 (February 2020–June 2021) cohorts. Primary outcomes included complicated appendicitis rates (perforation/abscess/bowel obstruction), COVID-19 status, complications and travel distance to our institution. 1107 patients met inclusion criteria: 491 (44.4%) during the control period and 616 (55.6%) in the COVID-19 cohort. Statistical analysis involved t-tests, contingency tables and logistic regression modelling for key variables. Results A larger proportion of complicated appendicitis occurred during COVID-19 compared to controls (28.3% vs 38.8%, p < 0.001). Symptom duration at presentation and length of stay were not significantly different. Duration of antibiotic treatment, surgery length, readmission rate and travel distances were significantly higher during COVID-19. The pre-pandemic cohort had a significantly younger age distribution. Conclusion Pediatric appendicitis was significantly impacted during COVID-19, demonstrated by increased rates of complicated appendicitis, surgery duration an https://library.globalcastmd.com/video/6837 2023-07-12T18:00:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8912 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8912/thumbnail_10464_2024-07-23_08-04-36.jpg Características clínicas y pronóstico de la atresia de vías biliares con niveles bajos de metaloproteinasa 7 de la matriz sérica Nuevo artículo que tienes que conocer por la Dra. Cecilia Gigena del JPS  "Características clínicas y pronóstico de la atresia de vías biliares con niveles bajos de metaloproteinasa 7 de la matriz sérica" Autores: Jingying Jiang, Yifan Yang, Xue Ren, Chen Xu, Chunjing Ye, Jin Zhou, Manning Qian, Shuxin Wang, Gong Chen, Rui Dong, Shan Zheng Artículo completo: https://gcmd.co/3zOQlqx Abstracto Objetivo Los niveles séricos de metaloproteinasa-7 de la matriz (MMP-7) pueden diferenciar con precisión la atresia biliar (BA) de la colestasis no BA. Sin embargo, los niveles séricos de MMP-7 de algunos pacientes con BA estaban dentro del rango normal o ligeramente elevados. Este estudio tuvo como objetivo investigar las características clínicas y el pronóstico de la atresia biliar con niveles séricos bajos de MMP-7. Método Este es un estudio de cohorte retrospectivo. Se inscribieron consecutivamente los casos de BA desde julio de 2020 hasta diciembre de 2022. Se dividieron en un grupo con bajo contenido de MMP-7 (MMP-7 ≤ 25 ng/ml) y un grupo con alto contenido de MMP-7 (MMP-7 > 25 ng/ml) según los niveles séricos de MMP-7 antes de la operación. Se compararon entre los dos grupos las características clínicas perioperatorias, la tasa de eliminación de la ictericia a los 3 y 6 meses después del procedimiento de Kasai y la supervivencia del hígado nativo. Resultados En este estudio se incluyeron un total de 329 casos, 40 de los cuales se dividieron en el grupo de MMP-7 bajo. Los niveles preoperatorios de GGT y bilirrubina directa en el grupo con bajo contenido de MMP-7 fueron significativamente más bajos que los del grupo con alto contenido de MMP-7 (258,6 U/L, rango intercuartílico [IQR]: 160,4411,6 frente a 406,8 UI/L, IQR : 215.655,0, P = 0,0076; 103,8 μmol/L, IQR: 79,0.121,4 vs. 115,3 μmol/L, IQR: 94.138,8, P = 0,0071), mientras que el sexo, el día de la cirugía y el preoperatorio ALT, AST, TBA, total los niveles de bilirrubina no mostraron diferencias signi https://library.globalcastmd.com/video/8912 2024-07-23T08:04:36+00:00 2 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/623 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/623/thumbnail_710_2018-11-10_00-05-16.jpg Renal transplantation: Cincinnati Fetal Center Dr. Maria Alonso, Intestinal Transplant Surgeon, presents on renal transplantations. She discusses general surgical needs, gastrostomy tube, peritoneal dialysis catheter, hemodialysis catheter, extra peritoneal approach, extra vesicle re implantation, wound complications, and gastrostomy tube placement.  spaces/1/content/623/file_710_2018-11-10_00-05-16.mp4 2018-11-10T00:05:16+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10436 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10436/baf94717cde4e2889d357f14ec7d7bcf.jpg Cardiopulmonary Impact of the Minimally Invasive Repair of Pectus Excavatum in Pediatric Patients: A Prospective Pilot Study R Scott Eldredge, Arash Sabati, Brielle Ochoa, Vijay Viswanath, Emily Khoury, Kristin Rassam, Daniel J Ostlie, Justin Lee, Lisa McMahon, David M Notrica, Benjamin E Padilla  Introduction: The physiologic benefits of the minimally invasive repair of pectus excavatum (MIRPE) on cardiopulmonary function are poorly understood in pediatrics. We sought to examine the effects of MIRPE on exercise response during cardiopulmonary exercise testing (CPET). Methods: A prospective-pilot study was conduct of patients ≤18 years who presented for pectus bar removal. All patients had CPET prior to MIRPE and following bar removal. Paired sample T tests were used to compare pre- and post-MIRPE CPET results. Results: Twenty-five patients completed post-MIRPE CPET (72 % male, median age 18.6 [IQR:17.5-19.8]). The median Haller and correction indices were 4.5 and 29.4 %, respectively. There was significant increase in O2Pulse, (10.3 vs 12.1 mL/beat, p = 0.004), and percent predicted O2Pulse (79.5% vs 84.4 %, p = 0.046) following MIRPE/bar removal. The peak-VO2/kg and did not change significantly following MIRPE/bar removal; however, peak-VO2 (ml/min) increased. Patients with decreased activity levels at time of bar removal compared to pre-MIRPE had decreased peak-VO2/kg and predicted peak-VO2/kg. Conclusion: Following MIRPE, patients experience increased in O2Pulse, which is a surrogate measure of stroke volume response to exercise and may reflect relief of cardiac compression. Cardiopulmonary function is multifactorial and despite improvement in stroke volume, other factors may impact exercise capacity (VO2) following MIRPE. https://library.globalcastmd.com/video/10436 2025-04-29T10:22:20+00:00 1 LizzyLee MIRPE CPET cardiopulmonary exercise stress test cardiopulmonary function minimally invasive repair of pectus excavatum pectus excavatum Nuss procedure pedsurg JPS Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6744 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6744/thumbnail_6744_2023-06-16_16-00-16.jpg How to Administer a Rectal Irrigation at Home Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. If you’re watching this video, it’s because rectal irrigations have been prescribed by our care team or your child’s primary care provider to help your child empty their colon of stool and gas. Rectal irrigations flush a safe liquid through the colon to help clean stool out and to prevent infection. The goal of this video is to teach you to perform rectal irrigations at home with your child. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal https://d1dnj0gz56dmdu.cloudfront.net/03433beb-3d25-4fa8-88ea-acf84aa8682d/AppleHLS1/ea69dd3577b3f1569b0ad86c0da98f7b.m3u8 2023-06-16T16:00:16+00:00 5 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6345 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6345/thumbnail_6345_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Shelby Sferra, AAP - Presentation Watch Shelby Sferra, MD, present her presentation on "Racial and Ethnic Disparities in Outcomes Among Newborns with Congenital Diaphragmatic Hernia: Results from a National Children's Hospital Database." https://library.globalcastmd.com/video/6345 2023-02-06T18:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/3381 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/3381/thumbnail_3381_2020-12-10_17-00-10.jpg Pancreas Care Updates 2020 - FULL SHOW During our event, course directors Dr. Maisam Abu-El-Haija, MD, MS; Jaimie Nathan, MD, lead a panel of celebrated faculty in providing an overview of updates in pancreas care.CME credit was only available for the live event.  spaces/17/content/3381/file_4337_2020-12-10_17-00-10.mp4 2020-12-10T17:00:10+00:00 6 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6485 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6485/thumbnail_6485_2023-03-14_22-00-12.jpg Newborn repair of male rectoperineal fistula Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/82693cc5-639c-496b-991a-1362e2f85f33/AppleHLS1/bc36c5b617c8e69d4e640fd6f06ff72a.m3u8 2023-03-14T22:00:12+00:00 9 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2108 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2108/thumbnail_3033_2020-01-21_12-00-10.jpg Thoracoscopic Repair of Left Bochdalek Hernia This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2108 2020-01-21T12:00:10+00:00 23 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6801 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6801/thumbnail_6801_2023-07-10_12-00-07.jpg Quick Literature Updates Episode 10 We’re back with tenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash https://pubmed.ncbi.nlm.nih.gov/33990098/ Leonard JC, Josephson CD, Luther JF, Wisniewski SR, Allen C, Chiusolo F, Davis AL, Finkelstein RA, Fitzgerald JC, Gaines BA, Goobie SM, Hanson SJ, Hewes HA, Johnson LH, McCollum MO, Muszynski JA, Nair AB, Rosenberg RB, Rouse TM, Sikavitsas A, Singleton MN, Steiner ME, Upperman JS, Vogel AM, Wills H, Winkler MK, Spinella PC. Life-Threatening Bleeding in Children: A Prospective Observational Study. Crit Care Med. 2021 Nov 1;49(11):1943-1954. doi: 10.1097/CCM.0000000000005075. PMID: 33990098; PMCID: PMC8516672. https://www.jpedsurg.org/article/S0022-3468(22)00624-8/fulltext Tobias J, Padilla BE, Lee J, Chen S, Wang KS, Kelley-Quon LI, Mueller C, Shew SB, Joskowitz K, Ignacio RC Jr, Evans LL, Jensen AR, Acker SN, Mason A, Johnson A, McConahey J, Hansen E, Pandya SR, Short SS, Russell KW, Nicassio L, Smith CA, Fialkowski E. Standardized perioperative care reduces colorectal surgical site infection in children: A Western Pediatric Surgery Research Consortium multicenter analysis. J Pediatr Surg. 2023 Jan;58(1):45-51. doi: 10.1016/j.jpedsurg.2022.09.026. Epub 2022 Sep 26. PMID: 36289033. https://www.jpedsurg.org/article/S0022-3468(22)00433-X/fulltext Eeftinck Schattenkerk RM, Eeftinck Schattenkerk LD, https://library.globalcastmd.com/video/6801 2023-07-10T12:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/648 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/648/thumbnail_735_2018-11-10_00-05-18.jpg Hepatoblastoma: Update Course 2014 Dr. Matthew Clifton gives a presentation on hepatoblastoma including discussion of pre-treatment extent of disease (pretext) and post-treatment extent of disease staging for hepatoblastoma, management and surgical resection based on stages, and controversies of hepatoblastoma management, resectable tumors, liver transplant role, and pediatric liver unresectable tumor observatory.  https://library.globalcastmd.com/video/648 2018-11-10T00:05:18+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5890 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5890/thumbnail_5890_2022-09-27_22-00-07.jpg APSA Article of Interest: REBOA in Pediatric Trauma Check out this APSA article of interest that YOU should know! Theodorou CM, Brenner M, Morrison JJ, et al. Nationwide use of REBOA in adolescent trauma patients: An analysis of the AAST AORTA registry. Injury. 2020;51(11):2512-2516. doi:10.1016/j.injury.2020.08.009 https://www.injuryjournal.com/article/S0020-1383(20)30681-1/fulltext Image: Olsen, M.H., Thonghong, T., Søndergaard, L. et al. Standardized distances for placement of REBOA in patients with aortic stenosis. Sci Rep 10, 13410 (2020). https://doi.org/10.1038/s41598-020-70364-9   https://library.globalcastmd.com/video/5890 2022-09-27T22:00:07+00:00 channel#pediatric_surgery jps-review Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13832 2026-08-01 monthly 0.7 10_Andrea_Kesar_about Marc Levitt This is "10_Andrea_Kesar_about Marc Levitt" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737622153 2026-07-29T23:11:04+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7276 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/7276/thumbnail_8766_2023-10-09_22-00-13.jpg Colorectal Surgery: What does the anesthesia provider need to know? Children's National Medical Center, Anesthesiology Grand Rounds Part 2 - August 31, 2023  Marc Levitt, MD  spaces/8/content/7276/file_8766_2023-10-09_22-00-13.mp4 2023-10-09T22:00:13+00:00 2 channel#private_colorectal_channel pediatriccolorectalsurgery Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/11715 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/11715/96fa643a111287b938fb335e117bd562.jpg Posterior Rectal Advancement Anoplasty (PRAA) in a male with an anorectal malformation and rectoperineal fistula Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital  spaces/8/content/11715/11faf914d116f4feb963aec65d57157c.mp4 2026-03-19T14:32:30+00:00 3 PRAA PosteriorRectalAdvancementAnoplasty colorectal colorectalsurgery colorectalsurgerytechnique channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/7779 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7779/thumbnail_9294_2023-12-13_16-00-07.jpg QUAD #1: Cervical Tracheopexy with Dr. Alessandro de Alarcon Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to talk about the cervical approach and the importance of ENT involvement with Dr. Alessandro de Alarcon, an ENT surgeon from Cincinnati Children's. Host: Todd Ponsky https://library.globalcastmd.com/video/7779 2023-12-13T16:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6356 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6356/thumbnail_6356_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Dr. Maria Velayos, IBEROAMERICANA - Presentation Watch Dr. Maria Velayos, present her presentation on "Initial training model in microsurgery in wistar rat."   https://library.globalcastmd.com/video/6356 2023-02-06T18:00:13+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8008 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8008/thumbnail_9540_2024-02-26_10-21-20.jpg Heat 1 Winner: Dariusz Patkowski, MD, PhD - Best of the Best in Pediatric Surgery 2024 Watch the voting from the first heat!  Presentations from heat one: Prof. Shilpa Sharma: Exploring alternative pathway of stem cell proliferation for hepatic regeneration by partial liver resection in extra hepatic biliary atresia. Toshio Harumatsu, MD, PhD: Analysis of the potential risk factors for defecation problems and their bowel management based on the long-term bowel function in patients with persistent cloaca: Results of a nationwide survey in Japan Dariusz Patkowski, MD, PhD: Thoracoscopic Approach for Long Gap Esophageal Atresia Using the Internal Traction Technique Johana Sosa Jurado, MD: Epidemiological study of pediatric robotic surgery at Carlos Andrade Marín Hospital. First Heat Winner: Dariusz Patkowski, MD, PhD: Thoracoscopic Approach for Long Gap Esophageal Atresia Using the Internal Traction Technique spaces/17/content/8008/file_9540_2024-02-26_10-21-20.mp4 2024-02-26T10:21:20+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6505 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6505/thumbnail_6505_2023-03-16_16-00-08.jpg Update course rewind: Management of esophageal leaks 2022 We're back with another Update Course Rewind video. This time we are presenting you Management of Esophageal Leaks with Drs.: Carroll "Mac" Harmon Miguel Guelfand Jorge Godoy Michele Ugazzi Host: Cecilia Gigena Resources: Mini Endovac creation for esophageal leaks by Dr. Jorge Godoy: https://www.youtube.com/watch?v=3fBFm-o-y_o Early Management of Esophageal Leak in Esophageal Atresia: Changing Paradigms: www.liebertpub.com/doi/full/10.1089/lap.2020.0099   The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! This Year Update Course (2023) will be held on August 28/29th So Stay tuned for more information.  https://library.globalcastmd.com/video/6505 2023-03-16T16:00:08+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/740 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/740/thumbnail_839_2018-11-13_00-04-31.jpg Intestinal Failure - Feeding Access and Nutrition Dr. Michael Helmrath discusses alternative feeding techniques for intestinal failure, distal feeding, button insertion illustration, anastomosis, dilated bowel segments, small bowel length significance, liver disease, international patient management, breast milk therapy, total parenteral nutrition (TPN) monitoring, micronutrient deficiencies, inflammation and hyper motility, and infant pancreatic enzymes.  spaces/1/content/740/file_839_2018-11-13_00-04-31.mp4 2018-11-13T00:04:31+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8759 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8759/thumbnail_10308_2024-06-20_11-51-23.jpg The Safety and Efficacy of Early Enteral Nutrition After Paediatric Enterostomy Closure New article by Dr. Cecilia Gigena, selected by Dr. Jose Campos y the chilean Society of Pediatric Surgery  "The Safety and Efficacy of Early Enteral Nutrition After Paediatric Enterostomy Closure - The EPOC Study" Authors: James Cope, Douglas Greer, Soundappan S.V. Soundappan, Aneetha Pasupati, Susan Adams Full article: https://www.jpedsurg.org/article/S0022-3468(23)00695-4/fulltext Introduction Keeping children nil by mouth until return of bowel function after intestinal anastomosis surgery is said to reduce complications. Fasting may extend up to five days, risking malnourishment and usage of parenteral nutrition. This study aims to establish the efficacy and safety of early enteral nutrition in children undergoing intestinal stoma closure. Methodology A retrospective cohort study of children aged three months to 16 years who underwent an intestinal stoma closure between 1/1/2019 and 31/12/2021 at two tertiary paediatric hospitals was undertaken. Children fed clear fluids within 24 h (EEN) were compared to those commencing feeds later (LEN). The primary outcome was length of post-operative stay (LOS) and secondary outcomes included: time to feeds; time to stool; and complications. Results Of the 129 children that underwent a stoma closure, 69 met inclusion criteria: 35 (51 %) in the LEN group and 34 (49 %) in the EEN group. Children in the EEN group had a significantly shorter LOS (92.6 h vs 121.7 h, p = 0.0045). Early feeding was also associated with a significantly decreased time to free fluids (p < 0.001) and full enteral intake (p = 0.007). There was no significant intergroup difference in complications. Conclusion Commencing feeding within 24 h of stoma closure is efficacious and safe, with clear reductions in LOS, time to full feeds and time to stool, and no increase in complications. Further research is required to extrapolate these findings to other populations. spaces/1/content/8759/file_10308_2024-06-20_11-51-23.mp4 2024-06-20T11:51:23+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10109 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10109/b13ffc7f685d56bb36a3a309279ff1ad.jpg Update Course Rewind: Highlighting Collaboration from Surgery & Interventional Radiology in the OR 2024 In this Update Course Rewind, Drs. Dan von Allmen, John Racadio, and Timothy Lautz, alongside IR technologist Amanda Wallingford, discuss how strong collaboration between surgery and interventional radiology is transforming patient care at Cincinnati Children’s and beyond. From ultrasound-guided lymph node localization to cone beam CT in a hybrid OR, this session highlights the power of shared expertise and image-guided surgery. Key Highlights: Use of cone beam CT, ultrasound, and fluoroscopy to improve surgical precision Hybrid OR vs. traditional OR: benefits and workarounds Real-life examples: neuroblastoma surgery, vascular malformations, pulmonary nodule localization Preview of emerging tech like augmented reality and holographic overlays for surgical planning This session is marked as a “Blue Square”—a promising newer practice that’s showing significant results and potential. Watch to learn how breaking down silos between teams can elevate outcomes across specialties. https://library.globalcastmd.com/video/10109 2025-03-26T06:44:05+00:00 channel#pediatric_surgery updatecourserewind 2024 surgery interventional radiology ultrasound lymph node cone-beam CT hybrid OR fluoroscopy Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/738 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/738/thumbnail_837_2018-11-13_00-04-31.jpg Aerodigestive & Esophageal Surgery - The Unsalvageable Esophagus & Cases Join the multidisciplinary team from Cincinnati Children's Hospital as they review the complexities in the management of Tracheal Esophageal Fistula (TEF). This fast paced live event will feature case presentations, video, and panel discussion with live call-in from colleagues and participants around the globe. Points of interest will include discussion around the "unsalvageable esophagus" and diagnosis of TEF.The Unsalvageable Esophagus, discussing procedures gone wrong, caustic line, colonic interposition vs. gastric pull-up, jejunal pre-flap pros and cons.  spaces/1/content/738/file_837_2018-11-13_00-04-31.mp4 2018-11-13T00:04:31+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5149 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5149/thumbnail_6396_2022-03-10_12-00-16.jpg Pediatric Umbilical Pathologies in Brief: Presentation, Workup, Diagnosis,... Umbilical pathologies can present with a wide range of symptoms so here, we cover the basics of presentation, differentiation, diagnosis, surgical approach, and post operative management with Dr. Meera Kotagal and host Drs. Rod Gerardo & Ellen Encisco. https://d1dnj0gz56dmdu.cloudfront.net/865cafc0-cf7a-4049-96eb-49486c731a75/AppleHLS1/993c28e02a516844590b9bc735411e09.m3u8 2022-03-10T12:00:16+00:00 11 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2198 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2198/thumbnail_3124_2020-02-18_18-00-11.jpg Thoracoscopic Diaphragmatic Plication This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2198 2020-02-18T18:00:11+00:00 27 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2230 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2230/thumbnail_3156_2020-02-24_19-58-22.jpg Rigid Bronchoscopy for Diagnosis and Treatment of Proximal Pouch Fistula in... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2230 2020-02-24T19:58:22+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/1889 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1889/thumbnail_2735_2019-11-11_22-05-18.jpg Laparoscopic Distal Pancreatectomy for Traumatic Transection This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/1889 2019-11-11T22:05:18+00:00 19 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6747 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6747/thumbnail_6747_2023-06-16_22-00-10.jpg How to Check Your Child’s MiniACE Balloon Device Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to educate and empower you to independently care for your child’s MiniACE device at home. In this video we will review how to check the balloon on that device if you are told to do so by your child’s medical team. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal https://d1dnj0gz56dmdu.cloudfront.net/5875a535-ccb6-4683-b59f-0902c6a82677/AppleHLS1/0bcb11eefd8ac4a66f2abb69fe555754.m3u8 2023-06-16T22:00:10+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/9235 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9235/thumbnail_10790_2024-10-03_09-29-21.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Dr. Sonika Agarwal Dr. Sonika Agarwal speaks on the genetic conditions leading to brain malformations on Day 1 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9235/file_10790_2024-10-03_09-29-21.mp4 2024-10-03T09:29:21+00:00 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6464 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6464/thumbnail_6464_2023-03-14_16-00-12.jpg Transanal Swenson like Technique for Hirschsprung's Disease (No audio) Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/8361eefe-1933-4f56-89bc-cebef0a914e6/AppleHLS1/924ef88f461ec8fab855abe056348df2.m3u8 2023-03-14T16:00:12+00:00 23 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8860 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8860/thumbnail_10412_2024-07-15_13-55-48.jpg Western Pediatric Trauma Conference 2024 Day 1 Agenda of Day 1: Welcome - Kacey Barnes, MSN, RN & Katie Russell, MD Penetrating Trauma: Difficult Access - Kenji Inaba. MD Policy and Advocacy in Suicide Prevention - Evan V. Goldstein, PhD, MPP Firearm Injury Prevention - Maya Haasz, MD Inequities in Pediatric Trauma - Moving from Descriptions to Action - Meera Kotagal, MD Podium Presentations Scientific Databases in Pediatric Trauma Research - Justin Lee, MD The Editor’s Perspective - George W. Holcomb III, MD, MBA Guideline Implementation: who, what, when, where, and why? -Regan F. Williams, MD, MS, FAAP, FACS How to Optimize Your TAIP Report - Aaron R. Jenson, MD Grand Teton Lightning MCI in the Sky - Albert R. Wheeler III, MD, DIMM, FACEP - David Weber, Flight Paramedic Death to Dogma - Michael Nance, MD Poster Presentation Scientific Best Practice   https://d1dnj0gz56dmdu.cloudfront.net/391f71bc-a97a-4560-acae-e6707dc72b41/AppleHLS1/H5mLoWAMuGHSz1QTWrm0CyZ1L4t1EOHW.m3u8 2024-07-15T13:55:48+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10418 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10418/c91c946b6bcc0258061b26da6abc6a5f.jpg The Impact of Surgical Margin in Wide Local Excision of Pediatric Melanoma - An Argument for a More Conservative Approach Anthony V Basta, Connor D Fritz, Yi-Ju Chiang, Neha Malik, Lily Koscielniak, Lauren Mayon, Cynthia E Herzog, Mary T Austin Background: Pediatric melanoma is the most common skin cancer in children. Achieving surgical margins recommended by the National Comprehensive Cancer Network (NCCN) for wide local excision (WLE) is challenging in children with less body domain. This study investigated whether surgical margin impacted postoperative clinical outcomes following WLE for melanoma in children and adolescents. Methods: All patients ≤21 years undergoing WLE between 2007 and 2023 were analyzed. Patients were categorized in groups of surgical margin <2 cm vs. ≥2 cm. The chi-square test/Fisher's exact test and Mann-Whitney U test were used to analyze categorical and continuous variables between groups. Multivariate logistic regression was used to determine the association of age and tumor location with surgical margin group and whether NCCN guidelines for WLE were met. Results: Of the 59 patients included, 61% had WLE with <2 cm margins. Head/neck melanomas were less likely to have margins ≥2 cm (OR = 0.121, 95% CI 0.022-0.648, p = 0.014) and margins that met the NCCN guidelines (OR = 0.002, 95% CI 0.003-0.215, p < 0.001) when compared to trunk/extremity primaries. There was no difference in the rate of postoperative complications or need for intervention for complications between patients with margins <2 cm and those with ≥2 cm. No patients experienced local recurrence with a median follow-up of 52 months (IQR: 16 to 93). Conclusion: Pediatric head/neck melanomas undergoing WLE were likelier to have narrow margins <2 cm and less likely to meet NCCN criteria. Narrow margins may achieve excellent results for pediatric melanoma patients. spaces/1/content/10418/0017dffa1d936ef23faefdec438f4885.mp4 2025-04-28T06:56:42+00:00 Wide local excision Surgical margin Pediatric melanoma dermatology Alex halpern jps journal of pediatric surgery cincinnati childrens pediatric surgery channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8826 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8826/thumbnail_10377_2024-07-10_08-27-55.jpg Update Course Rewind- Who to Send Home from the OR: Uncomplicated Buttock Abscess and I&D Part 1 We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023. This time we are presenting you "Who to Send Home from the OR: Buttock Abscess 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham. Host: Cecilia Gigena In this session the surgeons discuss about the indications for an uncomplicated buttock abscess. When to treat with antibiotics, when to make an incision and draining (I&D) or when it is necessary to do something else. 00:00 Introduction 00:38 Case Scenario 01:09 Is it necessary to keep them overnight? 02:06 Literature Review 02:49 Summary https://library.globalcastmd.com/video/8826 2024-07-10T08:27:55+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6524 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6524/thumbnail_6524_2023-03-29_22-00-09.jpg ¿Sabías que con un simple baño prequirúrgico reducis las infecciones del sitio quirúrgico? Nuevo artículo que tenes que conocer por la dra Gigena Cecilia "Un estudio randomizado usando jabon para la prevención de las infecciones del sitio quirúrgico en Tanzania" Godfrey Sama Philipo et.al. Autores: Godfrey Sama Philipo, Zaitun Mohamed Bokhary, Neema Lala Bayyo, Soham Bandyopadhyay, Miriam Gerd Pueschel, Rajabu Athumani Bakari, Kokila Lakhoo Abstract Background Las infecciones del sitio quirúrgico (ISQs) son complicaciones comunes y severas. Guías de prevención de las mismas se han desarrollado pero el rol del baño prequirúrgico con jabón común en la población pediátrica no está claro. Nuestro objetivo es evaluar la efectividad del baño prequirúrgico usando jabón común en la prevención de las ISQs en los pacientes pediátricos.  Materiales y Métodos Se realizó un ensayo aleatorizado de etiqueta abierta en el Hospital Nacional Muhimbili en Tanzania. Antes de la operación, los pacientes del grupo de intervención se lavaron el cuerpo con jabón común, mientras que los del grupo de control no lo hicieron. El resultado primario fue la ISQ posoperatoria. Las pruebas estadísticas incluyeron χ2, suma de rangos de Wilcoxon y regresión logística univariante y multivariable. Resultados De los 252 pacientes reclutados, 114 fueron aleatorizados al brazo de intervención. En el brazo de control, el 40,6 % (56/138) de los participantes desarrollaron ISQ en comparación con el 11,4 % (13/114) en el brazo de intervención (p < 0,01). Después de ajustar los factores de confusión en el análisis multivariable, la intervención redujo las probabilidades de una SSI en un 80 % (OR: 0,20 [IC del 95 %: 0,10, 0,41]; p < 0,01). Los antibióticos preoperatorios se consideraron un modificador del efecto de la asociación entre la intervención y la ISQ (p = 0,05). La intervención redujo significativamente las probabilidades de una ISQ en un 88 % entre los participantes que no recibieron antibióticos preoperatorios (OR: 0,12 [IC del 95 %: 0,05, 0,30]; p < 0,01). Co https://library.globalcastmd.com/video/6524 2023-03-29T22:00:09+00:00 3 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6743 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6743/thumbnail_6743_2023-06-16_16-00-16.jpg How to Make Saline Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. Saline is important in the use of antegrade flushes, enemas, and irrigations, as our Colorectal team often recommends large volumes of saline to help flush the colon. This video teaches you how to make saline easily at home. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal https://d1dnj0gz56dmdu.cloudfront.net/134f8288-02c2-41b8-bec4-4b871913c2f8/AppleHLS1/020d9d1fc0ae2050941c687fe44d0143.m3u8 2023-06-16T16:00:16+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/9238 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9238/thumbnail_10793_2024-10-03_10-17-25.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Hour 2 Q&A Dr. Dawn Gano, Dr. Sonika Agarwal, and Dr. DonnaMaria Cortezzo discuss the hour 2 sessions and answers questions from the audience. spaces/17/content/9238/file_10793_2024-10-03_10-17-25.mp4 2024-10-03T10:17:25+00:00 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6978 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6978/thumbnail_8437_2023-08-09_18-00-12.jpg Treatment of Umbilical Granuloma in Infants With Topical Application of Common Salt New article you should Know by Dr. Cecilia Gigena "Treatment of Umbilical Granuloma in Infants With Topical Application of Common Salt: A Scoping Review" Authors: Arka Banerjee, Gayatri Munghate, Minnie Bodhanwala, Pradnya S. Bendre Full article: https://www.jpedsurg.org/article/S0022-3468(23)00193-8/pdf Background Common salt is a safe, effective and cheap home-made remedy for umbilical granuloma. The aim of this scoping review is to identify and summarize the available evidence and examine the research conducted on salt treatment for umbilical granuloma. Methods A literature search was performed in the second week of September, 2022 using Google scholar, PubMed, MEDLINE and EMBASE databases using the keywords ‘umbilical granuloma’ and ‘salt treatment’ to identify all English articles pertaining to salt treatment for umbilical granuloma. Tables were made to summarize the methodological characteristics, results and the dosage regimens of salt used by different authors. The Cochrane Collaboration's tool was used for assessing risk of bias in RCTs. The indexing statuses of the journals publishing these studies were also noted. The overall efficacy with the use of common salt was calculated by adding the success rates mentioned in each study. Results Twenty-four articles (2 systematic reviews, 6 Randomized Controlled Trials, 11 prospective cohort studies, 1 case control study, 3 retrospective case series and 1 case report) were included. An overall 93.91% success rate (1033/1100) was seen with common salt application, without any reports of complications/recurrences. Conclusion  Topical application of common salt for umbilical granulomas is simple, effective and inexpensive. This scoping review provides a broader outlook at the existing level of evidence and may help in planning interventional comparative studies, so that recommendations can be formulated. It also highlights a lack of properly designed randomized controlled trials on th https://library.globalcastmd.com/video/6978 2023-08-09T18:00:12+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2031 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2031/thumbnail_2956_2019-12-24_16-00-10.jpg Endoscopic-guided Excision of a Midline Forehead Dermoid This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2031 2019-12-24T16:00:10+00:00 10 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2237 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2237/thumbnail_3163_2020-02-24_19-58-22.jpg Laparoscopic Pyloromyotomy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://d1dnj0gz56dmdu.cloudfront.net/39e7123f-566f-48cf-970e-d5ead01c07bd/AppleHLS1/49443e80200fafa22ba65f6047285855.m3u8 2020-02-24T19:58:22+00:00 36 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9237 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9237/thumbnail_10792_2024-10-03_09-30-07.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Dr. Dawn Gano Dr. Dawn Gano speaks on the fetal intracranial hemorrhage on Day 1 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9237/file_10792_2024-10-03_09-30-07.mp4 2024-10-03T09:30:07+00:00 1 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6604 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6604/thumbnail_6604_2023-04-26_16-00-14.jpg El colon por enema de rutina previo al cierre de ostomía parece ser requerido sólo luego de una enterocolitis necrotizante: Una evaluacion de la precision diagnostica del colon por enema Nuevo artículo que tenes que conocer por la Dra. Cecilia Gigena  "El colon por enema de rutina previo al cierre de ostomía parece ser requerido sólo luego de una enterocolitis necrotizante: Una evaluacion de la precision diagnostica del colon por enema" Autores: Robert M. Eeftinck Schattenkerk a , 1 , ∗, Laurens D. Eeftinck Schattenkerk a , b , 1 , Gijsbert D. Musters a , Joost van Schuppen c , Justin R. de jong a , Ramon R. Gorter a , Wouter J. de Jonge b , d , Ernest L.W. van Heurn a , b , Joep PM. Derikx  ABSTRACT Introduccion Los colon por enema son realizados frecuentemente previos al cierre de ostomia para detectar estenosis distales al ostoma. Si no son tratadas las estenosis pueden causar oclusion que puede requerir re-cirugia. Sin embargo, el valor del colon por enema no esta claro. Por eso buscamos evaluar la precision diagnostica del colon por enema para la deteccion de estenosis en ninos con ostomas.  Metodos  Ninos ( ≤3 anos) tratados con ostomas entre 1998 y 2018 fueron incluidos retrospectivamente. Los criterios de STARD fueron seguidos. Pacientes tratados por malformaciones anorectales y aquellos que fallecieron previo al cierre de ostoma fueron excluidos. La identificacion quirurgica de estenosis durante la cirugia de cierre de ostoma o una recirugia dentro de los tres meses del cierre fueron utilizadas como Gold Standard. La sensibilidad, especificidad, Valor predictivo positivo (VPP) y valor predictivo negativo (VPN) y el area debajo de la curva reflejaron la precision diagnostica. Resultados En 224 pacientes incluidos, se encontraron estenosis durante el cierre en un 10%, de los cuales un 95% habia sido tratado por enterocolitis necrotizante (NEC). El colon por enema fue realizado en un 68% de los pacientes y detecto el 92% de las estenosis. En la cohorte general, la sensibilidad fue 100%, especificidad 98%, VPP 88%, VPN 100% mientras que el area bajo la curva fue de 0.98. En pacientes tratados por NEC, la sensibilidad https://library.globalcastmd.com/video/6604 2023-04-26T16:00:14+00:00 2 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6619 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6619/thumbnail_6619_2023-05-04_04-00-09.jpg Novedoso indice para estimar la extensión cefalocaudal del hundimiento esternal en el pectus excavatum: El Índice Titanic Nuevo Articulo que tenes que Concer por Sofía Tachella "Novedoso indice para estimar la extensión cefalocaudal del hundimiento esternal en el pectus excavatum: El Índice Titanic" Bellía Munzon et.al. Artículo Completo: https://www.jpedsurg.org/article/S0022-3468(22)00783-7/fulltext Autores: Gastón Bellía-Munzón, Daniela Sanjurjo, Luzía Toselli, Maxroxia Vallee, Gastón Elmo, Marcelo Martínez-Ferro Propósito La cuantificación de la severidad del la deformaciones excavadas del tórax se realiza actualmente con los índices de Haller (HI) y de correción (CI), entre otros. Sin embargo, la mayoría caracteriza la severidad en el punto de mayor hundimiento. Presentamos un nuevo índice, el índice Titanic (TI), dirigido a la evaluación de la extensión cefalocaudal de la excavación y su potencial uso clínico.  Materiales and métodos Análisis retrospectivo de una cohorte de pacientes que se sometieron a repación del pectus excavatum minimamente invasiva (MIRPE) entre Julio de 2020 y Abril de 2022. Definimos el TI como el porcentaje de esternón que se encuentra por debajo de la línea costal anterior observado en la tomgrafía computada. Datos demográficos, HI, CI y TI fueron calculados y analizados. También, comparamos índices de severidad en dos grupos de pacientes divididos según el número de implantes introducidos en cada paciente (grupo A: 2 implantes, grupo B: más de dos).  Resultados Setenta y ocho pacientes (92% varones) fueron incluídos, con una edad media de 17.2 ± 4.8 años. La media de TI fue 37%. The mean TI was 37%. Aunque débil, identificamos una correlación significativa entre el TI y el HI y más aún con el CI. Dos implantes fueron introducidos en 37 pacientes (47%), y más de 2 en 41 (53%) pacientes. Comparado con pacientes con dos implantes, el grupo que recibió más de dos eran mayores y presentaban peores índices torácicos. we identified significant correlations between the TI and the HI and, more closely, to the CI. Two implants were introd https://library.globalcastmd.com/video/6619 2023-05-04T04:00:09+00:00 3 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6341 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6341/thumbnail_6341_2023-02-06_16-00-12.jpg BOB in Ped Surg - Lourenzo Sbragia, IBEROAMERICANA - Presentation Watch Lourenzo Sbragia, MD, present his presentation on "Analysis of risk factors for neonatal short intestine syndrome in two tertiary centers in Brazil." https://library.globalcastmd.com/video/6341 2023-02-06T16:00:12+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5412 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5412/thumbnail_5412_2022-05-24_12-00-33.jpg Update Course 2021: APSA PDC UPDATES In this APSA PDC session, the Professional Development Committee provides competency maintenance needs for practicing pediatric surgeons and pediatric surgery trainees. Hosted by Dr. Marjorie Arca, MD https://library.globalcastmd.com/video/5412 2022-05-24T12:00:33+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6974 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6974/thumbnail_8433_2023-08-03_16-00-13.jpg Update Course Rewind: Preparing for Penetrating Trauma 2022 We are back with another Update Course Rewind video! This time we are presenting you "Preparing for Penetrating Trauma" with Dr. Bindi Naik-Mathuria from APSA Professional Development Committee. Host: Todd Ponsky Register for #UpdateCourse2023 (Aug 29) here https://globalcastmd.wufoo.com/forms/zcvbzfd1xref8x/ https://library.globalcastmd.com/video/6974 2023-08-03T16:00:13+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8024 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8024/thumbnail_9556_2024-02-26_10-56-56.jpg Kasra Khalaj, MSc, PhD - Best of the Best in Pediatric Surgery 2024 Watch AAP's Dr. Kasra Khalaj’s presentation on “Human amniotic fluid stem cell extracellular vesicles rescue features of lung development in human hypoplastic fetal lungs” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8024/file_9556_2024-02-26_10-56-56.mp4 2024-02-26T10:56:56+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5793 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/5793/thumbnail_5793_2022-08-24_18-00-06.jpg Manejo quirurgico estadificación y resultados en el Tumor de Wilms "Manejo quirúrgico, estadificación y resultados en tumores de Wilms con extensión intravascular: Resultados del estudio IMPORT" Dzhuma et al, Journal of Pediatric Surgery, Abril 2022 Artículo: https://www.jpedsurg.org/article/S002... https://d1dnj0gz56dmdu.cloudfront.net/be6d59e6-d3f9-49df-9946-bcda02bfca00/AppleHLS1/aad906ab95beab29c8df0e522d0a922e.m3u8 2022-08-24T18:00:06+00:00 6 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/1287 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1287/thumbnail_1457_2019-03-19_22-36-07.jpg Valuable Techniques For Diaphragmatic Hernia Repair Guest video: Valuable Techniques For Diaphragmatic Hernia Repair by Marcelo Martinez Ferro and Carolina Milan from Fundacion Hospitalaria Private Children's Hospital in Buenos Aries, Argentina. https://d1dnj0gz56dmdu.cloudfront.net/9bc5b5b3-29d1-4349-9a6c-25e3d858babe/AppleHLS1/77292e76fa97d0d8bd1712811712b304.m3u8 2019-03-19T22:36:07+00:00 32 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9091 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9091/thumbnail_10645_2024-08-28_13-10-50.jpg 2024 Update Course - Updates in the Treatment of Undescended Testis - Sameh Shehata & Shawn St. Peter This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Sameh Shehata & Shawn St. Peter as moderator, speaks on the updates in the treatment of Undescended Testis.   Topics to be discussed: • Adominal UDT spaces/17/content/9091/file_10645_2024-08-28_13-10-50.mp4 2024-08-28T13:10:50+00:00 7 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9738 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9738/thumbnail_11301_2025-01-31_07-51-45.jpg Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures Rach Mena, Gabriela Guillén, Sergio Lopez-Fernandez, Marta Martos Rodríguez, César W Ruiz, Alicia Montaner-Ramon, Manuel López, José A Molino Background: Necrotizing enterocolitis (NEC) is one of the main causes of acute abdomen in neonates. Surgical treatment entails important morbidity and mortality and conservative management, when possible, offers better outcomes. Post-NEC intestinal strictures are one of the main complications. Methods: Retrospective analysis from June 2011 to November 2022 of post-NEC strictures (PNS) after conservative management of neonates diagnosed with NEC (modified Bell stage IIA or higher) at a tertiary neonatal surgery center. Results: Out of 219 NEC, 126 received initial conservative management (57.5%), 24 (19%) of which eventually underwent surgery for PNS. Average gestational age and weight at birth of our cohort were 31.3 ± 4.9 weeks and 1,694 ± 1,009 g.PNS diagnosis was made 38.4 ± 16.5 days after the NEC episode. 6/24 (25%) were asymptomatic and diagnosed by screening enema, 11 (46%) presented signs of intestinal obstruction before the enema could be performed and 7 (29%) after a normal previous protocol study.Median age at PNS surgery was 56 ± 17.9 days. A total of 2/3 strictures were found in cecum, ascendent, and transverse colon. Primary resection and anastomosis were performed in all cases. Feeds were restarted on postoperative day 4.3 ± 2.9. Two cases presented anastomotic complications (1 dehiscence and 1 stenosis), and no deaths were recorded. Conclusions: PNS is a frequent complication after conservative management. Deffered surgical treatment after the acute NEC episode is resolved allows for safer surgeries (since patients have reached hemodynamical stability and overcome septic shock), shorter resections, and favorable postoperative outcomes. https://library.globalcastmd.com/video/9738 2025-01-31T07:51:45+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/739 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/739/thumbnail_838_2018-11-13_00-04-31.jpg Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula Dr. Todd Ponsky introduces the seminar covering complexities in the management of Tracheal Esophageal Fistula (TEF). Points of interest will include discussion around the "unsalvageable esophagus" and diagnosis of TEF. Dr. Michael Rutter, Pediatric Otolaryngologist at Cincinnati Children's Hospital, introduced the panel members and begins the event with a case-based discussion on tracheal esophageal fistulas (aspiration). Dr. Rutter presents many esophageal fistula cases for interactive discussion amongst panel members. The session is closed with a discussion of the unsalvageable esophagus and tracheal pouches.  spaces/1/content/739/file_838_2018-11-13_00-04-31.mp4 2018-11-13T00:04:31+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6237 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6237/thumbnail_6237_2022-12-20_22-00-08.jpg JPS Article You should Know: Ultrasound Guided Percutaneous Broviac Placement Check out this JPS article YOU Should know.  Reddy SM, Soccorso G, Lawrence L, et al. Ultrasound-guided percutaneous insertion of Broviac lines in infants less than 5kg: Prospective study of 100 consecutive procedures. J Pediatr Surg. 2022;57(11):534-537. doi:10.1016/j.jpedsurg.2022.01.005 https://www.jpedsurg.org/article/S0022-3468(22)00039-2/fulltext     spaces/1/content/6237/file_7659_2022-12-20_22-00-08.mp4 2022-12-20T22:00:08+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5824 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5824/thumbnail_5824_2022-09-07_22-00-07.jpg Update Course 2022 - UPDATES IN GASTROSCHISIS FEEDING PROTOCOLS - Jason Fraser, Beth Rymeski, and Steven Lee In this session we discuss protocols for feeding gastroschisis patients with Drs. Jason Fraser, Beth Rymeski, and Steven Lee. Articles discussed: Minimizing Variance in Gastroschisis Management Leads to Earlier Full Feeds in Delayed Closure The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis Use of a Gastroschisis Feeding Guideline to Improve Standardization of Care and Patient Outcomes at an Urban Children's Hospital Primary Closure versus Bedside Silo and Delayed Closure for Gastroschisis: A Truncated Prospective Randomized Trial Does Use of a Feeding Protocol Change Outcomes in Gastroschisis? A Report from the Midwest Pediatric Surgery Consortium The effect of standardized feeding protocol on early outcome following gastroschisis repair: A systematic review and meta-analysis The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis Differences in attitudes to feeding post repair of Gastroschisis and development of a standardized feeding protocol The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/b7397888-67c5-4bbd-9b57-fe703135e938/AppleHLS1/83af1d900fd6c1bc4ae4e21e62b972fa.m3u8 2022-09-07T22:00:07+00:00 7 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11386 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11386-c15a011715.jpg Effect of a Pediatric Surgeon's Primarily Performed Technique on Inguinal Hernia Recurrence Rates: A Multicenter Retrospective Cohort Study Kathleen Heller, Brielle V Ochoa, Stephanie F Brierley, Benjamin E Padilla; Pediatric Inguinal Hernia Collaborative GroupPurpose: To investigate the effect of surgeons' preferred repair technique for pediatric inguinal hernia repair (IHR) -laparoscopic versus open-on hernia recurrence rates. Methods: We conducted a multicenter retrospective cohort study of patients aged <18 years old who underwent IHR at 21 children's hospitals from 2017 to 2019 with 3 year follow up. Surgeons preferring open hernia repair performed ≥70 % of hernia repairs open (Open surgeons). Surgeons preferring laparoscopic hernia repair performed ≥70 % of hernia repairs laparoscopically (Laparoscopic surgeons). Descriptive statistics and multivariable regression were utilized. Results: Among 207 surgeons, 125 (60.4 %) were Open surgeons, and of those 54 (43.2 %) performed at least 1 laparoscopic IHR. The inguinal hernia recurrence rates for Open surgeons were 0.9 % for open IHR and 3.6 % for laparoscopic IHR, p < 0.001. There were 58 (28.0 %) Laparoscopic surgeons and of those 44 (75.9 %) performed at least 1 open IHR. The inguinal hernia recurrence rates for Laparoscopic surgeons were 1.7 % for laparoscopic IHR and 1.7 % for open IHR, p = 1.000. For open IHR, no significant difference in recurrence rates was observed between Open and Laparoscopic surgeons (0.9 % versus 1.7 %, p = 0.230). For laparoscopic inguinal hernia repairs, Open surgeons had higher recurrence rates than Laparoscopic surgeons with odds ratio of (3.6 % versus 1.7 %, p = 0.019). Conclusions: Open surgeons have higher inguinal hernia recurrence rates when performing laparoscopic IHR. No difference in hernia recurrence rates following open and laparoscopic repair was noted for Laparoscopic surgeons. Pediatric surgeons dividing cases between open and laparoscopic IHR should take caution to maintain adequate proficiency in both. spaces/1/content/11386/file_11386_1_1768508875688.mp4 2026-01-15T20:27:55+00:00 Inguinal hernia repair Laparoscopy Operative volume Pediatric inguinal hernia Lizzy Lee Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6319 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6319/thumbnail_6319_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - PAPS Winner - Jamie Schnuck, MD Watch the PAPS winner, Jamie Schnuck, MD, present her presentation on "Chest tube management following lung resection in pediatric patients: a retrospective analysis." https://library.globalcastmd.com/video/6319 2023-02-01T22:00:11+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4133 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4133/thumbnail_4133_2021-06-10_08-00-06.jpg Introducing: Vic Garcia In today's episode, we want to introduce you to a pediatric surgeon whose reach expands beyond the walls of Cincinnati Children's Hospital Medical Center - Dr. Vic Garcia. His career in the OR is arguably as impressive as his career researching and improving public health. Here, he talks about how social determinants of health can greatly impact our patients. https://library.globalcastmd.com/video/4133 2021-06-10T08:00:06+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8892 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8892/70a29fa403bfa84ecad5bdf356765e7c.jpg ChatGPT 101: How To Use AI In Your Daily Life ChatGPT 101: How to Use Al in Your Daily Life Online Interactive Workshop Talking Points: • Understanding the capabilities and limitations of ChatGPT • Practicing using ChatGPT for various productivity tasks • Q & A spaces/17/content/8892/e7vckkHkhlcylnwjbCDo3VItLF4ixIo5.mp4 2024-07-19T07:55:22+00:00 channel#live_event_content chatgpt ai artificialintelligence Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11385 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11385-98a86af81c.jpg A multi-institutional comparison of management techniques for infants with giant omphalocele Alyssa Stetson, Samantha Leonard  Katherine Flynn-O'Brien, Seth Goldstein, Tiffany Wright, Cynthia Downard, Kyle J Van Arendonk, Charles M Leyes, Linda Cherney-Stafford, Karen Speck, Peter C Minneci, Troy A Markel, Shawn D St Peter, Dave Lal, Michael Sobolic, Matthew P Landman, Beth Rymeski; Midwest Pediatric Surgery ConsortiumPurpose: Giant omphaloceles (GO) are uncommon with no consensus on treatment strategy. Placement of a DuoDerm® silo (DDS) is a novel management technique. We sought to identify optimal approach by comparing outcomes of patients who underwent DDS placement, paint and wait (P&W), operative silo placement (OSP), or alternative compression techniques (ACT).Methods: A multi-institutional retrospective review between 7/1/2012-5/31/2023 of patients with GO (fascial defect >5 cm). Patients were identified via ICD codes and chart review. Results: There were 117 children with GO from nine centers. Twelve children (10 %) were managed with DDS, 83 (71 %) with P&W, 11 (9 %) with OSP, and 11 (9 %) with ACT. Patients in the OSP group were more likely to have a torn or ruptured sac (p < 0.001) but there was no difference in number of organs present in the sac (p = 0.22). There was no difference in percentage of patients with fascial closure between groups (p = 0.16). Age at fascial closure was lowest in the OSP group (0.6 months) followed by the DDS group (1.5 months) (p = 0.003). Patients in the DDS group had the highest rate of primary fascial closure (9, 82 %), followed by the P&W (49, 78 %), OSP (4, 40 %), and ACT (2, 20 %) (p < 0.001). Forty-three patients (37 %) experienced a complication, equal between groups (p = 0.71). Conclusions: Half the infants in our cohort did not achieve fascial closure until ≥6 months. While median time to fascial closure was lowest for OSP, patients with DDS placement achieved the highest rate of primary fascial closure. Further research could help optimize patient selection for GO closure strategy. https://library.globalcastmd.com/video/11385 2026-01-15T04:26:10+00:00 omphalocele duoderm silo JPS Lizzy Lee Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10425 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10425/f9fc1f8582d44b30bddadbd183c14f2c.jpg Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomised, non-inferiority trial Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomised, non-inferiority trial] Shawn D St Peter, Janelle R Noel-MacDonnell, Nigel J Hall, Simon Eaton, Janne S Suominen, Tomas Wester, Jan F Svensson, Markus Almström, E Pete Muenks, Marianne Beaudin, Nelson Piché, Mary Brindle, Ali MacRobieh, Richard Keijzer, Helene Engstrand Lilja, Ann-Marie Kassa, Tim Jancelewicz, Andreana Butter, Jacob Davidson, Erik Skarsgard, Yap Te-Lu, Shireen Nah, Andrew R Willan, Agostino Pierro Background Support for the treatment of uncomplicated appendicitis with non-operative management rather than surgery has been increasing in the literature. We aimed to investigate whether treatment of uncomplicated appendicitis with antibiotics in children is inferior to appendicectomy by comparing failure rates for the two treatments. Methods In this pragmatic, multicentre, parallel-group, unmasked, randomised, non-inferiority trial, children aged 5–16 years with suspected non-perforated appendicitis (based on clinical diagnosis with or without radiological diagnosis) were recruited from 11 children's hospitals in Canada, the USA, Finland, Sweden, and Singapore. Patients were randomly assigned (1:1) to the antibiotic or the appendicectomy group with an online stratified randomisation tool, with stratification by sex, institution, and duration of symptoms (≥48 h vs <48 h). The primary outcome was treatment failure within 1 year of random assignment. In the antibiotic group, failure was defined as removal of the appendix, and in the appendicectomy group, failure was defined as a normal appendix based on pathology. In both groups, failure was also defined as additional procedures related to appendicitis requiring general anaesthesia. Interim analysis was done to determine whether inferiority was to be declared at the halfway point. We used a non-inferiority design with a margin of 20%. All outcomes were asse https://library.globalcastmd.com/video/10425 2025-04-29T08:15:39+00:00 channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5139 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/5139/thumbnail_5139_2022-03-07_16-00-11.jpg Cool kids do Basic Science Richard Wagner Boston Children’s Hospital Richard Kejizer University of Mannitoba Moderated by Martin Lacher and Augusto Zani August 12th, 2021 spaces/7/content/5139/file_6386_2022-03-07_16-00-11.mp4 2022-03-07T16:00:11+00:00 2 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/2995 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/2995/thumbnail_2995_2020-09-14_08-00-09.jpg ERAS - Clinical Practice Updates This clip from the 2020 Pediatric Surgery Update Course features, Mary Brindle, MD; and Kurt Heiss, MD; presenting cases for review by our panelists asking the question, “why don’t you do this?” Highlighted Topics Include: - Enhanced recovery after surgery - Importance of mobilization and oral intake as discharge goals - Implementing ERAS - EARS algorithm - Pre-op neonatal EARS protocols - GI Post-op opioids for neonates https://library.globalcastmd.com/video/2995 2020-09-14T08:00:09+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10554 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10554/68ba4b7e117aa0a579d3a826b6cf7cf0.jpg Quick Literature Updates Episode 20 We’re back with 20th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pmc.ncbi.nlm.nih.gov/articles/PMC11233350/ Shibuya S, Paraboschi I, Giuliani S, Tsukui T, Matei A, Olivos M, Inoue M, Clarke SA, Yamataka A, Zani A, Eaton S, De Coppi P. Comprehensive meta-analysis of surgical procedure for congenital diaphragmatic hernia: thoracoscopic versus open repair. Pediatr Surg Int. 2024 Jul 9;40(1):182. doi: 10.1007/s00383-024-05760-7. Erratum in: Pediatr Surg Int. 2024 Aug 31;40(1):247. doi: 10.1007/s00383-024-05832-8. PMID: 38980431; PMCID: PMC11233350. https://pubmed.ncbi.nlm.nih.gov/38960901/ Ziegler AM, Svoboda D, Lüken-Darius B, Heydweiller A, Kahl F, Falk SC, Rolle U, Theilen TM. Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients. Pediatr Surg Int. 2024 Jul 3;40(1):172. doi: 10.1007/s00383-024-05745-6. PMID: 38960901; PMCID: PMC11222185. https://pubmed.ncbi.nlm.nih.gov/34231069/ Esposito C, Alberti D, Settimi A, Pecorelli S, Boroni G, Montanaro B, Escolino M. Indocyanine green (ICG) fluorescent cholangiography during laparoscopic cholecystectomy using RUBINA™ technology: preliminary experience in two pediatric surgery centers. Surg Endosc. 2021 Nov;35(11):6366-6373. doi: 10.1007/s00464-021-08596-7. Epub 2021 Ju https://library.globalcastmd.com/video/10554 2025-06-12T08:48:55+00:00 channel#pediatric_surgery fasciotens Cholangiography Cholecystectomy Fluorescence icg Indocyanine green rubina Technology pediatric Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/736 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/736/thumbnail_835_2018-11-13_00-04-31.jpg Surgical Procedures for Hirschsprung Disease Dr. Alberto Peña presents the surgical procedures for Hirschsprung Disease. Dr. Andrea Bischoff discusses the surgical approach to total colonic aganglionosis, common complications, irrigation, urinary sodium check, ileostomy retraction, enterocolitis, laparoscopic approach, transanal dissection, and suction rectal biopsy. Discussion is generated by poll questions and case presentations.  https://d1dnj0gz56dmdu.cloudfront.net/4dd14060-7f2e-44bf-9875-8678d6940266/AppleHLS1/125220559437a3deccfdd76b4b5ddfa7.m3u8 2018-11-13T00:04:31+00:00 9 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6305 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6305/thumbnail_6305_2023-01-25_18-00-09.jpg Do you use a transanastomotic feeding tube after a Duodenal Atresia repair? Article you should know! by Cecilia Gigena Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction? Authors: Martin Treider 1, Anders Hauge Engebretsen 2, Hans Skari 2, Kristin Bjørnland 2 3 Full article: https://pubmed.ncbi.nlm.nih.gov/34910223/ Abstract Purpose: We aimed to evaluate possible positive and negative effects of postoperative use of transanastomotic feeding tube (TAFT) in neonates operated for congenital duodenal obstruction (CDO). Methods: This is a retrospective study reviewing medical records of neonates operated for CDO during 2003-2020 and comparing postoperative feeding outcomes and complications in patients with and without TAFT. Approval from the hospital's data protection officer was obtained. Results: One hundred patients, 59% girls, were included, and 37% received TAFT. Mean birth weight and gestational age were 2628 (675.1) grams and 36.6 (2.4) weeks, respectively. Furthermore, 45% had no other malformations, and 36% had Down syndrome. Patient demographics were similar for TAFT and not-TAFT patients, except that not-TAFT neonates weighed median 335 g less (p = 0.013). The TAFT group got parenteral nutrition 2 days shorter (p < 0.001) and started enteral feeds 1.5 days earlier (p < 0.001) than the not-TAFT group. Fewer neonates with TAFT got a central venous catheter [65 vs 89%, (p = 0.008)]. In the TAFT group, 67% were breast fed at discharge compared to 49% in the not-TAFT group (p = 0.096). Conclusion: Neonates with TAFT had earlier first enteral feed, fewer days with parenteral nutrition and fewer placements of central venous catheters. Keywords: Annular pancreas; Duodenal obstruction; ERAS; Enteral feeding; Neonatal surgery; Transanastomotic feeding tube. https://library.globalcastmd.com/video/6305 2023-01-25T18:00:09+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/636 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/636/thumbnail_723_2018-11-10_00-05-17.jpg Necrotizing Enterocolitis Dr. Jose Prince discusses necrotizing enterocolitis. His presentation includes management techniques of peritoneal drainage, exploratory laparotomy, diagnostic laparoscopy, complete enterectomy, silo, bowel decompression, and antibiotics as well as topics of abdominal dissension, hematochezia, pneumatosis, hemodynamic instability, fixed loop, proximal stoma, and intestinal continuity.  https://library.globalcastmd.com/video/636 2018-11-10T00:05:17+00:00 20 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5863 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5863/thumbnail_5863_2022-09-14_18-00-11.jpg Best of the Best Gen Surg - Pilot Randomized Control Trial Evaluating the Use of a Shared Decision Making Aid for Older Ventral Hernia Patients - Dr. Kushner Listen to Bradley Kushner gave his presentation of "Pilot Randomized Control Trial Evaluating the Use of a Shared Decision Making Aid for Older Ventral Hernia Patients" at the first ever Best of the Best in General Surgery event. https://library.globalcastmd.com/video/5863 2022-09-14T18:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6359 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6359/thumbnail_6359_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Brittany Hegde, PAPS - Presentation Watch Brittany Hegde, MD, present her presentation on "Impact of cryoanalgesia use for pain control in minimally invasive pectus excavatum repair on hospital days and costs." https://library.globalcastmd.com/video/6359 2023-02-06T18:00:13+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6465 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6465/thumbnail_6465_2023-03-14_16-00-12.jpg Heineken Mikulicz Congenital Stenosis Video (No audio) Taiwo A. Lawal, Carlos Reck, Richard Wood, Victoria Lane, Alessandra Gasio, Keren Diefenbach, Marc A. Levitt  Center for Colorectal and pelvic Reconstruction, Nationwide Children's Hospital   https://d1dnj0gz56dmdu.cloudfront.net/5fe297c0-0acc-48c6-b8c1-ffd9b4f262d9/AppleHLS1/b526e2a2145c2ae99051eb0c8718162c.m3u8 2023-03-14T16:00:12+00:00 9 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6971 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6971/thumbnail_8430_2023-08-02_18-00-11.jpg A systematic review and meta-analysis of computed tomography in the diagnosis of pediatric foreign body aspiration A new article you should know by Cecilia Gigena "A systematic review and meta-analysis of computed tomography in the diagnosis of pediatric foreign body aspiration"  Authors: Jayson Lee Azzi, Chanhee Seo, Graham McInnis, Matthew Urichuk, Rasheda Rabbani, Katya Rozovsky, Darren J. Leitao Full Article: https://www.sciencedirect.com/science/article/pii/S0165587622003901?via%3Dihub Introduction Rigid bronchoscopy remains the gold standard for the diagnosis of foreign body aspiration (FBA) despite high rates of negative bronchoscopies. The use of computed tomography (CT) imaging in the assessment of FBA has recently emerged and could help obviate unnecessary bronchoscopy in these patients. The aim of this study is to assess the diagnostic accuracy of CT in the diagnosis of pediatric FBA. Methods A systematic literature review was conducted to identify studies reporting the use of CT imaging in suspected pediatric FBA. The search included published articles in Ovid MEDLINE, Ovid EMBASE, PubMed MEDLINE and Web of Science. The search strategy included all articles from inception of the database to January 2021. Manuscripts were reviewed and graded for quality using the QUADAS-2 tool. Subgroup analyses based on the use of virtual bronchoscopy (VB) and sedation was conducted. A meta-analysis evaluating the use of VB in the diagnosis of FBA was also conducted. Results Sixteen manuscripts met all inclusion criteria. In total, 2056 pediatric patients ranging from 0.3 to 15 years underwent CT for suspected FBA. The sensitivity and specificity of CT were 98.8% and 96.6%, respectively. VB was used in 71.4% (1391/1948) of patients while sedation during CT was required in 70.2% (1263/1800) of patients. Radiation dosing ranged from 0.04 to 2 mSv, 0.99–59.1 mGy-cm and 0.03–16.99 mGy. Conclusion CT can accurately diagnose pediatric FBA and can help decrease the rate of unnecessary bronchoscopies with an acceptable dose of radiation. https://library.globalcastmd.com/video/6971 2023-08-02T18:00:11+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10899 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10899/thumbnail_10899_1_1756389007469.jpg 2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Updates in Colorectal: Debunking DogmaSpeakers: Annie Le-Nguyen, MD, MSc, Elizabeth Speck, MD, MS, FACS, & Jamie Harris, MD, FAAP, FACSModerators: Nelson Rosen, MD & Aaron Garrison, MD spaces/17/content/10899/file_10899_1_1756388915237.mp4 2025-08-28T13:48:35+00:00 1 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8505 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8505/thumbnail_10043_2024-04-11_08-52-48.jpg Primary Posterior Tracheopexy at Time of Esophageal Atresia Repair Significantly Reduces Respiratory Morbidity New article you should know by Cecilia Gigena from JPS, selected by the Chilean Society of pediatric surgery. "Primary Posterior Tracheopexy at Time of Esophageal Atresia Repair Significantly Reduces Respiratory Morbidity" Authors: Somala Mohammed, Ali Kamran, Shawn Izadi, Gary Visner, Leah Frain, Farokh R. Demehri, Hester F. Shieh, Russell W. Jennings, Charles J. Smithers, Benjamin Zendejas Full article: https://www.jpedsurg.org/article/S0022-3468(23)00565-1/abstract Purpose Esophageal atresia with tracheoesophageal fistula (EA/TEF) is often associated with tracheobronchomalacia (TBM), which contributes to respiratory morbidity. Posterior tracheopexy (PT) is an established technique to treat TBM that develops after EA/TEF repair. This study evaluates the impact of primary PT at the time of initial EA/TEF repair. Methods Review of all newborn primary EA/TEF repairs (2016–2021) at two institutions. Long-gap EA and reoperative cases were excluded. Based on surgeon preference and preoperative bronchoscopy, neonates underwent primary PT (EA + PT Group) or not (EA Group). Perioperative, respiratory and nutritional outcomes within the first year of life were evaluated. Results Among 63 neonates, 21 (33%) underwent PT during EA/TEF repair. Groups were similar in terms of demographics, approach, and complications. Neonates in the EA + PT Group were significantly less likely to have respiratory infections requiring hospitalization within the first year of life (0% vs 26%, p = 0.01) or blue spells (0% vs 19%, p = 0.04). Also, they demonstrated improved weight-for-age z scores at 12 months of age (0.24 vs −1.02, p < 0.001). Of the infants who did not undergo primary PT, 10 (24%) developed severe TBM symptoms and underwent tracheopexy during the first year of life, whereas no infant in the EA + PT Group needed additional airway surgery (p = 0.01). Conclusion Incorporation of posterior tracheopexy during newborn EA/TEF repair is associated with s https://library.globalcastmd.com/video/8505 2024-04-11T08:52:48+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6892 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/3/content/6892/thumbnail_6892_2023-07-20_08-00-09.jpg Colorectal Quiz Episode 18: Cloaca Part 2 The treatment for cloacal malformations are a great example of collaboration between pediatric colorectal surgery, gynecology, and urology. In today's episode, Dr. Marc Levitt and Dr. Jason Frischer talk to Dr. Richard Wood about the operative treatment for these patients. Hosted by Dr. Amanda Jensen and Dr. Hira Ahmad Cloaca reconstruction: a new algorithm which considers the role of urethral length in determining surgical planning Measure twice and cut once: Comparing endoscopy and 3D cloacagram for the common channel and urethral measurements in patients with cloacal malformations Organizing the care of a patient with a cloacal malformation: Key steps and decision making for pre-, intra-, and post-operative repair https://library.globalcastmd.com/video/6892 2023-07-20T08:00:09+00:00 3 Medical Education yes Colorectal Channel - Old no https://library.globalcastmd.com/video/10428 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10428/6d4ddc07652665ec05cc2f5c6cbf327b.jpg Comparing Loop and Divided Colostomy for Anorectal Malformation: A Systematic Review and Meta-Analysis Gonca Gerçel, Mustafa Azizoglu, Esra Karakas, Toni Risteski, Maria Escolino, Luis De La Torre Introduction The optimal type of colostomy for patients with anorectal malformations (ARM) remains unclear. We conducted a systematic review and meta-analysis to compare the clinical outcomes of loop colostomies (LC) versus divided colostomies (DC) in patients with ARM. Methods After review registration (PROSPERO: CRD42024513335), we searched multiple databases for comparative studies on LCs and DCs in patients with ARMs. Gray literature was sought. The complications examined included stoma prolapse, urinary tract infection (UTI), skin excoriation, stoma retraction, parastomal hernia, wound infection rate, and stoma stricture. Three reviewers independently assessed the eligibility and quality of the included studies. Meta-analysis of selected complications was performed using Revman 5.4, with p < 0.05 considered significant. Results Eleven studies were included in the analysis, incorporating a total of 2550 neonates with ARMs, of which 1147 underwent LCs and 1403 underwent DCs. The meta-analysis revealed no significant differences between the two groups in the incidence of stoma prolapse (OR: 1.55, 95 % CI: 0.63 to 3.79; p = 0.34), UTIs (OR: 1.78, 95 % CI: 0.50 to 6.36; p = 0.38), skin excoriation (OR: 1.26, 95 % CI: 0.68 to 2.34; p = 0.46), stoma retraction (OR: 0.79, 95 % CI: 0.09 to 6.64; p = 0.83), parastomal hernia (OR: 0.99, 95 % CI: 0.22 to 4.48; p = 0.99), wound infection (OR: 0.35, 95 % CI: 0.10 to 1.20; p = 0.10), and stoma stricture (OR: 0.70, 95 % CI: 0.22 to 2.18; p = 0.53). Conclusions The findings suggest that LCs and DCs are viable options for fecal diversion, presenting similar risks and benefits. The choice between these techniques should consider individual patient characteristics and surgical expertise. https://library.globalcastmd.com/video/10428 2025-04-29T08:21:40+00:00 channel#pediatric_surgery pedsurg SoMe4PedSurg surgery colorectal Lizzy Lee anorectal malformation colostomy Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2246 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2246/thumbnail_3172_2020-02-24_19-58-27.jpg Rigid Bronchoscopy for Diagnosis and Treatment of Proximal Pouch Fistula in... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2246 2020-02-24T19:58:27+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10438 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10438/76632dc78fdd2d6cb8d1026ffbf0b36e.jpg Update Course Rewind: Autofluorescence & ICG Angiography in Thyroid Surgery 2024 In this 2024 Update Course Rewind session, pediatric surgeons Dr. Justin Huntington and Dr. Ben Ham explore the emerging use of autofluorescence and ICG angiography during thyroid surgery. These imaging technologies are helping identify and assess parathyroid gland perfusion, with the goal of reducing hypocalcemia and improving long-term outcomes—especially in pediatric patients. Classified as a Black Diamond (early adopter practice), this approach is still gaining traction in pediatric centers, but adult trials are already showing promise. Key Highlights: What is Autofluorescence? A no-injection technique that uses natural gland fluorescence to locate parathyroids during surgery. ICG Angiography: Assessing real-time perfusion of glands to determine viability and reimplantation need. Clinical Impact: Reduced rates of post-op hypocalcemia, improved identification of glands in surgical specimens, and more targeted decision-making. Challenges in Practice: Equipment bulkiness, variable image quality, and limited adoption in lower-volume pediatric centers. While further pediatric data are needed, this episode shows how new technologies may shape the future of thyroid surgery—especially in safeguarding parathyroid function. https://library.globalcastmd.com/video/10438 2025-04-29T13:39:02+00:00 1 channel#pediatric_surgery autofluorescence ICG angiography thyroid surgery imaging techniques parathyroid gland perfusion Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2911 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2911/thumbnail_3859_2020-08-19_12-00-06.jpg IPEG 2020 TOP ABSTRACT: Clip & Go Technique for thoracoscopic repair of H-type tracheoesophageal fistula. IPEG 2020 Annual Meeting - Top Abstracts Presenter: Fernando P Rabinovich, MD  Email: Fernando.rabi@hotmail.com Authors: Fernando P Rabinovich, MD; C Millan; J Godoy Lenz; G Bellia Munzon; H Bignon; Toselli L; S Valverde; J Martinez; S Calello; S Prodan; P Cieri; R Kaller; Marcelo Martinez Ferro; Fundacion Hospitalaria - Salud Materno Infantojuvenil Introduction: H-type tracheoesophageal fistula is a rare disease and the thoracoscopic treatment has been described.The aim of this work is to introduce The Clip & Go technique. Material and Methods: One month old male patient were referred to our center presenting cianosis crisis, choke and cough associated with feeding. It has a swallow contrast X-ray compatible with H-type tracheoesophageal fistula. We decided to perform a respiratory endoscopy and confirm the diagnosis. Surgical technique and details are described in the video. Results: There were no intra or postoperative complications. Oral Feeding was well tolerated 2nd day after procedure. Follow up was 18 month and remains asymptomatic. Conclusion: In this case, Clip & Go technique resulted to be safe, effective and reproducible for the thoracoscopic treatment of H-type tracheoesophageal fistula. spaces/2/content/2911/file_3859_2020-08-19_12-00-06.mp4 2020-08-19T12:00:06+00:00 7 Medical Education yes IPEG no https://library.globalcastmd.com/video/8032 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/8032/thumbnail_9564_2024-02-29_06-00-07.jpg GYN #1 Importance of Documenting Reproductive Anatomy with Dr. Lesley Breech In this video, we have a guest from the pediatric gynecology department here at Cincinnati Children’s, Dr. Lesley Breech. And she will talk about the importance of documenting reproductive anatomy and evaluation of endometriosis. Host: Em Gootee https://library.globalcastmd.com/video/8032 2024-02-29T06:00:07+00:00 3 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/629 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/629/thumbnail_716_2018-11-10_00-05-17.jpg Malrotation Dr. Soldes discusses the classifications of malrotation through the presentation of case presentations. Discussion topics include Ladd's procedure, volvulus, non-bilious emesis, redundant duodenum, gastroesophageal reflux, and laparoscopy.  https://d1dnj0gz56dmdu.cloudfront.net/28450c6e-314c-49d3-a40e-ccb54a853300/AppleHLS1/332240fe8459feb7e17f060e49da56bf.m3u8 2018-11-10T00:05:17+00:00 23 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6540 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6540/thumbnail_6540_2023-04-05_22-00-11.jpg Education Engine GlobalcastMD and StayCurrentMD create captivating medical media by condensing and storytelling lectures, and distributing them to healthcare professionals worldwide.  https://d1dnj0gz56dmdu.cloudfront.net/4d54ddeb-c10e-4c6d-a759-a100f81cdf05/AppleHLS1/7aa4565f200ec0220f27779acb0833ff.m3u8 2023-04-05T22:00:11+00:00 2 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11029 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/public-assets/defaults/default_thumbnail.jpg Local Infrastructure and Economy Predicts Traffic Related Fatalities in Children Zane J. Hellmann ∙ Elena Graetz ∙ Shahyan Rehman ∙ Miranda Moore ∙ Eric B. Schneider ∙ Emily R. Christison-Lagay ∙ Daniel G. SolomonPurpose Previous research on pediatric motor vehicle collisions (MVC) and fatalities has primarily focused on patient demographics and crash specific information. This study evaluates whether various measures of local infrastructure, including the National Walk Index (NWI), population density, and public school density, or macroeconomic forces, encapsulated in Social Vulnerability Index (SVI) and food area deprivation (PFA) can predict which counties are most at risk for pediatric traffic fatalities. Methods Counties with more than 100,000 children in the most recent US census and ≥1 pediatric traffic fatality as identified in the Fatality Analysis Reporting System (FARS) between 2017 and 2021 were included in the study. Poisson regression modeling was used to identify county level infrastructure and macroeconomic forces that predicted increasing MVC related average annual mortality rate per 100,000 children. Results There were 158 counties that met inclusion criteria. Univariate Poisson regression demonstrated that NWI, SVI, PFA, population density, and school density each individually correlated with MVC related mortality rate (p < 0.001 for all predictors). When controlling for SVI and population density, multivariable Poisson regression demonstrated that each decile increase in walkability was associated with a 7 % decrease in MVC related mortality rate (IRR 0.93, 95 % CI 0.91–0.96). Conclusion Areas with poor walkability predict the likelihood of pediatric traffic fatality. These findings highlight tangible local and state policy changes that could be implemented to decrease the likelihood of traffic-related child fatality rates in specific counties. https://library.globalcastmd.com/video/11029 2025-09-23T03:56:45+00:00 pediatric trauma MVC national walk index social vulnerability index mortality rate walkability pediatric surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2997 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/2997/thumbnail_2997_2020-09-14_08-00-09.jpg Colorectal - Clinical Practice Updates This clip from the 2020 Pediatric Surgery Update Course features, Megan Durham, MD; Eunice Huang, MD; and Beth Rymeski, DO; presenting cases for review and recent studies. Highlighted Topics Include: - Post-op Hirschsprung home regimen  - Hirschsprung-associated enterocolitis (HAEC) - Rectal Prolapse - Rectal sclerotherapy - Suture rectopexy - Small bowel obstruction (SBO) - Gastrografin https://library.globalcastmd.com/video/2997 2020-09-14T08:00:09+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2134 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2134/thumbnail_3059_2020-01-28_22-05-49.jpg Laparoscopic Repair of Paraesophageal Hernia This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2134 2020-01-28T22:05:49+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13825 2026-08-01 monthly 0.7 https://i.ytimg.com/vi/vDdi3HT81qo/hqdefault.jpg Episode 19 - Interview with Dr Marc Levitt, Chief of Colorectal & Pelvic Reconstruction, Children‘s Source: https://www.podbean.com/eau/pb-hnps7-10ff7e9 For episode 19, we are joined by Dr Marc Levitt MD, Chief of Colorectal & Pelvic Reconstruction, Children's National Hospital, Washington DC USA who is internationally recognised as specialising in Anorectal Malformation patients. We chat about how he became a pediatric colorectal surgeon and his passion for training surgeons around the world and his advocacy for a need for a multidisciplinary approach to care for IA/ARM patients. We also discuss a wide variety of topics which will be of great interest to families and patients (e.g. Initial diagnosis, Bowel management, Laxatives/Enemas, Malone/ACE, PSARP, Stoma's, Dilations, Redo surgery, potty training & transitional care). https://library.globalcastmd.com/video/13825 2026-07-29T23:11:02+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6326 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6326/thumbnail_6326_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - EUPSA Winner - Dr. Rebeca Figueira Watch the EUPSA winner, Dr. Rebeca Figueira, present her presentation on "Fetal lung vascular development is reduced by amniotic fluid stem cells extracelullar vesicles in experimental congenital diaphragmatic hernia." https://library.globalcastmd.com/video/6326 2023-02-01T22:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/634 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/634/thumbnail_721_2018-11-10_00-05-17.jpg Gastroesophageal Reflux Disease Dr. Timothy Kane, chief of general and thoracic surgery at Children's National Medical Center, Washington D.C., discusses gastroesophageal reflux, His presentation of clinical cases includes Collis Nissen fundoplication to lengthen the esophagus, anti-reflux procedure, hiatal hernia repair, laparoscopic repair of hernia, gastropexy, percutaneous G tube placement, as well as management techniques of nasojejunal feedings, gastrojejunal feeding, open repair of hiatal hernia, laparoscopic repair of hiatal hernia, Nissen procedure, trans-pyloric jejunal feeding tube and type 1 hernias.  https://library.globalcastmd.com/video/634 2018-11-10T00:05:17+00:00 8 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3000 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/3000/thumbnail_3000_2020-09-14_08-00-10.jpg Biliary Atresia - Clinical Practice Updates This clip from the 2020 Pediatric Surgery Update Course features Alexander Bondoc, MD, presenting multiple cases and research conclusions from Atsuyuki Yamataka, MD; Greg Tiao, MD; Jorge Bezerra, MD; and Mark Davenport, MD, to our selected panel for review and debate. Using a recently developed Biliary Atresia Diagnostic Algorithm, we ask the panel, "What would you do?" Highlighted Topics Include:  - Using Serum Matrix Metalloproteinase-7 levels (MMP-7) to predict Biliary Atresia - Is Percutaneous Liver Biopsy Obsolete? - Diagnostic Laparoscopy + Cholangiogram benefits - Cystic Biliary Atresia - Open vs Laparoscopic Portoenterostomy - Indocyanine Green as an Adjunct - Kasai revision - Adjuvant Medical Options - Porto-Dudenostomy vs Roux - Treating CMV - Post-Op Steroids https://library.globalcastmd.com/video/3000 2020-09-14T08:00:10+00:00 20 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8662 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8662/thumbnail_10205_2024-05-28_07-25-05.jpg Update Course Rewind- Who to Send Home from the OR: Uncomplicated Laparoscopic Cholecystectomy Part 3 We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023. This time we are presenting you "Who to Send Home from the OR: Laparoscopic Cholecystectomy 2023" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham. Host: Cecilia Gigena In this session you will learn when it is safe to discharge a patient after a routine laparoscopic cholecystectomy. 00:00 Introduction 00:37 Case Scenario 01:02 Strategies for Same Day discharge 01:38 Literature Review 02:32 Summary https://library.globalcastmd.com/video/8662 2024-05-28T07:25:05+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10040 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10040/db65d2629208f2e94a9b30441471857f.jpg Dr. Adriana Dekirmendjian - Best of the Best in Pediatric Surgery 2025 Watch CAPS' Dr. Adriana Dekirmendjian's presentation on “Congenital Diaphragmatic Hernia in Canada: Time Trends and Analysis by Location, Maternal Age and Sex” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10040 2025-03-19T09:18:26+00:00 2 channel#live_event_content BOB2025 pediatric surgery some4pedsurg Congenital Diaphragmatic Hernia Canada Time Trends Analysis Maternal Age Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6405 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6405/thumbnail_6405_2023-02-15_18-00-14.jpg Silo ABS en simil Exit: ¿Como lo hago? En el siguiente video el Dr. Cristobal Abello de Barranquilla Colombia, demuestra como realizar un simil exit con Silo ABS para un paciente con gastrosquisis.    Si queres saber como maneja las gastrosquisis escucha el podcast de revision de la bibliografia sobre este tema: https://staycurrentapp.app.link/kAiKO0qvrxb  https://d1dnj0gz56dmdu.cloudfront.net/11eff7e0-6891-466a-a3cf-912c633f5024/AppleHLS1/0d7af08d1c5e8acb9afe6c5fe4de24eb.m3u8 2023-02-15T18:00:14+00:00 12 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/11118 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/11118/thumbnail_11118_1_1761767614741.jpg Quick Literature Updates Ep 22 We’re back with 22nd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".Host: Em Gootee0:00 Introduction0:39 The use of postoperative calibrations in Hirschsprung disease: a practice to reconsider?1:47 Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations2:57 Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases4:06 Outrohttps://pubmed.ncbi.nlm.nih.gov/38967682/Beati F, D'Angelo T, Iacusso C, Iacobelli BD, Scorletti F, Valfré L, Pellegrino C, Bagolan P, Conforti A, Fusaro F. The use of postoperative calibrations in Hirschsprung disease: a practice to reconsider? Pediatr Surg Int. 2024 Jul 5;40(1):176. doi: 10.1007/s00383-024-05761-6. PMID: 38967682.https://pubmed.ncbi.nlm.nih.gov/38796391/Slidell MB, McAteer J, Miniati D, Sømme S, Wakeman D, Rialon K, Lucas D, Beres A, Chang H, Englum B, Kawaguchi A, Gonzalez K, Speck E, Villalona G, Kulaylat A, Rentea R, Yousef Y, Darderian S, Acker S, St Peter S, Kelley-Quon L, Baird R, Baerg J. Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations (A Systematic Review From the American Pediatric Surgical Association Outcomes & Evidence Based Practice Committee). J Pediatr Surg. 2024 Aug;59(8):1408-1417. doi: 10.1016/j.jpedsurg.2024.03.044. Epub 2024 Apr 30. PMID: 38796391.https://pubmed.ncbi.nlm.nih.gov/38413 https://library.globalcastmd.com/video/11118 2025-10-15T19:43:29+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10194 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10194/ca73632624123ade2389e1fc57b68db4.jpg Update Course Rewind: Cryoanalgesia in Pectus Cases 2024 In this 2024 Update Course Rewind, pediatric surgeon Dr. John DiFiore shares new insights into the growing use of cryoanalgesia for pectus excavatum repairs. Classified as a “Blue Square” practice—indicating a promising newer technique—this approach provides targeted nerve pain relief with less opioid use, better precision, and shorter hospital stays. Key Highlights: What is Cryoanalgesia? A minimally invasive nerve freezing technique used to reduce chest wall pain during pectus repair. Technique Deep Dive: From double-lumen tubes to improved cryoprobes, learn how to perform blocks from T3–T8 with precision. Time-Saving Tools: New cryoprobes offer faster freeze cycles and better insulation, cutting procedure time nearly in half. Clinical Outcomes: Lower pain scores, next-day discharges, and potential to further improve outcomes with dual freeze points. Barriers & Workarounds: Addressing the main challenges of cost, equipment access, and proper training. Whether you're currently using cryo or just considering it, this session is packed with pearls for improving postoperative pain control in pediatric patients. https://library.globalcastmd.com/video/10194 2025-04-04T06:42:14+00:00 Cryoanalgesia Update Course Rewind Update Course Pectus Excavatum Repairs nerve pain relief opioid use minimally invasive nerve freezing cryoprobes blocks Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6324 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6324/thumbnail_6324_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - IPEG Winner - Fulvia Del Conte, MD Watch the IPEG winner, Fulvia Del Conte, MD, present her presentation on "Embolization vs surgical treatment in pulmonary sequestration: preliminary results of a retrospective multicenter study." https://library.globalcastmd.com/video/6324 2023-02-01T22:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7075 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7075/thumbnail_8545_2023-08-30_22-00-09.jpg Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus Another article you should know by Cecilia Gigena "Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus"  Authors: Tim Hundscheid, M.D., Wes Onland, M.D., Ph.D., Elisabeth M.W. Kooi, M.D., Ph.D., Daniel C. Vijlbrief, M.D., Ph.D., Willem B. de Vries, M.D., Ph.D., Koen P. Dijkman, M.D., Anton H. van Kaam, M.D., Ph.D., Eduardo Villamor, M.D., Ph.D., André A. Kroon, M.D., Ph.D., Remco Visser, M.D., Ph.D., Susanne M. Mulder-de Tollenaer, M.D., Barbara De Bisschop, M.D Full article: nejm.org/doi/full/10.1056/NEJMoa2207418 BACKGROUND Cyclooxygenase inhibitors are commonly used in infants with patent ductus arteriosus (PDA), but the benefit of these drugs is uncertain. METHODS In this multicenter, noninferiority trial, we randomly assigned infants with echocardiographically confirmed PDA (diameter, >1.5 mm, with left-to-right shunting) who were extremely preterm (<28 weeks’ gestational age) to receive either expectant management or early ibuprofen treatment. The composite primary outcome included necrotizing enterocolitis (Bell’s stage IIa or higher), moderate to severe bronchopulmonary dysplasia, or death at 36 weeks’ postmenstrual age. The noninferiority of expectant management as compared with early ibuprofen treatment was defined as an absolute risk difference with an upper boundary of the one-sided 95% confidence interval of less than 10 percentage points. RESULTS A total of 273 infants underwent randomization. The median gestational age was 26 weeks, and the median birth weight was 845 g. A primary-outcome event occurred in 63 of 136 infants (46.3%) in the expectant-management group and in 87 of 137 (63.5%) in the early-ibuprofen group (absolute risk difference, −17.2 percentage points; upper boundary of the one-sided 95% confidence interval [CI], −7.4; P<0.001 for noninferiority). Necrotizing enterocolitis occurred in 24 of 136 infants (17.6%) in the expectant-management group and in 21 of 137 (15.3%) in the early-ibuprofen https://library.globalcastmd.com/video/7075 2023-08-30T22:00:09+00:00 1 channel#pediatric_surgery jps-review Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6617 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6617/thumbnail_6617_2023-05-03_16-00-11.jpg Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum - JPS article "Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum: The Titanic index" Bellía-Munzón et al, Journal of Pediatric Surgery https://www.jpedsurg.org/article/S0022-3468(22)00783-7/fulltext Video: Ellen Encisco https://library.globalcastmd.com/video/6617 2023-05-03T16:00:11+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6487 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6487/thumbnail_6487_2023-03-14_22-00-12.jpg Imperforated Anus with Rectovestibular fistula and absent or atretic Vagina (No audio) Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal) Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/e605d6c8-243c-42ec-a0e3-dfd4b886e3ef/AppleHLS1/dc16d7066d0229ac0a8428e8469de334.m3u8 2023-03-14T22:00:12+00:00 6 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6576 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6576/thumbnail_6576_2023-04-17_16-00-11.jpg Quick Literature Updates Episode 4 We’re back with fourth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash Does the mechanism matter? Comparing thrombelastography between blunt and penetrating pediatric trauma patients Stevens J, Phillips R, Reppucci ML, Pickett K, Moore H, Bensard D. J Pediatr Surg. 2022 Jul;57(7):1363-1369. doi: 10.1016/j.jpedsurg.2021.09.010. Epub 2021 Sep 20. PMID: 34588132. Decreased ER visits and readmissions after implementation of a standardized perioperative toolkit for children with IBD Short SS, Rollins MD, Zobell S, Torres H, Guthery S. J Pediatr Surg. 2022 Apr;57(4):604-609. doi: 10.1016/j.jpedsurg.2021.08.016. Epub 2021 Sep 4. PMID: 34583832. Anti-reflux surgery in children with congenital diaphragmatic hernia: A prospective cohort study on a controversial practice  Montalva L, Carricaburu E, Sfeir R, Fouquet V, Khen-Dunlop N, Hameury F, Panait N, Arnaud A, Lardy H, Schmitt F, Piolat C, Lavrand F, Ballouhey Q, Scalabre A, Hervieux E, Michel JL, Germouty I, Buisson P, Elbaz F, Lecompte JF, Petit T, Guinot A, Abbo O, Sapin E, Becmeur F, Forgues D, Pons M, Kamdem AF, Berte N, Auger-Hunault M, Benachi A, Bonnard A; French Center for Rare Diseases “Congenital Diaphragmatic Hernia”. J Pediatr Surg. 2022 Dec;57(12):826-833. doi: 10.1016/j.jpedsurg.2022.04.017. Epub 2022 Apr 27. PMID: 35618494. Use of Antifibrinolyti https://library.globalcastmd.com/video/6576 2023-04-17T16:00:11+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2037 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2037/thumbnail_2962_2019-12-27_22-00-11.jpg Appendectomy for Therapy-Refractory Ulcerative Colitis Dr. Ponsky gives a summary of the Journal of Crohn's and Colitis article, “Appendectomy for Therapy-Refractory Ulcerative Colitis Results in Pathological Improvement of Colonic Inflammation: Short-Term Results of the PASSION Study.” Link to full article: https://gcmd.co/353YWAy https://library.globalcastmd.com/video/2037 2019-12-27T22:00:11+00:00 15 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2311 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2311/thumbnail_3237_2020-03-04_00-00-08.jpg What is the ideal timing of umbilical hernia repair in children? Dr. Jose M. Campos discusses timing for umbilical hernia repair, as he summarizes "Association between Age and Umbilical Hernia Repair Outcomes in Children: A Multistate Population-Based Cohort Study" from the Journal of Pediatrics. Link to the full article: gcmd.co/32M0Mqo https://library.globalcastmd.com/video/2311 2020-03-04T00:00:08+00:00 36 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7618 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/7618/thumbnail_9131_2023-11-13_16-00-11.jpg IPEG 2021 - SS3 Anorectal II IPEG 2021  Scientific Session 3 - Anorectal II spaces/2/content/7618/file_9131_2023-11-13_16-00-11.mp4 2023-11-13T16:00:11+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/8599 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8599/thumbnail_10140_2024-05-13_06-33-31.jpg Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases New article you should know from the Journal of Pediatric Surgery, selected by the Chilean Society of pediatric surgeons, Summarized by Dr. Cecilia Gigena "Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases" Authors: Sarah E. Peiffer, Steven C. Mehl,  Paulina Powell, Timothy C. Lee, Sundeep G. Keswani, Alice King Full article: https://www.jpedsurg.org/article/S0022-3468(24)00074-5/abstract Introduction Congenital diaphragmatic hernia (CDH) is a life-threatening, prenatally diagnosed congenital anomaly. We aim to characterize care and outcomes of infants with CDH in Texas and the impact of treating facilities volume of care. Methods Retrospective cohort study using a state-wide Hospital Inpatient Discharge Public Use Data File was conducted (2013–2021). Neonates and infants <1 year of age were included using CDH ICD-9/ICD-10 codes. Neonates transferred to an outside hospital were excluded to avoid double-counting. Descriptive statistics, chi-square and logistic regression analysis were performed. Results Of 1314 CDH patient encounters identified, 728 (55%) occurred at 5 higher volume centers (HVC, >75 cases), 326 (25%) at 9 mid-volume centers (MVC, 20–75 cases) and 268 (20%) at 79 low volume centers (LVC, <20 cases). HVC had lower mortality rates (18%, MVC 22% vs LVC 27%; p = 0.011) despite treating sicker patients (extreme illness severity: HVC 71%, MVC 62% vs LVC 50%; p < 0.001) with longer length-of-stay (p < 0.001). Extracorporeal membrane oxygenation was used in 136 (10%) and provided primarily at HVC. LVC treated proportionately more non-white Hispanic patients (p < 0.001) and patients from counties along the Mexican border (p < 0.001). The predicted probability of mortality in CDH patients decreases with higher treatment facility CDH case volume, with a 0.5% decrease in the odds of mortality for every additional CDH case treated (p < 0.001). Conclusions Patients treated in HVC ha https://library.globalcastmd.com/video/8599 2024-05-13T06:33:31+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2245 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2245/thumbnail_3171_2020-02-24_19-58-27.jpg Thoracoscopic Resection of Bronchopulmonary Foregut Malformation This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2245 2020-02-24T19:58:27+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5418 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5418/thumbnail_5418_2022-05-24_18-00-26.jpg Update Course 2021: ICG IN PED SURG ICG technology has become popular in minimally invasive surgery and has extensive potential to assist pediatric surgeon in the operating room. Dr. Ciro Esposito from the University of Naples Federico II reviewed the latest literature and uses for ICG in pediatric surgery at the 2021 Pediatric Surgery Update Course. https://library.globalcastmd.com/video/5418 2022-05-24T18:00:26+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6339 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6339/thumbnail_6339_2023-02-06_16-00-12.jpg BOB Winner Presentation - Dr. Rebeca Figueira - EUPSA The overall winner of the Best of the Best in Pediatric Surgery 2023 is Dr. Rebeca Figueira of EUPSA on her presentation of "Fetal lung vascular development is reduced by amniotic fluid stem cells extracelullar vesicles in experimental congenital diaphragmatic hernia." https://library.globalcastmd.com/video/6339 2023-02-06T16:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9277 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9277/thumbnail_10832_2024-10-10_11-49-16.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 2 - Dr. Usha Nagaraj Dr. Usha Nagaraj speaks on the Fetal opioid exposure and imaging findings on Day 2 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9277/file_10832_2024-10-10_11-49-16.mp4 2024-10-10T11:49:16+00:00 1 fetalday2 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5477 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5477/thumbnail_6725_2022-06-08_22-00-20.jpg 3D Printing - Transforming Healthcare, Episode 3, Part 1 We’re back with another new technology that we believe will transform healthcare. 3D Printing… Here’s what you need to know in a nutshell! Host: Em Tombash, MD, Todd Ponsky, MD & Ramy Shaaban, MD Don't forget to like and subscribe to see more entertaining medical educational videos! https://www.youtube.com/c/StayCurrentMD https://library.globalcastmd.com/video/5477 2022-06-08T22:00:20+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7334 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7334/thumbnail_8825_2023-10-18_22-00-10.jpg Cryoablation in 350 Nuss procedures Another article you should know by Dr. Cecilia Gigena "Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use" Authors: Krista Lai, David M. Notrica, Lisa E. McMahon, Paul Kang, Mark S. Molitor, J. Craig Egan, Jae-O Bae, Zebediah M. Hunteman, Daniel J. Ostlie, Justin H. Lee, Benjamin E. Padilla Full article: https://gcmd.co/3M28m8k Introduction Current studies show cryoablation decreases opioid requirements and lengths of stay (LOS) in patients undergoing the Nuss procedure for pectus excavatum. This study evaluated the relationship between cryoablation and clinical outcomes for the Nuss procedure. Methods A retrospective single-center chart review was performed on patients undergoing the Nuss procedure with intercostal cryoablation from December 2017-August 2021. Demographics, hospital course, and postoperative complications were abstracted. To evaluate the evolution of outcomes over time, the earliest quarter (Q1) of cryoablation patients was compared to the last quarter (Q4). Results Over 45 months, 350 Nuss procedures with cryoablation were performed. The mean age at operation was 15.7 ± 2.3 years with an average Haller Index of 5.4 ± 4.2. The mean operative time was 136 ± 40.5 minutes. On average, patients used 2.8 ± 2.5 OME/kg of opioid in hospital with a LOS of 2.7 ± 1.1 days. The Q4 patients were discharged 1.3 days earlier (p<0.05) than Q1 patients, with 80% of Q4 discharged by postoperative day #2 vs. 23% in Q1 (p<0.05). Q4 patients received 74% (p<0.05) less opioid in hospital and 21% (p<0.05) less on discharge. Within 90 days postoperatively, complication rates (chest tube placement, wound infection, readmission, neuropathic pain) were similar. Only two patients (0.6%) required reoperation for bar migration/slippage. Conclusion With increased experience, cryoablation for the Nuss procedure decreased opioid use by 74% and was associated with 80% of patients achieving early discharge. Major https://library.globalcastmd.com/video/7334 2023-10-18T22:00:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6732 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6732/thumbnail_6732_2023-06-14_12-00-10.jpg Utilizing a critical airway response team expedites esophageal button battery removal - JPS article Article you should know about! "Utilizing a critical airway response team expedites esophageal button battery removal" Brandt et al, Journal of Pediatric Surgery https://www.jpedsurg.org/article/S0022-3468(23)00056-8/fulltext Video: Ellen Encisco https://library.globalcastmd.com/video/6732 2023-06-14T12:00:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6557 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6557/thumbnail_6557_2023-04-12_16-00-13.jpg Reconstruyendo el esfinter anal sobre distendido luego de un descenso en pacientes con Hirschsprung Otro articulo que tenes que conocer por la Dra. Cecilia Gigena “Reconstruyendo el esfinter anal sobre distendido luego de un descenso en pacientes con Hirschsprung” Elizaveta Bokova et. Al. Articulo completo: https://www.jpedsurg.org/article/S0022-3468(22)00718-7/fulltext Autores: Elizaveta Bokova, Elise McKenna, Wilfried Krois, Carlos A. Reck, Tamador Al-Shamaileh, Shimon E. Jacobs, Laura Tiusaba, Teresa L. Russell, Anil Darbari, Christina Feng, Andrea T. Badillo, Marc A. Levitt Abstract Background En pacientes con enfermedad de Hirschsprung (HSCR), el manchado puede estar relacionado a un esfinter anal dañado pos descenso anal incial. Ningun tratamiento óptimo ha sido desarrollado para estos pacientes, aunque los enemas (retrogrados o anterogrados) pueden ser aplicados con algo de éxito. Presentamos un año de experiencia sobre una nueva tecnica para la reconstrucción del esfinter anal.  Métodos Todos los pacientes con HSCR referidos de otras instituciones luego de un descenso con incontinencia fueron estudiados. Siete pacientes que tenían un esfinter patuoso se sometieron a reconstruccion del esfinter. 6 tuvieron una evaluacion preoperatoria completa y fueron incluidos en el estudio. Sus resultados a doce meses fueron evaluados.  Resultados Todos los 6 pacientes tenían incontinencia sin moviemientos intestinales voluntarios (VBMs). Un paciente estaba limpio con enemas por el Malone. 3 se sometieron a manomateria anorectal 3-D pre y pos cirugía de reconstrucción y objetivamente pudieron ocluir el esfinter pos reconstrucción. Todos los pacientes sin sindrome de Down (4 de 6) mostraron mejorias en la escala de continencia de Baylor (4.5 vs. 0.75). Un paciente obtuvo un control intestinal total sin enemas anterogrados, tres tienen VBMs que previamente no tenían pero tienen accidentes ocasionales y usan enemas anterógrados intermitentemente. Ellos reportaron mayor productividad, la abilidad de participar en deportes y estar lejos de casa con https://library.globalcastmd.com/video/6557 2023-04-12T16:00:13+00:00 2 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/2893 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2893/thumbnail_2893_2020-08-12_08-00-06.jpg IPEG 2020 TOP ABSTRACT: Robotic-Assisted Sleeve Gastrectomy Revision and Endoscopic Treatment of Gastric Stenosis IPEG 2020 Annual Meeting - Top Abstracts Authors: Maria C Mora, MD; Karen A Diefenbach, MD; Marc P Michalsky, MD; Department of Pediatric Surgery, Nationwide Children's Hospital With rising adolescent obesity, the use of adolescent bariatric surgery continues to increase. Although vertical sleeve gastrectomy (VSG) has been shown to be safe and effective, multiple short and long-term complications, including GERD can occur. We present a patient with a history of a laparoscopic VSG who presented with a one-year history of worsening dyspepsia and moderate weight regain (~11kg). UGI revealed concerns for chronic organoaxial gastric volvulus. Intraoperative findings included a dilated proximal pouch, extensive adhesions causing gastric volvulus, and distal gastric sleeve stenosis. After extensive lysis of adhesions, the sleeve was straightened and revised. Additionally, laparoscopically-guided endoscopic balloon dilation was performed addressing the gastric stenosis. Postoperatively the patient’s symptoms resolved. New onset and/or progressive GERD following VSG outside the immediate postoperative period should be evaluated. While conversion to a Roux-en-Y gastric bypass may be required, initial attempts to address gastric adhesions and/or chronic stenosis should be considered. Presenter: Maria C Mora, MD Email: Maria C Mora, MD @MarcMichalskyMD @KarenDiefenbach @cmora306 @nationwidekids https://d1dnj0gz56dmdu.cloudfront.net/1a9b11ce-e6ed-41c0-af48-b0f9f23fafb7/AppleHLS1/cc053070eeeaf6c9e29691e9a76379b9.m3u8 2020-08-12T08:00:06+00:00 3 Medical Education yes IPEG no https://library.globalcastmd.com/video/6897 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6897/thumbnail_8353_2023-07-20_08-00-14.jpg Laryngeal Clefts Dr. Michael Rutter is and ENT surgeon and the director of the Aerodigestive Center at Cincinnati Children's Hospital Medical Center. In this podcast, he discusses some surgical approaches to laryngeal clefts. This episode is available as an audio or video podcast spaces/1/content/6897/file_8353_2023-07-20_08-00-14.mp4 2023-07-20T08:00:14+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6472 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6472/thumbnail_6472_2023-03-14_18-00-11.jpg CCPR Appendicostomy and Neoappendicostomy for Antegrade enemas for Patients with Fecal Incontinence (No Audio) Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/a9d08e71-7b93-4330-abd6-250d4e58c5d0/AppleHLS1/c0edcde7bef14c2ab39409b1b63c11ef.m3u8 2023-03-14T18:00:11+00:00 4 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/10043 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10043/d368d0c0622a3a5f8e59c91ef671e629.jpg Dr. Timothy B. Lautz - Best of the Best in Pediatric Surgery 2025 Watch IPSO's Dr. Timothy B. Lautz’s presentation on “Ubiquitous folate receptor expression in pediatric and adolescent solid tumors- Opportunity for intraoperative visualization with the novel fluorescent agent pafolacianine” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10043 2025-03-19T09:26:38+00:00 BOB2025 pediatric surgery some4pedsurg Ubiquitous folate receptor pediatric solid tumors adolescent solid tumors intraoperative novel fluorescent agent Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6262 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6262/thumbnail_6262_2023-01-04_16-00-10.jpg Does sutureless gastroschisis lead to more periumbilical hernias? New article you should know! by Dr. Cecilia Gigena "Evaluating the risk of peri-umbilical hernia after sutured or sutureless gastroschisis closure" James A. Fraser et.al.    Full article: https://www.jpedsurg.org/article/S0022-3468(22)00250-0/fulltext Abstract Introduction We evaluate the incidence, outcomes, and management of peri‑umbilical hernias after sutured or sutureless gastroschisis closure. Methods A retrospective, longitudinal follow-up of neonates with gastroschisis who underwent closure at 11 children's hospitals from 2013 to 2016 was performed. Patient encounters were reviewed through 2019 to identify the presence of a peri‑umbilical hernia, time to spontaneous closure or repair, and associated complications. Results Of 397 patients, 375 had follow-up data. Sutured closure was performed in 305 (81.3%). A total of 310 (82.7%) infants had uncomplicated gastroschisis. Peri-umbilical hernia incidence after gastroschisis closure was 22.7% overall within a median follow-up of 2.5 years [IQR 1.3,3.9], and higher in those with uncomplicated gastroschisis who underwent primary vs. silo assisted closure (53.0% vs. 17.2%, p< 0.001). At follow-up, 50.0% of sutureless closures had a persistent hernia, while 16.4% of sutured closures had a postoperative hernia of the fascial defect (50.0% vs. 16.4%, p< 0.001). Spontaneous closure was observed in 38.8% of patients within a median of 17 months [9,26] and most frequently observed in those who underwent a sutureless primary closure (52.2%). Twenty-seven patients (31.8%) underwent operative repair within a median of 13 months [7,23.5]. Rate and interval of spontaneous closure or repair were similar between the sutured and sutureless closure groups, with no difference between those who underwent primary vs. silo assisted closure. Conclusion Peri-umbilical hernias after sutured or sutureless gastroschisis closure may be safely observed similar to congenital umbilical hernias as spontaneou https://library.globalcastmd.com/video/6262 2023-01-04T16:00:10+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10044 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10044/8a2fae12ee51fde3f58323a42a7dadf2.jpg Dr. Sabine Irtan - Best of the Best in Pediatric Surgery 2025 Watch IPSO's Dr. Sabine Irtan’s presentation on “Only MIBG positive post-surgery residues impact on outcomes in patients with stage 4 neuroblastoma: Results from the HR-NBL1/SIOPEN trial” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10044 2025-03-19T09:28:44+00:00 1 BOB2025 pediatric surgery some4pedsurg MIBG outcomes in patients stage 4 neuroblastoma R-NBL1/SIOPEN trial channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/745 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/745/thumbnail_844_2018-11-13_00-04-32.jpg Urologic Fetal Intervention: Cincinnati Fetal Center Dr. Pramod Reddy, Division of Pediatric Urology, discusses fetal cystoscopy. Dr. Reddy discusses fetal intervention and risks, urinary tract obstructions, open intervention versus fetoscopic intervention, the risks of shunt usage for renal functions, normal fetal fluid pressure range. Dr. Greg Ryan, Head of Maternal-Fetal Medicine at Mount Sinai Hospital, presents on fetal cystoscopy. His discussion includes topics of advantages and effectiveness of fetal cystocopy, fetal cystoscopy and laser ablation of posterior urethral valve (PUV), shunting for lower urinary tract obstruction and complications and risks of a urinary tract fistula. Following Dr. Ryan's discussion a case was presented to the panel involving fetal cystoscopy and transurethral catheterization for posterior urethral valve. Discussion following the case presentation includes renal function maintenance, bladder taps, maternal laparotomy, twin-twin transfusion syndrome, anesthetic risk, urethral atresia diagnosis, and pulmonary hypoplasia. Dr. Reddy presents on open fetal intervention, open fetal vesicostomies and laparotomy. Dr. Mark P. Johnson, discusses long term outcomes of bladder function when using multidisapline  approaches.  https://d1dnj0gz56dmdu.cloudfront.net/1c89969d-4e6c-41e6-9b46-51dd4155f071/AppleHLS1/989c9b520012362af4bd159f72bd01a7.m3u8 2018-11-13T00:04:32+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5906 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5906/thumbnail_5906_2022-10-05_16-00-07.jpg APSA Article of Interest: Life-threatening bleeding in children APSA Article of Interest! "Life-Threatening Bleeding in Children: A Prospective Observational Study" Leonard et al, Critical Care Medicine Full text: https://journals.lww.com/ccmjournal/Fulltext/2021/11000/Life_Threatening_Bleeding_in_Children__A.11.aspx?casa_token=miK97-pvN8oAAAAA:xexlJnfGJI-8go7ZP9T5KTQcirBouVwHtGn-npNPOPaehL6IXJTiPAf7z7BP0T23CB2SGy1MfC2_czGMahdRpOJP Video: Ellen Encisco https://library.globalcastmd.com/video/5906 2022-10-05T16:00:07+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10671 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10671/d7a35a954127725c2283240c50953aa7.jpg 2025 Western Pediatric Trauma Conference - Day 1 Robert Swendiman, Wyatt Argyle - Welcome Najjia Mahmoud - Leadership Lisa Pabst - Venous Sinus Thrombosis Matt Martin - Pediatrics in a Combat Zone Marion Henry - Advocacy & Activism Rachael Landisch - Sedation in Trauma Shannon Castle - Podium Scientific Roberto Damián - Mexico Trauma System Deidre Flanagan - Rural Pediatric Trauma Brooks Keeshin - PTSD Josh Klatt, Nick Spina - Point-Counterpoint: Adolescent Spine Ryan Spurrier - Scientific Posters Marquelle Rogers - Best Practice Posters spaces/17/content/10671/1e128e22b9c8007c0e8249fa3d24e455.mp4 2025-07-15T13:40:17+00:00 1 channel#live_event_content wptc2025 leadership pediatric trauma western pediatric trauma conference Venous Sinus Thrombosis Pediatrics in a Combat Zone Advocacy & Activism Sedation in Trauma Podium Scientific Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2822 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2822/thumbnail_3769_2020-07-22_22-00-05.jpg IPEG 2020 TOP ABSTRACT: Indocyanine Green for Cortical-Sparing Adrenalectomy in a Pediatric Patient IPEG 2020 Annual Meeting - Top Abstracts Christina M Bence, MD; Shannon M Koehler, MD, PhD; Jerry Xiao; Amy J Wagner, MD; Dave R Lal, MD, MPH; Medical College of Wisconsin Indocyanine green (ICG) is an FDA-approved water-soluble intravenous dye that fluoresces with photo-excitation in the near-infrared spectrum. It has been used as an aid for identification of structures in various general surgical procedures due to its concentration within highly vascular tissue. ICG's utility in adrenal surgery has been demonstrated in adults, however has not yet been evaluated in the pediatric population. This video demonstrates the successful utilization of ICG fluorescence during laparoscopic cortical-sparing adrenalectomy in a 14-year-old boy with von Hippel Lindau syndrome and metachronous pheochromocytoma. A prior history of right-sided pheochromocytoma had resulted in a right adrenalectomy, however he presented five years later with a new tumor involving the left adrenal gland. During laparoscopic left cortical-sparing adrenalectomy ICG fluorescence was used to identify the adrenal gland and dissect the mass away from surrounding retroperitoneal structures. There were no surgical complications and the patient has no baseline steroid requirements postoperatively. Presenter: Christina M Bence, MD cbence@mcw.edu @christinabence https://d1dnj0gz56dmdu.cloudfront.net/2f081f06-2a48-460d-b977-0f9a174e79b8/AppleHLS1/d5ae38919c6b061b4a61d9542d301cac.m3u8 2020-07-22T22:00:05+00:00 8 Medical Education yes IPEG no https://library.globalcastmd.com/video/9952 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9952/43e5cf67f028a89b59cc9dc335b74126.jpg Ovarian Tissue Collection for Fertility Preservation in Children: The Need for Standardised Surgical Practice Guidance Sarah Braungart, Sheila Lane,  Christian M. Becker, Nicholas Alexander Background: Chemotherapy, pelvic radiotherapy (including total body irradiation) and novel compounds used to treat children and teenagers with benign or malignant diseases can lead to impaired fertility. For prepubertal female patients at high risk of treatment-related infertility, upfront storage of ovarian tissue is increasingly being recognised as standard of care. No surgical guidelines exist to ensure best practice technique. We reviewed current UK practice to assess surgical management. Methods: A ten-item, anonymous multiple-choice survey was distributed to the lead surgeons in all paediatric centres in England/Wales undertaking ovarian procurement for cryopreservation. Results: There are currently 18 centres in England and Wales that provide ovarian procurement for cryopreservation. Responses were received from 100% of the invited paediatric surgical oncology centres in England and Wales. 39.3% of participants stated that in their centre 20 cases are undertaken per year. In 64% of centres surgery is performed by a paediatric surgeon with interest in oncology or fertility preservation. The majority of cases were performed by a Consultant or Senior Registrar (89%). Regarding the surgical technique, 82% of respondents stated they gain access to the abdominal cavity using standard 3-port laparoscopy, 7% use single-port laparoscopy. Most frequently used energy devices for ovary/ovarian tissue resection were Ligasure™ (44%) and Harmonic Scalpel™ (18.5%). 96% of respondents perform a total oophorectomy, 1 respondent stated they perform a hemi-oophorectomy. 53% stated they place the ovary into a retrieval bag only if the ovary was too big for easy removal via the camera port, 28.5% always place it in a retrieval bag. Most surgeons use the umbilical port site for retrieval (82%). Conclusion: This national survey shows significant heterogeneity in the surgical management of ova https://library.globalcastmd.com/video/9952 2025-02-24T07:24:36+00:00 2 Alex halpern Standardisation Outcomes gynecology pediatric surgery Long term effects Ovarian cryopreservation ovary Fertility preservation fertility Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7265 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7265/thumbnail_8755_2023-10-09_22-00-08.jpg Update Course 2023 - Top Disruptive Technologies in Healthcare This session is on the top disruptive techologies in healthcare with Drs. Em Gootee & Ramy Shaaban.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/f01df9b0-6615-4bb0-a4e2-008ff89c55a7/AppleHLS1/5c974ff90b2d583362b61145f68d6d4c.m3u8 2023-10-09T22:00:08+00:00 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5825 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5825/thumbnail_5825_2022-09-07_22-00-07.jpg Update Course 2022 - TOP DISRUPTIVE TECHNOLOGIES IN MEDICINE - Ramy Shaaban and Em Tombash In this session, Drs. Ramy Shaaban and Em Tombash guide us through the most disruptive technologies of the last year. What innovations are going on in the world? They explain each one. An amazing trip on what is coming and how the future may look.  The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/5853d811-7363-4227-8817-f9554e290fe5/AppleHLS1/c30838ef1cdb17b88b576c4272f60997.m3u8 2022-09-07T22:00:07+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9518 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9518/thumbnail_11074_2024-12-11_11-28-03.jpg QUAD #24: CHARGE Syndrome, Pulmonary Considerations with Dr. Cherie Torres-Silva In this episode, pulmonologist Dr. Cherie Torres-Silva from Cincinnati Children's shares insights on managing pulmonary challenges in patients with CHARGE syndrome. Through a detailed case study, she explores strategies to address chronic aspiration, airway clearance limitations, and recurrent infections. Key Highlights: Challenges in CHARGE Syndrome: Understanding how aspiration, obstructive sleep apnea (OSA), and recurrent infections intersect in CHARGE patients. Management Strategies: Improving airway clearance with therapies like intrapulmonary percussion and thinning secretions using hypertonic saline. Infection Prevention: The role of dental hygiene, prophylactic antibiotics (e.g., inhaled tobramycin), and balancing the risks of antibiotic resistance. Individualized Care: Tailoring treatments based on respiratory cultures and underlying comorbidities such as hypotonia and restrictive lung disease. Learn how a multidisciplinary approach can improve outcomes for CHARGE patients with complex pulmonary issues. Don’t forget to like, comment, and subscribe for more insights! https://library.globalcastmd.com/video/9518 2024-12-11T11:28:03+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/752 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/752/thumbnail_858_2018-11-16_00-00-48.jpg VATS H-Type Fistula Repair - Technique Dr. Steven Rothenberg describes his technique for thoracoscopic repair of an H-type tracheoesophageal fistula.  Key steps to the procedure include opening of the apical pleura with a vessel sealer, identification of the esophagus and the trachea, development of a plane between the esophagus and trachea below the fistula, development of a retro-fistula plane, retraction of the fistula with a 2-0 silk suture, division of the fistula with a stapler, coverage of the esophageal staple line with apical fat, and closure of the pleura. spaces/2/content/752/file_858_2018-11-16_00-00-48.mp4 2018-11-16T00:00:48+00:00 6 Medical Education yes IPEG no https://library.globalcastmd.com/video/9062 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9062/thumbnail_10616_2024-08-26_06-59-56.jpg Applying an explainable machine learning model might reduce the number of negative appendectomies in pediatric patients with a high probability of acute appendicitis New article review from Dr. Carlos Colunga! Ivan Males, Zvonimir Boban, Marko Kumric, Josip Vrdoljak, Karlotta Berkovic, Zenon Pogorelic & Josko Bozic Full article here. The diagnosis of acute appendicitis and concurrent surgery referral is primarily based on clinical presentation, laboratory and radiological imaging. However, utilizing such an approach results in as much as 10–15% of negative appendectomies. Hence, in the present study, we aimed to develop a machine learning (ML) model designed to reduce the number of negative appendectomies in pediatric patients with a high clinical probability of acute appendicitis. The model was developed and validated on a registry of 551 pediatric patients with suspected acute appendicitis that underwent surgical treatment. Clinical, anthropometric, and laboratory features were included for model training and analysis. Three machine learning algorithms were tested (random forest, eXtreme Gradient Boosting, logistic regression) and model explainability was obtained. Random forest model provided the best predictions achieving mean specificity and sensitivity of 0.17 ± 0.01 and 0.997 ± 0.001 for detection of acute appendicitis, respectively. Furthermore, the model outperformed the appendicitis inflammatory response (AIR) score across most sensitivity–specificity combinations. Finally, the random forest model again provided the best predictions for discrimination between complicated appendicitis, and either uncomplicated acute appendicitis or no appendicitis at all, with a joint mean sensitivity of 0.994 ± 0.002 and specificity of 0.129 ± 0.009. In conclusion, the developed ML model might save as much as 17% of patients with a high clinical probability of acute appendicitis from unnecessary surgery, while missing the needed surgery in only 0.3% of cases. Additionally, it showed better diagnostic accuracy than the AIR score, as well as good accuracy in predicting complicated acute appendicitis over uncomplicated and negati https://library.globalcastmd.com/video/9062 2024-08-26T06:59:56+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9096 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9096/thumbnail_10650_2024-08-28_13-21-48.jpg 2024 Update Course - Top AI Tools of 2024 - Em Gootee, Ramy Shaaban, Carlos Colunga, & Todd Ponsky This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Em Gootee, Ramy Shaaban, Carlos Colunga, with Todd Ponsky as moderator, speaks on the top AI tools of 2024.   Topics to be discussed: • AI: TOP 10 websites & tools for everyday usage spaces/17/content/9096/file_10650_2024-08-28_13-21-48.mp4 2024-08-28T13:21:48+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2999 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/2999/thumbnail_2999_2020-09-14_08-00-09.jpg Top Themes From The Stay Current App This clip from the 2020 Pediatric Surgery Update Course features Alejandra Casar Berazaluce, MD; Alexander Gibbons, MD; Rachel Hanke, MD; presenting the most popular posts in the 2020 version of the Stay Current: Pediatric Surgery App.  Highlighted Topics Include: - Anorectal Malformations - Diaphragmatic Hernia repair - Esophageal Atresia - Gastroesophageal Reflux Disease - Pyloric Stenosis - Perioperative Management - Hirschsprung Disease - Intussusception - Blunt Solid Organ Injury https://library.globalcastmd.com/video/2999 2020-09-14T08:00:09+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9359 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9359/thumbnail_10915_2024-10-29_18-02-58.jpg Comprehensive meta-analysis of surgical procedure for congenital diaphragmatic hernia: thoracoscopic versus open repair Soichi Shibuya, Irene Paraboschi, Stefano Giuliani, Takafumi Tsukui, Andreea Matei, Maricarmen Olivos, Mikihiro Inoue, Simon A Clarke, Atsuyuki Yamataka, Augusto Zani, Simon Eaton, Paolo De Coppi Purpose: Previous studies have shown a higher recurrence rate and longer operative times for thoracoscopic repair (TR) of congenital diaphragmatic hernia (CDH) compared to open repair (OR). An updated meta-analysis was conducted to re-evaluate the surgical outcomes of TR. Methods: A comprehensive literature search comparing TR and OR in neonates was performed in accordance with the PRISMA statement (PROSPERO: CRD42020166588). Results: Fourteen studies were selected for quantitative analysis, including a total of 709 patients (TR: 308 cases, OR: 401 cases). The recurrence rate was higher [Odds ratio: 4.03, 95% CI (2.21, 7.36), p < 0.001] and operative times (minutes) were longer [Mean Difference (MD): 43.96, 95% CI (24.70, 63.22), p < 0.001] for TR compared to OR. A significant reduction in the occurrence of postoperative bowel obstruction was observed in TR (5.0%) compared to OR (14.8%) [Odds ratio: 0.42, 95% CI (0.20, 0.89), p = 0.02]. Conclusions: TR remains associated with higher recurrence rates and longer operative times. However, the reduced risk of postoperative bowel obstruction suggests potential long-term benefits. This study emphasizes the importance of meticulous patient selection for TR to mitigate detrimental effects on patients with severe disease. spaces/1/content/9359/file_10915_2024-10-29_18-02-58.mp4 2024-10-29T18:02:58+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6353 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6353/thumbnail_6353_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Maria Soledad Jara Valdivia, CIPESUR - Presentation Watch Maria Soledad Jara Valdivia, MD, present her presentation on "The immunohistochemical staining CD56 is useful in the diagnosis of biliary atresia." https://library.globalcastmd.com/video/6353 2023-02-06T18:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/658 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/658/thumbnail_745_2018-11-10_00-05-19.jpg Circumcision - Louis Marmon: Update Course 2014 Dr. Louis Marmon, Pediatric Surgeon, Children’s National Medical Center, presents on the controversial topic of circumcision. Dr. Marmon presents various clinical scenarios, circumcision techniques, preferred analgesia for infant circumcision, anesthesia, post operative dressing, local versus general anesthesia age, buried penis appearance approach, unsuspected hypospadius, and post-circumcision adhesions.  https://library.globalcastmd.com/video/658 2018-11-10T00:05:19+00:00 7 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6328 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6328/thumbnail_6328_2023-02-01_22-00-12.jpg BOB in Ped Surg 2023 - PAPSA Winner - Mohamad Mahmoud Qinawy, MD Watch the PAPSA winner, Mohamad Mahmoud Qinawy, MD, present his presentation on "Comparative study of laparoscopic Nissen fundoplication vs Hill-snow procedure for treatment of gastroesophageal reflux disease in children." https://library.globalcastmd.com/video/6328 2023-02-01T22:00:12+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9115 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9115/thumbnail_10669_2024-09-04_09-27-23.jpg Top 4 Key Takeaways from the Best of the Best in Pediatric Surgery 2024 In February 2024, we held our 3rd Best of the Best in Pediatric Surgery live event and we are bringing you the top four key takeaways from that day. #4 APSA, Dr. David Grabski “Post-Operative Opioid Reduction Protocol Reduces Racial Disparity of Clinical Outcome in Children” #3 CAPS, Dr. Matthew Urichuk “Individuals with thoracoabdominal congenital surgical anomalies are at increased risk of adverse mental health outcomes" #2 BAPS, Dr. Shruthi Srinivas "Outcomes from Colonic Pull-Through for Cloacal Exstrophy Differ by Colon Length: A Multi-Institutional Study” #1 IPEG, Dr. Dariusz Patkowski “Thoracoscopic Approach for Long Gap Esophageal Atresia Using the Internal Traction Technique” spaces/1/content/9115/file_10669_2024-09-04_09-27-23.mp4 2024-09-04T09:27:23+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/640 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/640/thumbnail_727_2018-11-10_00-05-18.jpg Tricks - Indwelling Balloon Catheter For Refractory Esophageal Stenosis David van der Zee discusses indwelling esophageal balloon catheter for benign esophageal stenosis in infants and children.  spaces/1/content/640/file_727_2018-11-10_00-05-18.mp4 2018-11-10T00:05:18+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9440 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9440/thumbnail_10996_2024-11-19_11-30-40.jpg Chronic Pancreatitis - Pancreatic Pathologies by Cincinnati Children's Pancreas Care Center In this educational video, experts from Cincinnati Children’s Pancreas Care Center discuss the complexities of diagnosing and managing chronic pancreatitis. Dr. Maisam Abu-El-Haija and Dr. Andrew Trout cover the condition’s impact on pancreatic function, imaging techniques, genetic testing, and treatment options. Key Topics: What is Chronic Pancreatitis? A progressive inflammatory condition leading to fibrosis, loss of pancreatic function, and complications like diabetes and malnutrition. Diagnosis: The role of imaging (MRI, CT) and genetic testing in identifying and understanding the disease. Treatment Strategies: From nutritional management and pancreatic enzyme replacement to endoscopic therapy and a multidisciplinary approach to pain management. Pain Management: A stepwise approach involving pain specialists, psychologists, and physical therapists to address both the physical and emotional aspects of chronic pain. Learn how the team at Cincinnati Children’s is transforming care for patients with chronic pancreatitis through innovative techniques and a comprehensive, patient-centered approach. https://library.globalcastmd.com/video/9440 2024-11-19T11:30:40+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8729 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8729/thumbnail_10276_2024-06-13_07-48-39.jpg Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation New article you should know about by Kim Priban RN, selected by @‌jpedsurg Made possible by @‌cincychildrens "Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation" Authors: R Scott Eldredge, Brielle Ochoa, Emily Khoury, Kristin Mihalcin, Daniel Ostlie, Justin Lee, Lisa McMahon, David Notrica, Benjamin E. Padilla Full article: https://gcmd.co/3wATBod Introduction Minimally invasive repair of pectus excavatum (MIRPE) with intercostal nerve cryoablation (Cryo) decreases length of hospitalization and opioid use, but long-term recovery of sensation has been poorly described. The purpose of this study was to quantify long-term hypoesthesia and neuropathic pain after MIRPE with Cryo. Methods A prospective cohort study was conducted single-institution of patients ≤21 years who presented for bar removal. Consented patients underwent chest wall sensory testing and completed neuropathic pain screening. Chest wall hypoesthesia to cold, soft touch, and pinprick were measured as the percent of the treated anterior chest wall surface area (TACWSA); neuropathic pain was evaluated by questionnaire. Results The study enrolled 47 patients; 87% male; median age 18.4 years. The median bar dwell time was 2.9 years. A median of 2 bars were placed; 80.9% were secured with pericostal sutures. At enrollment, 46.8% of patients had identifiable chest wall hypoesthesia. The mean percentage of TACWSA with hypoesthesia was 4.7 ± 9.3% (cold), 3.9 ± 7.7% (soft touch), and 5.9 ± 11.8% (pinprick). Hypoesthesia to cold was found in 0 dermatomes in 62%, 1 dermatome in 11%, 2 dermatomes in 17% and ≥3 dermatomes in 11%. T5 was the most common dermatome with hypoesthesia. Neuropathic symptoms were identified by 13% of patients; none required treatment. Conclusions In long-term follow up after MIRPE with Cryo, 46.8% of patients experienced some chest wall hypoesthesia; the average TACWSA with hypoesthesia was 4–6%. Hypo spaces/1/content/8729/file_10276_2024-06-13_07-48-39.mp4 2024-06-13T07:48:39+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9436 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9436/thumbnail_10992_2024-11-19_03-56-59.jpg Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients Anna-Maria Ziegler, Daniel Svoboda, Britta Lüken-Darius, Andreas Heydweiller, Fritz Kahl, Sophie Christine Falk, Udo Rolle, Till-Martin Theilen Purpose: Abdominal wall closure in patients with giant omphalocele (GOC) and complicated gastroschisis (GS) remains to be a surgical challenge. To facilitate an early complete abdominal wall closure, we investigated the combination of a staged closure technique with continuous traction to the abdominal wall using a newly designed vertical traction device for newborns. Methods: Four tertiary pediatric surgery departments participated in the study between 04/2022 and 11/2023. In case primary organ reduction and abdominal wall closure were not amenable, patients underwent a traction-assisted abdominal wall closure applying fasciotens®Pediatric. Outcome parameters were time to closure, surgical complications, infections, and hernia formation. Results: Ten patients with GOC and 6 patients with GS were included. Complete fascial closure was achieved after a median time of 7 days (range 4–22) in GOC and 5 days (range 4–11) in GS. There were two cases of tear-outs of traction sutures and one skin suture line dehiscence after fascial closure. No surgical site infection or signs of abdominal compartment syndrome were seen. No ventral or umbilical hernia occurred after a median follow-up of 12 months (range 4–22). Conclusion: Traction-assisted staged closure using fasciotens®Pediatric enabled an early tension-less fascial closure in GOC and GS in the newborn period. https://library.globalcastmd.com/video/9436 2024-11-19T03:56:59+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10042 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10042/381f7d7c794aead0769220db64334a8f.jpg Dr. Chiara Oreglio - Best of the Best in Pediatric Surgery 2025 Watch EUPSA's Dr. Chiara Oreglio's presentation on “Exploring the Role of Bioprosthesis for Chest Wall Reconstruction” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10042 2025-03-19T09:22:03+00:00 BOB2025 pediatric surgery some4pedsurg Bioprosthesis chest wall reconstruction channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2234 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2234/thumbnail_3160_2020-02-24_19-58-22.jpg Laparoscopic-assisted Treatment of Abdominoscrotal Hydrocele This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2234 2020-02-24T19:58:22+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7962 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7962/thumbnail_9492_2024-02-07_16-00-12.jpg Thomas Inge, MD - 2024 Pediatric Bariatric Surgery Update Course Thomas Inge, MD presents on “Long Term Outcomes” at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7962/file_9492_2024-02-07_16-00-12.mp4 2024-02-07T16:00:12+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10881 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/32/content/10881/thumbnail_10881_1_1756238549457.jpg Most Common Pediatric Fractures and How to Prevent Them by Dr. Jill Larson In this session from the 12th Annual Update Course in Pediatric Surgery, Dr. Jill Larson from Ann & Robert H. Lurie Children’s Hospital outlines key strategies for preventing and managing the most common pediatric fractures—just in time for the seasonal surge.Key Highlights:Timing of fractures: Fracture season peaks in spring, summer, and surprisingly, October—timing your prevention efforts matters.Top five fracture types: Wrist, ankle, elbow, forearm, and tibia fractures are the most common injuries treated in pediatric orthopedics.What to treat—and how: Dr. Larson explains which fractures can be managed conservatively (e.g., buckle or greenstick) and which may need surgery (e.g., displaced triplane fractures).Casting and immobilization tips: Includes guidance on when to splint, when to cast, and how long to monitor growth plate–involved injuries.Injury prevention insights: From trampoline accidents to lawnmower-related trauma, this session covers key safety risks and how to address them proactively.Nutrition and bone health: Vitamin D deficiency and obesity are contributing factors—highlighting the need for a holistic approach to fracture prevention.This session provides practical, seasonal insights for pediatric providers—and equips teams with the knowledge to protect growing bones before peak fracture months arrive. https://library.globalcastmd.com/video/10881 2025-08-26T19:59:09+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8947 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8947/thumbnail_10499_2024-07-30_14-00-03.jpg Volumen testicular en la pubertad en niños con criptorquidia congénita aleatorizados a tratamiento en diferentes edades Nuevo artículo que tienes que conocer por la Dra. Cecilia Gigena, seleccionado por la Sociedad Chilena de Cirujanos Pediátricos "Volumen testicular en la pubertad en niños con criptorquidia congénita aleatorizados a tratamiento en diferentes edades" Autores: Claude Kollin, Agneta Nordenskjöld, Martin Ritzén Artículo completo: https://gcmd.co/3YlqLDO Objetivo: evaluar el volumen testicular en la pubertad en niños que se sometieron a orquidopexia a los 9 o 36 meses en comparación con niños con descenso posnatal espontáneo. Métodos: a los 6 meses de edad, los niños con criptorquidia unilateral congénita fueron asignados aleatoriamente a cirugía a los 9 o 39 meses de edad y se les dio seguimiento hasta los 16 años en paralelo con los niños con descenso postnatal espontáneo. Se realizó ecografía a los 11 y 16 años para determinar volumen testicular. La proporción entre el testículo inicialmente no descendido y su contraparte escrotal se utilizó para evaluar el crecimiento testicular. Resultados: A los 16 años, la proporción fue menor (p < 0,00) en el grupo tardío en comparación con el grupo temprano. A los 16 años, los testículos descendidos espontáneamente eran significativamente más pequeños que sus homólogos escrotales pero más grandes que los grupos operados (p <0,01 temprano y p <0,00 tardío). Conclusión: Nuestros datos a los 16 años muestran que la orquidopexia a los 9 meses da como resultado un mejor crecimiento testicular en comparación con los 3 años, pero no alcanzó los volúmenes correspondientes de sus contrapartes escrotales. Esto indica que una cirugía más temprana es beneficiosa para el crecimiento testicular. A los 16 años, los testículos descendidos posnatalmente no sólo eran más grandes que los testículos tratados quirúrgicamente sino que también presentaban un crecimiento testicular deficiente. https://library.globalcastmd.com/video/8947 2024-07-30T14:00:03+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6512 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6512/thumbnail_6512_2023-03-22_16-00-11.jpg Making common duct exploration common "Making common duct exploration common-balloon sphincteroplasty as an adjunct to transcystic laparoscopic common bile duct exploration for pediatric patients" Rauh et al. Journal of Pediatric Surgery. https://www.jpedsurg.org/article/S0022-3468(22)00602-9/fulltext Video: Ellen Encisco https://library.globalcastmd.com/video/6512 2023-03-22T16:00:11+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5414 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5414/thumbnail_5414_2022-05-24_16-00-28.jpg Update Course 2021: DEI – CONCORDANCE AND POST OP COMPLICATION STUDIES In this session from the 2021 Update Course, Dr. Meera Kotagal, MD discussed the effects of racial concordance on perioperative outcomes and why it is critical for pediatric surgeons to focus onDiversity, Equity, and Inclusion (DEI). Articles discussed: “Race, Postoperative Complications, and Death in Apparently Healthy Children” https://pubmed.ncbi.nlm.nih.gov/32690804/“ Physician–patient racial concordance and disparities in birthing mortality for newborns” https://www.pnas.org/doi/10.1073/pnas.1913405117T https://library.globalcastmd.com/video/5414 2022-05-24T16:00:28+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9097 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9097/thumbnail_10651_2024-08-28_13-22-20.jpg 2024 Update Course - Closing Statement - Todd Ponsky This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Dr. Todd Ponsky thanks everyone for joining the 12th annual event! spaces/17/content/9097/file_10651_2024-08-28_13-22-20.mp4 2024-08-28T13:22:20+00:00 1 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9484 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9484/thumbnail_11040_2024-12-03_13-17-41.jpg Update Course Rewind: Lipiodol for Lung Metastases 2024 In this session from the 12th Annual Pediatric Surgery Update Course, Dr. Gloria Gonzalez discusses the innovative use of lipiodol to mark pulmonary nodules for minimally invasive resection in children. Adapted from adult procedures, lipiodol is a promising alternative to traditional localization methods, offering precise marking with minimal complications. Key Points Covered: Challenges in Nodule Localization: High conversion rates during thoracoscopy due to failure to locate small or calcified nodules using CT, ultrasound, or hook wires. Lipiodol Technique: A CT-guided marking procedure where lipiodol dye remains stable for up to three months, allowing for flexible surgery scheduling. Clinical Outcomes: Dr. Gonzalez’s team achieved 100% sensitivity in 33 patients, resecting over 50 nodules with improved accuracy and efficiency. Learn how this novel approach is transforming lung metastasis management in pediatric surgery. Don’t forget to like, comment, and subscribe for more cutting-edge updates! https://library.globalcastmd.com/video/9484 2024-12-03T13:17:41+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/647 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/647/thumbnail_647_2018-11-10_00-05-18.jpg Pediatric Hernia - Peter Mattei Dr. Peter Mattei of The Children's Hospital of Philadelphia, discusses hernia management. Topics of discussion include incarcerated ovary, bowel resection, inguinal incision, high ligation of hernia sac, hydrocele, and retractile testis.  https://d1dnj0gz56dmdu.cloudfront.net/6d517049-6169-4e1c-88db-d6dae4972e26/AppleHLS1/cd2ae9b6d8ada265803c9218b147cee7.m3u8 2018-11-10T00:05:18+00:00 7 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8648 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8648/thumbnail_10191_2024-05-23_07-35-23.jpg Resultados de la criopreservación de la fertilidad femenina en el cáncer infantil: una revisión sistemática Nuevo artículo que tienes que conocer por Cecilia Gigena seleccionado por el Dr. José Campos & la Sociedad Chilena de Cirugía Pediátrica "Resultados de la criopreservación de la fertilidad femenina en el cáncer infantil: una revisión sistemática" Autores: Srinithya R. Gillipelli, Luca Pio, Paul D. Losty, Abdelhafeez H. Abdelhafeez Artículo completo: https://gcmd.co/3QNpBML Antecedentes y objetivos A medida que las tasas de supervivencia en el cáncer infantil progresan significativamente, los resultados de salud en la edad adulta son fundamentales para la calidad de vida (CdV). Las pacientes femeninas sometidas a quimioterapia y radiación para el cáncer infantil pueden experimentar efectos adversos como insuficiencia ovárica relacionada con gonadotoxicidad. La criopreservación del tejido ovárico (OTC) está bien estudiada en adultos, pero sólo recientemente ha comenzado a explorarse en un esfuerzo por preservar la fertilidad en pacientes jóvenes con cáncer infantil. Esta revisión sistemática tiene como objetivo resaltar críticamente los resultados contemporáneos de la criopreservación en pacientes pediátricas con cáncer. Métodos Se realizó una búsqueda sistemática en las bases de datos PubMed, Embase y Web of Science para identificar artículos y resúmenes de texto completo en inglés publicados entre 2004 y 2022 que describieran la criopreservación entre niñas (0 a 21 años) con cáncer. Se seleccionaron resúmenes y artículos de texto completo para su inclusión. Posteriormente, se extrajeron y analizaron los datos de los estudios elegibles. Se utilizaron estadísticas descriptivas para estimar los resultados generales de la criopreservación. Resultados De 104 resúmenes y 34 artículos de texto completo, se incluyeron 12 estudios. Se recopilaron datos de 7 países del mundo e involucraron a unos 612 pacientes pediátricos y adolescentes con enfermedades malignas. Los cánceres más comunes incluyeron enfermedades malignas hematológicas (81%), tumores spaces/14/content/8648/file_10191_2024-05-23_07-35-23.mp4 2024-05-23T07:35:23+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7598 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7598/thumbnail_9111_2023-11-10_16-00-07.JPG ERNICA Research Collaboration Webinar on Quality of Life The aim of the webinar is to provide an overview of the concepts “patient-reported outcome, quality of life and health-related quality of life” and how the quality of life (QoL) and health-related quality of life (HRQoL) have been evaluated in populations with the need for advanced pediatric surgery. The benefits of measuring QoL/HRQoL in patients for care and research will become apparent. We would like to conclude with a view from the speakers and the audience on gaps in knowledge within advanced pediatric surgery and future directions. spaces/7/content/7598/file_9111_2023-11-10_16-00-07.mp4 2023-11-10T16:00:07+00:00 channel#eupsa research Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/6366 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6366/thumbnail_6366_2023-02-06_18-00-14.jpg BOB Ped Surg 2023 - Andrew Fleming, AAP - Presentation Watch Andrew Fleming, MD, present his presentation on "Aggressive Pursuit of No Evidence of Disease Status in Hepatoblastoma Improves Survival." https://library.globalcastmd.com/video/6366 2023-02-06T18:00:14+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8014 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8014/thumbnail_9546_2024-02-26_10-34-13.jpg Mina Yeganeh, BSc - Best of the Best in Pediatric Surgery 2024 Watch EUPSA's Mina Yeganeh, BSc presentation on “Lipid nanoparticle delivery of miRNA-148a attenuates intestinal inflammation during experimental” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8014/file_9546_2024-02-26_10-34-13.mp4 2024-02-26T10:34:13+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6474 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6474/thumbnail_6474_2023-03-14_18-00-11.jpg Redo PSARP (No audio) Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. Nationwide Children's Hospital    https://d1dnj0gz56dmdu.cloudfront.net/ab37f865-2a23-40a3-bcf6-a0ecf55013be/AppleHLS1/554caa39a5b2caf4e563776e32c85290.m3u8 2023-03-14T18:00:11+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/3583 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3583/thumbnail_3583_2021-01-25_22-00-52.jpg IPEG 2019 Highlights: From Virtual Reality and Magnets to Robots at the Bedside IPEG 2019 Annual Meeting Highlights Ponsky fellows Rae Hanke, Alex Casar and Alex Gibbons join forces to bring you highlights from IPEG 2019. Interviews with Drs Jordan Taylor, Daniel von Allmen, Bethany Slater, Philipp Szavay, Aayed Alqahtani, Steven Rothenberg and Whit Holcomb cover a breadth of topics, including using virtual reality to reduce sedation, repairing esophageal atresia with magnets, innovations in bariatric surgery and more! Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626 https://library.globalcastmd.com/video/3583 2021-01-25T22:00:52+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/7313 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7313/thumbnail_8803_2023-10-11_16-00-09.jpg Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure New article you should know by Dr. Alex Halpern "Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure" Authors: Perez Holguín RA, DeAngelo N, Sinha A, Shen C, Tsai AY Full article: https://gcmd.co/46oKG6c Background Pectus excavatum is the most common congenital chest wall abnormality, with the Nuss procedure being the most commonly performed repair. Pain control is the predominant factor in the postoperative treatment of these patients. This study aims to compare the cost and outcomes of intercostal nerve cryoablation (INC) and thoracic epidural (TE) in patients undergoing the Nuss procedure. Methods A retrospective chart review was conducted at our institution for all patients who underwent the Nuss procedure for pectus excavatum from 2002 to 2020. Patients were stratified by pain management strategy, INC vs. TE. Chi-square and Fisher's exact were used to compare categorical variables. Wilcoxon tests were used to evaluate continuous variables and costs. Results A total of 158 patients were identified. Of these, 80.4% (N = 127) were treated with epidural, while 19.6% (N = 31) were treated with intercostal nerve cryoablation. The INC group had lower rates of PCA use (35.5% vs. 93.7%, p < 0.001), lower total morphine milligram equivalent requirement (27.0 vs. 290.8, p < 0.001), and shorter length of stay (3.2 days vs. 5.3 days, p < 0.001) compared to the TE group. INC was also associated with longer operative times (153.0 min vs. 89.0 min, p < 0.001). The total hospitalization cost for the INC group was higher compared to the TE group ($24,742.5 vs $21,621.9, p = 0.001). Conclusions In patients undergoing the Nuss procedure, compared to thoracic epidural, INC was associated with lower opioid use and shorter length of stay but at the cost of longer operative time and increased hospitalization cost. https://library.globalcastmd.com/video/7313 2023-10-11T16:00:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11278 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11278-da98f962d5.jpg Sacrococcygeal Teratomas in Currarino Syndrome: A Multicenter Review of Tumor Characteristics, Surgical Outcomes, and Recurrence Shachi Srivatsaa∙ Lindsay Gila ∙ Yueran Zhang ∙ Beth Rymeski ∙ Amelia Gavulic ∙ Grace Mak ∙ Sindhu V. Mannava ∙ Troy A. Markel ∙ Matthew P. Landman ∙ Dave R. Lal ∙ Jennifer Schuh ∙ Devashish Joshi ∙ Brianna Spencer ∙ Samir Gadepalli ∙ Seth D. Goldstein ∙ Mark Ranalli ∙ Peter Minneci ∙ Kyle Van Arendonk ∙ Jennifer H. AldrinkBackground Currarino syndrome is a rare congenital condition characterized by a triad of anorectal malformation, sacral agenesis, and presacral mass, often a teratoma. Comparative outcomes of sacrococcygeal teratomas (SCTs) in Currarino versus non-syndromic cases are not well defined. Methods A multicenter retrospective review of pediatric SCT resections from 2010 to 2020 was conducted across 11 institutions in the Midwest Pediatric Surgery Consortium. Patients were classified based on the presence or absence of Currarino syndrome. Demographic, surgical, pathologic, and long-term outcome data were analyzed. The primary outcome was tumor recurrence. Results Of 203 patients, 25 (12.3 %) had Currarino syndrome. Currarino patients were more often diagnosed postnatally (80 % vs. 25 %, p < 0.001) and had predominantly Altman type IV tumors (87 % vs. 17 %, p < 0.001). All tumors in the Currarino cohort were mature teratomas, while 27 % of non-Currarino tumors were immature and 12 % were malignant (p < 0.001). Tumors in Currarino patients were significantly smaller in size (median 3.3 cm vs. 8.0 cm, p < 0.001). Recurrence rates were low and comparable (4 % Currarino vs. 10 % non-Currarino, p = 0.18). Currarino patients had higher rates of urinary incontinence (44 % vs. 28 %, p = 0.048) and constipation (76 % vs. 32 %, p < 0.001). Kaplan–Meier analysis showed a trend toward improved recurrence-free survival in Currarino patients, though not statistically significant. Conclusions Pediatric patients with Currarino-associated SCTs have excellent long-term outcomes, with low recurrence rates likely attributable to benign tumor histology and high rates of compl spaces/1/content/11278/file_11278_1_1764082933619.mp4 2025-11-25T15:02:13+00:00 sacrococcygealteratoma currarino syndrome SCT Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7760 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7760/thumbnail_9275_2023-12-06_22-00-08.jpg Una mayor cantidad de reducción del cabello mediante láser se correlaciona con una menor probabilidad de recurrencia en pacientes con enfermedad pilonidal Nuevo articulo que tenes que conocer de #JPS por la Dra. Cecilia Gigena "Una mayor cantidad de reducción del cabello mediante láser se correlaciona con una menor probabilidad de recurrencia en pacientes con enfermedad pilonidal" Autores: Fereshteh Salimi-Jazi, Claire Abrajano, Razie Yousefi, Deanna Garza, Kyla Santos Dalusag, Akanksha Sabapaty, Talha Rafeeqi, Thomas Hui, Wendy Su, Claudia Mueller, Julie Fuchs, Bill Chiu Artículo completo: https://gcmd.co/3T6wDyi Introducción El pelo en la hendidura glútea juega un papel clave en el desarrollo y recurrencia de la enfermedad pilonidal (EP). Nuestra hipótesis es que una mayor reducción del vello lograda con láser podría correlacionarse con una menor probabilidad de recurrencia de la EP. Métodos Los pacientes con EP que se sometieron a depilación láser (LE) fueron categorizados según el tipo de piel, color y grosor del cabello según Fitzpatrick. Se compararon las fotografías tomadas en las sesiones LE para determinar la cantidad de reducción del vello. Se registraron las sesiones LE completadas antes de las recurrencias. Los grupos se compararon mediante la prueba T multivariada. Resultados 198 pacientes con EP tenían una edad media de 18,1 ± 3,6 años. 21, 156 y 21 pacientes tenían tipos de piel 1/2, 3/4 y 5/6, respectivamente. 47 pacientes tenían cabello de color claro y 151 tenían cabello de color oscuro. 29 pacientes tenían cabello fino, 129 mediano y 40 grueso. La mediana de seguimiento fue de 217 días. El 95%, 70%, 40% y 19% de los pacientes alcanzaron una reducción del cabello del 20%, 50%, 75% y 90% después de sesiones medias de LE de 2,6, 4,3, 6,6 y 7,8 sesiones, respectivamente. Para alcanzar una reducción del 75% del vello, los pacientes necesitan una media de 4,8 a 6,8 sesiones de LE, dependiendo de las diferentes características de la piel y el cabello. La tasa de recurrencia de la EP fue del 6%. La probabilidad de recurrencia después de una reducción del 20%, 50% y 75% del cabello disminuyó en un 5 spaces/14/content/7760/file_9275_2023-12-06_22-00-08.mp4 2023-12-06T22:00:08+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8017 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8017/thumbnail_9549_2024-02-26_10-42-21.jpg Giussepe Cala, PhD candidate - Best of the Best in Pediatric Surgery 2024 Watch BAPS' Giussepe Cala, PhD candidate’s presentation on “Single-cell guided prenatal derivation of primary fetal epithelial organoids from the human amniotic and tracheal fluids” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8017/file_9549_2024-02-26_10-42-21.mp4 2024-02-26T10:42:21+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8078 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/8078/thumbnail_9611_2024-03-13_12-59-42.jpg A Complex Urogenital Malformation: Urogenital Sinus with Normal Anus Children's National Hospital, Division of Colorectal and Pelvic Reconstruction  - Washington, DC.  Christina Ho, Andrea Badillo, Briony Varda, Marc A. Levitt,  spaces/8/content/8078/file_9611_2024-03-13_12-59-42.mp4 2024-03-13T12:59:42+00:00 2 channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6707 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6707/thumbnail_6707_2023-06-07_22-00-14.jpg Hirschsprung-associated inflammatory bowel disease New article you should know by Cecilia Gigena "Hirschsprung-associated inflammatory bowel disease: A multicenter study from the APSA Hirschsprung disease interest group" Authors: Pattamon Sutthatarn, Eveline Lapidus-Krol, Caitlin Smith, Ihab Halaweish, Kristy Rialon, Matthew W. Ralls, Rebecca M. Rentea, Mary B. Madonna, Candace Haddock, Ana M. Rocca, Ankush Gosain, Jason Frischer, Hannah Piper, Allan M. Goldstein, Payam Saadai, Megan M. Durham, Belinda Dickie, Mubeen Jafri, Jacob C. Langer Full article: https://www.jpedsurg.org/article/S0022-3468(23)00037-4/fulltext  Abstract Background/Purpose A small number of Hirschsprung disease (HD) patients develop inflammatory bowel disease (IBD)-like symptoms after pullthrough surgery. The etiology and pathophysiology of Hirschsprung-associated IBD (HD-IBD) remains unknown. This study aims to further characterize HD-IBD, to identify potential risk factors and to evaluate response to treatment in a large group of patients. Methods Retrospective study of patients diagnosed with IBD after pullthrough surgery between 2000 and 2021 at 17 institutions. Data regarding clinical presentation and course of HD and IBD were reviewed. Effectiveness of medical therapy for IBD was recorded using a Likert scale. Results There were 55 patients (78% male). 50% (n = 28) had long segment disease. Hirschsprung-associated enterocolitis (HAEC) was reported in 68% (n = 36). Ten patients (18%) had Trisomy 21. IBD was diagnosed after age 5 in 63% (n = 34). IBD presentation consisted of colonic or small bowel inflammation resembling IBD in 69% (n = 38), unexplained or persistent fistula in 18% (n = 10) and unexplained HAEC >5 years old or unresponsive to standard treatment in 13% (n = 7). Biological agents were the most effective (80%) medications. A third of patients required a surgical procedure for IBD. Conclusion More than half of the patients were diagnosed with HD-IBD after 5 years old. Long segment disease, H https://library.globalcastmd.com/video/6707 2023-06-07T22:00:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10904 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10904/thumbnail_10904_1_1756397340215.jpg 2025 Pediatric Surgery Update Course - Updates in ECMO & eCPR Use On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Updates in ECMO & eCPR UseSpeakers: David Rothstein, MD & Juan P. Gurria, MD, MScModerator: Steven Lee, MD, MBA spaces/17/content/10904/file_10904_1_1756397250019.mp4 2025-08-28T16:07:29+00:00 1 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/627 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/627/thumbnail_714_2018-11-10_00-05-17.jpg Esophageal Atresia Comprehensive discussion of esophageal atresia and esophageal fistulas by Robert Parry. Initial management, operative management, pre operative echocardiogram, chest tube, thoracoscopic versus open esophageal atresia,TEF repair, long gap esophageal atresia, cervical esophagostomy, and esophageal replacements were topics of discussion covered during this segment.  spaces/1/content/627/file_714_2018-11-10_00-05-17.mp4 2018-11-10T00:05:17+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7934 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7934/thumbnail_9464_2024-01-31_18-00-08.jpg Comparación de la cirugía robótica versus toracoscópica para la reparación de la atresia de esófago Nuevo Artículo que tienes que conocer por la Dra. Cecilia Gigena "Comparación de la cirugía robótica versus toracoscópica para la reparación de la atresia de esófago" Autores: Mengxin Zhang, Jinshi Huang, Wei Zhong, Xi Zhang, Ying Zhou, Shuiqing Chi, Liying Rong, Yang Zhang, Guoqing Cao, Shuai Li, Shao-Tao Tang Artículo completo: https://gcmd.co/3O5VQWm Antecedentes A pesar del rápido avance de la cirugía robótica en diversos dominios quirúrgicos, solo se han informado casos de reparación robótica (RR) en recién nacidos con atresia esofágica (EA). Faltan estudios completos que comparen la RR y la reparación toracoscópica (TR). Nuestro objetivo era comparar la seguridad y eficacia de RR y TR para EA. Métodos Se realizó un estudio multicéntrico retrospectivo en 155 recién nacidos con EA sometidos a RR (79 pacientes) o TR (76 pacientes) entre agosto de 2020 y febrero de 2023 mediante emparejamiento por puntuación de propensión (PSM). Durante la RR se aplicaron técnicas de distribución asimétrica de puertos y de inserción de trocar escalonado. Se compararon los resultados demográficos y quirúrgicos. Resultados  Después del emparejamiento, se incluyeron 63 pacientes (de 79) en el grupo RR y 63 pacientes (de 76) en el grupo TR. No hubo diferencias significativas en los resultados a corto plazo entre los dos grupos, excepto por un tiempo operatorio total más largo (173,81 vs. 160,54 min; P<0,001) y un tiempo anastomótico más corto (29,52 vs. 40,21 min; P<0,001) en el grupo RR. En comparación con el grupo TR, el grupo RR tenía una edad mayor en el momento de la cirugía (8,00 frente a 3,00 días; P <0,001), pero una tasa de neumonía comparable. Más importante aún, la incidencia de fuga anastomótica (4,76% frente a 19,05%, P = 0,013), estenosis anastomótica (15,87% frente a 31,74%, P = 0,036) dentro del año posoperatorio y reingreso no planificado (32,26% frente a 60,00% , P = 0,030) dentro de los dos años posteriores a la operación fueron menores en https://library.globalcastmd.com/video/7934 2024-01-31T18:00:08+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/5140 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/5140/thumbnail_5140_2022-03-07_16-00-13.jpg Controversies in the treatment on CPAM - Part I Part 1: Only symptomatic patients should undergo surgery Pro:Nigel Hall (Southampton)  Con        Juan Carlos de Agustin (Madrid)                 Moderators: Martin Lacher (Leipzig), Arnaud Bonnard (Paris), Paola Midrio (Treviso) June 2020 https://d1dnj0gz56dmdu.cloudfront.net/4faa7f83-8346-498c-a770-bd7d4f20b7ad/AppleHLS1/07d45b288c5d8f29472663e483b672a0.m3u8 2022-03-07T16:00:13+00:00 8 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/8663 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8663/thumbnail_10206_2024-05-28_11-50-23.jpg Update Course Rewind: Management of Recurrent Pancreatitis We're back with another Update Course Rewind from the 11th annual update Course held in Cleveland on August 2023 This time we have "Management of Recurrent Pancreatitis" with Dr. Juan Gurria, the surgical director of the Pancreas Care center at Cincinnati Children's Hospital Host: Cecilia Gigena   https://library.globalcastmd.com/video/8663 2024-05-28T11:50:23+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9263 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9263/thumbnail_10818_2024-10-09_08-55-22.jpg Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium Sarah Ullrich, Kelly Austin, Jeffrey R Avansino, Andrea Badillo, Casey M Calkins, Rachel C Crady, Megan M Durham, Megan K Fuller, Ankur Rana, Ron W Reeder, Rebecca M Rentea, Michael D Rollins, Payam Saadai, K Elizabeth Speck, Richard J Wood, Kathleen van Leeuwen, Jason S Frischer; Pediatric Colorectal and Pelvic Learning Consortium Background: Hirschsprung Disease (HD) is a rare cause of functional bowel obstruction in children. Patients are typically diagnosed in the neonatal period and undergo pull-through (PT) soon after diagnosis. The optimal management and post-operative outcomes of children who present in a delayed fashion are unknown. Methods: A multi-center retrospective review of children with HD was performed at participating Pediatric Colorectal and Pelvic Learning Consortium sites. Children were stratified by age at diagnosis (neonates 5 years). Results: 679 patients with HD from 14 sites were included; Most (69%) were diagnosed in the neonatal period. Age at diagnosis was not associated with differences in 30-day complication rates or need for PT revision. Older age at diagnosis was associated with a greater likelihood of undergoing fecal diversion after PT (neonate 10%, infant 12%, toddler 26%, child 28%, P < 0.001) and a greater need for intervention for constipation or incontinence postoperatively (neonate 56%, infant 62%, toddler 78%, child 69%, P < 0.001). Conclusion: Delayed diagnosis of HD does not impact 30-day post-operative outcomes or need for revision surgery but, delayed diagnosis is associated with increased need for fecal diversion after pull-through. spaces/1/content/9263/file_10818_2024-10-09_08-55-22.mp4 2024-10-09T08:55:22+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9773 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9773/thumbnail_11338_2025-02-11_06-46-35.jpg QUAD #25: Medical Management of Minor Laryngeal Clefts with Dr. Greg Burg In this episode, Dr. Greg Burg, a pulmonologist at Cincinnati Children’s, discusses the medical management of minor laryngeal clefts, highlighting a comprehensive approach that includes swallow assessments, pulmonary therapies, and long-term monitoring. Learn how a combination of safe swallowing strategies, dietary modifications, and reactive therapies can help manage aspiration risks in pediatric patients. Key Takeaways: Diagnostic Approach: Importance of bronchoscopy, swallow studies, and chest CT scans in identifying aspiration-related issues. Medical Management: Use of inhaled steroids, macrolide therapy, and saline treatments to reduce inflammation and improve airway clearance. Swallowing & Nutrition: Thickened feeds, pacing, and feeding tube strategies to prevent aspiration. Long-Term Monitoring: Vaccination recommendations, environmental risk reduction, and periodic reassessments to guide further intervention. This discussion provides valuable insights into how a multidisciplinary approach can improve outcomes for children with minor laryngeal clefts. Don’t forget to like, comment, and subscribe for more expert discussions! https://library.globalcastmd.com/video/9773 2025-02-11T06:46:35+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9114 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9114/thumbnail_10668_2024-09-04_04-57-42.jpg Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review Emma J. Moore, Susan M. Sawyer, Sebastian K. King, Melissa Y. Tiena, Misel Trajanovska Background: Despite surgical advances for complex congenital colorectal conditions, such as anorectalmalformation (ARM) and Hirschsprung disease (HD), many adolescents require transfer from specialistpediatric to adult providers for ongoing care. Methodology: A systematic review of PubMed, MEDLINE and Embase was conducted to identify what isknown about the transitional care of patients with ARM and HD (PROSPERO # CRD42022281558). ThePreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework guided ourreporting of studies that focused on the transition care of 10e30-year-olds with ARM and HD. Results: Eight studies were identified that included patient and parent (n¼188), and/or clinician per-spectives (n¼334). Patients and clinicians agreed that transitional care should commence early inadolescence to support transfer to adult care when a suitable level of maturation is reached. There waslittle evidence from patients that transfer happened in a timely or coordinated manner. Patients felt thatclinicians did not always understand the significance of transfer to adult services. No models of transitioncare were identified. Surgeons ranked ARM and HD as the most common conditions to experiencedelayed transfer to adult care. Beyond pediatric surgeons, patients also highlighted the importance ofgeneral practitioners, transitional care coordinators and peer support groups for successful transition. Conclusions: There is little research focused on transitional care for patients with ARM and HD. Givenevidence of delayed transfer and poor experiences, the development of models of transitional care ap-pears essential. https://library.globalcastmd.com/video/9114 2024-09-04T04:57:42+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/4587 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4587/thumbnail_5824_2021-10-28_12-02-13.jpg Update Course Rewind: Spontaneous Pneumothorax 2021 We've seen a lot of recent updates about the management of primary spontaneous pneumothoraces. At the recent 2021 Pediatric Surgery Update Course, Dr. Ronnie Sullins reviewed the latest literature. And now we're giving you the highlights in this video.   Hosted by: Rod Gerardo, Ellen Encisco, Todd Ponsky https://library.globalcastmd.com/video/4587 2021-10-28T12:02:13+00:00 7 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6121 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6121/thumbnail_6121_2022-11-16_22-00-09.jpg ¿Todas las CPAM diagnosticadas prenatalmente requieren cirugía? Otro artículo que tenes que conocer por Cecilia Gigena "La historia natural de las malformaciones congénitas broncopulmonares diagnosticadas prenatalmente" Matilda Karlsson et. al.  Full article: https://www.jpedsurg.org/article/S0022-3468(22)00253-6/fulltext Journal of Pediatric Surgery Abstract Background The natural history of congenital pulmonary airway malformations (CPAM) and bronchopulmonary sequestrations (BPS) is not fully understood, and the management of the newborn with an asymptomatic lesion is a controversial issue. We aimed to study the natural history and outcome of CPAM/BPS at our institution with a policy of watchful waiting, and to investigate if any prognostic factors in the pre- and/or postnatal- period may predict the need for surgery. Material and methods A retrospective review study was conducted of children prenatally diagnosed with CPAM and/or BPS during the 18-year period, from 2002 to 2020. Data from the pre and postnatal period was collected and analysed. Results Sixty- six patients with prenatally observed lung lesions were entered in the study, with an overall survival rate of 94%. Fifty-six percent of the lesions decreased in size during gestation. Thirty-one percent had surgery and 69% could be managed conservatively with a median follow-up of 4 years. Nineteen percent developed symptoms after the neonatal period. Children with a presence of mediastinal shift on postnatal imaging (p = 0.003), with a high CVR (p = 0.005) and a large lesion size during gestation (p = 0.014) were significantly more likely to require surgery. Conclusion Prenatal regression is common among prenatally diagnosed CPAM/BPS and the majority of children that are asymptomatic beyond the neonatal period will remain asymptomatic throughout their childhood. Future analysis with a longer follow-up might give new insights in order to identify children at risk of developing symptoms. https://d1dnj0gz56dmdu.cloudfront.net/20a11a14-1ece-4152-a337-f41c7f8cc8a4/AppleHLS1/2566c4df9a065884c909ab04dc534691.m3u8 2022-11-16T22:00:09+00:00 4 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/3989 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3989/thumbnail_3989_2021-05-03_12-16-43.jpg SUSPENSION STITCHES FOR COMPLEX NEONATAL ANASTOMOSES IPEG 2013 Annual Meeting Suspension Stitches for Complex Neonatal Anastomosis D.A. Rideout, M.S. Clifton   https://d1dnj0gz56dmdu.cloudfront.net/9e0037eb-5e64-4a8b-8952-51fe46d20b4a/AppleHLS1/6d5fe549d3923f20c84ebbacff7b80e0.m3u8 2021-05-03T12:16:43+00:00 26 Medical Education yes IPEG no https://library.globalcastmd.com/video/8468 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8468/thumbnail_10003_2024-04-01_13-47-03.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Sung Min Lee Watch Dr. Sung Min Lee present on "Case presentation: redo Kasai portoenterostomy." spaces/17/content/8468/file_10003_2024-04-01_13-47-03.mp4 2024-04-01T13:47:03+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10051 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10051/1a5f4968c6144a61c52a019b051706d1.jpg WINNER - Dr. Mark Ryan - Best of the Best in Pediatric Surgery 2025 Watch IPEG's Dr. Mark Ryan’s presentation on “From scan to scalpel: crafting surgical blueprints with 3D imaging" at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10051 2025-03-19T09:42:11+00:00 2 channel#live_event_content BOB2025 pediatric surgery some4pedsurg scan scalpel crafting surgical blueprints 3D printing Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6922 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6922/thumbnail_6922_2023-07-20_08-00-19.jpg IPEG 2020 TOP ABSTRACT: Thoracoscopic Repair of Right Congenital Diaphragmatic Hernia on ECMO Presenter: Wendy Jo Svetanoff, MD, MPHEmail: wsvetanoff@cmh.eduSocial Media: @WJSvetanoff @JFrasMDAuthors: Wendy Jo Svetanoff, MD, MPH; Katrina L Weaver, MD; Jason D Fraser, MD; Children's Mercy Hospital, Kansas City, MO, USACase Presentation: A male infant was prenatally diagnosed with a right-sided congenital diaphragmatic hernia, with a lung-to-head ratio of 1.1 and liver herniating into the chest. After birth at 39 weeks, he developed respiratory failure requiring veno-arterial extracorporeal membrane oxygen (ECMO) support.Operative Intervention: A thoracoscopic approach was selected and was performed within 24 hours of ECMO cannulation. The bowel and the liver were reduced into the abdomen and a thin rim of diaphragm posteriorly and medially was found. A 5 x 10cm biologic mesh was placed as an underlay and a 5 x 7.5cm polytetrafluoroethylene mesh was secured to the ribs laterally and to the muscle postero-medially as an overlay.Conclusion: The patient was decannulated from ECMO, underwent a laparoscopic gastrostomy that showed the repair to be intact, and was discharged home on POD #67. This video demonstrates feasibility of the thoracoscopic repair of right-sided CDH while on ECMO. spaces/2/content/6922/file_8378_2023-07-20_08-00-19.mp4 2023-07-20T08:00:19+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/9212 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9212/thumbnail_10767_2024-09-27_07-04-10.jpg Neuroblastoma with Dr. Meera Kotagal In this podcast, we cover the basics of neuroblastoma including presentation, differentiation, diagnosis and management with Dr. Meera Kotagal. Host: Em Gootee https://library.globalcastmd.com/video/9212 2024-09-27T07:04:10+00:00 10 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6327 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6327/thumbnail_6327_2023-02-01_22-00-12.jpg BOB in Ped Surg 2023 - CAPS Winner - Christina Theodorou, MD Watch the CAPS winner, Christina Theodorou, MD, present her presentation on "Evaluation of a novel biodegradable polyurethane patch for repair of diaphragmatic hernia in a rat model: a pilot study." https://library.globalcastmd.com/video/6327 2023-02-01T22:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11125 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/11125/thumbnail_11125_1_1760703946151.jpg Beyond ChatGPT: AI Tools You’re Not Using (But Should) Everyday productivity tools for busy professionals.This workshop isn't be a lecture—it’s more of a “show and tell”. Dr. Todd Ponsky walks you through the AI tools he actually uses day-to-day as a busy surgeon. Then he would like to hear what tools you’re using.Think of this as a conversation, not a class. Dr. Ponsky will walk through the AI tools he relies on to save time and work smarter in his daily professional life. These aren’t advanced, high-tech products—they’re simple, practical tools that anyone can use.He shared:• Quick Video Editing tools• Building apps without coding• AI media editing and creation tools. • Workflow automation toolsNo jargon, no hype, no formal lecture—just everyday tools you can put to work right away. https://library.globalcastmd.com/video/11125 2025-10-17T12:22:19+00:00 5 AI Artificial intelligence chatgpt gemini open evidence vibe coding AI in social media AI in media automation video editing Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9095 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9095/thumbnail_10649_2024-08-28_13-18-23.jpg 2024 Update Course - Updates in Techniques from Mexico - Carlos Colunga & Todd Ponsky This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Dr. Carlos Colunga with Todd Ponsky as moderator, speaks on the updates in techniques from Mexico.   Topics to be discussed: • Percutaneous Trach • CO2 Laser spaces/17/content/9095/file_10649_2024-08-28_13-18-23.mp4 2024-08-28T13:18:23+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7395 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7395/thumbnail_8888_2023-10-23_22-00-09.jpg CNA Conference - Dr. Dan Wichterle - The Effect of Pulsed Electric Field Energy on Cardiac Ganglionic Plexi evaluated by Extra Cardiac Vagal Stimulation Dr. Dan Wichterle presents “The Effect of Pulsed Electric Field Energy on Cardiac Ganglionic Plexi evaluated by Extra Cardiac Vagal Stimulation” at the Second World Congress on Cardioneuroablation. spaces/17/content/7395/file_8888_2023-10-23_22-00-09.mp4 2023-10-23T22:00:09+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9092 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9092/thumbnail_10646_2024-08-28_13-17-13.jpg 2024 Update Course - Rapid Fire Updates in Pediatric Trauma - Regan Williams & Katie Russell This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Regan Williams and Katie Russell as moderator, does rapid fire updates in Pediatric Trauma.   Topics to be discussed: • Pediatric Vascular Trauma • DVT Prophilaxis • Pediatric REBOA   spaces/17/content/9092/file_10646_2024-08-28_13-17-13.mp4 2024-08-28T13:17:13+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7650 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7650/thumbnail_9163_2023-11-15_16-00-07.JPG Transition of Care - Sexuality Animation video on Sexuality, from the video series 'Transition of Care'. ERNICA (https://ern-ernica.eu/) Target audience: Healthcare providers spaces/7/content/7650/file_9163_2023-11-15_16-00-07.mp4 2023-11-15T16:00:07+00:00 Transition channel#eupsa Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/7996 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7996/thumbnail_9526_2024-02-19_11-18-07.jpg QUAD #3 Pt.1: Complications of Button Battery & Caustic Ingestion with Dr. Phil Putnam Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to review complications of button battery & caustic ingestion with Dr. Phil Putnam, a pediatric gastroenterologist from Cincinnati Children's. Host: Kim Priban https://library.globalcastmd.com/video/7996 2024-02-19T11:18:07+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5860 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5860/thumbnail_5860_2022-09-14_18-00-11.jpg Best of the Best Gen Surg - Limited Health Literacy is Associated with Reduced Adherence to ERP Components. - Dr. Shao Listen to Connie Shao gave her presentation of "Limited Health Literacy is Associated with Reduced Adherence to ERP Components" at the first ever Best of the Best in General Surgery event. spaces/17/content/5860/file_7278_2022-09-14_18-00-11.mp4 2022-09-14T18:00:11+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8097 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8097/thumbnail_9630_2024-03-20_18-48-31.jpg La obstrucción pediátrica del intestino delgado por adherencias se asocia con una carga económica sustancial y una alta frecuencia de complicaciones posoperatorias Nuevo artículo que tienes que conocer del JPS por Cecilia Gigena "La obstrucción pediátrica del intestino delgado por adherencias se asocia con una carga económica sustancial y una alta frecuencia de complicaciones posoperatorias" Autores: Cecilia Arana Håkanson, Fanny Fredriksson, Helene Engstrand Lilja Articulo completo: https://gcmd.co/3TFasz1 Introducción Las adherencias intraabdominales pueden provocar una obstrucción adhesiva del intestino delgado (ASBO). La incidencia de ASBO es mayor en cirugía pediátrica que en cirugía de adultos. Sin embargo, falta conocer las complicaciones relacionadas con la ASBO, carga económica y pautas de manejo claras en el tratamiento de la ASBO. Los objetivos de este estudio fueron investigar los diagnósticos, tratamientos, complicaciones y costos subyacentes en la ASBO pediátrica. Método Un estudio observacional retrospectivo en niños de 0 a 15 años hospitalizados por ASBO durante 2000-2020. Los datos se extrajeron de las historias clínicas. Las complicaciones se clasificaron según la Clasificación de complicaciones quirúrgicas de Clavien Dindo. Las estadísticas descriptivas se presentaron como mediana, variables continuas y variables categóricas resumidas con frecuencias. El tiempo hasta ASBO se presentó como una estimación de Kaplan-Meier. Resultados En total se incluyeron 101 pacientes con 137 episodios de ASBO, de los cuales el 58,4% fueron sometidos a una primera cirugía (índice) durante el período neonatal. La mediana de seguimiento fue de 11,3 (0,6-19) años y la mediana de tiempo hasta la primera ASBO fue de 3,76 meses (IC 95%: 2,23-12,02). Los diagnósticos más frecuentes en la cirugía inicial fueron enterocolitis necrotizante, obstrucción duodenal y ASBO primaria. En el 86,6% de los pacientes, la primera ASBO no se resolvió con tratamiento conservador y fue necesaria una laparotomía. Se encontraron complicaciones postoperatorias en el 52%. El coste medio de un episodio de ASBO aguda fue de 36.236 dó spaces/14/content/8097/file_9630_2024-03-20_18-48-31.mp4 2024-03-20T18:48:31+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8761 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8761/thumbnail_10310_2024-06-20_11-55-10.jpg La seguridad y eficacia de la nutrición enteral temprana después del cierre de la enterostomía pediátrica Nuevo resumen de artículo por la Dra. Cecilia Gigena, seleccionado por el Dr. Jose Campos y la Sociedad Chilena de Cirujanos pediátricos y de la Revista Americana de Cirugía pediátrica. "La seguridad y eficacia de la nutrición enteral temprana después del cierre de la enterostomía pediátrica" Autores: James Cope, Douglas Greer, Soundappan S.V. Soundappan, Aneetha Pasupati, Susan Adams Artículo Completo: https://gcmd.co/4cnWw2V Introducción Se dice que mantener a los niños nada por vía oral hasta que recuperen la función intestinal después de la cirugía de anastomosis intestinal reduce las complicaciones. El ayuno puede extenderse hasta cinco días, con el riesgo de desnutrición y uso de nutrición parenteral. Este estudio tiene como objetivo establecer la eficacia y seguridad de la nutrición enteral temprana en niños sometidos a cierre de estoma intestinal. Metodología Se llevó a cabo un estudio de cohorte retrospectivo de niños de tres meses a 16 años a los que se les cerró un estoma intestinal entre el 1/1/2019 y el 31/12/2021 en dos hospitales pediátricos terciarios. Los niños alimentados con líquidos claros dentro de las 24 h (EEN) se compararon con los que comenzaron a alimentarse más tarde (LEN). El resultado primario fue la duración de la estancia posoperatoria (LOS) y los resultados secundarios incluyeron: tiempo hasta la alimentación; tiempo para defecar; y complicaciones. Resultados De los 129 niños a los que se les realizó un cierre de estoma, 69 cumplieron los criterios de inclusión: 35 (51 %) en el grupo LEN y 34 (49 %) en el grupo EEN. Los niños del grupo EEN tuvieron una LOS significativamente más corta (92,6 h frente a 121,7 h, p = 0,0045). La alimentación temprana también se asoció con una disminución significativa del tiempo para liberar líquidos (p < 0,001) y una ingesta enteral completa (p = 0,007). No hubo diferencias significativas entre grupos en cuanto a las complicaciones. Conclusión Comenzar la alimentación dentro de spaces/14/content/8761/file_10310_2024-06-20_11-55-10.mp4 2024-06-20T11:55:10+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/3263 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3263/thumbnail_3263_2020-11-04_06-00-08.jpg IPEG 2020 TOP ABSTRACT: An unusual flexible ureteroscopy IPEG 2020 Annual Meeting - Top Abstract Marc Barras, MD; Delphine Demede, MD; Yaqoub Jafar, MD; Guillaume Rossignol, MD; Aurora Mariani, MD; Pierre-Yves Mure, MD, PhD; Pierre Mouriquand, MD, PhD; Université Lyon 1 - Service de chirurgie pédiatrique de Lyon This is a case of an 11 year old boy which presents with a 8 mm ureteric stone in a transplanted kidney. Transplantation was performed with a living donor 1 year before for nephronophthisis. There was no urolithiasis in the father pre-transplant assessment. The ureteral stone was found on ultrasound scan 1 year after the transplantation. The ureter was reimplanted into the bladder using the Lich-Gregoir procedure, forbidding any access using standard ureteroscopy. A double J stent was first placed as the upper tract was dilated. A 5 mm port was placed through the lateral bladder wall, facing the ureteral meatus in order to introduce a guide in the renal cavities. After introducing a 6Fr sheath into the bladder a flexible ureteroscope was introduced into the ureter. A Dormia basket allowed to remove the stone. A trans-urethral catheter was left in the bladder for 4 days after the surgery. Marc Barras, MD  barras.marc@gmail.com  @CHUdeLyon twitter/facebook  @hospicesvicilslyon instagram  @UnivLyon1 tweeter/facebook  @univlyon1 instagram spaces/2/content/3263/file_4217_2020-11-04_06-00-08.mp4 2020-11-04T06:00:08+00:00 11 Medical Education yes IPEG no https://library.globalcastmd.com/video/10900 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10900/thumbnail_10900_1_1756389202173.jpg 2025 Pediatric Surgery Update Course - Updates in Appendicitis Management On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Updates in Appendicitis ManagementSpeakers: José Campos, MD & Steven Lee, MD, MBAModerator: Shawn St. Peter, MD https://library.globalcastmd.com/video/10900 2025-08-28T13:51:58+00:00 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2292 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/2292/thumbnail_2292_2020-03-03_22-06-41.jpg Oncofertility Ovarian Salvage At the 7th Annual Pediatric Surgery Update Course, Dr. Julie Rios discusses ovarian salvage. https://library.globalcastmd.com/video/2292 2020-03-03T22:06:41+00:00 4 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8774 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8774/thumbnail_10323_2024-06-26_07-15-16.jpg Reducing Unplanned Intubations in the Neonatal Intensive Care Unit After Children's Surgery New article you should know by Dr. Cecilia Gigena from the Journal of Pediatric Surgery "Reducing Unplanned Intubations in the Neonatal Intensive Care Unit After Children's Surgery: A Quality Improvement Project" Authors: Peter Juviler, Jeffrey M. Meyers, Elizabeth Levatino, Jessica Axford, Erin Barker, Lynnie Correll, Andrew S. Decker, John Faria, Marjorie Gloff, Anthony Loria, Margo McKenna, Jan Schriefer, Timothy P. Stevens, Sarah Verna, Sarah Wegman, Kori Wolcott, Derek Wakeman Full Article: https://www.jpedsurg.org/article/S0022-3468(23)00566-3/abstract Background: Unplanned intubation following children's surgery is associated with increased postoperative mortality. In response to being a National Surgical Quality Improvement Program - Pediatric (NSQIP-P) high outlier for postoperative unplanned intubation, we aimed to reduce postoperative unplanned intubation events by 25% in one year. Methods/Intervention: A multidisciplinary team of stakeholders was assembled in 2018. Most unplanned intubation events occurred in the neonatal intensive care unit (NICU). Based on apparent causes of unplanned intubations identified in case reviews, an extubation readiness checklist and a postoperative pain management guideline emphasizing non-opioid analgesics were implemented for NICU patients in September 2019. Postoperative unplanned intubation events were tracked prospectively and evaluated using quality improvement statistical process control methods. Results: Unplanned intubations in the NICU decreased from 0.27 to 0.07 events per patient in the post-intervention group (September 2019–June 2022, n = 145) compared to the pre-intervention group (January 2016–August 2019, n = 200), representing a 76% reduction. Postoperative opioid administration decreased significantly, while acetaminophen usage increased significantly over time. Balancing measures of postoperative pneumonia rate (1.5% vs 0.0%, p = 0.267) and median hospital length of stay [40 (IQR 51) da https://library.globalcastmd.com/video/8774 2024-06-26T07:15:16+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8030 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8030/thumbnail_9562_2024-02-28_08-13-01.jpg Index admission cholecystectomy for acute cholecystitis reduces 30-day readmission rates in pediatric patients New article you should know by Dr. Cecilia Gigena "Index admission cholecystectomy for acute cholecystitis reduces 30-day readmission rates in pediatric patients" Authors: Sagar J Pathak, Hyun Ji, Amar Nijagal, Patrick Avila, Sun-Chuan Dai, Mustafa A Arain, Abdul Kouanda Full article: https://gcmd.co/4bOu0Ih Abstract Background Adult patients with cholecystitis who do not undergo cholecystectomy on index admission have worse outcomes, however, there is a paucity of data of the role of cholecystectomy during index hospitalization in the pediatric population. Our aim was to determine outcomes and readmission rates among pediatric patients with cholecystitis who underwent index cholecystectomy versus those who did not. Methods We performed a retrospective study of pediatric (< 18 years old) admitted with acute cholecystitis (AC) requiring hospitalization using the 2018 National Readmission Database (NRD). Exclusion criteria included age ≥ 18 years and death on index admission. Multivariable logistic regression was performed to identify factors associated with 30-day readmissions. Results We identified 550 unique index acute cholecystitis admissions. Mean age was 14.6 ± 3.0 years. Majority of patients were female (n = 372, 67.6%). Index cholecystectomy was performed in (n = 435, 79.1%) of cases. Thirty-day readmission rate was 2.8% in patients who underwent index cholecystectomy and 22.6% in those who did not (p < 0.001). On multivariable analysis, patients who did not undergo index cholecystectomy had higher odds of 30-day readmission than those who did not (OR 10.66, 95% CI 5.06-22.45, p < 0.001). Female patients also had higher odds of 30-day readmission compared to males (OR 3.37, 95% CI 1.31-8.69). Conclusions Patients who did not undergo index cholecystectomy had over tenfold increase in odds of 30-day readmission. Further research is required to understand the barriers to index cholecystectomy despite society recommendations an https://library.globalcastmd.com/video/8030 2024-02-28T08:13:01+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6632 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6632/thumbnail_6632_2023-05-11_16-00-11.jpg Update Course Rewind: CT Evaluation of Suspected Airway Foreign Body 2022   We are back with another Update Course Rewind video! This time we are presenting you "CT Evaluation of Suspected Airway Foreign Body" with Dr. Charles Snyder from APSA Professional Development Committee. Host: Brittany Levy https://library.globalcastmd.com/video/6632 2023-05-11T16:00:11+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10901 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10901/thumbnail_10901_1_1756392724272.jpg 2025 Pediatric Surgery Update Course - Updates in Oncology On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Updates in OncologySpeakers: Gloria Gonzalez, MD, & Jennifer Aldrink, MDModerator: Meera Kotagal, MD, MPH spaces/17/content/10901/file_10901_1_1756392638993.mp4 2025-08-28T14:50:38+00:00 3 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10908 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10908/thumbnail_10908_1_1756410788197.png 2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. JPS Articles On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Updates in Pediatric Surgery feat. JPS ArticlesSpeaker: Alex Halpern, MD & Jill Knepprath, MD Moderator: Todd Ponsky, MD, FACS spaces/17/content/10908/file_10908_1_1756403950241.mp4 2025-08-28T17:59:10+00:00 1 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6002 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6002/thumbnail_6002_2022-10-20_18-00-09.jpg The Perineal Body Preserving PSARP (PPP) This new technique preserves the benefits of the traditional PSARP for a rectovestibular fistula repair and eliminates the risk of a perineal body dehiscence.  https://d1dnj0gz56dmdu.cloudfront.net/1e6a7920-2b52-446a-ae6c-a89e5183e390/AppleHLS1/b43788831587d1a571948a34add66b4e.m3u8 2022-10-20T18:00:09+00:00 38 channel#private_colorectal_channel ARM Anorectalmalformation rectovestibular perinealbody ppp psarp perinealbodypreservingpsarp Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/7225 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7225/thumbnail_8712_2023-10-04_18-00-07.jpg Burden of pilonidal disease and improvement in quality of life after treatment in adolescents New article you should know! by Dr. Cecilia Gigena "Burden of pilonidal disease and improvement in quality of life after treatment in adolescents” Authors: Fereshteh Salimi-Jazi, Claire Abrajano, Deanna Garza, Talha Rafeeqi, Razie Yousefi, Emi Hartman, Kira Hah, Melissa Wilcox, Modupeola Diyaolu, Stephanie Chao, Wendy Su, Thomas Hui, Claudia Mueller, Julie Fuchs, Bill Chiu Full article: https://gcmd.co/3Q4Dx4Y Purpose Pilonidal Disease (PD) affects adolescents in different aspects. We hypothesized that patients with different gender, ethnicity, and age have different quality of life (QOL) measurements which could improve with minimally invasive treatment (MIT). Methods 131 PD patients underwent MIT (laser epilation ± trephination) from 2019 to 2021. Patients’ demographics were recorded. Before and after MIT, patients received QOL questionnaire consisting of four categories: daily activities, sports participation, school/work attendance, and socializing. Data were analyzed using Student and multivariate t test. P < 0.05 was considered statistically significant. Results 101 (51 male, 50 female) patients were included. 30 patients with incomplete data were excluded. 54% of patients were < 18 years old. 47.5% were Hispanic. Median symptom duration prior to presentation was 5.4 (1.3–15) months. Prior to MIT, patients’ ability to perform daily activities, participate in sports, attend school/work, and socialize was moderately or severely impacted in 66%, 57%, 45%, and 23% of respondents, respectively; after MIT, only 7%, 8%, 2%, and 4% were affected (p < 0.01). Recurrence rate was 6%. Pre-MIT, older patients and non-Hispanics reported worse impact on their QOL. Symptom duration or PD recurrence did not correlate with patient’s pre- or post-MIT QOL. Conclusion Patients’ ethnicity and age impacted QOL in PD. All patients’ QOL significantly improved with MIT. Considering the importance of socializing, playing sports, and school/work attendance https://library.globalcastmd.com/video/7225 2023-10-04T18:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10672 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10672/cfefa8b562e8edfacc50f6b298dd054f.jpg 2025 Western Pediatric Trauma Conference - Day 2 Diedre Wyrick, Robert Swendiman, Matt Martin, Hilary Hewes, Katy Flynn-O’Brien, Regan Williams, Meera Kotagal, Laura Goodman - Interactive Session: Controversies in Pediatric Trauma Hilary Hewes - Pediatric Readiness / EMS Focus Kacey Barnes - Podium Best Practice Chelsea Peters, Beth Doby Knackstedt, Robert Swendiman - Spleen Panel Gary Geis - Trauma Simulation spaces/17/content/10672/cfefa8b562e8edfacc50f6b298dd054f.mp4 2025-07-15T14:47:02+00:00 2 Controversies in Pediatric Trauma 2025wptc western pediatric trauma conference pediatric trauma pediatric surgery some4pedsurg pediatric readiness ems focus podium best practice spleen Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7805 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7805/thumbnail_9325_2023-12-19_16-00-06.JPG What is Hirschsprung's Disease? An ERNICA animation for parents and families Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals. For further details about this condition, possible complications and specialised care, treatment and support services, please refer to your healthcare provider and local patient and family support group. You can ask your healthcare provider for details of local support group(s). Video owned by ERNICA (Erasmus MC). spaces/7/content/7805/file_9325_2023-12-19_16-00-06.mp4 2023-12-19T16:00:06+00:00 4 Intestinal Diseases Hirschsprung's Disease channel#eupsa Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/3239 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3239/thumbnail_3239_2020-10-28_05-00-07.jpg IPEG 2020 TOP ABSTRACT: Laparoscopic resection of pancreatic head with Roux-en-Y pancreaticojejunostomy for congenital hyperinsulinism in a 4-month infant IPEG 2020 Annual Meeting Top Abstracts Yuri Sokolov, MD; Artem Efremenkov, MD; Tatyana Utkina, MD; Anatole Kotlovsky, MD; Russian Medical Academy of Continuous Professional Education To present a case of pancreatic head resection with Roux-en-Y pancreaticojejunostomy performed laparoscopically for the focal form of congenital hyperinsulinism. A 4 month old, full termed, female, having presented with hypoglycaemia Examinations confirmed congenital hyperinsulinism. The imaging with positron emission tomography using 18 F- DOPA reveled an increased uptake of the isotope in the head of the pancreas (SUV 1,54), indicating focal hyperinsulinism. The pharmacologic therapy isn’t effective. The surgical treatment was then undertaken with laparoscopic approach. The head of pancreas and uncinate procress were mobilized and resected with the isthmus transsection using Harmonic scalpel. The Common bile duct was identified and left intact. Roux-en-Y loop was created and anastomosed intracorporeally to the end of the distal remaining part of the pancreas in the retrocolic faschion. The intraoperative course was uncomplicated. The postoperative period was uneventful. The patient remained euglycaemic at 2-year follow up. Yuri Sokolov, MD sokolov-surg@yandex.ru Twitter: YuriSokolovSurg spaces/2/content/3239/file_4193_2020-10-28_05-00-07.mp4 2020-10-28T05:00:07+00:00 6 Medical Education yes IPEG no https://library.globalcastmd.com/video/2082 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2082/thumbnail_3007_2020-01-14_18-00-21.jpg Laparoscopic-assisted Repair of Morgagni Hernia This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2082 2020-01-14T18:00:21+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8115 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8115/thumbnail_9648_2024-03-27_12-22-19.jpg QUAD #7 Anesthesia for Thoracoscopic Techniques with Dr. Nathaniel Tighe Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to review anesthesia for thoracoscopic techniques with Dr. Nathan Tighe, an anesthesiologist from Cincinnati Children's. Host: Em Gootee https://library.globalcastmd.com/video/8115 2024-03-27T12:22:19+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3149 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3149/thumbnail_4102_2020-10-07_05-00-06.jpg IPEG 2020 TOP ABSTRACT: Primary rectourethral fistula repair in a 17 year old male IPEG 2020 Annual Meeting - Top Abstracts Timothy F Tirrell, MD, PhD; Farokh R Demehri, MD; Prathima Nandivada, MD; Erin R McNamara, MD, MPH; Belinda H Dickie, MD, PhD; Boston Children's Hospital Congenital rectourethral fistula a well-recognized anorectal malformation. Repair is generally performed in the infant period, although sometimes delayed into childhood due to associated comborbidities or social situations. We recently encountered a 17 year old male patient with an unrepaired rectourethral fistula. We elected to repair this using a combined abdominal and perineal approach, with robotic assistance for abdominal and deep pelvic dissection. Considerations for operative repair for this patient are different from repair in an infant or child. Simultaneous urethroscopic evaluation helps identify the true origin of the fistula and minimize the potential of a posterior urethral diverticulum. The robotic system is helpful for dissection of deep pelvic structures in this large patient, and for visualizing the location of the cystoscope. Lastly, performing the anoplasty in lithotomy position is challenging but eliminates the need to change to prone positioning for perineal work, which is helpful in this adult sized patient. Timothy F Tirrell, MD, PhD timothy.tirrell@childrens.harvard.edu spaces/2/content/3149/file_4102_2020-10-07_05-00-06.mp4 2020-10-07T05:00:06+00:00 3 Medical Education yes IPEG no https://library.globalcastmd.com/video/4344 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/4344/thumbnail_4344_2021-07-20_22-00-13.jpg IPEG Academy: Robotic Single Site Cholecystectomy IPEG Academy Instructional Video: Robotic Single Site Cholecsytectomy M.C. Mora, H.D. Le, D.C. Yu, G. Azzie, K.A. Diefenbach   https://d1dnj0gz56dmdu.cloudfront.net/984027f6-8144-49df-b7c7-1ca1974221a7/AppleHLS1/78084ae9eb63086bde870927a6711ad5.m3u8 2021-07-20T22:00:13+00:00 9 Medical Education yes IPEG no https://library.globalcastmd.com/video/9568 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9568/thumbnail_11125_2024-12-26_07-51-01.jpg PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study Prof James F Holmes, MD, Prof Kenneth Yen, MD, Irma T Ugalde, MD, Prof Paul Ishimine, MD, Pradip P Chaudhari, MD, Nisa Atigapramoj, MD, Prof Mohamed Badawy, MD, Prof Kevan A McCarten-Gibbs, MD, Donovan Nielsen, BA, Allyson C Sage, MPH, Grant Tatro, MD, Prof Jeffrey S Upperman, MD, Prof P David Adelson, MD, Prof Daniel J Tancredi, PhD, Prof Nathan Kuppermann, MD Background: The intra-abdominal injury and traumatic brain injury prediction rules derived by the Pediatric Emergency Care Applied Research Network (PECARN) were designed to reduce inappropriate use of CT in children with abdominal and head trauma, respectively. We aimed to validate these prediction rules for children presenting to emergency departments with blunt abdominal or minor head trauma. Methods: For this prospective validation study, we enrolled children and adolescents younger than 18 years presenting to six emergency departments in Sacramento (CA), Dallas (TX), Houston (TX), San Diego (CA), Los Angeles (CA), and Oakland (CA), USA between Dec 27, 2016, and Sept 1, 2021. We excluded patients who were pregnant or had pre-existing neurological disorders preventing examination, penetrating trauma, injuries more than 24 h before arrival, CT or MRI before transfer, or high suspicion of non-accidental trauma. Children presenting with blunt abdominal trauma were enrolled into an abdominal trauma cohort, and children with minor head trauma were enrolled into one of two age-segregated minor head trauma cohorts (younger than 2 years vs aged 2 years and older). Enrolled children were clinically examined in the emergency department, and CT scans were obtained at the attending clinician's discretion. All enrolled children were evaluated against the variables of the pertinent PECARN prediction rule before CT results were seen. The primary outcome of interest in the abdominal trauma cohort was intra-abdominal injury undergoing acute intervention (therapeutic laparotomy, angiographic embolisation, blood transf https://library.globalcastmd.com/video/9568 2024-12-26T07:51:01+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8881 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8881/thumbnail_10433_2024-07-17_10-21-20.jpg El cese del tratamiento con antibióticos para la apendicitis complicada en el momento del alta no aumenta el riesgo de infección posoperatoria Nuevo artículo que tienes que conocer del JPS, resumido por la Dra. Cecilia Gigena. "La interrupción del tratamiento con antibióticos para la apendicitis complicada en el momento del alta no aumenta el riesgo de infección posoperatoria" Autores: Katie Russell, David E. Skarda, Trahern W. Jones, Douglas C. Barnhart, Scott S. Corto Articulo: https://www.jpedsurg.org/article/S0022-3468(23)00560-2/abstract Objetivo La utilización de la terapia con antibióticos en el hogar después de una cirugía por apendicitis pediátrica complicada es muy variable. En 2019, interrumpimos la terapia con antibióticos domiciliarios en esta cohorte en nuestra institución. Intentamos evaluar nuestros resultados después de este cambio de protocolo. Métodos Consultamos los datos de nuestro NSQIP Pediatrics institucional para todos los niños sometidos a apendicectomía por apendicitis complicada entre enero de 2015 y mayo de 2022. Identificamos dos cohortes: los dados de alta con antibióticos en el hogar (1/1/15-30/4/19) y los dados de alta sin antibióticos caseros (1/5/19-30/4/22). Ambos grupos fueron tratados con antibióticos parenterales basados ​​en la respuesta mientras estaban hospitalizados y dados de alta cuando estaban clínicamente bien. Nuestro resultado primario fue la infección postoperatoria del espacio profundo de los órganos que requirió intervención (drenaje, aspiración, reoperación o antibióticos). Los resultados secundarios incluyeron duración de la estancia hospitalaria, infección superficial del sitio, colitis por Clostridium difficile, visitas a urgencias, imágenes por TC postoperatorias y reingreso. Resultados Hubo 185 pacientes en el grupo con antibióticos domiciliarios (83% dados de alta con antibióticos) y 121 pacientes en el grupo sin antibióticos domiciliarios (8,3% dados de alta con antibióticos). No hubo diferencias significativas en la infección del espacio orgánico profundo que requirió intervención (7% vs. 7,4%, p = 1,0). La duración de la est spaces/14/content/8881/file_10433_2024-07-17_10-21-20.mp4 2024-07-17T10:21:20+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7881 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7881/thumbnail_9410_2024-01-10_22-00-17.jpg Meta-Analysis of Enhaced Recovery After Ssurgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery New article you should know! From Journal of Pediatric Surgery by Dr. Cecilia Gigena "Meta-Analysis of Enhaced Recovery After Ssurgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery”  Authors: Yingchun Su, Lu Xu, Jinhui Hu, Jiayinaxi Musha, Song Lin Full article: https://gcmd.co/3RRiwul Objective This meta-analysis aimed to investigate the effects and safety of enhanced recovery after surgery (ERAS) for the management of pediatric colorectal surgery. Methods We retrieved relevant studies from PubMed, EMBASE, the Cochrane Library, and China National Knowledgement Infrastructure (CNKI) from its inception until 20 May 2022. Meta-analysis was performed using RevMan 5.4, and power analysis was calculated using G∗Power 3.1. Results Ten studies involving 1298 patients were included for meta-analysis. Meta-analysis suggested that ERAS protocol significantly lessened intraoperative fluids (mean difference [MD], −3.11; 95% confidence interval, −4.99 to −1.22) and postoperative opioid usage (MD, −0.58; 95% CI, −1.08 to −0.26), shortened time to bowel return (MD, −12.02; 95% CI, −20.03 to −4.02), first enteral nutrition (MD, −20.88; 95% CI, −28.34 to −13.42) and oral intake (MD, −1.40; 95% CI, −1.96 to −0.84), lowered readmission rate in 30 days (relative risk [RR], 0.61, 95% CI, 0.41 to 0.90), shortened length of hospital stay (MD, −1.50; 95% CI, −1.25 to −1.09), and reduced in-hospital costs (MD, −0.26; 95% CI, −0.34 to −0.18); however, there was a comparable rate of postoperative complications between the two groups. Sensitivity analysis significantly changed the result of the readmission rate in 30 days. The statistical power of all outcomes ranged from 26.84% to 99.44%. Conclusions Our findings demonstrate the beneficial role of the ERAS protocol in accelerating rehabilitation, shortening the length of hospital stay, and decreasing in-hospital costs among pediatric patients undergoing colorectal surgery. https://library.globalcastmd.com/video/7881 2024-01-10T22:00:17+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9803 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9803/d8262638879bef81fda0f68add6803aa.jpg Quick Literature Updates Episode 17 We’re back with seventeenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/37983822/ Zhang M, Huang J, Jin Z, Zhang X, Zhou Y, Chi S, Rong L, Zhang Y, Cao G, Li S, Tang ST. Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis. Int J Surg. 2024 Feb 1;110(2):891-901. doi: 10.1097/JS9.0000000000000889. PMID: 37983822; PMCID: PMC10871573. https://pubmed.ncbi.nlm.nih.gov/38677965/ Ullrich S, Austin K, Avansino JR, Badillo A, Calkins CM, Crady RC, Durham MM, Fuller MK, Rana A, Reeder RW, Rentea RM, Rollins MD, Saadai P, Speck KE, Wood RJ, van Leeuwen K, Frischer JS; Pediatric Colorectal and Pelvic Learning Consortium. Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium. J Pediatr Surg. 2024 Jul;59(7):1250-1255. doi: 10.1016/j.jpedsurg.2024.03.034. Epub 2024 Mar 18. PMID: 38677965. https://pubmed.ncbi.nlm.nih.gov/37978002/ Ameer A, Mirza MB, Talat N. The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial. J Pediatr Surg. 2024 Jun;59(6):1186-1189. doi: 10.1016/j.jpedsurg.2023.10.062. Epub 2023 Oct 30. PMID: 37978002. https://library.globalcastmd.com/video/9803 2025-02-14T05:16:47+00:00 channel#pediatric_surgery ped Surg Thoracoscopy tracheoesophageal fistula Hirschsprung em gootee stoma reversal some4pedsurg hirschsprung disease esophageal atresia Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8803 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8803/thumbnail_10353_2024-07-05_06-22-22.jpg Outcomes after surgery for children in Africa New article you should know selected by the Chilean Society of pediatric surgeons Summarized by Dr. Cecilia Gigena  "Outcomes after surgery for children in Africa (ASOS-Paeds): a 14-day prospective observational cohort study" Authors: ASOS-Paeds Full article: https://gcmd.co/4eWHXFR Background: Safe anaesthesia and surgery are a public health imperative. There are few data describing outcomes for children undergoing anaesthesia and surgery in Africa. We aimed to get robust epidemiological data to describe patient care and outcomes for children undergoing anaesthesia and surgery in hospitals in Africa. Methods: This study was a 14-day, international, prospective, observational cohort study of children (aged <18 years) undergoing surgery in Africa. We recruited as many hospitals as possible across all levels of care (first, second, and third) providing surgical treatment. Each hospital recruited all eligible children for a 14-day period commencing on the date chosen by each participating hospital within the study recruitment period from Jan 15 to Dec 23, 2022. Data were collected prospectively for consecutive patients on paper case record forms. The primary outcome was in-hospital postoperative complications within 30 days of surgery and the secondary outcome was in-hospital mortality within 30 days after surgery. We also collected hospital-level data describing equipment, facilities, and protocols available. This study is registered with ClinicalTrials.gov, NCT05061407. Findings: We recruited 8625 children from 249 hospitals in 31 African countries. The mean age was 6·1 (SD 4·9) years, with 5675 (66·0%) of 8600 children being male. Most children (6110 [71·2%] of 8579 patients) were from category 1 of the American Society of Anesthesiologists Physical Status score undergoing elective surgery (5325 [61·9%] of 8604 patients). Postoperative complications occurred in 1532 (18·0%) of 8515 children, predominated by infections (971 [11·4%] of 8538 children) https://library.globalcastmd.com/video/8803 2024-07-05T06:22:22+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8831 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8831/thumbnail_10382_2024-07-10_13-55-46.jpg Cessation of Antibiotics for Complicated Appendicitis at Discharge Does Not Increase Risk of Post-operative Infection New article you should know from JPS by Dr. Cecilia Gigena "Cessation of Antibiotics for Complicated Appendicitis at Discharge Does Not Increase Risk of Post-operative Infection" Authors: Katie W. Russell, David E. Skarda, Trahern W. Jones, Douglas C. Barnhart, Scott S. Short Full article: https://www.jpedsurg.org/article/S0022-3468(23)00560-2/abstract Purpose The utilization of home antibiotic therapy following surgery for complicated pediatric appendicitis is highly variable. In 2019, we stopped home antibiotic therapy in this cohort at our institution. We sought to evaluate our outcomes following this protocol change. Methods We queried our institutional NSQIP Pediatrics data for all children undergoing appendectomy for complicated appendicitis between January 2015 and May 2022. We identified two cohorts: those discharged with home antibiotics (1/1/15-4/30/19) and those discharged with no home antibiotics (5/1/19-4/30/22). Both groups were treated with response based parenteral antibiotics while hospitalized and discharged when clinically well. Our primary outcome was postoperative deep organ space infection requiring intervention (drainage, aspiration, reoperation, or antibiotics). Secondary outcomes included length of stay, superficial site infection, Clostridium difficile colitis, ER visits, post-operative CT imaging, and readmission. Results There were 185 patients in the home antibiotic group (83% discharged with antibiotics) and 121 patients in the no home antibiotic group (8.3% discharged with antibiotics). There were no significant differences in deep organ space infection requiring intervention (7% vs. 7.4%, p = 1.0). Our length of stay was not different (4.5 days vs. 3.95 days, p = 0.32), nor were other secondary outcomes or patient characteristics. All patients had documented follow-up. Conclusions We did not identify differences in deep organ space infections, length of stay or other events after eliminating home antib spaces/1/content/8831/file_10382_2024-07-10_13-55-46.mp4 2024-07-10T13:55:46+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8911 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8911/thumbnail_10463_2024-07-23_07-59-26.jpg Clinical Characteristics and Prognosis of Biliary Atresia with Low Serum Matrix Metalloproteinase-7 Levels New Article you should know by Dr. Cecilia Gigena from Journal of Pediatric Surgery. "Clinical Characteristics and Prognosis of Biliary Atresia with Low Serum Matrix Metalloproteinase-7 Levels" Authors: Jingying Jiang, Yifan Yang, Xue Ren, Chen Xu, Chunjing Ye, Jin Zhou, Manning Qian, Shuxin Wang, Gong Chen, Rui Dong, Shan Zheng Full article: https://gcmd.co/3zOQlqx Purpose Serum matrix metalloproteinase-7 (MMP-7) levels can precisely differentiate biliary atresia (BA) from non-BA cholestasis. However, serum MMP-7 levels of some BA patients were within normal range or slightly elevated. This study aimed to investigate the clinical characteristics and prognosis of biliary atresia with low serum MMP-7 levels. Method This is a retrospective cohort study. Cases of BA from July 2020 to December 2022 were consecutively enrolled. They were divided into low-MMP-7 group (MMP-7 ≤ 25 ng/ml) and high-MMP-7 group (MMP-7 > 25 ng/ml) according to serum MMP-7 levels preoperatively. The perioperative clinical characteristics, the 3-month and 6-month jaundice clearance rate post-Kasai procedure, and the native liver survival were compared between the two groups. Results A total of 329 cases were included in this study, 40 of which were divided into the low-MMP-7 group. Preoperative GGT and direct bilirubin levels in the low-MMP-7 group were significantly lower than those in the high-MMP-7 group (258.6 U/L, interquartile range [IQR]: 160.4411.6 vs. 406.8 IU/L, IQR: 215,655.0, P = 0.0076; 103.8 μmol/L, IQR: 79.0,121.4 vs. 115.3 μmol/L, IQR: 94,138.8, P = 0.0071), while the gender, the day at surgery and preoperative ALT, AST, TBA, total bilirubin levels showed no significant differences (P > 0.05). The 3-month and 6-month jaundice clearance rate post-Kasai procedure in the low-MMP-7 group were lower than those in the high-MMP-7 group (29.73% vs. 53.09%, P = 0.049; 32.14% vs. 54.73%, P = 0.023). The 1-year native liver survival rate was 29.63% for the low-MMP- https://library.globalcastmd.com/video/8911 2024-07-23T07:59:26+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5241 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5241/thumbnail_6488_2022-03-22_22-00-21.jpg Pectus-Patient Testimonial and Experience Cole Goodridge, former patient of Dr. Garcia's underwent a pectus repair procedure at twenty one years of age. He had previously had the ravitch procedure at age three. Following this procedure he was experiencing persistent symptoms. Following his second pectus repair by Dr. Garcia at Cincinnati Children's Hospital, he experienced intense pain while in the hospital as well as at home. Cole claims to have suffered from both physical and mental pain. He states he has benefited greatly through meditation as well as walking and remaining active. Cole also expresses his gratitude to the pain team for their constant care. A panel discussion includes topic of vacuum bell usage, time increment in which pectus patients should return to full activity, pectus procedure postoperative instructions, and rib flaring following the Nuss procedure.  spaces/1/content/5241/file_6488_2022-03-22_22-00-21.mp4 2022-03-22T22:00:21+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/4779 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4779/thumbnail_4779_2021-12-28_12-00-10.jpg Treatment of long-gap esophageal atresia September 2020                 CONTROVERSIES IN PEDIATRIC SURGERY Webinar Series                 Agostino Pierro (Toronto, Canada)                  Dariusz Patkowski (Wroklaw, Poland)                 Moderated by Martin Lacher (Leipzig Germany) and Augusto Zani (Toronto, Canada) https://d1dnj0gz56dmdu.cloudfront.net/ae287d1a-9e64-4596-9acb-bd07a80a19d2/AppleHLS1/6253a3e375de61471cc62c69d2d9b39e.m3u8 2021-12-28T12:00:10+00:00 6 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/6958 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6958/thumbnail_8414_2023-07-27_00-00-17.jpg Predictores clínicos y radiográficos de la necesidad de TC facial en trauma cerrado pediátrico Otro artículo que debes conocer de la Dra. Cecilia Gigena "Predictores clínicos y radiográficos de la necesidad de TC facial en trauma cerrado pediátrico" Nguyen BN et.al. Autores: Brittany N Nguyen 1, Mary J Edwards 2, Shachi Srivatsa 3, Derek Wakeman 4, Thais Calderon 4, Abdularouf Lamoshi 5, Kim Wallenstein 6, Tiffany Fabiano 7, Brittany Cantor 7, Kathryn Bass 8, Ananth Narayan 9, Ralph Zohn 10, Mitchell Ajedrez 11, Richard D Thomas 12 Artículo completo: https://pubmed.ncbi.nlm.nih.gov/35529807/  Abstract Antecedentes: Las lesiones faciales son comunes en niños con traumatismo cerrado. La mayoría son laceraciones de tejidos blandos y lesiones dentales fácilmente evidentes en el examen clínico. Las fracturas que requieren intervención quirúrgica son raras. Faltan pautas para la utilización de la TC maxilofacial en niños. Presumimos que la TC de cabeza es una herramienta de detección útil para identificar a los niños que requieren una TC facial específica. Métodos:  Realizamos una revisión retrospectiva multicéntrica de niños menores de 18 años con lesiones faciales cerradas que se sometieron a TC de la cara y la cabeza desde 2014 hasta 2018 en cinco centros de trauma pediátrico. Se excluyeron las lesiones penetrantes y las mordeduras de animales. Se revisaron los hallazgos de imágenes y examen físico, así como las intervenciones por fractura facial. Las fracturas clínicamente significativas fueron aquellas que requirieron una intervención durante la estancia hospitalaria o dentro de los 30 días posteriores a la lesión. Resultados: Se identificaron 322 niños con fracturas faciales. La TC de cabeza pudo identificar una fractura facial en el 89% (287 de 322) de los niños con fracturas faciales vistos en una TC facial dedicada. Las fracturas nasales con desplazamiento mínimo, las fracturas mandibulares y las lesiones dentales fueron las fracturas faciales más comunes que no se identificaron en la TC de la cabeza. Solo el 2% de la cohorte https://library.globalcastmd.com/video/6958 2023-07-27T00:00:17+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/11303 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11303-c5ffa95fbb.jpg Percutaneous pigtail catheter versus chest tube for the treatment of pediatric traumatic hemothorax: An Eastern Association for the Surgery of Trauma multicenter study Laura F Goodman 1, Alice M Martino, John Schomberg, Jason D Sciarretta, Mari Freedberg, Adora Santos, Sharven Taghavi, Martin Tafazoli, David V Shatz, Kathleen E Doyle, Samantha M Koenig, Robert T Russel, V Christian Sanderfer, Samuel W Ross, Lawrence Willis, Regan F Williams, Meera Kotagal, Stephen J Hartman, Deidre Wyrick, Derek Krinock, Nicholas Namias, Connor Shatz, Ryan Spurrier, MaKayla L O'Guinn, R Scott Eldredge, David N Notrica, Allison G McNickle, Michael Farrell, Elizabeth Hughes, Allison B Frederick, Christian J Streck, Roseanna Guzman-Curtis, Alexandra Dimmer, Isabella Armento, Shea P Gallagher, Matthew J Martin, Oliver B Lao, Kelsey Palladino, Thomas K Duncan, Graal Diaz, Stephanie D Chao, Meagan E Peterson, David Darcy, Matt Byrne, Francesk Mulita, Vasileios Mousafeiris, Arturo Aranda, Rodrigo Gerardo, Daniel C Cullinane, Christopher G Turner, Claudia Alvarez, Sara B Edwards, Raul Coimbra, Lucas P Neff, Jessica L Rauh, Jessica A Keeley, Hye Kwang E Kim, Christopher Fisher, Priya Patel, Victoriya Staab, Charles Lu, Utsav Patwardhan, Romeo C Ignacio, Andrei Radulescu, Georgi Mladenov, Patrick C Bonasso 2nd, Daniel W Regeir, Patricio E Lau, Samantha Troncoso-Munoz, Alana Beres, Stephanie Papillon, Amanda Carlson, Syamal Dave Bhattacharya, Alexander Urevick, Brianna M Holcomb, Shannon L Castle, Umar F Bhatti, Eric J Ley, Peter Ehrlich, Nikhil Shah, Jeffry NahmiasBackground: Small percutaneously placed pigtail catheters (PCs) for traumatic hemothorax (HTX) are safe and effective in adults but have not been evaluated in children. We hypothesized that PC would have similar efficacy and complication rates compared with chest tubes (CTs).Methods: A retrospective study of hemodynamically stable pediatric trauma patients (younger than 18 years) with HTX or hemopneumothorax was conducted at 41 trauma centers (January 2010 to December 2022). Catheter failure was defined as a requirement for surgery, additional tube placement, or thrombolytics. Multivariable logist spaces/1/content/11303/file_11303_1_1765309210160.mp4 2025-12-09T19:40:10+00:00 pedsurg pediatric surgery some4pedsurg pigtail catheter chest tube CT thrombolytics hemopneumothorax respiratory distress effusion Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/639 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/639/thumbnail_726_2018-11-10_00-05-17.jpg Abdominal Wall Defects Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.  https://d1dnj0gz56dmdu.cloudfront.net/97d6ca2c-4906-4974-8fb8-af252899f70e/AppleHLS1/09f689d30db096ed623d5a63e13da506.m3u8 2018-11-10T00:05:17+00:00 10 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10037 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10037/2dbaadea495c0c731dd533b6335206e4.jpg Dr. Zane Hellmann - Best of the Best in Pediatric Surgery 2025 Watch AAP's Dr. Zane Hellman’s presentation on “Local Infrastructure and Economy Predicts Traffic Related Fatalities in Children” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10037 2025-03-19T09:12:11+00:00 channel#live_event_content BOB2025 pediatric surgery some4pedsurg Local Infrastructure Economy Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6976 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6976/thumbnail_8435_2023-08-07_12-00-14.jpg Quick Literature Updates Episode 12 We’re back with twelfth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash Rauh JL, Ganapathy AS, Bosley ME, Rangecroft A, Zeller KA, Sieren LM, Petty JK, Pranikoff T, Neff LP. Making common duct exploration common-balloon sphincteroplasty as an adjunct to transcystic laparoscopic common bile duct exploration for pediatric patients. J Pediatr Surg. 2023 Jan;58(1):94-98. doi: 10.1016/j.jpedsurg.2022.09.016. Epub 2022 Sep 24. PMID: 36283848. https://www.jpedsurg.org/article/S0022-3468(22)00602-9/fulltext Wu EY, Curran PL, Zukowski M, King TS, Martin KL, Grant CN. Cervical Collar Clearance in Obtunded Children Presenting Without a Known Traumatic Mechanism: Is Imaging Necessary? J Pediatr Surg. 2023 Aug;58(8):1494-1499. doi: 10.1016/j.jpedsurg.2023.03.003. Epub 2023 Mar 14. PMID: 37029027. https://www.jpedsurg.org/article/S0022-3468(23)00189-6/fulltext Treider M, Engebretsen AH, Skari H, Bjørnland K. Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction? Pediatr Surg Int. 2022 Mar;38(3):479-484. doi: 10.1007/s00383-021-05053-3. Epub 2021 Dec 15. PMID: 34910223; PMCID: PMC8831256. https://link.springer.com/article/10.1007/s00383-021-05053-3 https://library.globalcastmd.com/video/6976 2023-08-07T12:00:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5340 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/9/content/5340/thumbnail_6588_2022-04-22_12-04-30.jpg StayCurrent Forums - Public Health Education Rod Gerardo, CCHMC Research Fellow and Brittany Levy, CCHMC Research Fellow, talk about the education of public healthcare on this week's episode of the StayCurrent Forums. https://library.globalcastmd.com/video/5340 2022-04-22T12:04:30+00:00 1 Medical Education yes StayCurrent Forums no https://library.globalcastmd.com/video/9358 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9358/thumbnail_10914_2024-10-29_12-37-15.jpg QUAD #18: Vascular Rings & Aortic Uncrossing with Dr. Carl Backer In this video, Dr. Carl Backer, renowned pediatric surgeon, shares insights on vascular rings and aortic uncrossing at Cincinnati Children's Hospital. Discover the history, diagnosis, and surgical approaches to these complex congenital anomalies that compress the trachea and esophagus, impacting respiratory and digestive health. Key Points Covered: History of Vascular Rings: From Dr. Robert Gross's first case in 1945 to the techniques established today. Diagnostic Process: Importance of chest X-rays, bronchoscopy, CT scans, and echocardiograms in identifying vascular ring anomalies. Surgical Techniques: How procedures like dividing double aortic arches or addressing Kommerell's diverticulum relieve pressure on vital structures. Fetal Diagnosis Benefits: Early detection has reduced surgery age, hospital stay, and respiratory complications for newborns. Tune in to learn how Cincinnati Children’s continues to lead in the treatment of vascular rings and congenital airway anomalies. Don’t forget to like, comment, and subscribe for more pediatric surgical content! https://library.globalcastmd.com/video/9358 2024-10-29T12:37:15+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11307 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11307-8a90f7f854.jpg Outcomes of Fontan Patients Undergoing Combined Heart - Liver Transplantation in Pediatric Hospitals Across the U.S. Grant Chappell, Amir Mehdizadeh-Shrifi, Darren Turner, Alexander Bondoc, Suzanne Evans, Alexander G Miethke, Gregory Tiao, Meghan M Chlebowski, Alexander R Opotowsky, David Lehenbauer, Marco Ricci, Awais Ashfaq, David L S MoralesBackground: With increasing numbers of patients surviving Fontan palliation, there is a rise in Fontan-associated liver disease and transplantation strategies inclusive of combined heart-liver transplantation (CHLT). Therefore, we reviewed a combined dataset assessing outcomes of pediatric patients undergoing CHLT. Methods: Patients undergoing Fontan CHLT between 2010 and 2024 at pediatric hospitals were queried from a merged dataset of the Pediatric Health Information System and United Network for Organ Sharing. Matching (2:1) was completed with Fontan heart-only transplant recipients. Results: A total of 34 patients underwent Fontan CHLT at 9 pediatric hospitals between 2010 and 2024, 82% (n = 28) after 2019. Almost one-half (47%; n = 16) were age ≤18 years at the time of CHLT, with a median age of 19 years (interquartile range, 15-24 years). More than two-thirds (68%) had hypoplastic left heart syndrome, 38% had double-inlet left ventricle, 26% had double-outlet right ventricle, and 18% had tricuspid atresia. One-third of the patients (n = 11) had a Model for End-Stage Liver Disease/Pediatric End-Stage Liver Disease score of ≤10 at CHLT, with 91% hospital survival, and those with a score >10 had 82% survival. One-year survival was 85% overall, 94% for those age >18 years, and 75% for those age ≤18 years. All deaths occurred before hospital discharge and within 6 months of transplantation, with a mean follow-up of 4 years. Three-year survival was similar in the CHLT and heart transplant -only (HT) groups (85% vs 84%; P = .96, log-rank test). Conclusions: This multi-institutional analysis demonstrates the rapidly increasing numbers of Fontan palliated patients successfully undergoing CHLT in pediatric hospitals. Conditional on surviving to https://library.globalcastmd.com/video/11307 2025-12-11T03:55:14+00:00 CHD pedsurg Fontan heart transplant liver transplant heart-liver transplant HLS Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3184 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3184/thumbnail_4137_2020-10-14_19-00-09.jpg IPEG 2020 TOP ABSTRACT: Retroperitoneoscopic Resection of Thoracolumbar Paraspinal Ganglioneuroma IPEG 2020 Annual Meeting - Top Abstracts Phillip B Ham, MD, MS; Clare Twist, MD; David Rothstein, MD, MS; Oishei Children's Hospital Paraspinal tumors arising from the sympathetic chain in the ganglioneuroma/neuroblastoma spectrum often require excision for diagnosis and may be amenable to minimally invasive approaches depending on their location and size. We present a patient with a paraspinal tumor extending from T11-L2 that was resected with retroperitoneoscopic surgery. This approach is rarely used in pediatric general surgery and was a useful alternative to laparoscopy or thoracoscopy. Phillip B Ham, MD, MS pbenhamiii@gmail.com @BensonHam https://d1dnj0gz56dmdu.cloudfront.net/7fa89591-20d2-454a-9578-c7f60e6dfdc5/AppleHLS1/d3563037ad45dc1e7ff1b8dfa145989e.m3u8 2020-10-14T19:00:09+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/9268 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9268/thumbnail_10823_2024-10-10_07-12-30.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 2 - Introduction Drs. Charu Venkatesen & Kara Markham introduce Day 2 of the 2024 Fetal Care Center Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9268/file_10823_2024-10-10_07-12-30.mp4 2024-10-10T07:12:30+00:00 1 fetalday2 fetology channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/3936 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3936/thumbnail_5020_2021-04-23_13-02-28.jpg IPEG 2018 - THORACOSCOPIC RESECTION OF CONGENITAL ESOPHAGEAL STRICTURE IPEG 2018 Annual Meeting Thoracoscopic Resection of Congenital Esophageal Resection Top 10 Abstracts J.G. Fisher   https://d1dnj0gz56dmdu.cloudfront.net/99e82c59-a001-4cc0-a000-1111fd480b41/AppleHLS1/346e4da7283dda3ee47cf02d3c01e64e.m3u8 2021-04-23T13:02:28+00:00 12 Medical Education yes IPEG no https://library.globalcastmd.com/video/9521 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9521/thumbnail_11077_2024-12-12_08-00-49.jpg Female Fertility Cryopreservation Outcomes in Childhood Cancer: A Systematic Review Srinithya R. Gillipelli, Luca Pio, Paul D. Losty, Abdelhafeez H. Abdelhafeez Background and aims: As survival rates in childhood cancer progress significantly, health outcomes in adulthood are pivotal to quality of life (QoL). Female patients undergoing chemotherapy and radiation for childhood cancer may experience adverse effects such as gonadotoxicity-related ovarian insufficiency. Ovarian tissue cryopreservation (OTC) is well studied in adults, but has only recently started to be explored in an effort to preserve fertility in young patients with childhood cancer. This systematic review aims to critically highlight contemporary outcomes of cryopreservation in female pediatric cancer patients. Methods: A systematic search was conducted in PubMed, Embase, and Web of Science databases to identify English-language full text articles and abstracts published between 2004 and 2022 describing cryopreservation among female children (0–21 years old) with cancer. Abstracts and full-text articles were screened for inclusion. Subsequently, data from eligible studies was extracted and analyzed. Descriptive statistics were utilized to estimate overall outcomes of cryopreservation. Results: Of 104 abstracts and 34 full-text articles, 12 studies were included. Data was collected from 7 world countries and involved some 612 pediatric and adolescent patients with malignant disease. Most common cancers included hematological malignant disease (81%), CNS nervous system malignant tumors (56%), and sarcomas (39%). Of the 6 studies with full reporting, OTC was undertaken in 501 patients, and 5.9% (30/501) of these patients underwent ovarian tissue transplantation (OTT). After OTT, 27 patients desired pregnancy and 33% (9/27) became pregnant. Six of these 9 patients (67%) had live births. Conclusions: Preliminary analysis showed that OTC has been successfully performed but not yet studied thoroughly in pediatric cancer patients in a longitudinal manner. This study has further https://library.globalcastmd.com/video/9521 2024-12-12T08:00:49+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10052 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10052/a0d9182114e82e4b75bbbcf81ad1d1d6.jpg Dr. Ramy Shaaban - Best of the Best in Pediatric Surgery 2025 Watch IPEG's Dr. Ramy Shaaban’s presentation on “Embracing the future: the impact and integration of AI, ML, and LLMS in modern healthcare” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10052 2025-03-19T09:42:57+00:00 1 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5416 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5416/thumbnail_5416_2022-05-24_18-00-24.jpg Update Course 2021: MAGNET THERAPY FOR ESOPHAGEAL ATRESIA At Pediactric Surgery Update Course 2021, Dr. Bethany Slater, MD from University of Chicago ComerChildren's Hospital and Dr. Steven Rothenberg, MD from Rocky Mountain Hospital for Children sharing their cases on using magnet therapy as an alternative treatment option for esophageal atresia. https://library.globalcastmd.com/video/5416 2022-05-24T18:00:24+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6481 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6481/thumbnail_6481_2023-03-14_22-00-12.jpg Transanorectal Approach for the treatment of a Urogenital Sinus Marc A. Levitt, MD Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/b3c725dd-ee3b-484b-918c-7ff6288e6863/AppleHLS1/0e8f2d221d75ad00ffbb4a3c6d716b6b.m3u8 2023-03-14T22:00:12+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/5820 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5820/thumbnail_5820_2022-09-07_22-00-06.jpg Update Course 2022 - APSA PDC UPDATES - Mary Edwards, Paul Jeziorczak, Craig Lillehei, and Charles Snyder, In this session, members of the APSA Professional Development Committee (PDC) discussed the latest top articles and practice updates. We were joined by Drs. Mary Edwards, Paul Jeziorczak, Craig Lillehei, and Charles Snyder. Topics discussed: 1. Implicit/explicit bias Microaggressions: Privileged Observers’ Duty to Act and What They Can Do 2. Fetal tracheal occlusion (FETO) for congenital diaphragmatic hernia (CDH) Randomized Trial of Fetal Surgery for Severe Left Diaphragmatic Hernia Randomized Trial of Fetal Surgery for Moderate Left Diaphragmatic Hernia Prenatal assessment of congenital diaphragmatic hernia at north american fetal therapy network centers: A continued plea for standardization 3. Preoperative fasting guidelines European Society for Paediatric Anaesthesiology (ESPA) guidelines American Society of Anesthesiologists (ASA) guidelines 4. Intraoperative radiation safety Intraoperative radiation safety in orthopaedics: a review of the ALARA (As low as reasonably achievable) principle Image Wisely: Modern Fluoroscopy Imaging Systems 5. CT evaluation of suspected airway foreign body Avoiding unnecessary bronchoscopy in children with suspected foreign body aspiration using computed tomography Value of chest CT in the diagnosis and management of tracheobronchial foreign bodies Diagnosis of foreign body aspiration with ultralow-dose CT using a tin filter: a comparison study 6. Congenital lung lesions Pleuropulmonary Blastoma in Pediatric Lung Lesions Pleuropulmonary blastoma: A report on 350 central pathology–confirmed pleuropulmonary blastoma cases by the International Pleuropulmonary Blastoma Registry 7. Antibiotics in complicated appendicitis Ceftriaxone Combined With Metronidazole is Superior to Cefoxitin Alone in the Management of Uncomplicated Appendicitis in Children : Results from a Multicenter Collaborative Comparative Effectiveness Study IMPPACT (Intravenous Monotherapy for Postopera https://d1dnj0gz56dmdu.cloudfront.net/43d04664-036e-44d7-9e57-9d2e97fd503e/AppleHLS1/3c991e076d3996390536f7bfdb597317.m3u8 2022-09-07T22:00:06+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9641 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/9641/thumbnail_11202_2025-01-14_12-05-29.jpg Laparoscopic Assisted Posterior Sagittal Anorectoplasty Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org) spaces/8/content/9641/file_11202_2025-01-14_12-05-29.mp4 2025-01-14T12:05:29+00:00 3 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8940 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8940/thumbnail_10492_2024-07-29_16-41-02.jpg Transitional Care in Anorectal Malformation and Hirschsprung's Disease New article you should know from th Journal of pediatric Surgery by Dr. Cecilia Gigena "Transitional Care in Anorectal Malformation and Hirschsprung's Disease: A Systematic Review of Challenges and Solutions" Authors: Josip Plascevic, Shaneel Shah, Yew-Wei Tan Full article: https://gcmd.co/3WHxvKX Background The literature on transitional care in anorectal malformation (ARM) and Hirschsprung's disease (HD) is diverse and heterogeneous. There is a lack of standards and guidelines specific to transitional care in these conditions. We aim to establish and systematically categorize challenges and solutions related to colorectal transition care. Methods Systematic review of qualitative studies from MEDLINE, EMBASE, PubMed and Scopus databases (2008–2022) was conducted to identify the challenges and solutions of healthcare transition specific to ARM and HD. Thematic analyses are reported with reference to patient, healthcare provider and healthcare system. Results Sixteen studies from 234 unique articles were included. Fourteen themes related to challenges and solutions, each, are identified. Most challenges identified are patient related. The key challenges pertain to: (1) patient's lack of understanding of their disorder, resulting in over-reliance on the pediatric surgical team and reluctance towards transitioning to adult services; (2) a lack of education and awareness among adult colorectal surgeons in caring for pediatric colorectal conditions and inadequate communication between pediatric and adult teams; and (3) a lack of structured transition program and joint-clinic to meet the needs of the transitioning patients. The key solutions are: (1) fostering young adult patient's autonomy and independence; (2) conducting joint pediatric-adult transition clinics; and (3) ensuring a structured and coordinated transition program is available using a standardized guideline. Conclusion A comprehensive framework related to barriers and solutio https://library.globalcastmd.com/video/8940 2024-07-29T16:41:02+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7780 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7780/thumbnail_9295_2023-12-13_16-00-09.jpg Los catéteres centrales de inserción periférica pueden ser una alternativa a los catéteres venosos centrales tunelizados en quimioterapia para pacientes pediátricos hematológicos y oncológicos Nuevo artículo que debes conocer de la Dra. Cecilia Gigena "Los catéteres centrales de inserción periférica pueden ser una alternativa a los catéteres venosos centrales tunelizados en quimioterapia para pacientes pediátricos hematológicos y oncológicos" Autores: Yuko Kamata, Yuki Mizuno, Kentaro Okamoto, Shota Okamoto, Yoshifumi Ito, Aya Nishigata Artículo completo: https://link.springer.com/article/10.1007/s00383-023-05545-4 Objetivo Los catéteres venosos centrales tunelizados (TCV) se utilizan comúnmente para la quimioterapia pediátrica. Recientemente, en su lugar se han utilizado catéteres centrales de inserción periférica (CCIP). Aunque el PICC tiene las ventajas de una inserción más sencilla y menos complicaciones graves, hay poca información sobre la eficacia del PICC en comparación con la TCV en la quimioterapia pediátrica. Métodos Se incluyeron en el estudio pacientes menores de 18 años con neoplasia maligna primaria que recibieron quimioterapia con PICC o TCV en nuestra institución desde diciembre de 2007 hasta agosto de 2022. Comparamos retrospectivamente PICC y TCV utilizando registros médicos. Resultados Durante el período de observación, se insertaron 133 catéteres (73 PICC y 60 TCV). La mediana del tiempo de permanencia fue de 99 días para los PICC y de 182 días para los TCV, siendo los TCV significativamente más largos (p < 0,001). No hubo diferencias significativas en la incidencia de complicaciones, como infecciones, trombosis, obstrucción o accidentes mecánicos. Al comparar los pacientes tratados con PICC (grupo PICC) versus aquellos con TCV (grupo TCV), el tiempo desde el diagnóstico hasta la inserción fue significativamente más corto en el grupo PICC (p < 0,001). En el grupo PICC, ninguno de los pacientes requirió anestesia general y la quimioterapia se completó con PICC únicamente. Conclusión PICC puede ser una alternativa a TCV en quimioterapia pediátrica. spaces/14/content/7780/file_9295_2023-12-13_16-00-09.mp4 2023-12-13T16:00:09+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/2821 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2821/thumbnail_3768_2020-07-22_22-00-05.jpg IPEG 2020 Top Abstract: Laparoscopic Duodenal Atresia Repair with 5mm Endoscopic Stapler IPEG 2020 Annual Meeting - Top Abstracts Pamela Choi, MD; Kayla B Briggs, MD; Charlene Dekonenko, MD; Jason Fraser, MD; David Juang, MD; Children's Mercy Hospital This is a case of a newborn male who underwent a laparoscopic duodenal atresia repair on Day of Life 3. A 5mm port was placed in the umbilicus for a camera, and 2 stab incisions were placed in the right/left mid quadrants. One transabdominal suture was placed for liver retraction. After kocherization, the enterotomies were made in the proximal and distal portions of the duodenum. Another transabdominal stitch was placed through the enterotomies to align the 2 limbs. The camera was placed through a stab incision, and the 5mm stapler placed through the port. The stapler was inserted and fired to create the anastomosis. The enterotomy was closed with multiple interrupted sutures. The baby was kept NPO until POD#5- an UGI confirmed no leak with passage of contrast into the distal bowel. The baby’s diet was advanced, and he was discharged home on POD#10 on full feeds. Presenter: Kayla B Briggs, MD kaylabbriggs@gmail.com Social Media: @pmchoi, @CDekonenko https://d1dnj0gz56dmdu.cloudfront.net/2b7a354e-0ac4-4703-b782-91d035dcdb29/AppleHLS1/b21f682a3e2d996b0c1cecb922079181.m3u8 2020-07-22T22:00:05+00:00 17 Medical Education yes IPEG no https://library.globalcastmd.com/video/10722 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10722/90fac23ef8e293e219fdc80433aea9f4.jpg Pediatric Surgical Outreach: An Underutilized Resource for Increasing Children's Surgical Capacity in Canada Amanpreet Brara, Kenneth W. Gowb, Erik D. Skarsgarda Background Wait times for children's hospital-based surgical services are at unprecedented levels. Opportunities to increase most children's hospital-based service capacity are sparse, and community-based services are a potential patient-centered alternative. The aim of this study was to understand the current state of pediatric surgical outreach in Canada as an option to address these challenges. Methods An electronic survey was sent to all (n = 18) Canadian children's hospital surgical leaders inquiring about “outreach services” defined as inpatient/outpatient services provided by pediatric surgeons outside of children's hospitals. Descriptive analysis of outreach included facility type/location (by postal code), nature and frequency of service, and participation of other specialties. Results 18 survey respondents (100 %) reported that pediatric surgical outreach services were available in 7 out of 10 provinces, but only 8/18 (44 %) of Canadian children's hospitals. Services include: i) inpatient coverage at 2 sites in 2 provinces; ii) outpatient surgery at 6 sites in 3 provinces (median distance 69 km, range 6–1881 km from home children's hospital); and iii) outpatient ambulatory clinics at 19 sites in 4 provinces (median distance 18 km, range 4–1448 km from home children's hospital). Median frequencies of outreach surgical slates and clinics were 1 per week and 1 per month, respectively. Conclusion Less than half of Canadian children's hospitals have developed outreach programs as a strategy to increase capacity for children's surgical services. To promote improved surgical care for all Canadian children, efforts targeting expansion of outreach capacity could increase access for geographically remote children. https://library.globalcastmd.com/video/10722 2025-07-25T05:35:25+00:00 channel#pediatric_surgery Alex Halpern pediatric surgery Surgical capacity Health disparities Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/324 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/324/thumbnail_350_2018-09-14_23-19-59.jpg Stapled Intestinal Anastomoses with Endoscopic Staplers In Premature Infants Dr. Todd Ponsky reviews the article "Stapled Intestinal Anastomoses with Endoscopic Staplers In Premature Infants," by Dr. Muncie, Dr. Blewett and colleagues at University of Mississippi Medical Center, Jackson, MS.DOI: https://doi.org/10.1016/j.jpedsurg.2017.10.024 spaces/1/content/324/file_350_2018-09-14_23-19-59.mp4 2018-09-14T23:19:59+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9087 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9087/thumbnail_10641_2024-08-28_12-45-34.jpg 2024 Update Course - When & How to Operate CDH Patients on ECMO - Rebecca Stark & Steven Lee This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.    In this clip, Drs. Rebecca Stark & Steven Lee as moderator, speaks on when & how to operate CDH patients on ECMO.   spaces/17/content/9087/file_10641_2024-08-28_12-45-34.mp4 2024-08-28T12:45:34+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11423 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11423-8d0696eaac.jpg Quality of Life Outcomes for Patients Who Underwent Conventional Resection and Liver Transplantation for Locally Advanced Hepatoblastoma Zishaan Farooqui, Michael Johnston, Emily Schepers, Nathalie Brewer, Stephen Hartman, Todd Jenkins, Alexander Bondoc, Ahna Pai, James Geller, Gregory M TiaoAbstract:Hepatoblastoma is the most common malignant liver tumor of childhood, with liver transplant and extended resection used as surgical treatments for locally advanced tumors. Although each approach has well-described post-operative complications, quality-of-life outcomes have not been described following the two interventions. Long-term pediatric survivors of hepatoblastoma who underwent conventional liver resection or liver transplantation at a single institution from January 2000-December 2013 were recruited to complete quality-of-life surveys. Survey responses for the Pediatric Quality of Life Generic Core 4.0 (PedsQL, n = 30 patient and n = 31 parent surveys) and Pediatric Quality of Life Cancer Module 3.0 (PedsQL-Cancer, n = 29 patient and n = 31 parent surveys) were collected from patients and parents. The mean total patient-reported PedsQL score was 73.7, and the parent-reported score was 73.9. There were no significant differences in scores on the PedsQL between patients who underwent resection compared to those who underwent transplantation (p > 0.05 for all comparisons). On the PedsQL-Cancer module, procedural anxiety scores were significantly lower for patients who underwent resection as compared to transplant (M = 33.47 points less, CI [-60.41, -6.53], p-value 0.017). This cross-sectional study demonstrates that quality of life outcomes are overall similar among patients receiving transplants and resections. Patients who received a resection reported worse procedural anxiety. https://library.globalcastmd.com/video/11423 2026-01-27T20:43:30+00:00 hepatoblastoma orthotopic liver transplantation quality-of-life liver resection liver transplantation PedsQL cancer resection Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6329 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6329/thumbnail_6329_2023-02-01_22-00-12.jpg BOB in Ped Surg 2023 - OVERALL WINNER - Dr. Rebeca Figueira - EUPSA The overall winner of the Best of the Best in Pediatric Surgery 2023 is Dr. Rebeca Figueira of EUPSA on her presentation of "Fetal lung vascular development is reduced by amniotic fluid stem cells extracelullar vesicles in experimental congenital diaphragmatic hernia." https://library.globalcastmd.com/video/6329 2023-02-01T22:00:12+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6119 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/6119/thumbnail_6119_2022-11-16_22-00-08.jpg Pediatric Polyposis Syndromes: Hamartomatous Polyposis Syndrome Join Dr. Joseph Palermo for a review of Hamartomatous Polyposis syndromes. This stay current short belongs to a collection of Pediatric Polyposis Syndrome videos, which can be found on the StayCurrent App.  https://library.globalcastmd.com/video/6119 2022-11-16T22:00:08+00:00 3 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/11335 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11335-6fc01f900d.jpg Current management of pulmonary relapse in Ewing sarcoma: A report from the Pediatric Surgical Oncology Research Collaborative Audra J. Reiter,  Lynn Huang, Jennifer H. Aldrink, Brian T. Craig, Andrew M. Davidoff, Lindsay J. Talbot, Jordan Coggins, Jasmine Smith, Katherine C. Bergus, Taleen A. MacArthur, Stephanie F. Polites, Roshni Dasgupta, Chloe Boehmer, Joseph Brungardt, Marcus M. Malek, Hannah N. Rinehardt, Zachary J. Kastenberg, Cameron M. Arkin, Antoine Gourmel, Nelson Piche, Timothy B. LautzBackgroundRelapse occurs in 30–40 % of patients with localized Ewing sarcoma (EWS). Our objective was to describe the current management and outcomes of patients with initially localized EWS who experience first pulmonary relapse.MethodsThis multi-center retrospective cohort study included patients ≤22 years old with initially localized EWS treated from 2007 to 2020 at 19 Pediatric Surgical Oncology Research Collaborative institutions, who developed pulmonary relapse. Kaplan-Meier analysis was performed.ResultsThirty-three patients with initially localized EWS developed pulmonary relapse at a median age of 17 (IQR 14; 20) years. Eleven (33 %) patients also had extra-pulmonary metastases (EPM) at relapse. Among the 22 (67 %) patients with pulmonary-only relapse, 10 (45 %) had solitary pulmonary nodules. Pulmonary metastasectomy was performed in 8/10 (80 %) patients with solitary pulmonary-only metastases, 5/12 (42 %) patients with multiple pulmonary-only metastases, and 2/11 (18 %) patients who also had EPM. Whole lung irradiation was administered in 7/10 (70 %) with solitary pulmonary-only metastases, 7/12 (58 %) with multiple pulmonary-only metastases, and 2/11 (18 %) with EPM. Rates of further pulmonary relapse/progression were similar between groups (p = 0.97). In Kaplan-Meier analysis, 3-year overall survival was 73 % with solitary pulmonary-only metastases, 40 % with multiple pulmonary-only metastases, and 23 % with EPM (p = 0.097).ConclusionsWhile survival for patients with relapsed EWS is poor, the subset of patients with solitary relapse confined to the lung are often good candidates for https://library.globalcastmd.com/video/11335 2025-12-22T16:26:10+00:00 ewing sarcoma pediatric surgery pedsurg some4pedsurg EWS pulmonary pulmonary metastases EPM solitary pulmonary-only metastases extra-pulmonary metastases Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8088 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8088/thumbnail_9621_2024-03-19_09-21-35.jpg QUAD #4: Surgical Management of Button Battery & Caustic Ingestion with Dr. Aaron Garrison Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to review surgical management of button battery & caustic ingestion with Dr. Aaron Garrison, a pediatric surgeon from Cincinnati Children's. Host: Em Gootee   https://library.globalcastmd.com/video/8088 2024-03-19T09:21:35+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6740 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6740/thumbnail_6740_2023-06-16_16-00-16.jpg How to Perform an Anal Dilation on Your Child Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to reach you how to perform anal dilations to either prevent or treat narrowing of your child’s anus so that additional surgery may not be needed. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal https://d1dnj0gz56dmdu.cloudfront.net/2513b84c-10e5-40c3-9088-78fbb21d4679/AppleHLS1/fa00267ece50d856fea9634886212d8f.m3u8 2023-06-16T16:00:16+00:00 3 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/5474 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5474/thumbnail_6722_2022-06-08_18-00-20.jpg What is Metaverse? - Transforming Healthcare, Episode 1 We are starting a new video series: "Transforming Healthcare". Here is our first video explaining a new technology that we believe will transform healthcare. Metaverse… Here’s what you need to know in a nutshell! Hosts: Em Tombash, MD, Todd Ponsky, MD & Ramy Shaaban, MD Don't forget to like and subscribe to see more entertaining medical educational videos! https://www.youtube.com/c/StayCurrentMD https://library.globalcastmd.com/video/5474 2022-06-08T18:00:20+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/644 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/644/thumbnail_644_2018-11-10_00-05-18.jpg Tricks - Laparoscopic Hernia With Peritoneal Injury - Todd Ponsky Dr. Todd Ponsky gives a presentation on laparoscopic hernias with peritoneal injury.  https://d1dnj0gz56dmdu.cloudfront.net/10877ddd-6aa0-41ce-a88b-692f1e98d8b8/AppleHLS1/c420b7f08d0b47acf336e0c0ba1f3bbe.m3u8 2018-11-10T00:05:18+00:00 21 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9098 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9098/thumbnail_10652_2024-08-28_13-28-40.jpg 2024 Update Course - Updates in Chest Wall Pathologies - Margaret Mutch, Patricio Herrera, & George 'Whit' Holcomb This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Margaret Mutch, Patricio Herrera, with George 'Whit' Holcombas moderator, speaks on updates in chest wall pathologies.   Topics to be discussed: • Resorbable plates for chest wall Rec • 3D printed cutting guides for carinatum spaces/17/content/9098/file_10652_2024-08-28_13-28-40.mp4 2024-08-28T13:28:40+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8007 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8007/thumbnail_9539_2024-02-26_10-18-00.jpg Johana Sosa Jurado, MD - Best of the Best in Pediatric Surgery 2024 Watch IBEROMERICANA's Dr. Johana Sosa Jurado's presentation on “Epidemiological study of pediatric robotic surgery at Carlos Andrade Marín Hospital” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8007/file_9539_2024-02-26_10-18-00.mp4 2024-02-26T10:18:00+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8862 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8862/thumbnail_10414_2024-07-15_21-02-40.jpg Western Pediatric Trauma Conference 2024 Day 2 Day 2 Agenda Conference Feature: Controversies in Pediatric Trauma - Todd Ponsky, MD, FACS & Katie Russell, MD Tots, Bots, Clots, and Pixel Dots: An Evolving Paradigm in Pediatric Blunt Abdominal Trauma - Christian J. Streck Jr., MD Podium Presentation Best Practice How to Read a Trauma CT - Jeffrey S. Prince, MD Conference Feature Point-Counterpoint: Neuromonitoring versus Early Craniotomy - Robert J. Bollo, MD, Vijay M. Ravindra, MD, MSPH  Panel: Shannon Becker, BSN, RN, CON Lillian F. Liao, MD Deidre Wyrick, MD https://d1dnj0gz56dmdu.cloudfront.net/974a0b85-1d98-4f47-9ef9-b34e84cd796a/AppleHLS1/7e17440d6ab46e8de0e705bb7e9bd675.m3u8 2024-07-15T21:02:40+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9505 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9505/thumbnail_11061_2024-12-09_08-46-56.jpg John Carey, MD - 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 In this presentation, Dr. John Carey speaks on the future directions and research for Trisomy 13 and 18. spaces/17/content/9505/file_11061_2024-12-09_08-46-56.mp4 2024-12-09T08:46:56+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/651 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/651/thumbnail_738_2018-11-10_00-05-18.jpg Neuroblastoma: Update Course 2014 Dr. Daniel Von Allmen, director of the division of general and thoracic surgery, cincinnati children's hospital, begins the second half of this symposium with a discussion of neuroblastoma. Case presentations are shared as well as panel discussion involving concepts of primary tumor resection, aggressive surgical approaches, and surgical data of complete excision or incomplete resection surgical technique.  https://library.globalcastmd.com/video/651 2018-11-10T00:05:18+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5303 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/9/content/5303/thumbnail_6551_2022-04-08_12-00-31.jpg StayCurrent Forum: Resident Wellness Rod Gerardo, CCHMC Research Fellow and Trevor Skrobut, Emergency Medicine Physician, talk about how important it is for residents to take care of their health and wellness on this week's episode of the StayCurrent Forums. https://library.globalcastmd.com/video/5303 2022-04-08T12:00:31+00:00 2 Medical Education yes StayCurrent Forums no https://library.globalcastmd.com/video/11354 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11354-e5454e728c.jpg Early Postoperative Fever in Pediatric Oncology Patients Undergoing Solid Tumor Resection John Lundstedt, Emily Vore, Joseph Brungardt, Meera Kotagal, Todd Jenkins, Chloe Boehmer, Roshni DasguptaBackgroundPostoperative fever is common following cancer resection and often prompts extensive, costly workups. The purpose of this study was to determine the incidence of and risk factors for postoperative fever in oncology patients, evaluate incidence of true infection, and determine the utility of fever workup.MethodsSingle institution retrospective chart review (2018–2023) identified postoperative oncology patients who developed postoperative fever (≥38.0 °C) on postoperative days 0, 1, or 2 following solid tumor resection. Collected variables included preoperative chemotherapy, presence of central line, operation type, bowel resection, operative length, wound class, intraoperative hypothermia (180 mg/dL), preoperative neutrophil count, and antibiotic administration. Fever workup included urinalysis, urine culture, blood culture, and chest x-ray. Fever predictors were analyzed using a generalized linear mixed model.ResultsCohort included 222 patients, aged 0.01–40.35 years (median 5.27, SD = 8.32). Ninety-four patients (42 %) developed early postoperative fever. Factors predictive of developing fever included intraoperative transfusion (p = 0.032), postoperative transfusion (p = 0.032), foley catheter (p < 0.001), neutropenia (p = 0.001), and sarcoma histology (p = 0.006). Of those who developed fever, 36 % (34/94) were treated with empiric antibiotics and 73.4 % (69/94) underwent febrile workup (average cost $455). Only 2.8 % (2/94) of febrile patients had an infectious etiology requiring treatment. Both had hemodynamic instability and positive blood cultures.ConclusionsPostoperative fever is common in pediatric cancer patients. Infectious etiology is rare, empiric treatment is common, and workup is costly. Fever alone may not necessitate a workup within the first 2 postoperative days following solid tumor resection. Testing and treatment should be reserved https://library.globalcastmd.com/video/11354 2025-12-30T20:25:47+00:00 hepatoblastoma resection oncology solid organ tumor ped surg pediatric surgery postoperative fever cancer resection chemotherapy intraoperative transfusion some4pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/953 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/953/thumbnail_953_2019-01-11_16-41-26.jpg Full Event: Lap Pediatric Hernia Course 2016 Dr. Todd Ponsky discusses laparoscopic hernia repair in pediatric cases.  It also includes multiple videos demonstrating technique. https://d1dnj0gz56dmdu.cloudfront.net/cf3c22c2-4166-40d5-9527-f02997034c0e/AppleHLS1/119c9bdf86a3b1b8ea47c38c08686cce.m3u8 2019-01-11T16:41:26+00:00 16 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7957 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7957/thumbnail_9487_2024-02-07_16-00-12.jpg Preoperative Optimization and Management - Caren Mangarelli, MD - 2024 Pediatric Bariatric Surgery Update Course Caren Mangarelli, MD presents “Preoperative Optimization and Management” at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7957/file_9487_2024-02-07_16-00-12.mp4 2024-02-07T16:00:12+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2625 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2625/thumbnail_3562_2020-05-27_16-00-10.jpg The Extent of the Transition Zone in Hirschsprungs Disease Dr. Bardisan Gawrieh reviews the key findings of the article "The Extent of the Transition Zone in Hirschsprung's Disease" from the Journal of Pediatric Surgery.Read the full article here: https://gcmd.co/HDTZCreated and edited by Rae Hanke, MD and Zach Korb https://library.globalcastmd.com/video/2625 2020-05-27T16:00:10+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2256 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2256/thumbnail_3182_2020-02-24_19-58-28.jpg Laparoscopic Splenectomy and Cholecystectomy for Spherocytosis This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2256 2020-02-24T19:58:28+00:00 19 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7901 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7901/thumbnail_9430_2024-01-18_18-00-06.jpg Pectus Arcuatum: un pectus como ningún otro Nuevo artículo que debes saber de JPS por la Dra. Cecilia GIgena "Pectus Arcuatum: un pectus como ningún otro" Autores: Sarah Abdellaoui, Aurélien Scalabre, Christian Piolat, Frédéric Lavrand, Amane-Allah Lachkar, Anne Lehn, Clémence Klipfel, Brice Henry, Valentin Soldea, Frédéric Hameury, François Becmeur Artículo completo: https://gcmd.co/48bwRZ9 Introducción El pectus arcuatum a menudo se confunde con un tipo de pectus carinatum. Sin embargo, el pectus arcuatum es una forma clínica única de pectus causada por la obliteración prematura de las suturas esternales (esternón manubrial, cuatro esternébras y proceso xifoides), mientras que el pectus carinatum se debe al crecimiento anormal del cartílago costal. Para describir mejor el pectus arcuatum, analizamos los expedientes de pacientes con pectus arcuatum seguidos en nuestros centros. Métodos Estudio retrospectivo multicéntrico de expedientes de pacientes jóvenes diagnosticados de pectus arcuatum. Resultados El diagnóstico clínico de pectus arcuatum se realizó en 34 pacientes con una edad media al diagnóstico de 10,3 años (4-23 años). Se realizó una radiografía de perfil de tórax o una tomografía computarizada en 16 pacientes (47%) y confirmó el diagnóstico de AP por la presencia de una fusión esternal. Fue completo en 12 pacientes. Se asoció una malformación en el 35% de los casos (síndrome de Noonan 33%, escoliosis 25% o cardiopatía 16%). 11 pacientes (32%) tenían antecedentes familiares de malformación esquelética. En 3 pacientes se inició tratamiento ortopédico sin éxito. A 11 pacientes se les realizó corrección quirúrgica, que se completó en 7 de ellos. Conclusión El diagnóstico de pectus arcuatum se basa en la experiencia clínica y si es necesario, en una radiografía de tórax de perfil que muestre la fusión de las piezas esternales. Implica la búsqueda de malformaciones asociadas (musculoesqueléticas, cardíacas, sindrómicas). El tratamiento ortopédico es inútil para el pectus https://library.globalcastmd.com/video/7901 2024-01-18T18:00:06+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/5023 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/5023/thumbnail_5023_2022-02-10_20-09-45.jpg Hirschsprung Disease in Brief The surgical management for Hirschsprung disease has changed dramatically over the past few decades. So here, we discuss the basics of workup, diagnosis, and surgical treatment for aganglionic megacolon AKA Hirschsprung disease with Dr. Aaron Garrison and Dr. Jason Frischer from Cincinnati Children's Hospital Medical Center. Hosted by Dr. Rod Gerardo, Dr. Ellen Encisco, and Dr. Todd PonskyCCHMC HAEC resource: https://staycurrentapp.app.link/62V0jx2Dxkb  https://d1dnj0gz56dmdu.cloudfront.net/36f6d3ef-50d6-44d7-a962-5b526041675d/AppleHLS1/14430686494f176f922697972c84f119.m3u8 2022-02-10T20:09:45+00:00 12 hirschsprung disease channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/654 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/654/thumbnail_741_2018-11-10_00-05-18.jpg Vascular Access Controversies: Update Course 2014 Comprehensive panel discussion of vascular access controversies, ultra sound guided right internal jugular (IJ), surgical port placement, and the pre-operative work-up of a case of a hemophilia patient. Includes thoracoscopic atrial puncture. https://d1dnj0gz56dmdu.cloudfront.net/f8edf20a-2b23-4a1b-840f-5685253cd507/AppleHLS1/b5e9eac3a0a67b5004e5891435730031.m3u8 2018-11-10T00:05:18+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11371 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11371-a021aede95.jpg Social Determinants of Health Influence on Survival in Wilms Tumor, Neuroblastoma, and Hepatoblastoma Colleen P Nofi, Bailey K Roberts, Erin G Brown, Barrie S Rich, Meera Kotagal, & Richard D Glick Background: The influence of social determinants of health (SDOH) on childhood cancer outcomes is complex and understudied. This study aimed to elucidate the influence of socioeconomic status (SES) and race on survival in Wilms tumor (WT), neuroblastoma (NB), and hepatoblastoma (HB).Methods: National Cancer Database was queried from 2004 to 2020 for pediatric patients (aged 0-18) with WT, NB, and HB. A SES composite score was created by combining quartiles for median household income and percent no high school degree (with higher scores reflecting greater disadvantage). Kaplan-Meier analyses and Cox regressions were performed to determine influencers on survival.Results: This study included 5218 patients with WT, 5851 with NB, and 1311 with HB. The distribution of race for WT, NB, and HB was 59 %, 65 %, and 55 % White non-Hispanic, and 18 %, 11 %, and 11 % Black non-Hispanic patients, respectively. Kaplan-Meier analyses revealed disparate outcomes with higher SES scores having worse survival for WT (p = 0.002) and NB (p = 0.011). In multivariable analysis of children with WT: age, higher SES score, comorbidities, tumor size, and bilateral and metastatic disease were associated with worse survival. For NB: age, urbanicity, higher SES score, Black non-Hispanic race/ethnicity, tumor size, metastatic disease, and chemotherapy were associated with worse survival. For HB: age, comorbidities, and metastatic disease were associated with worse survival.Conclusion: After controlling for patient and tumor characteristics, there are significant associations between SDOH and worse survival for patients with WT and NB. Identification of social risk factors is critical for closing equity gaps and improving outcomes for children with solid tumors. https://library.globalcastmd.com/video/11371 2026-01-09T14:00:20+00:00 Hepatoblastoma NCDB Neuroblastoma Racial disparities Social determinants of health Socioeconomic factors Wilms tumor pediatric surgery some4pedsurg pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/643 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/643/thumbnail_730_2018-11-10_00-05-18.jpg Congenital Cystic Lung Lesions: Update Course 2014 Dr. Steve Rothenberg, Chief of Pediatric Surgery at Rocky Mountain Hospital for Children, Denver, Colorado, presents the topic of congenital cystic lung lesions. His discussion includes various case presentations and comprehensive panel discussion.  Topics discussed include asymptomatic congenital lung lesions, thoracoscopic lobectomy, post-operative course, as well as when and why to operate.  https://d1dnj0gz56dmdu.cloudfront.net/4c84cd85-cf5b-4cfe-bdac-e51405d77ce2/AppleHLS1/df52b3c8bcad72b74dc0c6e03e03b005.m3u8 2018-11-10T00:05:18+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5428 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5428/thumbnail_5428_2022-05-24_22-00-30.jpg IPEG - Fundoplication without Esophagocrural Sutures- Long-term Follow-up from a Randomized Trial - Kayla Briggs Listen to Kayla Briggs gave her presentation of "Fundoplication without Esophagocrural Sutures- Long-term Follow-up from a Randomized Trial" at the first ever Best of the Best in Pediatric Surgery event. https://library.globalcastmd.com/video/5428 2022-05-24T22:00:30+00:00 4 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8632 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/8632/thumbnail_10174_2024-05-16_10-19-57.jpg GYN #3 Management of an Adnexal Torsion with a Healthy Appearing Ovary with Dr. Lesley Breech In this episode, we have a guest from the pediatric gynecology department here at Cincinnati Children’s, Dr. Lesley Breech. And she will talk about management of an adnexal torsion with a healthy appearing ovary. Host: Em Gootee https://library.globalcastmd.com/video/8632 2024-05-16T10:19:57+00:00 5 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/626 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/626/thumbnail_713_2018-11-10_00-05-16.jpg Evaluation & Management Of Hirschsprung's Disease Dr. Steven Kraus discusses the radiology component of Hirschsprung's Disease. His presentation includes the predictors of Hirschsprung's Disease seen in a plain abdominal radiograph of a newborn, distal bowel obstruction identification, diagnosis of enterocolitis with a plain abdominal radiograph, contrast enema technique, gravity infusion, lateral rectosigmoid image, AP rectosigmoid, foley catheter and rectal tube usage, transition zone accuracy, recto-sigmoid Hirschsprung's Disease, short and long segment HIrschsprung's disease, total colonic Hirschsprung's disease, transition zone location on a contrast enema, and aganglionosis.  https://d1dnj0gz56dmdu.cloudfront.net/5f70d001-c7b2-41a3-a6d5-e9922f0c4804/AppleHLS1/3790773b6ff2ba8efcf0bfa24af542ed.m3u8 2018-11-10T00:05:16+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9503 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9503/thumbnail_11059_2024-12-09_08-30-11.jpg Conclusion - 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 Leandra Tolusso, Dr. Mallory Hoffman, and Dr. Laura Galanski conclude the 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 event. Speakers/Topics included: • Dan Swarr, MD - Perinatal Outcomes of Fetuses and Infants Diagnosed with Trisomy 13 and 18 • Mallory Hoffman, MD - Pregnancy Management and Considerations • James Cnota, MD - Update on postnatal cardiac therapies • Laura Galganski, MD and Jagroop (Rupi) Parikh, MD - Practical Issues in the surgical care of Patients with Trisomies • Natalia Henner, MD - Family centered prenatal counseling and support • John Carey, MD - Future directions and research for Trisomy 13 and 18 spaces/17/content/9503/file_11059_2024-12-09_08-30-11.mp4 2024-12-09T08:30:11+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11526 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/11526/519567b5eafd0591cbbfd46d0a5f2096.jpg Turnbull Stoma https://www.childrensnational.org/get-care/departments/colorectal  spaces/8/content/11526/f6417a509c6a9721394e41067434d975.mp4 2026-02-17T10:57:25+00:00 channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6477 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6477/thumbnail_6477_2023-03-14_22-00-11.jpg Surgical treatment of recto-vestibular fistula (No audio) Marc A. Levitt Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital  spaces/8/content/6477/file_7900_2023-03-14_22-00-11.mp4 2023-03-14T22:00:11+00:00 10 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2226 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2226/thumbnail_3152_2020-02-24_19-58-22.jpg Thoracoscopic Upper Lobectomies for Symptomatic Congenital Pulmonary Airway... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2226 2020-02-24T19:58:22+00:00 13 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11581 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11581-399e7290b6.jpg Long-Term Follow-Up of Surgical Outcomes for Patients With Wilms Tumor and Neuroblastoma Jo Cooke-Barber, Federico Scorletti, Beth Rymeski, Debra Eshelman-Kent, Rajaram Nagarajan, Karen Burns, Todd Jenkins, Roshni DasguptaBackground: There are minimal data on long-term surgical outcomes of patients who have undergone resection for Wilms tumor (WT) and neuroblastoma (NB).Methods: A retrospective review of patients in a long-term survivor clinic between the years 1967 and 2016 in a pediatric tertiary care hospital (>5 years posttreatment) was performed.Results: Eighty-six survivors of WT and 86 survivors of NB who had ongoing follow-up in the survivors' clinic were identified. The median age at diagnosis was 2.5 years (range, 0.4-15.7 years) with a mean follow-up of 22.3 years (±10.4 years) for WT. The median age at diagnosis for patients with NB was 0.9 years (range, 0.1-8.6 months); mean follow-up of 21.7 years (±7.9 years). Twelve patients with WT (14.0%) had at least 1 repeat laparotomy, 11.1% for bowel obstruction, at a median of 3 months from initial surgery. Twelve patients (14.0%) with NB required laparotomy and 8.1% for bowel obstruction, at a median of 12 years after initial surgery. The incidence of hypertension in patients with WT who had undergone nephrectomy was not outside of population norms. Patients who underwent thoracotomy for a NB have a higher incidence of scoliosis and Horner syndrome.Conclusions: Small bowel obstruction requiring laparotomy is significantly higher than the literature norms for both tumor patient populations and typically occurs in the early postoperative period for patients with WT and remotely in patients with NB. The long-term surgical complications of patients who underwent resection for NB and WT clearly merit follow-up and patient education within multidisciplinary long-term survivorship clinics. https://library.globalcastmd.com/video/11581 2026-02-27T19:14:04+00:00 1 Wilms tumor childhood cancer survivor laparotomy neuroblastoma surgery survivorship pediatric surgery some4pedsurg pediatric surgeons nephrectomy Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7836 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7836/thumbnail_9359_2023-12-21_18-00-06.jpg Update Course Rewind: Anal Dilation Following PSARP 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Anal Dilation Following PSARP". Joining the discussion are Drs. Steven Lee, Caitlin Smith and Julia Grabowski. Host: Em Gootee, MD Reference: https://pubmed.ncbi.nlm.nih.gov/34049690/ Ahmad H, Skeritt C, Halleran DR, Rentea RM, Reck-Burneo CA, Vilanova-Sanchez A, Weaver L, Langer JC, Diefenbach KA, Gasior AC, Levitt MA, Wood RJ. Are routine postoperative dilations necessary after primary posterior sagittal anorectoplasty? A randomized controlled trial. J Pediatr Surg. 2021 Aug;56(8):1449-1453. doi: 10.1016/j.jpedsurg.2021.04.022. Epub 2021 Apr 30. PMID: 34049690. https://library.globalcastmd.com/video/7836 2023-12-21T18:00:06+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7400 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7400/thumbnail_8893_2023-10-23_22-00-10.jpg CNA Conference - Dr. José Carlos Pachón - History and technique for CNA Dr. José Carlos Pachón presents “History and technique for CNA” at the Second World Congress on Cardioneuroablation. spaces/17/content/7400/file_8893_2023-10-23_22-00-10.mp4 2023-10-23T22:00:10+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11389 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11389-d4cd60417f.jpg Multifocal Insulinoma as the Unique Presenting Feature of Multiple Endocrine Neoplasia Type 1 in an Adolescent Alison Murray, Sonia Priscila Rodas Marquez, Mansa Krishnamurthy, Oscar Lopez-Nunez, Juan P Gurria, Andrew T Trout, Susan Almazan, Krishnamallika Mutyala, Gabriella Grisotti, Amy Shah, Jonathan HowellIntroduction: Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant inherited disorder defined by the presence of two of the following endocrinopathies: primary hyperparathyroidism, anterior pituitary tumors, and duodenopancreatic neuroendocrine tumors (NETs). NETs, which can secrete hormones including insulin, gastrin, and glucagon, among others, are common in patients with MEN1 and are a major cause of morbidity and premature death. NETs are more common later in life, with very few cases described in children. Here, we describe a unique case of an adolescent with multifocal pancreatic NETs as the single presenting feature of MEN1.Case presentation: A 13-year-old healthy male presented with severe weakness, altered mental status, and syncope in the setting of a venous blood glucose (BG) of 36 mg/dL. Workup showed an elevated insulin level (14 μIU/mL) when BG was 39 mg/dL with positive response to glucagon, concerning for hyperinsulinism. Diazoxide and chlorothiazide were started but not well tolerated secondary to emesis. Three suspected NETs were identified by magnetic resonance imaging and 68-Ga DOTATATE PET-CT imaging, including the largest, a 2.1 cm mass in the pancreatic head. A fourth mass in the pancreatic tail was identified via intraoperative ultrasound. All lesions were successfully enucleated and excised, and glucose levels normalized off diazoxide by post-op day 2. While the primary lesion stained for insulin and somatostatin by immunofluorescence (IF), consistent with his clinical presentation, the additional tumors expressed glucagon, somatostatin, pancreatic polypeptide, and chromogranin A but were negative for insulin. Genetic testing confirmed a pathogenic heterozygous mutation in MEN1 (c.969C>A, p.Tyr323). He had no other signs of MEN-as https://library.globalcastmd.com/video/11389 2026-01-16T20:49:35+00:00 pediatric surgery some4pedsurg Endocrine tumor Hyperinsulinism Hypoglycemia Multiple endocrine neoplasia type 1 de novo mutation MEN1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/655 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/655/thumbnail_742_2018-11-10_00-05-19.jpg Inflammatory Bowel Disease (IBD) - Samir Pandya: Update Course 2014 Dr. Samir Pandya presents case studies of Crohn's disease of ulcerative colitis.Discussion involved imaging modalities in Crohn's Disease, diagnosis of fibrostenotic and fistulizing Crohn's disease, endorectal advancement flap, permanent diversion with proctectomy, fibrostenotic Crohn's management, endoscopic dilation, strictureplasty, segmental resection, enteric bypass, and ulcerative colitis. spaces/1/content/655/file_742_2018-11-10_00-05-19.mp4 2018-11-10T00:05:19+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11390 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11390-4da5e984b1.jpg Patient-reported outcomes of Children with an Anorectal Malformation Richard J Wood, Shruthi Srinivas, Misel Trajanovska, Brennan J Collis, Reuben Lim, Molly Fuchs, Daniel Dajusta, Chris Westgarth-Taylor, Ihab Halaweish, Alessandra A Gasior, Marc A Levitt, John M Hutson, Sebastian K KingObjective: We aimed to study the impact of anorectal malformation (ARM) type and sacral ratio on continence outcomes in children. We secondarily aimed to compare continence outcomes by age group and determine quality of life (QoL) with different bowel regimens.Summary background data: Children with ARM experience dysfunctional stooling into adulthood. Little is known about how ARM type, sacral ratio, age, and bowel regimen affect continence and QoL.Methods: We administered five validated survey measures on stooling habits and QoL to children aged 2-19 with ARM at two tertiary hospitals. Sacral ratio as a determinant of sacral hypodevelopment was defined as normal (≥0.7), moderate (0.4-0.0.69), or severe (≤0.39). Children not on an enema program were compared to those on an enema program to identify factors associated with achieving voluntary bowel movements defined as continence. All children were compared to identify factors associated with QoL.Results: Of 910 patients, half (52.8%) had mild sacral hypodevelopment. In patients not receiving enemas managed solely at study hospitals, most were continent (69.2%). There were no differences in continence demonstrated by sacral ratio; 79.4% of those who were continent had normal/moderate sacral hypodevelopment and mild ARM.Continence improved with age (50% ≤6 y old, 69.8% 6-12 y old, 82.1% >12 y old; P<0.001). Those on enemas and soiling had a QoL 19.6 points lower than those soiling on laxatives, and 20.7 points lower than those who were clean on enemas or continent with voluntary bowel movements without the need for enemas.Conclusions: In patients on laxatives the type of malformation, but not sacral ratio, is associated with continence in patients with ARM. Continence improves with age; those on enemas https://library.globalcastmd.com/video/11390 2026-01-16T20:57:06+00:00 some4pedsurg pediatric surgery pedsurg malformation hypodevelopment ARM bowel sacral hypodevelopment Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2998 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/2998/thumbnail_2998_2020-09-14_08-00-09.jpg PDC 2020 Practice Gaps This clip from the 2020 Pediatric Surgery Update Course features Elizabeth Beierle, MD, Erik Skarsgard, MD, and Robert Cusick, MD presenting 2020’s practice gaps as identified by the American Pediatric Surgical Association’s (APSA) Professional Development Committee. This three PDC member panel review controversial cases and challenge our guests to think critically about their approach to the top searched questions in APSA’s, ‘Pediatric Surgery Not a Textbook’ (NaT). Highlighted Topics Include: - Obstructive sleep apnea - Post-op esophageal atresia repair management - Gas embolism during laparoscopy - Thromboelastography (TEG) results - Congenital Diaphragmatic Hernia (CDH) management - Spontaneous pneumothorax - Emergency Department trauma management - Peritoneal dialysis catheter placement - Dialysis catheter vs fistula creation - GI tract specific medication - When to perform a Gonadectomy  https://library.globalcastmd.com/video/2998 2020-09-14T08:00:09+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4784 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4784/thumbnail_4784_2021-12-28_12-00-15.jpg Decision making in pediatric colorectal surgery June 2020     Webinar of case discussion      A collaboration of EUPSA - Washington Children's National - European Journal of Pediatric Surgery Reports     Discussant Marc Levitt, M.D., chief, Division of Colorectal and Pelvic Reconstructive Surgery At Children’s National Hospital, Washington DC, USA.     International panel: Giulia Brisighelli (Johannesburg, ZA) Martin Lacher (Leipzig, Germany), Paola Midrio (Triviso, Italy), Carlos Reck (Vienna, Austria), Pim Sloots (Rotterdam, Netherlands), Gaia Tamaro (EUPSA Office), Alejandra Villanova (Madrid, Spain), Tomas Wester (Stockholm, Sweden) spaces/7/content/4784/file_6023_2021-12-28_12-00-15.mp4 2021-12-28T12:00:15+00:00 2 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/9081 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9081/thumbnail_10635_2024-08-28_11-49-16.jpg 2024 Update Course - Welcoming Statement - Todd Ponsky This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Dr. Todd Ponsky welcomes everyone to the 12th annual event! spaces/17/content/9081/file_10635_2024-08-28_11-49-16.mp4 2024-08-28T11:49:16+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7190 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7190/thumbnail_8675_2023-09-20_22-00-07.jpg Management of Primary Spontaneous Pneumothorax in Children New article you should know about by Dr. Cecilia Gigena "Management of Primary Spontaneous Pneumothorax in Children: A Single Institution Protocol Analysis" Authors: Shai Stewart, James A. Fraser, Rebecca M. Rentea, Pablo Aguayo, David Juang, Jason D. Fraser, Charles L. Snyder, Richard J. Hendrickson, Tolulope A. Oyetunji, Shawn D. St. Peter Full article: https://www.jpedsurg.org/article/S0022-3468(23)00075-1/fulltext Background The Midwest Pediatric Surgery Consortium (MWPSC) suggested a simple aspiration of primary spontaneous pneumothorax (PSP) protocol, failing which, Video-Assisted Thoracoscopic Surgery (VATS) should be considered. We describe our outcomes using this suggested protocol. Methods A single institution retrospective analysis was conducted on patients between 12 and 18 years who were diagnosed with PSP from 2016 to 2021. Initial management involved aspiration alone with a ≤12 F percutaneous thoracostomy tube followed by clamping of the tube and chest radiograph at 6 h. Success was defined as ≤2 cm distance between chest wall and lung at the apex and no air leak when the clamp was released. VATS followed if aspiration failed. Results Fifty-nine patients were included. Median age was 16.8 years (IQR 15.9, 17.3). Aspiration was successful in 33% (20), while 66% (39) required VATS. The median LOS with successful aspiration was 20.4 h (IQR 16.8, 34.8), while median LOS after VATS was 3.1 days (IQR 2.6, 4). In comparison, in the MWPSC study, the mean LOS for those managed with a chest tube after failed aspiration was 6.0 days (±5.5). Recurrence after successful aspiration was 45% (n = 9), while recurrence after VATS was 25% (n = 10). Median time to recurrence after successful aspiration was sooner than that of the VATS group [16.6 days (IQR 5.4, 19.2) vs. 389.5 days (IQR 94.1, 907.0) p = 0.01]. Conclusion Simple aspiration is safe and effective initial management for children with PSP, although most will require VATS. Howe https://library.globalcastmd.com/video/7190 2023-09-20T22:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2488 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2488/thumbnail_3423_2020-04-16_00-02-16.jpg Management of post‑circumcision penile necrosis Dr. Bardisan Gawrieh reviews risk factors for post-circumcision penile necrosis, as he summarizes "management of post-circumcision necrosis of the penis: the medicolegal aspect" from Pediatric Surgery International.Link to the full article: gcmd.co/2yLOPGj https://library.globalcastmd.com/video/2488 2020-04-16T00:02:16+00:00 18 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11377 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/11377/thumbnail_11377_1_1768253243140.jpg Beyond ChatGPT_ AI Tools You’re Not Using (But Should) - Vail, CO Live from the 18th Annual International MIS and Surgical Innovation in Infants & Children ConferenceJoin Dr. Todd Ponsky for a hands-on AI workshop designed for busy medical professionals who want to work smarter, not harder.This isn’t a lecture—it’s a show and tell. Dr. Ponsky will walk through the AI tools he actually uses every day to save time, boost productivity, and simplify his workflow as a pediatric surgeon. You’ll also have the chance to share what tools you’re using.Expect practical demonstrations of:• Quick video editing tools• No-code app builders• AI-powered media creation tools• Workflow automation platformsNo jargon. No hype. Just real tools that make your day-to-day work easier.Stream it live as part of the International MIS and Surgical Innovation in Infants & Children Conference, where global experts gather to discuss the latest breakthroughs in minimally invasive, robotic, and endoscopic surgical care for infants and children. https://library.globalcastmd.com/video/11377 2026-01-12T21:01:39+00:00 AI artificial intelligence minimally invasive robotic endoscopic editing tools no-code app boosts productivity pediatric surgery some4pedsurg Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6436 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6436/thumbnail_6436_2023-03-01_22-00-08.jpg Un paso mas cerca del tratamiento de problemas del neurodesarrollo en pacientes con RCIU Nuevo articulo que tenés que conocer por la dra. Gigena Cecilia "Protección cerebral por terapia de celulas madre transamniotica #TRASCET en un modelo de #RCIU" Ashlyn E Whitlock et.al. Full article: https://www.jpedsurg.org/article/S0022-3468(22)00611-X/fulltext Abstract Propósuto La terapia transamniotica de células madre (TRASCET) con células madre mesenquimales (MSCs) ha probado experimentalmente revertir alguno de los efectos del crecimiento intrauterino (RCIU), aparentemente mediante la atenuación de la inflamación placentaria. Los déficits del neurodesarrollo conducidos por la inflamación neural son complicaciones mayores del RCIU. Buscamos determinar si la terapia TRASCET basada en MSCs también mitiga la inflamación cerebral.  Métodos Ratas Sprague-Dawley embarazadas (n = 8) fueron expuestas a intervalos de hipoxia de 12 horas (10.5% O2) desde el dia de gestación 15 (E15) hasta el término (E21). Un grupo se mantuvo sin tratar (n = 28 fetos). Tres grupos recibieron inyecciones isovolumétricas intraamnióticas en todos los fetos (n = 72) de solución salina (sham; n = 19), o una solución de líquido amniótico con MSCs, ya sea en su estado natural (TRASCET; n = 20), o con una primera exposición a (IFN-γ) e interleucina-1beta (IL-1β) por 24 h previo a la administración (TRASCET+Primer; n = 29). Las donantes de MSCs eran ratas Lewin singénicas cuyo fenotipo c2lular se obtuvo por citometría de flujo. Fetos normales sirvieron como control (n = 20). Múltiples analisis fueron realizados al término, incluyendo un ELISA en los cerebros fetales para las citoquinas pro-inflamatorias como el Factor de necrosis tumoral alpha (TNF-α) y la IL-1β. Se realizaron comparaciones estadísticas con el test de Wilcox, incluyendo el ajuste de Bonferroni para la significancia. Resultados La sobrevida global fue del 75% (88/116). El peso del cerebro fue significativamente menor al normal en ambos grupos sin tratamiento o tratados con solución salina (ambos p<0.001) https://library.globalcastmd.com/video/6436 2023-03-01T22:00:08+00:00 2 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/9089 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9089/thumbnail_10643_2024-08-28_13-10-16.jpeg 2024 Update Course - New Updates You Should Know in Pediatric Surgery - Gloria Gonzalez, Greg Tiao, & Carroll This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Gloria Gonzalez and Greg Tiao, with Carroll "Mac" Harmon as moderator, speaks on new updates you should know in pediatric surgery.   Topics to be discussed: • MMP7 for BA • Lipidol for Osteo Lung Mets   spaces/17/content/9089/file_10643_2024-08-28_13-10-16.mp4 2024-08-28T13:10:16+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2233 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2233/thumbnail_3159_2020-02-24_19-58-22.jpg Thoracoscopic Treatment of Spontaneous Pneumothorax This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2233 2020-02-24T19:58:22+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5829 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/5829/thumbnail_5829_2022-09-08_16-00-06.jpg Ovarian Tumors with Dr. Roshni Dasgupta There is a lot to know when it comes to ovarian tumors! Here, Dr. Roshni Dasgupta, from Cincinnati Children's, breaks down the highlights for us. Host: Brittany Levy https://library.globalcastmd.com/video/5829 2022-09-08T16:00:06+00:00 16 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/3078 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3078/thumbnail_4031_2020-09-30_05-00-07.jpg IPEG 2020 Top Abstract: Laparoscopic Assisted Excision of a Type III Sacrococcygeal Teratoma IPEG 2020 Annual Meeting - Top Abstracts Jerry Xiao, BA1; Veronica Sullins, MD2; Shannon Koehler, MD, PhD3; John Aiken1; Marjorie Arca4; 1Medical College of Wisconsin; 2UCLA Health; 3Driscoll Children's Hospital; 4University of Rochester Medicine Type III sacrococcygeal teratomas (SCT) are most often approached through a combined open-abdominal and perineal approach. We describe the removal of a cystic type III SCT through a laparoscopic abdominal approach and a midsagittal gluteal incision. The patient is a full-term infant with an antenatal diagnosis of SCT. On day-of-life 4, he underwent SCT excision. Laparoscopic access was gained through an open approach. The cyst was drained and the cystotomy was closed. The middle sacral artery was secured. The cyst was circumferentially dissected toward the perineum. The bladder was suspended with a transabdominal suture for better visualization. The perineal approach was a sagittal incision through the natal cleft. The patient had an uncomplicated course and was discharged on post-operative-day four. Follow up MRI within a year showed no recurrence. At two years, he has normal bladder and bowel function. Laparoscopic approach is feasible and effective for a cystic SCT resection. Presenter: Jerry Xiao, BA jxiao@mcw.edu https://d1dnj0gz56dmdu.cloudfront.net/db5518ca-7085-4d08-9c5f-a5359615784a/AppleHLS1/9e4e77c86b322b172818d63edf4f78a0.m3u8 2020-09-30T05:00:07+00:00 7 Medical Education yes IPEG no https://library.globalcastmd.com/video/1150 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1150/thumbnail_1293_2019-02-05_00-05-05.jpg Discharge after Reduction of Intussusception Is Safe and Effective Do you routinely admit patients after radiologic reduction of intussusception in order to observe for recurrence?  A new study out of Children's Mercy Hospital in Kansas City suggests that you don't have to!Check out this article by Joseph Sujka, Shawn St. Peter, and colleagues, where they analyze the impact of a new intussusception protocol.  Let us know your thoughts below!http://ow.ly/Gr7f30nzEdn Video edited by Alexander Gibbons at Akron Children's Hospital https://library.globalcastmd.com/video/1150 2019-02-05T00:05:05+00:00 16 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/4351 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/4351/thumbnail_4351_2021-07-20_22-00-18.jpg IPEG Academy: Laparoscopic Appendectomy IPEG Academy Instructional Video: Laparoscopic Appendectomy M.C. Mora, H.D.Le, C.J.Aprahamian, D.A. Davies, D.C. Yu, G. Azzie, K.A. Diefenbach https://d1dnj0gz56dmdu.cloudfront.net/bd35a900-85a4-42d8-8434-a6b98eb356f6/AppleHLS1/4c720770cffd27af342d5c9573cd4c62.m3u8 2021-07-20T22:00:18+00:00 29 Medical Education yes IPEG no https://library.globalcastmd.com/video/7829 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7829/thumbnail_9352_2023-12-20_22-00-08.jpg Prophylactic Acid-suppression Medication to Prevent Anastomotic Strictures After Oesophageal Atresia Surgery New article you should know from JPS by Dr. Cecilia Gigena "Prophylactic Acid-suppression Medication to Prevent Anastomotic Strictures After Oesophageal Atresia Surgery: A Systematic Review and Meta-analysis" Authors: Thomas Wyllie, Eniola Folaranmi, Prabhu Sekaran, W John Watkins, Mallinath Chakraborty Full article: https://gcmd.co/3vi4oCE Background Anastomotic stricture is a common postoperative complication of oesophageal atresia ± tracheoesophageal fistula (OA/TOF) repair. Acid gastro-oesophageal reflux disease (GORD) is considered to be a factor in stricture formation and acid suppression medication is recommended post-operatively in consensus guidance. We aimed to investigate whether patients who were treated prophylactically with acid suppression medication had a reduced incidence of strictures compared to those who did not receive it. Methods A systematic review of studies was performed, searching multiple databases without language or date restrictions. Multiple reviewers independently assessed study eligibility and literature quality. The primary outcome was anastomotic stricture formation, with secondary outcomes of GORD, anastomotic leak, and oesophagitis. Meta-analysis was performed using a random effects model, and the results were expressed as an odds ratio (OR) with 95% confidence intervals (CI). Results No randomised studies on the topic were identified. Twelve observational studies were included in the analysis with ten reporting the primary outcome. The quality assessment showed a high risk of bias in several papers, predominantly due to non-objective methods of assessment of oesophageal stricture and the non-prospective, non-randomised nature of the studies. Overall, 1395 patients were evaluated, of which 753 received acid suppression medication. Meta-analysis revealed a trend towards increased odds of anastomotic strictures in infants receiving prophylactic medication, but this was not statistically significant (OR 1.33; 95% CI 0.92, 1 https://library.globalcastmd.com/video/7829 2023-12-20T22:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9973 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9973/b6743949e54b4560cdf7e725813a436c.jpg Update Course Rewind: MMP-7 & Biliary Atresia Diagnosis 2024 In this Update Course Rewind session, Dr. Greg Tiao, Surgical Director of the Liver Transplantation Program at Cincinnati Children’s, discusses the critical role of MMP-7 as a biomarker in the early diagnosis of biliary atresia. With data showing that every 10-day delay in treatment worsens outcomes by 20%, early detection is essential for improving native liver survival. Key Highlights: Importance of Early Diagnosis: Performing a Kasai procedure before 45 days significantly improves patient outcomes. MMP-7 as a Biomarker: Validated in international studies, MMP-7 is proving to be a powerful diagnostic tool. Challenges in Diagnosis: Distinguishing BA from other neonatal cholestasis conditions remains complex. Global Impact: Lessons from high-incidence regions like China are helping shape best practices in North America. With the integration of MMP-7 testing, pediatric surgery is moving towards earlier diagnosis and intervention, improving the chances of avoiding liver transplant in affected infants. Don’t forget to like, comment, and subscribe for more updates! https://library.globalcastmd.com/video/9973 2025-03-04T06:41:08+00:00 1 channel#pediatric_surgery some4pedsurg pediatric surgery biliary atresia MMP-7 Kasai procedure biomarker early diagnosis native liver survival patient outcome Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6361 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6361/thumbnail_6361_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Maximiliano M Maricic IPEG - Presentation Watch Maximiliano M Maricic, MD, present his presentation on "Challenging Cases of Esophageal Atresia Early in the Learning Curve. How Important Specific Training is?" https://library.globalcastmd.com/video/6361 2023-02-06T18:00:13+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10399 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10399/c37b28c4625bcb88007e808da76cebcd.jpg Long-term Survival of Bladder Augmentation is Influenced by its Shape and Mucosal Lining Emma Parkinson, Andrew Robb, Liam McCarthy Introduction: Bladder augmentation in the UK has been largely by enterocystoplasty or ureterocystoplasty (UC). Ileocystoplasty can be simple patch placement (SPP), or formation of an ileal cup (IC). Urothelium is the “right” mucosa, whereas intestinal mucosa exhibits absorption, mucus production, malignancy. On videourodynamics it can be shown that SPP fills with a poor conformation (irregular shape), while IC was good, and UC adequate. Our aim was to measure the long-term outcomes of augmentation, comparing UC (“right” mucosa and adequate conformation), to SPP (“wrong” mucosa and poor conformation) to IC (“wrong mucosa” and good conformation). Methods: Single-centre retrospective review. Patients were identified from operative logs for the period 2005 to 2022. Registered as an audit (CARMS 31503). Data collected included: demographics, dates: operation, redo-surgery, imaging, stones (renal/bladder) and any intervention. Data were given as numbers (%), median (range) analysed by Fisher exact test where P < 0.05 was taken as significant. Results: There were 168 bladder augmentations: UC (n = 24), SPP (n = 72), and IC (n = 72). Follow-up was no different for IC 4.23 (0.05–11.50) vs SPP 4.43 (0.15–13) yrs, but was longer for UC at 6.2 (4.1–8.9) yrs. Age at augmentation was 6.7 (2.5–17.1) vs 8.1 (2–17) vs 11.6 (5.9–17) yrs respectively (UC vs IC vs SPP, P = 0.0001). Revision surgery was required in 3/24 (12.5 %) UC, 6/72 (8.3 %) SPP, and 0/72 (0 %) IC. IC had fewer redos than SPP, P = 0.028. Long-term survival was significantly better for IC (100 % at 10 years, vs UC 85 % at 10 years and SPP 96 % at 5 yrs and 75 % at 10 yrs, log-rank P < 0.05). Imaging follow-up was available in SPP (n = 56) IC (n = 62), UC (n = 24) with renal stones identified in 7/56 (%) SPP, 2/62 (%) IC, and 0 in UC. Bladder stones were present in SPP 5/56 (8.9 %) vs IC 2/62 (3.2 %), NS. Stone-free survival was 100 % at 10yrs in UC, 95 % in https://library.globalcastmd.com/video/10399 2025-04-24T08:15:39+00:00 2 channel#pediatric_surgery Enterocystoplasty Ureterocystoplasty Reaugmentation Alex halpern Bladder stones pediatric surgery Augment conformation Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5870 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5870/thumbnail_5870_2022-09-15_04-00-06.png Pediatric Vascular Access in Brief: Preoperative, Operative, and Postoperative Considerations All surgeons need to know about vascular access. Here we review some preoperative, operative, and postoperative considerations of pediatric vascular access with Dr. Alex Bondoc from Cincinnati Children's Hospital, including indications, contraindications, work-up considerations, tips for placement, and postoperative considerations. Featuring information about locking solutions with Dr. Paul Wales. Hosts: Rod Gerardo, Ellen Encisco, Brittany Levy Additional information: Chest radiograph after fluoroscopic guided line placement: No longer necessary Ethanol lock therapy to reduce the incidence of catheter-related bloodstream infections in home parenteral nutrition patients with intestinal failure: preliminary experience Ethanol Locks to Prevent Catheter-Related Bloodstream Infections in Parenteral Nutrition: A Meta-Analysis Prevention of catheter-related blood stream infections in children with intestinal failure Reduction of Central Line–Associated Bloodstream Infections and Line Occlusions in Pediatric Intestinal Failure Patients Receiving Long‐Term Parenteral Nutrition Using an Alternative Locking Solution, 4% Tetrasodium Ethylenediaminetetraacetic Acid https://library.globalcastmd.com/video/5870 2022-09-15T04:00:06+00:00 25 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6515 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6515/thumbnail_6515_2023-03-23_12-00-10.jpg Update Course Rewind: Fetal Endotacheal Occlusion (FETO) for CDH 2022 We are back with another Update Course Rewind video. This time we are presenting you “Fetal Endotracheal Occlusion (FETO) for Congenital Diaphragmatic Hernia (CDH)" with Dr. Craig Lillehei from APSA Professional Development Committee. Hosts: Brittany Levy https://library.globalcastmd.com/video/6515 2023-03-23T12:00:10+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6957 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6957/thumbnail_8413_2023-07-27_00-00-14.jpg Clinical and radiographic predictors of the need for facial CT in pediatric blunt trauma Another article you should know by Dr. Cecilia Gigena "Clinical and radiographic predictors of the need for facial CT in pediatric blunt trauma" Nguyen BN et.al. Authors: Brittany N Nguyen, Mary J Edwards, Shachi Srivatsa, Derek Wakeman, Thais Calderon, Abdularouf Lamoshi, Kim Wallenstein, Tiffany Fabiano, Brittany Cantor, Kathryn Bass, Ananth Narayan, Ralph Zohn, Mitchell Chess, Richard D Thomas Full article: https://pubmed.ncbi.nlm.nih.gov/35529807/ Background: Facial injuries are common in children with blunt trauma. Most are soft tissue lacerations and dental injuries readily apparent on clinical examination. Fractures requiring operative intervention are rare. Guidelines for utilization of maxillofacial CT in children are lacking. We hypothesized that head CT is a useful screening tool to identify children requiring dedicated facial CT. Methods: We conducted a multicenter retrospective review of children aged 18 years and under with blunt facial injury who underwent both CT of the face and head from 2014 through 2018 at five pediatric trauma centers. Penetrating injuries and animal bites were excluded. Imaging and physical examination findings as well as interventions for facial fracture were reviewed. Clinically significant fractures were those requiring an intervention during hospital stay or within 30 days of injury. Results: 322 children with facial fractures were identified. Head CT was able to identify a facial fracture in 89% (287 of 322) of children with facial fractures seen on dedicated facial CT. Minimally displaced nasal fractures, mandibular fractures, and dental injuries were the most common facial fractures not identified on head CT. Only 2% of the cohort (7 of 322) had facial injuries missed on head CT and required an intervention. All seven had mandibular or alveolar plate injuries with findings on physical examination suggestive of injury. Discussion: In pediatric blunt trauma, head CT is an excellent screening tool for fa https://library.globalcastmd.com/video/6957 2023-07-27T00:00:14+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8098 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8098/thumbnail_9631_2024-03-21_06-29-48.jpg Update Course Rewind: Updates in Solid Organ Injury Management 2023 Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Updates in Solid Organ Injury Management". Joining the discussion are Drs. Meera Kotagal & Katie Russell. Host: Em Gootee Resources: https://pubmed.ncbi.nlm.nih.gov/37117078/ Williams RF, Grewal H, Jamshidi R, Naik-Mathuria B, Price M, Russell RT, Vogel A, Notrica DM, Stylianos S, Petty J. Updated APSA Guidelines for the Management of Blunt Liver and Spleen Injuries. J Pediatr Surg. 2023 Aug;58(8):1411-1418. doi: 10.1016/j.jpedsurg.2023.03.012. Epub 2023 Mar 23. PMID: 37117078. https://library.globalcastmd.com/video/8098 2024-03-21T06:29:48+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/332 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/332/thumbnail_358_2018-09-14_23-20-00.jpg No CXR After Central Line Placement Dr. Todd Ponsky discusses a paper by Dalton et al which concludes that routine CXR is not necessary after central line placement unless symptomatic.  They also found that pneumothorax was equal for IJ and subclavian lines. spaces/1/content/332/file_358_2018-09-14_23-20-00.mp4 2018-09-14T23:20:00+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11294 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/11294/thumbnail_11294_1_1764802211984.jpg Quick Literature Updates Ep 25 We’re back with 25th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".Host: Em Gooteehttps://pubmed.ncbi.nlm.nih.gov/38914511/Huerta CT, Beres AL, Englum BR, Gonzalez K, Levene T, Wakeman D, Yousef Y, Gulack BC, Chang HL, Christison-Lagay ER, Ham PB 3rd, Mansfield SA, Kulaylat AN, Lucas DJ, Rentea RM, Pennell CP, Sulkowski JP, Russell KW, Ricca RL, Kelley-Quon LI, Tashiro J, Rialon KL; American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee. Management and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review From the APSA Outcomes and Evidence-Based Practice Committee. J Pediatr Surg. 2024 Oct;59(10):161589. doi: 10.1016/j.jpedsurg.2024.05.019. Epub 2024 Jun 6. PMID: 38914511.https://pubmed.ncbi.nlm.nih.gov/39743432/Moturu A, Coleman M, Mets C, Thompson V, Grant C, Ko CY, Saito JM, Berman L, Wakeman D. Identifying Quality Improvement Targets After Pediatric Gastrostomy Tube Insertion: A NSQIP-Pediatric Pilot Study. J Pediatr Surg. 2025 Jun;60(6):162107. doi: 10.1016/j.jpedsurg.2024.162107. Epub 2024 Dec 17. PMID: 39743432.https://pubmed.ncbi.nlm.nih.gov/38733138/Kollin C, Nordenskjöld A, Ritzén M. Testicular volume at puberty in boys with congenital cryptorchidism randomised to treatment at different ages. Acta Paediatr. 2024 Aug;113(8):1949-1956. doi: 10.1111/apa.17270. Epub 2024 May 11. PMID: 38733138. https://library.globalcastmd.com/video/11294 2025-12-03T22:49:35+00:00 Em Gootee cincinnati children's cchmc pediatric surgery some4pedsurg ped surg journal of pediatric surgery jps urology Gastrostomy Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2227 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2227/thumbnail_3153_2020-02-24_19-58-22.jpg Thoracoscopic Left Lower Lobectomy for Congenital Pulmonary Airway Malformation This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2227 2020-02-24T19:58:22+00:00 33 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6631 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6631/thumbnail_6631_2023-05-10_16-00-15.jpg Ingestión de pila boton en pediatría: Experiencia de un centro y score de riesgo para predecir resultados Otro artículo que tenes que conocer por la dra Cecilia Gigena  “Ingestión de pila boton en pediatría: Experiencia de un centro y score de riesgo para predecir resultados” Scaline N et.al.  P. Nina Scalise, Jonathan M. Durgin, Steven J. Staffa, Nicole Wynne, Jay Meisner, Peter Ngo, Benjamin Zendejas, Heung Bae Kim, Farokh R. Demehri Articulo completo: https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext Abstract Purpose The purpose of this study was to analyze the management and outcomes of primary button battery ingestions and their sequelae at a single high-volume center, and to propose a risk score to predict the likelihood of a severe outcome. Methods The medical record was queried for all patients under 21 years old evaluated at our institution for button battery ingestion from 2008 to 2021. A severe outcome was defined as having at least one of the following: deep/circumferential mucosal erosion, perforation, mediastinitis, vascular or airway injury/fistula, or development of esophageal stricture. From a selection of clinically relevant factors, logistic regression determined predictors of a severe outcome, which were incorporated into a risk model. Results 143 patients evaluated for button battery ingestion were analyzed. 24 (17%) had a severe outcome. The independent predictors of a severe outcome in multivariate analysis were location of battery in the esophagus on imaging (96%), battery size >/ = 2 cm (95%), and presence of any symptoms on presentation (96%), with P < 0.001 in all cases. Predicted probability of a severe outcome ranged from 88% when all three risk factors were observed, to 0.3% when none were present. Conclusion We report the presentation, management, and complication profiles of a large cohort of BB ingestions treated at a single institution. A risk score to predict severe outcomes may be used by providers initially evaluating patients with button battery ingestion in order to allocate resources https://library.globalcastmd.com/video/6631 2023-05-10T16:00:15+00:00 1 channel#staycurrent_espanol Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/9676 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9676/thumbnail_11238_2025-01-22_08-52-35.jpg Update Course Rewind: Surgical Management of Pilonidal Disease 2024 In this episode of the Pediatric Surgery Update Course Rewind, Dr. Nelson Rosen and Dr. Whit Holcomb discuss advancements in the surgical management of pilonidal disease, emphasizing minimally invasive techniques like the GIPS procedure. Learn how these methods offer faster recovery, fewer complications, and better outcomes for patients. Key Highlights: Minimally Invasive Techniques: The GIPS procedure and hybrid approaches that maximize skin preservation and minimize recovery time. EPSIT Technique: A global perspective on endoscopic management, including its benefits and challenges. Recurrence Prevention: The importance of ongoing hair removal strategies, including laser treatments, to prevent recurrence and improve long-term outcomes. When to Escalate: For cases where minimally invasive approaches fail, off-midline closure options like the Bascom cleft lift offer effective solutions. This video is essential for understanding the evolving management of pilonidal disease and the role of patient-centered care in achieving lasting results.   Host: Em Gootee, MD https://library.globalcastmd.com/video/9676 2025-01-22T08:52:35+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9514 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9514/thumbnail_11070_2024-12-10_13-34-12.jpg Update Course Rewind: Patient Education and Non-Surgical Management of Pilonidal Disease 2024 In this episode from the 12th Annual Update Course in Pediatric Surgery, Dr. Nelson Rosen discusses non-surgical approaches to managing pilonidal disease, emphasizing the importance of patient education and hygiene. Learn how techniques like hair removal, meticulous hygiene, and lifestyle adjustments can significantly reduce the need for invasive procedures. Key Highlights: Non-Surgical Success Rates: Up to 60-70% of patients experience improvement with non-surgical interventions alone. Hair Removal Techniques: Options include weekly clipping, waxing, Nair-type agents, and even laser removal for long-term maintenance. Hygiene Best Practices: Showering regularly, using washlets, and debunking myths about bathing restrictions for faster healing. Setting Expectations: How to guide patients and families through treatment while balancing realistic outcomes. Join us to explore how non-surgical management can transform the care and recovery of patients with pilonidal disease. Don’t forget to like, comment, and subscribe for more pediatric surgery updates! https://library.globalcastmd.com/video/9514 2024-12-10T13:34:12+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2232 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2232/thumbnail_3158_2020-02-24_19-58-22.jpg Thoracoscopic Repair of Esophageal Atresia with Distal Tracheo-esophageal... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2232 2020-02-24T19:58:22+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11713 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/11713/76c7879235161ddb1b437427acd47508.jpg Total colonic Hirschsprung disease: Ileostomy take down and ileoanal pull-through Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital  spaces/8/content/11713/48ca732e740dddb1b635224c05b2d583.mp4 2026-03-19T14:18:49+00:00 1 totalcolonic hd hirschsprungdisease totalcolonichd marclevitt drlevitt ileostomytakedown ileostomy channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/3182 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3182/thumbnail_4135_2020-10-14_19-00-09.jpg IPEG 2020 TOP ABSTRACT: Thymic hyperplasia or thymoma: a doubt solved after surgical removal IPEG 2020 Annual Meeting - Top Abstracts Sara Fernandes, MD1; José Estevão-Costa, MD, PhD2; Nuno Farinha, MD3; Ana Catarina Fragoso, MD, PhD2; 1Department of Pediatric Surgery - Centro Hospitalar Universitário São João; 2Department of Pediatric Surgery - Centro Hospitalar Universitário São João. Faculty of Medicine, Porto University.; 3Pediatric Oncology Department - Centro Hospitalar Universitário São João   Thymus experiences multiple physiologic, morphologic and topographic changes with time that interfere with the interpretation of imaging findings and with the diagnosis of pathologic alterations. An asymptomatic 6-year old girl was referred with the evidence of a paracardiac mass. Computed tomographic scanning revealed a thymic hyperplasia and an expectant attitude was initially adopted but the persistent finding of mediastinal enlargement lead to further investigation. A magnetic resonance imaging has shown a paracardiac mass, raising the possibility of a massive thymic hyperplasia, not excluding the diagnosis of a thymoma. Surgical removal was decided and performed by thoracoscopy. The patient was discharged in the second postoperative day. The histological analysis has revealed a complete exeresis of a B2a thymoma. Although rare, thymomas may present an uncertain biological behavior and a complementary treatment may be necessary if the surgical removal is incomplete. Sara Fernandes, MD sara.isa.fernandes@gmail.com https://twitter.com/sarafernandes_i https://www.linkedin.com/in/sara-fernandes-436749153 spaces/2/content/3182/file_4135_2020-10-14_19-00-09.mp4 2020-10-14T19:00:09+00:00 6 Medical Education yes IPEG no https://library.globalcastmd.com/video/2794 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2794/thumbnail_2794_2020-07-16_02-20-47.jpg IPEG 2020 TOP ABSTRACT: Single incision laparoscopic heminephroureterectomy for reno-ureteral duplication in children IPEG 2020 Annual Meeting - Top Abstracts Authors: Tran N Son, PhD; Nguyen H Van, Dr; Hoang V Bao, Dr; Tran V Quyet, Dr; Saint Paul Hospital, Hanoi, Vietnam We present our single incision laparoscopic surgery SILS technique for hemi-nephro-ureterectomy for reno-ureteral duplication. An 8 month-old girl was admitted to our center for urinary dripping and infection. Imaging studies showed a nonfunctional upper moiety of left reno-ureteral duplication. Our SILS procedure began with a modified Z-shaped 15mm umbilical skin incision. Two 5.5mm trocars and one 3.5mm trocar were placed at different points in the same skin incision site. Left upper hemi-nephro-ureterectomy was performed with conventional straight laparoscopic instruments. The operative duration was 120 minutes. There was no significant blood loss, no intra- or post-operative complication. The patient resumed oral feeding on the 1st POD and was discharged on POD 3. At a follow up of 12 months, she was asymptomatic and had no visible operative scar. The same technique was used in two other children for left and right upper hemi-nephro-ureterectomy with good outcomes and excellent postoperative cosmesis. Presenter: Tran N Son, PhD Email: drtranson@yahoo.com Social Media: Son Tran (facebook) | Son TN (Viber) https://d1dnj0gz56dmdu.cloudfront.net/8b90ba9a-409b-4b70-b518-edcec0633437/AppleHLS1/1952defd508961f9af6eeae9f88b04ce.m3u8 2020-07-16T02:20:47+00:00 8 Medical Education yes IPEG no https://library.globalcastmd.com/video/6461 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6461/thumbnail_6461_2023-03-14_16-00-12.jpg Split Malone Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/5bae45dc-c31f-4a82-af29-d900b5018256/AppleHLS1/55590971a0e73738c5d0c02fb32a8f90.m3u8 2023-03-14T16:00:12+00:00 1 channel#private_colorectal_channel Malone pediatricsurgery Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2792 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2792/thumbnail_3736_2020-07-16_02-20-47.jpg IPEG 2020 TOP ABSTRACT: Endoscopically Assisted Laparoscopic Transgastric Resection of Pancreatic Rest Utilizing Laparoscopic Ultrasound and Esophagogastroduodenoscopy Case Report IPEG 2020 Annual Meeting - Top Abstracts Authors: Afua Amoabin, BS; Malek Ayoub, BS; Alexis N Bowder, MD; Katherin Flynn O'Brien, MD, MPH; Alfonso M Martinez, MD; Sabina Siddiqui, MD; Children's Hospital of Wisconsin Heterotopic pancreas (HP) is a congenital anomaly defined as the presence of pancreatic tissue outside its normal location that lacks anatomic or vascular continuity with the pancreas itself. It is often asymptomatic, but can present with pain, gastric outlet obstruction, vomiting, and dysphagia. Pyloric obstructions from HP can cause several of these symptoms and require surgical intervention. This case report documents the first surgical resection of a symptomatic HP using a laparoscopic transgastric approach, under endoscopic guidance preformed on an 18-year-old male. This innovative method is a minimally invasive option for HP resection compared to open abdominal surgery, allowing for a faster recovery and limited complications.  Presenter: Afua Amoabin, BS Email: aamoabin@mcw.edu Social Media: Facebook @medicalcollegeofwisconsin Instagram @medicalcollegeofwi Facebook @childrenswi Instagram @childrenswi https://d1dnj0gz56dmdu.cloudfront.net/06b64b93-82b3-4a1d-a994-dddb54d45d06/AppleHLS1/b4629561e5e6eaa235533bbab2a3ee0a.m3u8 2020-07-16T02:20:47+00:00 6 Medical Education yes IPEG no https://library.globalcastmd.com/video/6382 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6382/thumbnail_6382_2023-02-09_04-00-12.jpg Update Course Rewind: Gastroschisis Feeding protocols 2022 In this session we highlighted the Key points of the talk that Drs. Jason Fraser, Beth Rymeski, and Steven Lee give at the Update Course 2022.  Hope you enjoy it, if you like it give us a like or leave a comment!  And remember this Rewind was made by Cincinnati Children's Hospital to spread information to the world Articles discussed: Minimizing Variance in Gastroschisis Management Leads to Earlier Full Feeds in Delayed Closure The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis Use of a Gastroschisis Feeding Guideline to Improve Standardization of Care and Patient Outcomes at an Urban Children's Hospital Primary Closure versus Bedside Silo and Delayed Closure for Gastroschisis: A Truncated Prospective Randomized Trial Does Use of a Feeding Protocol Change Outcomes in Gastroschisis? A Report from the Midwest Pediatric Surgery Consortium The effect of standardized feeding protocol on early outcome following gastroschisis repair: A systematic review and meta-analysis The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis Differences in attitudes to feeding post repair of Gastroschisis and development of a standardized feeding protocol https://library.globalcastmd.com/video/6382 2023-02-09T04:00:12+00:00 8 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6641 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6641/thumbnail_6641_2023-05-17_18-00-10.jpg CDH Live Webinar Series Part 1: Research: Lung Compression in CDH Generates Cellular Chronic Hypoxia and Energy Failure The Cincinnati Children's Fetal Care Center—one of the few comprehensive fetal care centers worldwide—offers a unique approach to treating complex and rare fetal conditions. Their team of specialists from Cincinnati Children’s, TriHealth and the University of Cincinnati Medical Center provide the multidisciplinary, collaborative care families need in one location. In this summary video we are bringing you Dr. Maria del Mar Romero López's research on effects of lung compression in CDH patients. Host: Em Tombash https://library.globalcastmd.com/video/6641 2023-05-17T18:00:10+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/1326 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1326/thumbnail_1503_2019-04-09_00-01-17.jpg Too Much Variability in Opioid Prescriptions for Pediatric Operations Do you routinely give your pediatric patients narcotics after a laparoscopic appendectomy for simple appendicitis?  Dr. K. Tinsley Anderson and Dr. KuoJen Tsao evaluated their appendectomy patients at Children's Memorial Hermann Hospital in Houston, Texas, and found significant variation in the amount and duration of narcotics prescribed.  Some patients had a prescription for a day; others for a month!View the article here:http://ow.ly/SkoQ30omNcIShould pediatric patients get narcotics for this procedure?  If so, how much?  Would you support national guidelines for prescriptions for routine operations?This video was created by Alexander Gibbons from Akron Children's Hospital. https://library.globalcastmd.com/video/1326 2019-04-09T00:01:17+00:00 12 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6870 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6870/thumbnail_6870_2023-07-20_04-00-19.jpg IPEG 2021 Annual Meeting Promo IPEG's 2021 Annual Meeting June 11 & 14, 2021. spaces/2/content/6870/file_8326_2023-07-20_04-00-19.mp4 2023-07-20T04:00:19+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/10907 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10907/thumbnail_10907_1_1756399048112.jpg 2025 Pediatric Surgery Update Course - Top AI Tools of 2025 On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Top AI Tools of 2025Speakers: Em Gootee, MD & Dr. Carlos ColungaModerator: Todd Ponsky, MD, FACS spaces/17/content/10907/file_10907_1_1756398988954.mp4 2025-08-28T16:36:28+00:00 2 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8459 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8459/thumbnail_9994_2024-04-01_11-20-59.jpg 2024 Round Table Discussion from East Asia: Challenging Hepatobiliary Cases Watch the 2024 Round Table Discussion from East Asia - Challenging Hepatobiliary Cases virtual event! Moderator: Go Miyano Speakers: Dr. Eri Ueda (Abe), Dr. Sung Min Lee, Dr. Atsuhisa Fukuta, Dr. Shoko Ogawa, Dr. Tetsuya Ishimaru, Dr. Wataru Mukai, Dr. Shun Onishi, and Dr. Hiroki Ishii spaces/17/content/8459/file_9994_2024-04-01_11-20-59.mp4 2024-04-01T11:20:59+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11866 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11866-c73b38fb4e.jpg Pancreas, Muscle, and Subcutaneous Fat Atrophy in Patients Undergoing Radiation for Neuroblastoma Pradipta Debnath, Marissa Ray, Luke Pater, Alexandra O Glenn, Stephen Hartman, Elanchezhian Somasundaram, Todd Jenkins, Juan P Gurria, Katherine Somers, Andrew T Trout, Meera KotagalBackground/objectives: Radiation therapy (RT) is part of standard-of-care therapy in high-risk neuroblastoma (HR-NBL) but can significantly affect nearby tissue. The objectives of this study were (1) to characterize changes in pancreas volume after RT and (2) to characterize changes in body composition, including body weight percentile, subcutaneous fat area, and total psoas muscle area (tPMA), after RT in children with abdominal HR-NBL.Design/methods: This retrospective study included patients aged 0-17 years old with HR-NBL cared for at a quaternary pediatric hospital (January 2012-December 2022). Pre- to post-RT differences in outcomes were compared using paired t-test, then modeled using linear regression to adjust for covariates and additional variables.Results: Fifty patients (median age 3 [IQR 2], 56% male) met the inclusion criteria. Median days from end of radiation to first post-radiation imaging was 15.5 days (IQR 14). Pre- to post-RT, mean pancreatic volume decreased significantly (from 16,731 mm3 [SD 7659] to 14,288 mm3 [SD 7418], p < 0.001) and patient body weight percentile declined significantly (48.4-44.9, p = 0.016), although neither was linearly associated with radiation dose. There were non-significant decreases in subcutaneous fat area standardized to height (38.6-36.9 cm2/m2, p = 0.41) and in tPMA z-scores (-1.56 to -2.09, p = 0.26).Conclusions: Patients undergoing RT for abdominal HR-NBL experienced significant pancreatic volume loss. This may place them at risk for pancreatic insufficiency. Patients also had significant decreases in weight percentile with corresponding non-significant decreases in subcutaneous fat and psoas muscle area. Further research is needed to characterize the association of these findings with pancreatic function and nutritional status. https://library.globalcastmd.com/video/11866 2026-04-24T18:07:24+00:00 Radiation therapy RT neuroblastoma high-risk neuroblastoma HR-NBL pancreas total psoas muscle area tPMA pancreatic volume Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8016 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8016/thumbnail_9548_2024-02-26_10-40-18.jpg Shruthi Srinivas, MD - Best of the Best in Pediatric Surgery 2024 Watch BAPS' Dr. Shruthi Srinivas’s presentation on “Outcomes from Colonic Pull-Through for Cloacal Exstrophy Differ by Colon Length: A Multi-Institutional Study” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8016/file_9548_2024-02-26_10-40-18.mp4 2024-02-26T10:40:18+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2248 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2248/thumbnail_3174_2020-02-24_19-58-27.jpg Thoracoscopic Repair of Esophageal Atresia with Distal Tracheo-esophageal... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2248 2020-02-24T19:58:27+00:00 9 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13235 2026-08-01 monthly 0.7 Alexander G. Chiu, MD Head, Division of Otolaryngology-Head & Neck Surgery https://vimeo.com/104520131 2026-06-25T18:26:27+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/656 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/656/thumbnail_743_2018-11-10_00-05-19.jpg Fundoplication: Update Course 2014 Dr. Mac Harmon presents topics of controversy to the panel through case scenarios. Concepts of discussion include gastroesophageal reflux disease, open gastrostomy, laparoscopic gastrostomy, hiatal hernia, G-tube insertion, nissen fundoplication, and risk factors of recurrent gastroesophageal reflux disease.  https://library.globalcastmd.com/video/656 2018-11-10T00:05:19+00:00 9 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6001 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6001/thumbnail_6001_2022-10-20_04-00-07.jpg Update Course Rewind: ED Utilization 2022 The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! In this session we are summarizing the main topics on this talk. As hosts we have Brittany Levy and Cecilia Gigena Topics and articles discussed: 1. Spontaneous pneumothorax Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax: A Simple Aspiration Test Predicts Need for Operation Conservative versus Interventional Treatment for Spontaneous Pneumothorax 2. Asymptomatic spontaneous pneumomediastinum Are esophagrams indicated in pediatric patients with spontaneous pneumomediastinum? 3. Equivocal US for appendicitis Cost-Effectiveness of Diagnostic Approaches to Suspected Appendicitis in Children 4. Straddle injuries Pediatric female genital trauma managed under conscious sedation in the emergency department versus general anesthesia in the operating room- a single center comparison of outcomes and cost 5. Loss of consciousness with negative CT Admission of Pediatric Concussion Injury Patients: Is It Necessary? 6. Intussusception Outpatient management of intussusception: a systematic review and meta-analysis 7. Skull fractures Observation for isolated traumatic skull fractures in the pediatric population: unnecessary and costly https://library.globalcastmd.com/video/6001 2022-10-20T04:00:07+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9951 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9951/d734b88273534ed1d19b5f7fb6993b89.jpg Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise Mikko P. Pakarinen, Topi Luoto, Susanna Nuutinen, Arimatias Raitio, Esko Tahkola, Antti Koivusalo Aim of the study: Continuous surgical developments, growing awareness of patient representatives and limited health-care resources are pushing for innovative approaches to ensure equal high-quality pediatric surgical care. We aimed to describe early experiences and assess surgical safety of a novel nationwide pediatric surgery collaborative initiative. Methods: In 2021, general pediatric surgeons representing all five independent university hospitals performing neonatal surgery in Finland initiated national collaboration, the Finnish pediatric surgery hub (FPSH), for sharing of surgical expertise and collective learning. For each case addressed by FPSH, place of care and surgical team were decided individually, and when deemed necessary, operations were per-formed in cooperation. Operations performed during 2021e2023 and associated early (<30 days) postoperative complications were analyzed according to Clavien-Madadi classification.   Results: Of the total 40 surgeries managed co-operatively by FPSH, 30 (75%) took place in local university hospitals and 10 in Helsinki University Hospital. There were 34 (85%) elective and 6 urgent cases, which were operated within median 1 (range, 1e3) days. Most frequent underlying diagnoses included anorectal malformations, esophageal atresia and Hirschsprung disease. Overall, 12 (30%) had any early postoperative complications, all Clavien-Madadi grade IIIB or lower, and five patients (13%) were reoperated. Rate or grade of complications was not associated with place of care. In addition to regular virtual case meetings, national care protocols and research projects were introduced. Conclusion: These preliminary findings suggest that our national collaborative initiative, FPSH, not only provided practical and safe framework for sharing of surgical expertise but also for collective learning https://library.globalcastmd.com/video/9951 2025-02-24T07:19:55+00:00 channel#pediatric_surgery Lizzy Lee neonatal pedsurg centralization collaboration surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2239 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2239/thumbnail_3165_2020-02-24_19-58-22.jpg Laparoscopic Partial Splenectomy for Splenic Cyst This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2239 2020-02-24T19:58:22+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11185 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/public-assets/defaults/default_thumbnail.jpg Musculoskeletal Outcomes Following Thoracoscopic Versus Conventional Open Repair of Esophageal Atresia: A Systematic Review and Meta-Analysis from Pediatric Surgery Meta-Analysis (PESMA) Study Group Mustafa Azizoglua, Sonia Perez Bertolezc, Tahsin Onat Kamcid, Serkan Arslane, Mehmet Hanifi Okurf, Maria Escolinog, Ciro Espositog, Tuba Erdem Sith, Esra Karakasi, Annika Mutanenj, Oliver Muenstererk, Martin Lacherl Background and objectiveThoracic musculoskeletal deformities are a recognized long-term complication after esophageal atresia (EA) repair. Although evidence remains limited, thoracoscopic repair (TR) is thought to reduce morbidity compared to conventional open repair (COR), with potential benefits including earlier recovery, reduced pain, improved cosmesis, and fewer musculoskeletal sequelae. This systematic review and meta-analysis aimed to compare the incidence of musculoskeletal deformities following EA repair via TR versus COR, emphasizing their long-term clinical implications.MethodThe protocol for this review was registered in PROSPERO(CRD42024576044). A comprehensive literature search was conducted across Ovid Medline, Cochrane, PubMed, Web of Science, EMBASE, SCOPUS, and Google scholar from inception to January 2025. The primary outcomes assessed were scoliosis, rib anomalies (including deformity, fusion, and adhesions), chest wall anomalies, and scapula alata. Statistical analysis was performed using Review Manager (RevMan) version 5.4.ResultsFour retrospective studies comprising 283 patients (TR: 96; COR: 187) were included. TR was associated with significantly lower rates of scoliosis (3.1 % vs. 16 %; RR 0.35, 95 % CI 0.14–0.84, p = 0.02) and rib anomalies (0 % vs. 41.5 %; RR 0.05, 95 % CI 0.01–0.25, p = 0.0002). No significant differences were observed for chest wall anomalies (RR 0.65, p = 0.41) or scapula alata (RR 0.37, p = 0.30). However, the small number of studies and variability in diagnostic methods limit the strength and generalizability of these findings.ConclusionTR of EA may reduce long-term musculoskeletal morbidity—particularly scoliosis and rib anomalies—when compared to COR. While promising, these results should be interpreted https://library.globalcastmd.com/video/11185 2025-10-31T16:20:22+00:00 pediatric surgery some4pedsurg Thoracic musculoskeletal deformities esophageal atresia esophageal atresia repair EA open repair conventional open repair COR thoracoscopic repair Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6348 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6348/thumbnail_6348_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Jamie Schnuck, PAPS - Presentation Watch Jamie Schnuck, MD, present her presentation on "Chest tube management following lung resection in pediatric patients: a retrospective analysis." https://library.globalcastmd.com/video/6348 2023-02-06T18:00:12+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/751 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/751/thumbnail_857_2018-11-16_00-00-48.jpg Laparoscopic Jejunal Atresia Repair - Technique Dr. Steven Rothenberg describes his technique for laparoscopic repair of jejunal atresia with apple peel defect.  Key steps to the procedure include Veress entry, identification of the proximal and distal segments of jejunum, mobilization and resection of the short segment of dilated proximal jejunum with a laparoscopic stapler, a stapled end-to-side jejunojejunostomy, closure of the enterotomy, and decompression and retrieval of the specimen. https://library.globalcastmd.com/video/751 2018-11-16T00:00:48+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2032 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2032/thumbnail_2957_2019-12-24_16-00-16.jpg Endoscopic-guided Excision of a Midline Forehead Dermoid This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2032 2019-12-24T16:00:16+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2153 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2153/thumbnail_3078_2020-02-07_18-00-11.jpg Aspiration Test Predicts Need for Operation in Pediatric Spontaneous... Dr. Daniel von Allmen discusses a possible shift in management for patients with spontaneous pneumothorax, as he summarizes "Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax" from the Journal of Pediatric Surgery.Link to the full article: https://gcmd.co/2H9qzyB https://library.globalcastmd.com/video/2153 2020-02-07T18:00:11+00:00 12 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/652 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/652/thumbnail_739_2018-11-10_00-05-18.jpg Tricks - Ultrashort Segment Hirschsprungs - Kristine Thayer Dr. Kristine Thayer gives a clinical presentation of a ultrashort segment Hirschsprungs. Her informative demonstration includes topics of diagnosis of Hirschsrungs disease, suction rectal biopsy, open trans-anal rectal biopsy, barium enema, Duhamel approach,  bladder decompression. intermittent cathadarization, hinman allen syndrome spaces/1/content/652/file_739_2018-11-10_00-05-18.mp4 2018-11-10T00:05:18+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7990 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7990/thumbnail_9520_2024-02-14_22-00-06.jpg Biopsia quirúrgica o con aguja guiada por imágenes para el diagnóstico de neuroblastoma en niños Nuevo artículo que tenes que conocer por Cecilia Gigena "Biopsia quirúrgica o con aguja central guiada por imágenes para el diagnóstico de neuroblastoma en niños: Una revisión sistemática y metanálisis de la Sociedad Internacional de Oncología Quirúrgica Pediátrica (IPSO)" Autores: Luca Pio, Hervé J Brisse, Rita Alaggio, Elisa Zambaiti, Jacob Stenman, Stefano Giuliani, Valentina Montano, Alexander Siles Hinojosa, Anders Toel Hoel, Andrea Pevere, Ahmed Abu-Zaid, Stephanie Franchi-Abella, Abdelhafeez H Abdelhafeez, Andrew M Davidoff, Paul D Losty Artîculo completo: https://gcmd.co/42kahvV Resumen Antecedentes  La biopsia con aguja gruesa guiada por imágenes (IGCNB) es una herramienta clínica valiosa y ampliamente utilizada para el diagnóstico tisular del neuroblastoma pediátrico. Sin embargo, la biopsia quirúrgica abierta sigue siendo una práctica común incluso si los niños se someten a procedimientos más invasivos y dolorosos. Esta revisión tiene como objetivo determinar la precisión diagnóstica y la seguridad de los IGCNB en pacientes pediátricos con neuroblastoma. Métodos Realizamos una revisión sistemática de artículos originales revisados ​​por pares publicados entre 1980 y 2023, mediante la búsqueda de "oncología pediátrica", "biopsia", "radiología intervencionista" y "neuroblastoma". Los criterios de exclusión fueron pacientes mayores de 18 años, estudios sobre tumores no neurogénicos, informes de casos e idioma distinto del inglés. Tanto la revisión sistemática como el metanálisis se realizaron de acuerdo con la declaración de elementos de informe preferidos para revisiones sistemáticas y metanálisis (PRISMA). Resultados Se analizaron un total de 533 artículos resúmenes. De estos, ocho estudios retrospectivos cumplieron los criterios de inclusión (490 lactantes, 270 biopsias quirúrgicas [SB], 220 biopsias guiadas por imágenes). Adecuación del tejido para el diagnóstico primario (SB: n = 265, 98%; IGCNB: n = 199, 90%; p = 0,1) y cara https://library.globalcastmd.com/video/7990 2024-02-14T22:00:06+00:00 2 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8462 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8462/thumbnail_9997_2024-04-01_12-28-24.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Wataru Mukai Watch Dr. Wataru Mukai present on "Acute pancreatitis and pancreatolith associated with pancreatic duct malformation." spaces/17/content/8462/file_9997_2024-04-01_12-28-24.mp4 2024-04-01T12:28:24+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9457 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9457/thumbnail_11013_2024-11-26_11-10-28.jpg QUAD #21: Management of Concurrent Cardiac Pathologies with Dr. David Lehenbauer In this insightful session from the QUAD Conference, Dr. David Lehenbauer, a cardiothoracic surgeon at Cincinnati Children’s, discusses the management of concurrent cardiac pathology in patients undergoing slide tracheoplasty. Learn about the role of ECMO vs. cardiopulmonary bypass, timing of cardiac and tracheal repairs, and the challenges of addressing complex cases with multiple comorbidities. Key Points Covered: Slide Tracheoplasty: A transformative surgical technique for congenital tracheal stenosis. ECMO vs. Cardiopulmonary Bypass: Benefits of ECMO, including reduced inflammation, lower heparin requirements, and better post-op outcomes. Concurrent Cardiac Pathologies: Common conditions such as PA sling, ASDs, VSDs, and Tetralogy of Fallot, often repaired simultaneously with tracheoplasty. Timing of Repairs: Exploring when to combine vs. stage cardiac and tracheal interventions, with insights from recent studies and case reviews. Join us for an in-depth look at how a multidisciplinary approach is transforming care for children with complex cardiac and airway conditions. Don’t forget to like, comment, and subscribe for more expert insights! https://library.globalcastmd.com/video/9457 2024-11-26T11:10:28+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9094 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9094/thumbnail_10648_2024-08-28_13-17-36.jpg 2024 Update Course - Tips & Tricks for Gastostomies & Nissen - Miguel Guelfand This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Dr. Miguel Guelfand gives tips & tricks for Gastostomies & Nissen.   Topics to be discussed: • Fundo + GT lap vs PEG   spaces/17/content/9094/file_10648_2024-08-28_13-17-36.mp4 2024-08-28T13:17:36+00:00 9 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6766 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6766/thumbnail_6766_2023-06-23_04-00-07.jpg Update Course Rewind: 2022 Top Ten Key Takeaways The 10th annual Pediatric Surgery Update Course was held as a webinar on August 30, 2022. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this video we are reviewing the top ten key takeaways from the update course. Hosts: Ellen Encisco, Brittany Levy & Todd Ponsky 00:00 Intro 00:31 #10: Gastroschisis feeding protocols 01:48 #9: Management of congenital esophageal stenosis 03:07 #8: Outpatient management of intussusception 04:49 #7: Mechanical bowel prep & surgical site infections 05:55 #6: Advocacy for preventing pediatric gunshot injuries 07:19 #5: Efficacy of CT of suspected airway foreign body aspiration 08:42 #4: Laparotomy vs peritoneal drainage for NEC 10:00 #3: Importance of explicit and implicit bias 11:18 #2: Can isolated skull fractures be safely discharged from ER? 12:46 #1: Antibiotic treatment for complicated appendicitis Featured faculty: Beth Rymeski, DO, Cincinnati Children's Hospital Jason Fraser, MD, Children's Mercy Hospital Kansas City Steven L. Lee, MD, MBA, Seattle Children's Hospital Dan von Allmen, MD, Cincinnati Children's Hospital Ajay Kaul, MD, Cincinnati Children's Hospital Seref Kilic, MD, Cukurova University, Turkey Elizabeth Speck, Mott Children's Hospital Justin Huntington, MD, Akron Children's Hospital Mark Wulkan, MD, Akron Children's Hospital Paul Jeziorczak, MD, MPH, APSA PDC Marion Henry, MD, MPH, University of Chicago Peter Masiakos, MD, Massachusetts General Hospital Bindi Naik-Mathuria, MD, MPH, UTMB Health Richard Pearl, MD, University of Illinois at Chicago Charles Snyder, MD, APSA PDC Jose Campos, MD, Chilean Society for Pediatric Surgery Craig Lillehei, MD, APSA PDC https://library.globalcastmd.com/video/6766 2023-06-23T04:00:07+00:00 2 channel#pediatric_surgery jps-review Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8025 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8025/thumbnail_9557_2024-02-26_10-58-49.jpg Overall Winner: Dariusz Patkowski, MD - Best of the Best in Pediatric Surgery 2024 Our overall winner of the 2024 Best of the Best in Pediatric Surgery is Dariusz Patkowski, MD with his presentation on "Thoracoscopic Approach for Long Gap Esophageal Atresia Using the Internal Traction Technique"! spaces/17/content/8025/file_9557_2024-02-26_10-58-49.mp4 2024-02-26T10:58:49+00:00 4 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11460 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11460-c51371b1be.jpg A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children Michela Carter, Steven T Papastefan, Yao Tian, Stephen J Hartman, Meredith S Elman , Sara G Ungerleider , Aaron P Garrison , Tolulope A Oyetunji , Matthew P Landman, Mehul V Raval, Seth D Goldstein, Timothy B Lautz Background: Utilization of the laparoscopic approach for inguinal hernia repair has increased significantly over the past decade. The purpose of this study is to compare rates of second hernia operation and same side recurrence following open and laparoscopic inguinal hernia repair in a large national cohort. Methods: This retrospective analysis utilized the Pediatric Health Information System database to identify children <18 years-old who underwent laparoscopic or open primary inguinal hernia repair from 2017 to 2021. Data were collected through 2022 to allow minimum one year follow-up. Second hernia operation rates, inclusive of same side recurrence and metachronous contralateral hernia, and same side recurrence rates were compared by multivariable mixed effects model controlling for confounders and institutional clustering. Misclassification rates were determined through data validation at four constituent institutions. Sensitivity analyses determined true outcome rates. Results: We identified 53,287 operations (15.6% laparoscopic). Rate of second hernia operation was greater following laparoscopic repair (2.9% vs 2.6%, p = 0.04) with no difference on multivariable analysis (OR 1.14, 95% CI 0.98-1.32). Same side recurrence rate was greater following laparoscopic repair (1.5% vs 0.4%, p < 0.001) which persisted on multivariable analysis (OR 3.72, 95% CI 2.90-4.78). Sensitivity analysis demonstrated true laparoscopic and open repair rates of 14.2% and 85.8%, respectively. True rates of second hernia operation and same side recurrence were identical to those determined by PHIS. Conclusion: Laparoscopic inguinal hernia repair in children has more than three times the odds of same side hernia recurrence than open repair which is balanced by a reduced rate https://library.globalcastmd.com/video/11460 2026-02-04T21:20:07+00:00 pedsurg pediatric surgery laparoscopic surgery hernia repair inguinal repair minimally invasive pediatrics Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10036 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10036/d41082533739c8b2aa0f0ed65202b0a1.jpg Dr. Yujie Ma - Best of the Best in Pediatric Surgery 2025 Watch PAPS' Dr. Yujie Ma's presentation on “CAMK2G Promotes Neuronal Differentiation and Inhibits Migration in Neuroblastoma” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10036 2025-03-19T09:12:10+00:00 channel#live_event_content BOB2025 pediatric surgery some4pedsurg CAMK2G Neuronal Differentiation Migration Neuroblastoma Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7652 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7652/thumbnail_9165_2023-11-15_16-00-07.JPG Transition of Care - A general overview by Silja Kosolove Video on on a general overview of transition of care by Silja Kosolove (Chapter 1 of the Helsinki series). ERNICA (https://ern-ernica.eu/) spaces/7/content/7652/file_9165_2023-11-15_16-00-07.mp4 2023-11-15T16:00:07+00:00 channel#eupsa transition Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/6466 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6466/thumbnail_6466_2023-03-14_16-00-13.jpg Malone & Mitrofanoff Appendicostomy Victoria A. Lane, Richard J. Wood, V.R. Jayanthi, Marc A. Levitt  Center for Colorectal and pelvic Reconstruction, Nationwide Children's Hospital     https://d1dnj0gz56dmdu.cloudfront.net/76db25b5-c10f-489d-b600-7a6704089eb3/AppleHLS1/a99504241d79d523c84706ee49719919.m3u8 2023-03-14T16:00:13+00:00 8 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/11602 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/11602/file_11602_1_1772572605883.jpg Pediatric Obesity Is a Disease: Treatment, Medications, Surgery & Equity in Care with Dr. Justin Ryder In this segment from Lurie Children’s Hospital, Dr. Justin Ryder breaks down the evolving science and treatment paradigm of pediatric obesity—highlighting why it must be approached as a chronic, biologically driven disease rather than a lifestyle issue.Key Highlights:Obesity Is a Disease: Pediatric obesity is multifactorial, shaped by genetics, epigenetics, hormones, environment, stress, and socioeconomic factors. The newest AAP guidelines formally recognize obesity as a disease and recommend active treatment—not watchful waiting.Shift in Clinical Practice: Treatment should be offered to children above the 85th percentile BMI. The model has shifted from prevention-only efforts to a proactive, continuum-based care strategy.Continuum of Care: Management includes Intensive Health Behavior and Lifestyle Treatment (26+ contact hours), FDA-approved pharmacotherapy for adolescents, and bariatric surgery for select patients—each playing a role depending on severity and response.Efficacy & Challenges: GLP-1 medications demonstrate meaningful weight loss, and bariatric surgery shows durable BMI reduction and improvement in comorbidities. However, weight regain remains a significant biological challenge.MASLD & Long-Term Risk: Obesity is strongly linked to metabolic dysfunction–associated steatotic liver disease (MASLD), affecting millions of youth and placing many at risk for cirrhosis, transplant, or hepatocellular carcinoma.Equity & Advocacy: Obesity disproportionately impacts children of color and those in under-resourced communities. Access to effective treatment—including medications—is a health equity issue that demands advocacy.This session reinforces that pediatric obesity requires early, evidence-based intervention, multidisciplinary care, and systemic advocacy to improve lifelong health outcomes. https://library.globalcastmd.com/video/11602 2026-03-03T21:16:45+00:00 3 Pediatric Obesity Multifactorial Disease Gene Environment Interaction Intensive Lifestyle Treatment Pharmacotherapy FDA Approved Bariatric Surgery Weight Regain MASLD NAFLD Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7279 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/7279/thumbnail_7279_2023-10-09_22-00-13.jpg Rectovaginal Fistula Nationwide Children's Hospital  spaces/8/content/7279/file_8769_2023-10-09_22-00-13.mp4 2023-10-09T22:00:13+00:00 11 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/10393 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10393/f0de9a630eb82ad5cbc2fea6b514abf4.jpg Abdominal Lymphatic Malformations: A Novel Approach in Management Nuwanthika Karunaratne, Kishore Minhas, Premal Patel, Paolo De Coppi, Stefano Giuliani, Dhanya Mullassery, Joe Curry Aim of the study: Abdominal lymphatic malformations (LM) are a challenging clinical entity. Complete excision can be impossible due to the infiltrative nature of some lesions and high rate of complications. Sclerotherapy may require multiple episodes of general anaesthesia and an inability to be definitive in terms of diagnosis and treatment. Subsequently we have adopted a newer algorithm of treatment involving a joint procedure with interventional radiology to enable an intra-operative treatment plan based on the findings. We present our early results. Method: A retrospective observational study in a single tertiary paediatric centre from January 2019 to December 2023. The details of each patient were recorded along with their treatment pathway and outcome. Results: 12 children underwent treatment for abdominal LM. Under GA and laparoscopic vision, pigtail catheters were inserted into the lesion to effect maximal drainage and assessment of surgical anatomy. If resection was feasible this was undertaken through a laparotomy and if not, the drains were retained and sclerotherapy was started. Three underwent drainage with sclerotherapy without resection and 9 underwent drainage with resection. Of the 3 who underwent sclerotherapy 2 have had further treatment and remain under review at a mean follow up of 7.6 months. Of the other 9 there were no signs of recurrence of the LM at a mean follow up of 29 (range 6–56) months. Conclusion: We have found a combined procedure involving IR-guided drainage under laparoscopic vision enabling curative surgical resection to be undertaken, where feasible, with currently no significant morbidity. For those in whom this is not possible then direct intralesional sclerotherapy is the next most useful treatment modality for longer term control of symptoms. https://library.globalcastmd.com/video/10393 2025-04-24T07:59:12+00:00 channel#pediatric_surgery Alex halpern Surgery pediatric surgery Sclerotherapy Guided drainage Lymphatic malformations some4pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5413 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5413/thumbnail_5413_2022-05-24_16-00-27.jpg Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS In this session from the 2021 Update Course, Dr. Rebecca Rentea, MD from Children's Mercy at KansasCity and Dr. Caitlin Smith, MD from Seattle Children's reviewed the latest literature including timing of surgery for patients with ARM and the evidence for potentially no longer providing post operative dilations following a PSARP and much more. Articles discussed: “Are routine postoperative dilations necessary after primary posterior sagittalanorectoplasty? A randomized controlled trial" https://pubmed.ncbi.nlm.nih.gov/34049690/ “Comparing 30-day outcomes between early versus delayed repair of anorectal malformations withperineal or rectovestibular fistulas: An analysis of the ACS NSQIP-Pediatric database" https://pubmed.ncbi.nlm.nih.gov/33023749/ “Management and outcomes for long-segment Hirschsprung disease: A systematic review from theAPSA Outcomes and Evidence Based Practice Committee" https://pubmed.ncbi.nlm.nih.gov/33993978/ “Total Colonic Hirschsprung's Disease: The Hypermotility and Skin Rash Protocol”  https://pubmed.ncbi.nlm.nih.gov/31430765/ “Multi-institutional review of bowel management strategies in children with anorectal malformations" https://pubmed.ncbi.nlm.nih.gov/32616413/ “Perioperative and long-term functional outcomes of neonatal versus delayed primary endorectal pull-through for children with Hirschsprung disease: A pediatric colorectal and pelvic learning consortium study” https://pubmed.ncbi.nlm.nih.gov/34052005/ “Measure twice and cut once: Comparing endoscopy and 3D cloacagram for the common channel and urethral measurements in patients with cloacal malformations” https://pubmed.ncbi.nlm.nih.gov/31784103/ “Diagnosis and management of a remnant of the original fistula (ROOF) in males following surgery for anorectal malformations” https://pubmed.ncbi.nlm.nih.gov/30879755/ “Cloaca reconstruction: a new algorithm which considers the role of urethral length in determining surgical planning” https://pubmed.ncbi.nlm.ni https://library.globalcastmd.com/video/5413 2022-05-24T16:00:27+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10035 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10035/ae48742f9a696590cc0eebcbd06b4f34.jpg Dr. Alicia Greene - Best of the Best in Pediatric Surgery 2025 Watch AAP's Dr. Alicia Greene’s presentation on “The Hidden Dangers: Superabsorbent Polymer Beads as an Increasing Cause of Bowel Obstruction in Children” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10035 2025-03-19T09:08:31+00:00 BOB2025 Pediatric Surgery some4pedsurg Superabsorbent Polymer beads Bowel Obstruction channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6772 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6772/thumbnail_6772_2023-06-28_18-00-10.jpg La búsqueda agresiva de ausencia de evidencia del estado de la enfermedad en el hepatoblastoma mejora la supervivencia Otro articulo que tenes que conocer por Cecilia Gigena  “La búsqueda agresiva de ausencia de evidencia del estado de la enfermedad en el hepatoblastoma mejora la supervivencia” Fleming A. Et.al. Autores: Andrew M. Fleming 1, Andrew J. Murphy 1, Suraj Sarvode Mothi, Rodrigo B. Interiano 2, Amos Loh 3, Mary E. McCarville, Zachary Abramson, Sara A. Mansfield, Hafeez Abdelhafeez, Andrew M. Davidoff, Ankush Gosain, Jessica A. Gartrell, Wayne L. Furman, Max R. Langham Jr. Articulo completo: https://www.jpedsurg.org/article/S0022-3468(23)00142-2/fulltext Abstract  Introducción La utilidad de las intervenciones quirúrgicas repetidas en el hepatoblastoma para lograr la ausencia de evidencia de enfermedad (NED, por sus siglas en inglés) no está bien definida. Examinamos el efecto de la búsqueda agresiva del estado NED sobre la supervivencia libre de eventos (SSC) y general (SG) en el hepatoblastoma con análisis de subgrupos de pacientes de alto riesgo. Métodos Se consultaron los registros hospitalarios de pacientes con hepatoblastoma de 2005 a 2021. Los resultados primarios fueron la SG y la SSC estratificadas por riesgo y estado de NED. Las comparaciones de grupos se realizaron mediante análisis univariado y regresión logística simple. Las diferencias de supervivencia se compararon con pruebas de rango logarítmico. Resultados Cincuenta pacientes consecutivos con hepatoblastoma fueron tratados. Cuarenta y uno (82%) se convirtieron en NED. NED se correlacionó inversamente con la mortalidad a 5 años (OR 0,006; IC 0,001–0,056; P < 0,01). La SG a diez años (P < 0,01) y la SSC (P < 0,01) mejoraron al lograr NED. La SG a diez años fue similar entre 24 pacientes de alto riesgo y 26 sin riesgo alto cuando se alcanzó la NED (p = 0,83). Catorce pacientes de alto riesgo fueron sometidos a una mediana de 2,5 metastasectomías pulmonares, 7 por enfermedad unilateral y 7 por bilateral, con una mediana de 4,5 nódulos resecados. Cinco pacientes de alto riesgo recay https://library.globalcastmd.com/video/6772 2023-06-28T18:00:10+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/4586 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4586/thumbnail_4586_2021-10-28_12-00-18.jpg Update Course Rewind: Spontaneous Pneumothorax 2021 We've seen a lot of recent updates about the management of primary spontaneous pneumothoraces. At the recent 2021 Pediatric Surgery Update Course, Dr. Ronnie Sullins reviewed the latest literature. And now we're giving you the highlights in this video.   Hosted by: Rod Gerardo, Ellen Encisco, Todd Ponsky https://library.globalcastmd.com/video/4586 2021-10-28T12:00:18+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13840 2026-08-01 monthly 0.7 01_Marc_Levitt_04 Connect with all Surgeons and Nurses_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_04 Connect with all Surgeons and Nurses_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737411738 2026-07-29T23:11:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8571 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/8571/thumbnail_10112_2024-05-08_07-22-18.jpg GYN #2 Oophoropexy in Adnexal Torsion with Dr. Lesley Breech In this video, we have a guest from the pediatric gynecology department here at Cincinnati Children’s, Dr. Lesley Breech. And she will talk about oophoropexy in adnexal torsion. Host: Em Gootee Resources: ACOG Committee Opinion, Number 783, August 2019 - Adnexal Torsion in Adolescents https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/08/adnexal-torsion-in-adolescents Akdam A, Bor N, Fouks Y, Ram M, Laskov I, Levin I, Cohen A. Recurrent Ovarian Torsion: Risk Factors and Predictors for Outcome of Oophoropexy. J Minim Invasive Gynecol. 2022 Aug;29(8):1011-1018. doi: 10.1016/j.jmig.2022.05.007. Epub 2022 May 13. PMID: 35577246. https://pubmed.ncbi.nlm.nih.gov/35577246/   https://library.globalcastmd.com/video/8571 2024-05-08T07:22:18+00:00 7 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/1987 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1987/thumbnail_2906_2019-12-10_16-00-11.jpg Minimally Invasive Laryngoscopically Assisted Management of an Enlarging... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/1987 2019-12-10T16:00:11+00:00 11 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7051 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7051/thumbnail_8521_2023-08-24_12-00-09.jpg Update Course Rewind: Pediatric Surgeon and Firearm Injury Prevention 2022   For the first time in recorded history, firearm injuries in children have exceeded motor vehicle crashes. The deaths from suicide and homicide are both on the rise, particularly and very young. In this Update Course Rewind video, we are presenting you "Pediatric Surgeon and Firearm Injury Prevention" with Dr. Peter Masiakos from University of Massachusetts. Host: Todd Ponsky, MD   https://library.globalcastmd.com/video/7051 2023-08-24T12:00:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7397 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7397/thumbnail_8890_2023-10-23_22-00-09.jpg CNA Conference - Dr. Vivek Reddy - My experience with CNA controlled with extracardiac vagal stimulation and use of implantable loop monitor. Dr. Vivek Reddy presents “My experience with CNA controlled with extracardiac vagal stimulation and use of implantable loop monitor” at the Second World Congress on Cardioneuroablation. spaces/17/content/7397/file_8890_2023-10-23_22-00-09.mp4 2023-10-23T22:00:09+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7399 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7399/thumbnail_8892_2023-10-23_22-00-10.jpg CNA Conference - Dr. Roderick Tung - CNA: Early experience in the United States Dr. Roderick Tung presents “CNA: Early experience in the United States” at the Second World Congress on Cardioneuroablation. spaces/17/content/7399/file_8892_2023-10-23_22-00-10.mp4 2023-10-23T22:00:10+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9537 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9537/thumbnail_11093_2024-12-17_18-24-19.jpg Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association Aodhnait S. Fahy, David A. Klima, Marcene McVay Gillam, Charles J. Aprahamian, Stephen S. Kim, Evan R. Kokoska, Erin A. Teeple, Richard G. Weiss, Mauricio A. Escobar Jr. Abstract: The American Pediatric Surgical Association (APSA) Practice Committee endorsed by the Board of Governors presents a Position Statement on the role of locum tenens in the practice of pediatric surgery. The Practice Committee also presents a set of guidelines for locum tenens practice. These recommendations highlight safe practice and quality care that protects the patient as well as the pediatric surgeon by offering best practice standards, defining optimal resources and establishing parameters by which hospitals and locum tenens agencies should abide. These guidelines are intended to foster discussion and contract negotiation as well as inform decision making for a) pediatric surgeons considering locum tenens opportunities, b) host organizations (hospitals and practices) seeking the coverage of a pediatric surgeon, and c) locum tenens companies vetting both surgeons and hospitals for appropriateness of such coverage. This Position Statement and foundational set of guidelines align with APSA's Vision (all children receive the highest quality surgical care) and Mission (to provide the best surgical care to our patients and families by supporting an inclusive community through education, discovery and advocacy). spaces/1/content/9537/file_11093_2024-12-17_18-24-19.mp4 2024-12-17T18:24:19+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6160 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6160/thumbnail_6160_2022-11-22_16-00-06.jpg Medicina de Emergencia: Impacto de los test microbiológicos rápidos en el manejo de la patología infecciosa 11/19/2023 Moderado por, Dr. Javier Gonzalez del Rey (Profesor de Pediatria y Associate Chair for Medical Education, Cincinnati Children’s Hospital Medical Center. Tema de discusiòn: Impacto de los test microbiológicos rápidos en el manejo de la patología infecciosa en Urgencias En esta occasion, los panelistas: Dr. Javier González del Rey, Dr. Javier Benito, Dr. Santiago Mintegui, & Dr. Andrea Cruz https://d1dnj0gz56dmdu.cloudfront.net/045c9930-e6b3-4558-a1ec-dd665f3cbd9c/AppleHLS1/f5b2caf9bd843f58c62179e7850963f6.m3u8 2022-11-22T16:00:06+00:00 3 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/2240 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2240/thumbnail_3166_2020-02-24_19-58-22.jpg Laparoscopic Splenectomy and Cholecystectomy for Spherocytosis This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2240 2020-02-24T19:58:22+00:00 28 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7959 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7959/thumbnail_9489_2024-02-07_16-00-12.jpg Marc Michalsky, MD - 2024 Pediatric Bariatric Surgery Update Course Marc Michalsky, MD presents “Quality Assurance Standards and Accreditation” at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7959/file_9489_2024-02-07_16-00-12.mp4 2024-02-07T16:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/641 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/641/thumbnail_728_2018-11-10_00-05-18.jpg Tricks - Appendix Removal Using An Endoloop Above The Ligation Of The... This segment discusses removal of the appendix techniques along with surgical video demonstrations and comprehensive discussion. Presentation of the new surgical approach, the Homemade Endoloop. Guilherme Peterson. https://d1dnj0gz56dmdu.cloudfront.net/6fda068d-ba5d-4897-b7d2-f50848411257/AppleHLS1/c2b81e1b4cfb22ec1a550aba8eb9ab36.m3u8 2018-11-10T00:05:18+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8775 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8775/thumbnail_10324_2024-06-26_07-21-20.jpg Reduciendo las intubaciones no planificadas en la UCIN después de una cirugía Nuevo articulo que tienes que conocer del Journal of Pediatric Surgery por la Dra. Cecilia Gigena "Reduciendo las intubaciones no planificadas en la UCIN después de una cirugía: Un estudio de mejora de la calidad" Autores: Peter Juviler, Jeffrey M. Meyers, Elizabeth Levatino, Jessica Axford, Erin Barker, Lynnie Correll, Andrew S. Decker, John Faria, Marjorie Gloff, Anthony Loria, Margo McKenna, Jan Schriefer, Timothy P. Stevens, Sarah Verna, Sarah Wegman, Kori Wolcott, Derek Wakeman Articulo Completo: https://gcmd.co/4bc58J7 Introducción La intubación no planificada después de una cirugía infantil se asocia con una mayor mortalidad posoperatoria. En respuesta a ser un programa nacional de mejora de la calidad quirúrgica pediátrica (NSQIP-P) con un valor atípico alto para la intubación posoperatoria no planificada, nuestro objetivo fue reducir los eventos de intubación posoperatoria no planificada en un 25% en un año. Métodos/Intervención En 2018 se reunió un equipo multidisciplinario. La mayoría de los eventos de intubación no planificados ocurrieron en la unidad de cuidados intensivos neonatales (UCIN). Con base en las causas aparentes de intubaciones no planificadas identificadas en las revisiones de casos, en septiembre de 2019 se implementaron para los pacientes de la NICU una lista de verificación de preparación para la extubación y una guía para el manejo del dolor posoperatorio que enfatiza los analgésicos no opioides. Los eventos de intubación posoperatoria no planificada se rastrearon de manera prospectiva y se evaluaron mediante un proceso estadístico de mejora de la calidad.    Resultados Las intubaciones no planificadas en la UCIN disminuyeron de 0,27 a 0,07 eventos por paciente en el grupo pos-intervención (septiembre de 2019 a junio de 2022, n = 145) en comparación con el grupo pre-intervención (enero de 2016 a agosto de 2019, n = 200), lo que representa una reducción del 76%. La administración posoperatoria de opioides disminuyó https://library.globalcastmd.com/video/8775 2024-06-26T07:21:20+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7752 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7752/thumbnail_9267_2023-12-01_18-00-07.jpg Approaches to Biliary Atresia Care at Cincinnati Children’s - Anna Peters, MD, PhD - Racial disparities in the early diagnosis of biliary atresia  Anna Peters, MD, PhD presents “Racial disparities in the early diagnosis of biliary atresia” at the first ever Approaches to Biliary Atresia Care at Cincinnati Children’s. spaces/17/content/7752/file_9267_2023-12-01_18-00-07.mp4 2023-12-01T18:00:07+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4783 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4783/thumbnail_4783_2021-12-28_12-00-14.jpg Decision Making in Colorectal Surgery May 2021                 A collaboration of EUPSA - Washington Children's National - European Journal of Pediatric Surgery Reports                 Discussion of clinical scenarios in a Quiz-format Faculty: Marc Levitt Panelists: Alejandra Vilanova Sanchez, Paola Midrio, Stefano Giuliani Moderated by Martin Lacher and Augusto Zani spaces/7/content/4783/file_6022_2021-12-28_12-00-14.mp4 2021-12-28T12:00:14+00:00 2 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/5873 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5873/thumbnail_5873_2022-09-19_18-00-07.jpg Machine Learning Applications in Healthcare - Transforming Healthcare, Episode 8, Part 2 In a previous video we introduced the concept of machine learning aka ML. In this video we’ll discuss the way to apply ML in healthcare with some examples. Here’s what you need to know in a nutshell! Hosts: Em Tombash, MD Machine learning in healthcare allows us to predict a future where data, analysis, and innovation work together to help countless patients without them ever realizing it. One of the biggest uses of machine learning in healthcare is the identification and diagnosis of diseases which are otherwise considered hard-to-diagnose. This can include anything from cancers which are tough to catch during the initial stages, to other genetic diseases. IBM Watson Genomics is a good example for showing us how integrating cognitive computing with genome-based tumor sequencing can help in making a fast diagnosis. ** https://www.ibm.com/watson-health There is a technology called Computer Vision which both machine learning and deep learning are responsible for. This has found acceptance in the InnerEye initiative developed by Microsoft which works on image diagnostic tools for image analysis. So, in the future… Do you think machine learning and AI can eliminate radiologists? ** https://www.microsoft.com/en-us/research/project/medical-image-analysis/ Another primary clinical application of machine learning lies in the early-stage drug discovery process. Project Hanover developed by Microsoft and it uses ML-based technologies for multiple initiatives including developing AI-based technology for cancer treatment and personalizing drug combinations for AML (Acute Myeloid Leukemia). ** https://www.microsoft.com/en-us/research/project/project-hanover/ We mentioned personalized medicine and its importance for better patient care in our previous videos. We need to remember that personalized treatments are not only more effective by pairing individual health with predictive analytics but are also helpful for further research and better disease assessment. O https://library.globalcastmd.com/video/5873 2022-09-19T18:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/4083 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4083/thumbnail_5313_2021-05-25_12-42-07.jpg Did you Know: Storycasts Did you know we have all new interactive cases that we like to call "StoryCasts". It's like a choose your own adventure game but right here on your phone. Watch this video to learn how to use this new feature! https://d1dnj0gz56dmdu.cloudfront.net/adbaf71a-b4ea-4f48-b512-e74b3c251859/AppleHLS1/5334b23153230826d3e6d532aafb3773.m3u8 2021-05-25T12:42:07+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9090 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9090/thumbnail_10644_2024-08-28_13-10-41.jpg 2024 Update Course - Highlighting Collaboration from Surgery & Interventional Radiology in the OR - John Racadio, Timothy Lautz, Amanda Wallingford &Dan von Allmen This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. John Racadio, Timothy Lautz, and Amanda Wallingford, with Dan von Allmen as moderator, highlights collaboration from Surgery & Interventional Radiology in the OR.   Topics to be discussed: • Image Guided Surgery // Hybrid OR spaces/17/content/9090/file_10644_2024-08-28_13-10-41.mp4 2024-08-28T13:10:41+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8465 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8465/thumbnail_10000_2024-04-01_13-44-44.jpg IPEG 2024 Round Table Discussion from East Asia - Dr. Shoko Ogawa Watch Dr. Shoko Ogawa present on "A case of giant type IV-A choledochal cyst." spaces/17/content/8465/file_10000_2024-04-01_13-44-44.mp4 2024-04-01T13:44:44+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7751 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7751/thumbnail_9266_2023-12-01_18-00-07.jpg Approaches to Biliary Atresia Care at Cincinnati Children's - Aki Asai, MD, PhD - Recent discoveries on pathogenesis of biliary atresia Aki Asai, MD, PhD presents "Recent discoveries on pathogenesis of biliary atresia" at the first ever Approaches to Biliary Atresia Care at Cincinnati Children's. spaces/17/content/7751/file_9266_2023-12-01_18-00-07.mp4 2023-12-01T18:00:07+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/1290 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1290/thumbnail_1461_2019-03-22_00-07-02.jpg Robotic-Assisted Release of the Median Arcuate Ligament for Pediatric MALS Presented by Alejandra M Casar Berazaluce, MD; Alexander Gibbons, MD; and Jaimie D Nathan, MD from Cincinnati Children's Hospital Medical Center at the IPEG - International Pediatric Endosurgery Group 28th Annual Congress for Endosurgery in Children. Scientific Video Session l: Coolest Tricks Moderators: Carroll Harmon, MD & Holger Till, MD Median Arcuate Ligament Syndrome is a chronic abdominal pain syndrome characterized by epigastric pain, nausea, and vomiting that leads to anorexia and weight loss. It is a diagnosis of exclusion, hypothesized to be caused by compression of the celiac artery and celiac plexus by the median arcuate ligament at the junction of the right and left diaphragmatic crura. Due to the presence of an identifiable mechanical constriction, the management of MALS is surgical. In this video, we present the key features of the robotic approach for its release in the pediatric population. https://library.globalcastmd.com/video/1290 2019-03-22T00:07:02+00:00 20 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9227 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9227/thumbnail_10782_2024-10-02_07-44-18.jpg Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care Mercedes Pilkington, Gregg Nelson, Brandon Pentz, Tyara Marchand, Erin Lloyd, Priscilla P. L. Chiu, David de Beer, Nicole de Silva, Scott Else, Annie Fecteau, Stefano Giuliani, Simon Hannam, Alexandra Howlett, Kyong-Soon Lee, David Levin, Lorna O’Rourke, Lori Stephen, Lauren Wilson, Mary E. Brindle Importance: Neonates requiring surgery are often cared for in neonatal intensive care units (NICUs). Despite a breadth of surgical pathology, neonates share many perioperative priorities that allow for the development of unit-wide evidence-based Enhanced Recovery After Surgery (ERAS) recommendations. Observations: The guideline development committee included pediatric surgeons, anesthesiologists, neonatal nurses, and neonatologists in addition to ERAS content and methodology experts. The patient population was defined as neonates (first 28 days of life) undergoing a major noncardiac surgical intervention while admitted to a NICU. After the first round of a modified Delphi technique, 42 topics for potential inclusion were developed. There was consensus to develop a search strategy and working group for 21 topic areas. A total of 5763 abstracts were screened, of which 98 full-text articles, ranging from low to high quality, were included. A total of 16 recommendations in 11 topic areas were developed with a separate working group commissioned for analgesia-related recommendations. Topics included team communication, preoperative fasting, temperature regulation, antibiotic prophylaxis, surgical site skin preparation, perioperative ventilation, fluid management, perioperative glucose control, transfusion thresholds, enteral feeds, and parental care encouragement. Although clinically relevant, there were insufficient data to develop recommendations concerning the use of nasogastric tubes, Foley catheters, and central lines. Conclusions and Relevance: Despite varied pathology, neonatal perioperative care within NICUs allows for unit-based ERAS recommendations independe spaces/1/content/9227/file_10782_2024-10-02_07-44-18.mp4 2024-10-02T07:44:18+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11105 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/11105/d5d29faa626b33ff86ac6e4890179a3f.jpg Rectal Atresia - a Unique Anorectal Malformation Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital  spaces/8/content/11105/3837c28d579b051eb2654fe72fd4a460.mp4 2025-10-15T09:30:49+00:00 rectalatresia anorectalmalformation colorectal marclevitt drlevitt channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2793 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/2793/thumbnail_3737_2020-07-16_02-20-47.jpg IPEG 2020 TOP ABSTRACT: Thoracoscopic Repair of Right Congenital Diaphragmatic Hernia on ECMO IPEG 2020 Annual Meeting - Top Abstracts Authors: Wendy Jo Svetanoff, MD, MPH; Katrina L Weaver, MD; Jason D Fraser, MD; Children's Mercy Hospital, Kansas City, MO, USA Case Presentation: A male infant was prenatally diagnosed with a right-sided congenital diaphragmatic hernia, with a lung-to-head ratio of 1.1 and liver herniating into the chest. After birth at 39 weeks, he developed respiratory failure requiring veno-arterial extracorporeal membrane oxygen (ECMO) support. Operative Intervention: A thoracoscopic approach was selected and was performed within 24 hours of ECMO cannulation. The bowel and the liver were reduced into the abdomen and a thin rim of diaphragm posteriorly and medially was found. A 5 x 10cm biologic mesh was placed as an underlay and a 5 x 7.5cm polytetrafluoroethylene mesh was secured to the ribs laterally and to the muscle postero-medially as an overlay. Conclusion: The patient was decannulated from ECMO, underwent a laparoscopic gastrostomy that showed the repair to be intact, and was discharged home on POD #67. This video demonstrates feasibility of the thoracoscopic repair of right-sided CDH while on ECMO. Presenter: Wendy Jo Svetanoff, MD, MPH Email: wsvetanoff@cmh.edu Social Media: @WJSvetanoff @JFrasMD https://d1dnj0gz56dmdu.cloudfront.net/ee437564-dc9a-45d6-b4cc-0a443e36ee3c/AppleHLS1/d3aed3cd00d98b7665f880f2b052babd.m3u8 2020-07-16T02:20:47+00:00 16 Medical Education yes IPEG no https://library.globalcastmd.com/video/9085 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9085/thumbnail_10639_2024-08-28_12-28-32.jpg 2024 Update Course - What's New on Biliary Stone Disease - Luke Neff, David Vitale, & Jeff Ponsky This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Luke Neff and David Vitale, with Jeff Ponsky as moderator, speaks on what's new on Biliary Stone disease.   spaces/17/content/9085/file_10639_2024-08-28_12-28-32.mp4 2024-08-28T12:28:32+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8704 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8704/thumbnail_10251_2024-06-05_10-57-40.jpeg QUAD #10 Pt.2: Surgical Technique for Thoracoscopic Repair of Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg In this video we’ll talk about minimally invasive thoracoscopic tracheoesophageal fistula (TEF) repair with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers: Anesthesia: Using CO2 to collapse the lung instead of single lung ventilation. Patient Positioning: Prone and tilted at 60 degrees for better access. Surgical Technique: Detailed steps from trocar placement to anastomosis, including tips for mobilizing the upper pouch and managing the fistula. Visualization: Improved view compared to open surgery, especially for complex cases. Post-Operative Care: Managing chest drains, preventing hiatal hernias, and suture techniques to avoid strictures. Cosmetic Outcomes: Minimal scarring and reduced risk of chest wall deformities. https://library.globalcastmd.com/video/8704 2024-06-05T10:57:40+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11522 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11522-d1d47e2df6.jpg Enhanced Recovery After Surgery (ERAS) Improves Length of Stay and Decreases Complications After Resection of Abdominal Neuroblastoma Sara A Mansfield, Meera Kotagal, Stephen J Hartman, Andrew J Murphy, Brady Hogan, Darren Ha, Doralina L Anghelescu, Marc Mecoli, Nicholas G Cost, Andrew M Davidoff, Kyle O RoveBackground: Enhanced recovery after surgery (ERAS) pathways are multidisciplinary strategies to return patients to their physiologic baseline as efficiently as possible. This study aims to evaluate the feasibility and benefits of an ERAS pathway in children undergoing resection of abdominal neuroblastoma.Methods: After IRB approval, all patients greater than 1 month old undergoing resection of an abdominal neuroblastoma at one of three children's hospitals between 2020 and 2022 were offered enrollment. A standardized ERAS protocol was utilized at all institutions. Data were prospectively recorded. We compared the prospective cohort to a historic cohort (2014-2020). Fisher's exact and t-tests were used, as appropriate.Results: The study included 23 patients in the ERAS group compared to 24 historic patients. Post-operative nasogastric tube use decreased from 91.7% pre-ERAS to 16.7% in the ERAS cohort. ERAS patients were advanced to regular diets and ambulated 3 days earlier than pre-ERAS. Post-operative opioid consumption decreased from 0.54 to 0.21 milligram morphine equivalents (MME) mg/kg/day (p = 0.047). All but one patient (23, 96%) in the pre-ERAS cohort experienced at least one post-operative complication, compared to only nine (39.1%) in the ERAS cohort (p < 0.001). Average length of stay was 3.7 days with ERAS compared to 6.9 days pre-ERAS (p = 0.004).Discussion: ERAS is associated with improvements in length of stay and a decrease in complications following resection of abdominal neuroblastoma. Children with neuroblastoma stand to benefit considerably from the benefits associated with the use of an ERAS protocol, given their intensive treatment, complex surgeries, and need for expeditious recovery. https://library.globalcastmd.com/video/11522 2026-02-16T14:14:37+00:00 2 anesthesia neuroblastoma surgery pediatric surgery some4pedsurg ERAS Enhanced recovery after surgery oncology abdominal neuroblastoma Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10047 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10047/2064874c60a0078e2a119f427309aff9.jpg Dr. Colleen Nofi - Best of the Best in Pediatric Surgery 2025 Watch APSA's Dr. Colleen Nofi’s presentation on “Extracellular Cirp Exacerbates Necrotizing Enterocolitis” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10047 2025-03-19T09:33:53+00:00 2 BOB2025 pediatric surgery some4pedsurg Extracellular Cirp Necrotizing Exacerbates Enterocolitis channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11683 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/11683/file_11683_1_1773837860905.jpg Pediatric Oncofertility: From Cryopreservation to Future Fertility Solutions In this educational video from Ann & Robert H. Lurie Children’s Hospital of Chicago, Dr. Monica Laronda explores the rapidly evolving field of pediatric oncofertility—highlighting how fertility preservation is becoming an essential part of care for children at risk of treatment-related infertility.Key Highlights:Why Fertility Preservation Matters:Cancer therapies and certain genetic conditions can lead to premature gonadal failure, significantly impacting future reproductive potential and long-term quality of life.Who Should Be Considered:Fertility preservation extends beyond oncology to include patients with conditions like Turner syndrome and gonadal dysgenesis—emphasizing early counseling regardless of risk level or prognosis.Current Clinical Options:Post-pubertal patients may undergo oocyte or sperm banking, while ovarian and testicular tissue cryopreservation offer options for younger patients who are not yet producing mature gametes.Risk Stratification:Fertility risk is assessed using treatment exposure (e.g., alkylating agents, radiation) and cumulative dosing, helping guide decision-making and timing of intervention.Program Growth & Outcomes:Lurie Children’s has performed hundreds of tissue cryopreservation procedures, demonstrating both feasibility and increasing national awareness of these options.Advances in Fertility Restoration:Ovarian tissue transplantation can restore hormone function and fertility, though risks—such as reintroducing malignant cells—remain a key limitation.Future Innovation:Cutting-edge research in ovarian tissue engineering, including 3D-printed bioprosthetic scaffolds, is paving the way for safer and more effective fertility restoration.This session highlights how multidisciplinary care, research innovation, and early intervention are reshaping the future of fertility preservation for pediatric patients. https://library.globalcastmd.com/video/11683 2026-03-18T12:44:20+00:00 premature gonadal failure Fertility preservation Turner syndrome alkylating agents bioprosthetic scaffolds tissue cryopreservation 3D-printed bioprosthetic scaffolds Ovarian tissue transplantation fertility cryopreservation Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11326 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/11326/thumbnail_11326_1_1766156786042.jpg Myelomeningoceles (open spina bifida) -Fetoscopic Intrauterine Myelomeningocele Closure In this educational video from Lurie Children’s Hospital, Dr. Robin Bowman walks us through a fetoscopic intrauterine myelomeningocele (MMC) closure, a cutting-edge surgical intervention for open neural tube defects diagnosed in utero.Key Highlights:Understanding the Condition:Myelomeningoceles are spinal cord defects where the spinal cord and meninges protrude through a vertebral cleft, enclosed in a sac. Myeloschisis is a more severe form, lacking a protective sac.Surgical Approach:The fetus is accessed through a midline laparotomy. Under ultrasound guidance, trocars are placed and the uterus is insufflated with warmed CO₂ to enable fetoscopic visualization.Placode Dissection & Dura Closure:Using precise instruments, the placode is carefully dissected and reconstructed. The dura is closed with a running, non-absorbable suture to reduce long-term tension and allow for potential untethering.Skin Closure Challenges:If the defect is too large, a synthetic graft is sutured to healthy skin margins to promote future epithelialization.Postoperative Management:After fetal repair, amniotic fluid is replaced, and all entry points are carefully closed to complete the procedure.This video demonstrates the technical precision and multidisciplinary coordination required for fetoscopic MMC repair—advancing outcomes for affected infants before birth spaces/1/content/11326/file_11326_1_1766156755462.mp4 2025-12-19T15:05:55+00:00 fetoscopic intrauterine myelomeningocele MMC open neural tube defect utero spinal cord spina bifida trocars ultrasound Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10424 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10424/93d870ce4871d4b776b1c2ebbcf2a68c.jpg Recurrence Following Operative vs. Non-Operative Management of Adhesive Small Bowel Obstruction in Children: A Multi-center Prospective Observational Study Recurrence Following Operative vs. Non-Operative Management of Adhesive Small Bowel Obstruction in Children: A Multi-center Prospective Observational Study Utsav M Patwardhan, Romeo C Ignacio, Kaci Pickett-Nairne, Katie W Russell, Justin Lee, Ben Padilla, Caroline Melhado, Lorraine I Kelley-Quon, David H Rothstein, Hariharan Thangarajah, Ana Ibarra-Meraz, Rabab M Barq, Kezlyn E Larsen, Kathryn L Fowler, Zebediah Hunteman, Maria Valencia-Bradd 12, Katrine Lofberg, Aaron Jensen, Samir Pandya, Shannon N Acker; Western Pediatric Surgery Research Consortium Objective: Data on the incidence of recurrent adhesive small bowel obstruction (ASBO) following index admission for ASBO in children are limited. We sought to determine if operative management was associated with a lower rate of recurrence compared to non-operative management (NOM). Methods: We conducted a prospective observational study of children with ASBO admitted to nine hospitals from 10/2020 to 12/2022 who underwent a trial of NOM. Children were followed for a year after admission. The primary outcome was readmission for recurrent ASBO. Adjusted comparisons were made between children successfully managed nonoperatively at the index admission and those who underwent surgery. Results: Among 136 children, 87 (63.9%) had successful NOM at the index admission. Within 1 year, twenty patients (14.7%; 17/87 NOM group; 3/49 operative group) had recurrent ASBO. On unadjusted analysis, there was a higher risk of recurrent ASBO in the NOM group (19.5 vs. 6.1%, P=0.04). However, after adjusting for age (HR 0.35, CI 0.10-1.23), there was no significant difference. Among patients with recurrent ASBO, 7/20 (35%) underwent an urgent or emergent operation at readmission; this rate was similar between initial management groups. Conclusion: Although the rate of recurrent ASBO in children is nearly 15% within one year, this rate does not differ based on the initial management strategy. Among children with recurrent A https://library.globalcastmd.com/video/10424 2025-04-29T08:15:15+00:00 channel#pediatric_surgery Lizzylee pedsurg ASBO Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3588 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3588/thumbnail_3588_2021-01-25_22-00-56.jpg VATS H-Type Fistula Repair - Technique Dr. Steven Rothenberg describes his technique for thoracoscopic repair of an H-type tracheoesophageal fistula.  Key steps to the procedure include opening of the apical pleura with a vessel sealer, identification of the esophagus and the trachea, development of a plane between the esophagus and trachea below the fistula, development of a retro-fistula plane, retraction of the fistula with a 2-0 silk suture, division of the fistula with a stapler, coverage of the esophageal staple line with apical fat, and closure of the pleura. https://d1dnj0gz56dmdu.cloudfront.net/55ee74ba-a8a7-4dec-a039-5ed82f649b93/AppleHLS1/21499c595e162c6a9d40b36c48136c10.m3u8 2021-01-25T22:00:56+00:00 1 Medical Education yes IPEG no https://library.globalcastmd.com/video/10941 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10941/5d53206a66ff8dcfa734ccb37f5ddf9e.jpg Appendectomy vs Right Hemicolectomy for Pediatric Neuroendocrine Tumor of the Appendix Swathi R Raikot, Donald Dean Potter Jr , Courtney N Day. Hallbera Gudmundsdottir, Wendy A Allen-Rhoades, Elizabeth B Habermann, Stephanie F Polites Abstract Background: Children continue to undergo right hemicolectomy (RHC) for neuroendocrine tumors (NET) of the appendix based on adult guidelines. Appendectomy alone is recommended for the pediatric population; however, there are no data on safety of this approach in the setting of positive margins. This study aimed to determine the association between tumor characteristics and survival in a national cohort, hypothesizing that survival would be excellent despite high-risk features including positive margins on appendectomy. Study design: Patients aged ≤ 18 years with NET of the appendix were identified in the National Cancer Database from 2004 to 2022 using ICD-O-3 codes. Characteristics of patients who underwent definitive appendectomy vs RHC were compared using Chi-square tests. Five-year survival was determined for appendectomy patients with and without high-risk size, margin, and lymph node (LN) features. Results: Of 1,339 patients, 1,156 (86%) underwent appendectomy and 183 (14%) RHC. Median age in both groups was 15 (13, 17) years. Patients who underwent RHC had larger tumors (24% vs 4% >2 cm, p<.001), more lymphovascular invasion (31% vs 10%, p<.001), and were more likely to undergo LN assessment (82% vs 10%, p<.001) with a higher LN positivity rate (31% vs 16%, p=.006). There was no difference in margins status (p=0.76). The 5- and 10-year survival was excellent regardless of tumor characteristics for patients overall (99.9% and 99.4%, respectively) and for those who underwent definitive appendectomy (99.9% and 99.2%). Conclusion: These data further support appendectomy as definitive management for children with appendiceal NET. Additional resection does not confer a survival benefit even in the setting of positive margins. https://library.globalcastmd.com/video/10941 2025-09-04T13:47:02+00:00 3 Lizzy Lee NET appendectomy hemicolectomy pedsurg neuroendocrine tumor carcinoid channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7394 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7394/thumbnail_8887_2023-10-23_22-00-09.jpg CNA Conference - Dr. Stephen Manu - Minimizing radiation exposure during CNA Dr. Stephen Manu presents “Minimizing radiation exposure during CNA” at the Second World Congress on Cardioneuroablation. spaces/17/content/7394/file_8887_2023-10-23_22-00-09.mp4 2023-10-23T22:00:09+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6406 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6406/thumbnail_6406_2023-02-16_16-00-12.jpg Image Guided Surgery Video Series, Episode 5 - 3D Printed Models in Orthopedics We’re back with the fifth episode of our image guided surgery video series! In this episode we're discussing the advantages and disadvantages of using 3D printed models in orthopedics reconstruction cases in hybrid OR with some of our Interventional Radiology and Orthopedics Surgeon colleagues at Cincinnati Children’s Hospital. Our guests Drs. Joel Sorger, John Racadio and Neil Johnson are joined by Nicole Hilvert. Hosts: Ellen Encisco, MD, Em Tombash, MD With image guided surgery, surgeon uses real-time images of the inside of the body during an operation. These images are generally produced by a combination of X-rays, ultrasound, CT's etc. Hybrid OR (operating room) at Cincinnati Children’s is a collaboration between Radiology’s Dr. John Racadio and Surgeon-in-Chief Dr. Daniel von Allmen. The hybrid OR offers imaging capabilities in a sterile operating room. It creates an environment for surgeons and interventional radiologists to combine their individual skills and expertise in order to benefit patient care. The room is equipped with X-ray, fluoroscopy (live X-ray), ultrasound and C-arm Cone Beam computed tomography (CBCT). Surgeons work together in the hybrid OR with interventional radiologists, who specialize in using these imaging technologies. Imaging can be performed just before the surgery to help plan the procedure, during the surgery to identify important anatomy or disease, and after the surgery to evaluate results in the hybrid OR. Any surgery requiring radiologic imaging including open and minimally invasive surgeries, may take place in the hybrid OR. The hybrid OR at Cincinnati Children’s opened in 2018 and serves for general surgery, urology, orthopedic surgery, neurosurgery, pulmonology, and many more. https://library.globalcastmd.com/video/6406 2023-02-16T16:00:12+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7750 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7750/thumbnail_9265_2023-12-01_18-00-07.jpg Approaches to Biliary Atresia Care at Cincinnati Children's - Greg Tiao, MD - Controversies in the surgical management of children with biliary atresia Greg Tiao, MD presents “Controversies in the surgical management of children with biliary atresia” at the first ever Approaches to Biliary Atresia Care at Cincinnati Children’s. spaces/17/content/7750/file_9265_2023-12-01_18-00-07.mp4 2023-12-01T18:00:07+00:00 4 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8021 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8021/thumbnail_9553_2024-02-26_10-52-06.jpg Peter Juviler, MD - Best of the Best in Pediatric Surgery 2024 Watch APSA's Dr. Peter Juviler’s presentation on “Reduction in Unplanned Intubations After Children’s Surgery: A Quality Improvement Project” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8021/file_9553_2024-02-26_10-52-06.mp4 2024-02-26T10:52:06+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7749 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7749/thumbnail_9264_2023-12-01_18-00-06.jpg Approaches to Biliary Atresia Care at Cincinnati Children’s - Alex Miethke, MD - Advances in establishing an early diagnosis Alex Miethke, MD presents “Advances in establishing an early diagnosis” at the first ever Approaches to Biliary Atresia Care at Cincinnati Children’s. spaces/17/content/7749/file_9264_2023-12-01_18-00-06.mp4 2023-12-01T18:00:06+00:00 5 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8022 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8022/thumbnail_9554_2024-02-26_10-54-14.jpg William G. Lee, MD - Best of the Best in Pediatric Surgery 2024 Watch AAP's Dr. William Lee’s presentation on “Sex-based disparities in the management of pediatric gonadal torsion” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8022/file_9554_2024-02-26_10-54-14.mp4 2024-02-26T10:54:14+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/13842 2026-08-01 monthly 0.7 01_Marc_Levitt_08 What CTO does with your support_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_08 What CTO does with your support_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737414449 2026-07-29T23:11:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7960 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7960/thumbnail_9490_2024-02-07_16-00-12.jpg Traci Williams, MD - 2024 Pediatric Bariatric Surgery Update Course Traci Williams, MD presents “Postoperative Behavioral Health Concerns” at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7960/file_9490_2024-02-07_16-00-12.mp4 2024-02-07T16:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8118 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8118/thumbnail_9651_2024-03-28_12-03-54.jpg QUAD #8 EA/TEF Repair– Thoracoscopic vs Thoracotomy, Role of ENT with Dr. Catherine Hart with Dr. Catherine Hart Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to reviewEA/TEF repair - thoracoscopy vs. thoracotomy, role of ENT with Dr. Catherine Hart, a pediatric otolaryngologist from Cincinnati Children's. Host: Kim Priban https://library.globalcastmd.com/video/8118 2024-03-28T12:03:54+00:00 3 channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8702 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8702/thumbnail_10249_2024-06-05_10-48-52.jpeg QUAD #10 Pt.1: History of Thoracoscopic Repair of Esophageal Atresia (EA) & Tracheoesophageal Fistula (TEF) with Dr. Steve Rothenberg In this video we explore the transformative benefits of thoracoscopic repair for esophageal atresia with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. This video covers: Advocating for Minimally Invasive Surgery: The significant benefits of thoracoscopic surgery over traditional thoracotomy, which can lead to shoulder girdle weakness, chest wall asymmetry, and scoliosis in infants. Pioneering Techniques: The journey from initial PDA ligation to the first successful thoracoscopic TEF repair. Historical Milestones: Live demonstration of the first thoracoscopic esophageal atresia repair at the IPEG meeting in Berlin, 1999. Case Studies: Early successes, including Connor, the first baby to undergo thoracoscopic TEF repair, who has thrived since his surgery. Why Thoracoscopic Surgery? Reduced Morbidity: Minimizes complications and improves long-term outcomes for infants. Enhanced Precision: Superior visualization and control during surgery. Proven Success: Positive patient outcomes and successful long-term results. https://library.globalcastmd.com/video/8702 2024-06-05T10:48:52+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/4349 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/4349/thumbnail_4349_2021-07-20_22-00-17.jpg IPEG Academy: Laparoscopic Right Inguinal Hernia Repair in a boy - Percutaneous Medial Approach IPEG Academy Instructional Video: Laparoscopic Right Inguinal Hernia Repair in a Boy - Percutaneous Medial Approach M.C Mora, H.D. Lee, G. Azzie, K.A. Diefenbach   https://d1dnj0gz56dmdu.cloudfront.net/f52cecf2-ca4e-4e91-9c14-9f4beea1540f/AppleHLS1/3c6831b2a460f626036edcf81b9a4a8f.m3u8 2021-07-20T22:00:17+00:00 12 Medical Education yes IPEG no https://library.globalcastmd.com/video/5315 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/5315/thumbnail_5315_2022-04-11_18-00-10.jpg BIOENGINEERING OF THE GUT: THE ROLE OF ECM Paolo De Coppi (London, UK) David Hackam (Baltimore, USA)   Moderated by Martin Lacher (Leipzig, Germany) and Augusto Zani (Toronto, Canada) spaces/7/content/5315/file_6563_2022-04-11_18-00-10.mp4 2022-04-11T18:00:10+00:00 2 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/5406 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5406/thumbnail_6654_2022-05-19_22-06-34.jpg Laryngotracheal Stenosis The surgical management for laryngotracheal stenosis has changed a lot over recent years. Here, Dr. Michael Rutter, MD – the director of the Aerodigestive Center at Cincinnati Children’s Hospital will discuss the principles of both endoscopic and open airway surgery for these complex pediatric patients. If you want to learn more about pediatric ENT surgery, register for the QUAD Conference, October 10-14th in Cincinnati, OH: www.quadconference.com https://library.globalcastmd.com/video/5406 2022-05-19T22:06:34+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6630 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6630/thumbnail_6630_2023-05-10_16-00-12.jpg Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes Article you should know by Dr. Cecilia Gigena  "Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes" P. Nina Scalise, Jonathan M. Durgin, Steven J. Staffa, Nicole Wynne, Jay Meisner, Peter Ngo, Benjamin Zendejas, Heung Bae Kim, Farokh R. Demehri Full Article: https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext Abstract Purpose The purpose of this study was to analyze the management and outcomes of primary button battery ingestions and their sequelae at a single high-volume center, and to propose a risk score to predict the likelihood of a severe outcome. Methods The medical record was queried for all patients under 21 years old evaluated at our institution for button battery ingestion from 2008 to 2021. A severe outcome was defined as having at least one of the following: deep/circumferential mucosal erosion, perforation, mediastinitis, vascular or airway injury/fistula, or development of esophageal stricture. From a selection of clinically relevant factors, logistic regression determined predictors of a severe outcome, which were incorporated into a risk model. Results 143 patients evaluated for button battery ingestion were analyzed. 24 (17%) had a severe outcome. The independent predictors of a severe outcome in multivariate analysis were location of battery in the esophagus on imaging (96%), battery size >/ = 2 cm (95%), and presence of any symptoms on presentation (96%), with P < 0.001 in all cases. Predicted probability of a severe outcome ranged from 88% when all three risk factors were observed, to 0.3% when none were present. Conclusion We report the presentation, management, and complication profiles of a large cohort of BB ingestions treated at a single institution. A risk score to predict severe outcomes may be used by providers initially evaluating patients with button battery ingestion in order to allocate resources and expedite transfer to a center with p https://library.globalcastmd.com/video/6630 2023-05-10T16:00:12+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8703 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8703/thumbnail_10250_2024-06-05_10-57-36.jpeg QUAD #10 Pt.3: Advantages of Thoracoscopic Repair of Esophageal Atresia with Dr. Steve Rothenberg In this video we’ll talk about benefits of thoracoscopic tracheoesophageal fistula (TEF) repair in reducing tracheomalacia and improving patient outcomes with Dr. Steve Rothenberg from Rocky Mountain Hospital for Children. Here are some highlights: Reduced Tracheomalacia: Minimizing tracheal manipulation compared to open surgery. Case Study: 35-week premature baby with a large esophageal pouch corrected thoracoscopically. Enhanced Visualization: Precise dissection and improved outcomes using thoracoscopy. Pouch Resection: Efficient resection of leftover pouches with a stapler. Upper Pouch Mobilization: Key to successful anastomosis, even in long-gap cases. H Type Fistulas: Superior approach with less trauma and better visualization. https://library.globalcastmd.com/video/8703 2024-06-05T10:57:36+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9230 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9230/thumbnail_10785_2024-10-03_06-27-37.jpg QUAD #16 - Flexible Bronchoscopy in Management of Slide Tracheoplasty Patients - Sara Zak In this video, Dr. Sara Zak from Cincinnati Children's Hospital discusses the essential role of flexible bronchoscopy in the management of patients undergoing slide tracheoplasty. She covers its application during the preoperative, intraoperative, and postoperative phases to ensure optimal outcomes. Key Points: Preoperative Use: Bronchoscopy helps assess airway anatomy, detect infections, and guide surgical planning for better outcomes. Intraoperative Use: Ensures proper tube placement, visualizes the airway, and helps clear secretions to avoid complications. Postoperative Care: Dr. Zak’s retrospective study highlights risk factors predicting the need for urgent bronchoscopy, especially in younger or sicker patients with congenital heart disease or prior airway surgeries. Join us as we explore how flexible bronchoscopy supports patient care at every stage of slide tracheoplasty and helps reduce post-op complications. https://library.globalcastmd.com/video/9230 2024-10-03T06:27:37+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9231 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9231/thumbnail_10786_2024-10-03_08-34-44.jpg Fetoscopy In-Brief with Dr. Jose Peiro In this video, Dr. Jose Peiro from Cincinnati Children’s discusses the groundbreaking role of fetoscopy in modern fetal surgery, offering hope for conditions like Twin to Twin Transfusion Syndrome (TTTS), amniotic band syndrome, and congenital diaphragmatic hernia (CDH). Fetoscopy, a minimally invasive technique, allows surgeons to intervene in utero and improve survival outcomes by targeting the root causes of these conditions. Host: Em Gootee Key Highlights: Twin to Twin Transfusion Syndrome (TTTS): Using fetoscopy to photocoagulate blood vessel connections between twins, reducing the risks for both babies. Amniotic Band Syndrome: Releasing amniotic bands in the womb to prevent potential amputations or complications for the developing fetus. Congenital Diaphragmatic Hernia (CDH): Performing tracheal occlusion to promote lung development in fetuses with severe CDH, significantly improving survival rates. https://library.globalcastmd.com/video/9231 2024-10-03T08:34:44+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9333 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9333/thumbnail_10888_2024-10-22_08-08-15.jpg Open Fetal Surgery & EXIT Procedure with Dr. Jose Peiro Join us for an insightful discussion with Dr. Jose Peiro, pediatric surgeon and director of endoscopic fetal surgery at Cincinnati Children’s Fetal Care Center, which is the highest-volume fetoscopic center in the nation. Dr. Peiro walks us through the importance of fetal surgery, the role of advanced prenatal diagnostics, and groundbreaking techniques like fetoscopy, open fetal surgery, and the EXIT procedure. Key Topics Covered: Prenatal Diagnosis: Utilizing ultrasounds, Doppler, and MRI to detect and evaluate fetal malformations early in gestation. Fetal Surgery Techniques: The evolution from open fetal surgery to minimally invasive options like fetoscopy to treat conditions such as Twin to Twin Transfusion Syndrome (TTTS), spina bifida, and congenital diaphragmatic hernia (CDH). EXIT Procedure: A life-saving technique performed at birth to ensure a safe airway for babies with obstructions. Innovative Outcomes: How fetal surgery has significantly improved survival rates and postnatal outcomes for babies with severe conditions. Discover how the team at Cincinnati Children’s is pushing the boundaries of fetal care and saving lives before birth. Don't forget to like, comment, and subscribe for more groundbreaking medical content! https://library.globalcastmd.com/video/9333 2024-10-22T08:08:15+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9372 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9372/thumbnail_10928_2024-11-01_10-31-52.jpg QUAD #19: Laryngeal Sensory Reinnervation with Dr. Charles Myer IV In this video, Dr. Charles Myer IV from Cincinnati Children's Hospital explores the role of laryngeal sensory reinnervation in children with swallowing and aspiration issues, particularly those with nerve injuries impacting both motor and sensory functions. He reviews the significance of combining motor function restoration with sensory reinnervation to improve swallowing and reduce the risk of aspiration. Key Points Covered: Sensory & Motor Balance in Swallowing: Understanding that swallowing involves both motor control and sensory input, and why both are essential for safe swallowing. Innovative Reinnervation Technique: Connecting the great auricular nerve to the superior laryngeal nerve to enhance sensation and improve swallowing function. Case Study: A 12-year-old patient with high vagal injury, severe aspiration, and lung complications who experienced remarkable improvement after laryngeal sensory reinnervation. Results and Challenges: Promising outcomes seen in initial cases, though more research is needed to determine the best timing and long-term effects of this emerging technique. Join us to learn more about this exciting approach to laryngeal sensory reinnervation and its potential to transform care for children with complex swallowing disorders. https://library.globalcastmd.com/video/9372 2024-11-01T10:31:52+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9540 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9540/thumbnail_11096_2024-12-18_06-28-25.jpg Total pancreatectomy with islet autotransplantation (TPIAT) - Cincinnati Children's Pancreas Care Center In this video, we take you through a Total Pancreatectomy with Islet Autotransplantation (TPIAT)—one of the most complex abdominal surgeries performed in children. Learn about who qualifies for TPIAT, the surgical process, and the critical role of the lab team in isolating islet cells for infusion.From patient evaluation to the OR, lab preparation, and postoperative care, you’ll see how multiple specialists—surgeons, lab physicians, GI experts, and critical care teams—work together to ensure successful outcomes.Join Dr. Juan Gurria for a behind-the-scenes look at TPIAT, brought to you by the Pancreas Care Center at Cincinnati Children’s Hospital.Main Takeaways TPIAT is a complex procedure for patients with chronic or acute recurrent pancreatitis who have failed all medical and endoscopic therapies. It involves pancreas removal, islet cell processing, and infusion into the liver. A multidisciplinary approach is key to success, involving extensive preoperative planning, precision surgery, lab-based islet cell isolation, and meticulous postoperative care. 0:08 Introduction 0:49 What is Total Pancreatectomy with Islet Autotransplantation? 1:02 Who are the candidates for TPIAT? 1:23 Pre-op evaluation 2:13 Step-by-step overview of TPIAT surgery 7:42 Post-op Care 9:07 Summary Host: Cecilia Gigena, MD https://library.globalcastmd.com/video/9540 2024-12-18T06:28:25+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9646 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9646/thumbnail_11207_2025-01-16_12-25-29.jpg Reducing Unnecessary Oophorectomies for Benign Ovarian Neoplasms in Pediatric Patients Peter C. Minneci, Katherine C. Bergus, Carley Lutz Importance  Although most ovarian masses in children and adolescents are benign, many are managed with oophorectomy, which may be unnecessary and can have lifelong negative effects on health. Objective  To evaluate the ability of a consensus-based preoperative risk stratification algorithm to discriminate between benign and malignant ovarian pathology and decrease unnecessary oophorectomies. Design, Setting, and Participants  Pre/post interventional study of a risk stratification algorithm in patients aged 6 to 21 years undergoing surgery for an ovarian mass in an inpatient setting in 11 children’s hospitals in the United States between August 2018 and January 2021, with 1-year follow-up. Intervention  Implementation of a consensus-based, preoperative risk stratification algorithm with 6 months of preintervention assessment, 6 months of intervention adoption, and 18 months of intervention. The intervention adoption cohort was excluded from statistical comparisons. Main Outcomes and Measures  Unnecessary oophorectomies, defined as oophorectomy for a benign ovarian neoplasm based on final pathology or mass resolution. Results  A total of 519 patients with a median age of 15.1 (IQR, 13.0-16.8) years were included in 3 phases: 96 in the preintervention phase (median age, 15.4 [IQR, 13.4-17.2] years; 11.5% non-Hispanic Black; 68.8% non-Hispanic White); 105 in the adoption phase; and 318 in the intervention phase (median age, 15.0 [IQR, 12.9-16.6)] years; 13.8% non-Hispanic Black; 53.5% non-Hispanic White). Benign disease was present in 93 (96.9%) in the preintervention cohort and 298 (93.7%) in the intervention cohort. The percentage of unnecessary oophorectomies decreased from 16.1% (15/93) preintervention to 8.4% (25/298) during the intervention (absolute reduction, 7.7% [95% CI, 0.4%-15.9%]; P = .03). Algorithm test performance for identifying benign lesions in the intervention cohort resulted in a s https://library.globalcastmd.com/video/9646 2025-01-16T12:25:29+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10706 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10706/f8ff327008d949333b95e910f969c6b4.jpg Update Course Rewind: Pediatric Biliary Stones - Surgery First Mindset 2024 Welcome to the 12th Annual Update Course in Pediatric Surgery recap series, hosted by Dr. Em Gootee from Cincinnati Children’s Hospital. In this Green Circle (established practice) session, Drs. David Vitale, Luke Neff, and Jeff Ponsky explore the “surgery-first” approach to pediatric biliary stone disease, highlighting the growing prevalence of choledocholithiasis in children and the evolving strategies to manage it effectively. Key Highlights: Surgery-First vs. ERCP-First: The panel compares the two main management strategies: ERCP followed by laparoscopic cholecystectomy versus laparoscopic cholecystectomy with intraoperative cholangiogram (IOC) and stone removal. Practice-Based Decision Making: Experts emphasize that choice depends on surgeon skill, institutional resources, and the ability to perform IOC effectively. Clinical Evidence: Studies show an 86–90% success rate for ductal clearance using a surgery-first approach with IOC and flushing—offering a safe, resource-efficient option that minimizes ERCP-associated risks like pancreatitis. Learning Curve & Equipment: Surgeons are encouraged to become more comfortable with intraoperative stone removal techniques. Having a prepared kit and standardized workflow is key to success. ERCP Complications: While ERCP is effective, it carries a ~10% risk of complications including cholangitis and pancreatitis—making intraoperative solutions appealing when feasible. This session underscores a shift toward empowering surgeons with tools and confidence to manage choledocholithiasis directly in the OR, improving outcomes and optimizing resource utilization across institutions. https://library.globalcastmd.com/video/10706 2025-07-22T12:13:21+00:00 1 channel#pediatric_surgery pediatric surgery some4pedsurg pediatric surgery pediatric surgeon surgery-first pediatric biliary stone disease choledocholithiasis children Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7277 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/7277/thumbnail_8767_2023-10-09_22-00-13.jpg Is Multi-disciplinary care the future of medicine? Children's National Medical Center, Anesthesiology Grand Rounds Part 1 - August 31, 2023  Marc Levitt, MD  spaces/8/content/7277/file_8767_2023-10-09_22-00-13.mp4 2023-10-09T22:00:13+00:00 1 channel#private_colorectal_channel #pediatriccolorectalsurgery Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2242 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2242/thumbnail_3168_2020-02-24_19-58-27.jpg Thoracoscopic Upper Lobectomies for Symptomatic Congenital Pulmonary Airway... This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2242 2020-02-24T19:58:27+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6509 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6509/thumbnail_6509_2023-03-20_12-00-11.jpg Quick Literature Updates Episode 2 We’re back with second episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash Congenital lung malformation patients experience respiratory infections after resection: A population-based cohort study Markel M, Derraugh G, Lacher M, Iqbal S, Balshaw R, Min SAL, Keijzer R. Congenital lung malformation patients experience respiratory infections after resection: A population-based cohort study. J Pediatr Surg. 2022 May;57(5):829-832. doi: 10.1016/j.jpedsurg.2021.12.042. Epub 2022 Jan 13. PMID: 35151496. Acid suppression duration does not alter anastomotic stricture rates after esophageal atresia with distal tracheoesophageal fistula repair: A prospective multi-institutional cohort study Bowder AN, Bence CM, Rymeski BA, Gadepalli SK, Sato TT, Szabo A, Arendonk KV, Minneci PC, Downard CD, Hirschl RB, Markel T, Courtney CM, Deans KJ, Fallat ME, Fraser JD, Grabowski JE, Helmrath MA, Kabre RD, Kohler JE, Landman MP, Lawrence AE, Leys CM, Mak G, Port E, Saito J, Silverberg J, Slidell MB, St Peter SD, Troutt M, Wright TN, Lal DR; Midwest Pediatric Consortium. Acid suppression duration does not alter anastomotic stricture rates after esophageal atresia with distal tracheoesophageal fistula repair: A prospective multi-institutional cohort study. J Pediatr Surg. 2022 Jun;57(6):975-980. doi: 10.1016/j.jpedsurg.2022.02.004. Epub 2022 Fe https://library.globalcastmd.com/video/6509 2023-03-20T12:00:11+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6738 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6738/thumbnail_6738_2023-06-16_16-00-16.jpg Caring for Your Child After Reconstructive Surgery for an Anal Malformation Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to make you feel confident and comfortable taking care of your child after they have had a posterior-sagittal anorectoplasty (PSARP). For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal spaces/8/content/6738/file_8186_2023-06-16_16-00-16.mp4 2023-06-16T16:00:16+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6141 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6141/thumbnail_6141_2022-11-17_16-00-08.jpg Aortopexia Toracoscópica por el Dr. Carlos García Hernandez En el siguiente video se observa la técnica de aortopexia toracoscópica para la traqueomalacia. Cirujano: Dr. Carlos García Hernandez.    https://d1dnj0gz56dmdu.cloudfront.net/75a64a33-b662-484d-82d4-dbe4d5fcd310/AppleHLS1/4712d3808cc4d413aa0fb5287844ef76.m3u8 2022-11-17T16:00:08+00:00 11 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8004 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8004/thumbnail_9536_2024-02-26_10-11-53.jpg Prof. Shilpa Sharma - Best of the Best in Pediatric Surgery 2024 Watch WOFAPS' Prof. Shilpa Sharma's presentation on "Exploring alternative pathway of stem cell proliferation for hepatic regeneration by partial liver resection in extra hepatic biliary atresia" at the 2024 Best of the Best in Pediatric Surgery event!   Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8004/file_9536_2024-02-26_10-11-53.mp4 2024-02-26T10:11:53+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8079 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8079/thumbnail_9612_2024-03-13_14-28-05.jpg Eficacia y efectos renales tardíos de la cirugía conservadora de nefronas en el tratamiento del tumor de Wilms unilateral: una revisión sistemática y un metanálisis Nuevo articulo que tienes que conocer por la Dra. Cecilia Gigena "Eficacia y efectos renales tardíos de la cirugía conservadora de nefronas en el tratamiento del tumor de Wilms unilateral: una revisión sistemática y un metanálisis" Autores: Shan Li, Jinkui Wang, Mujie Li, Zhaoxia Zhang, Tao Mi, Xin Wu, Zhang Wang, Liming Jin, Dawei He Artículo completo: https://gcmd.co/3vgzJ9c Abstract Evaluar la eficiencia y la función renal a largo plazo de la cirugía conservadora de nefronas (NSS) en pacientes con WT unilateral en comparación con la nefrectomía radical (RN). La revisión se realizó siguiendo las pautas del Manual Cochrane y los elementos de informe preferidos para revisiones sistemáticas y metanálisis (PRISMA). Se buscaron en cinco bases de datos (Pubmed, Embase, Scopus, Web of Science y Cochrane) estudios que informaran la eficiencia y la función renal tardía de NSS y/o RN el 10 de febrero de 2023. Los estudios comparativos se evaluaron por riesgo de sesgo en estudios no aleatorios. Estudios de Intervenciones (ROBINS-I) y RoB 2.0. Los resultados evaluados incluyeron tasa de supervivencia, tasa de recaída, eGFR, disfunción renal e hipertensión. Se inscribieron 26 estudios que involucraron 10322 casos de WT unilateral sometidos a RN y 657 casos de WT unilateral a NSS. Las estimaciones del efecto general demostraron que la NSS aumentó significativamente la eGFR en el seguimiento (DME, 0,38; IC del 95 %: 0,05-0,72; p = 0,025) en comparación con la del momento del diagnóstico, y la RN no disminuyó significativamente la eGFR en el seguimiento (DME, - 0,33; IC del 95%: 0,77-0,11; p = 0,142) en comparación con el momento del diagnóstico. Además, no se encontraron diferencias significativas en los resultados de supervivencia (OR, 1,38; IC 95% 0,82-2,32; p = 0,226), recurrencia (OR, 0,62; IC 95% 0,34-1,12; p = 0,114), TFGe en el seguimiento. arriba (DME, 0,16; IC 95% - 0,36-0,69; p = 0,538), disfunción renal (OR, 0,36; IC 95% 0,07-1,73; p = 0,200) e hiperten spaces/14/content/8079/file_9612_2024-03-13_14-28-05.mp4 2024-03-13T14:28:05+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/10038 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10038/dc3ad290a39f84007789599dc780a4d1.jpg Dr. Krysta Sutyak - Best of the Best in Pediatric Surgery 2025 Watch PAPS' Dr. Krysta Sutyak’s presentation on “Safety Evaluation of the Use of Povidone-Iodine Irrigation for Perforated Appendicitis” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10038 2025-03-19T09:14:21+00:00 1 BOB2025 pediatric surgery some4pedsurg Safety Evaluation Povidone-Iodine Irrigation Perforated Appendicitis channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9104 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9104/thumbnail_10658_2024-08-30_06-18-34.jpg QUAD #14 Future in Bioengineering Solutions with Dr. Michael Helmrath In this video, we explore groundbreaking research from Dr. Helmrath and his team at Cincinnati Children's CuSTOM lab, where they are developing methods to grow entire human gastrointestinal (GI) tracts from stem cells. These innovative techniques could revolutionize the treatment of GI disorders. Key Highlights: Complexity of the Gut: The GI tract is more than just an epithelial lining—it's a complex system involving nerves, muscles, immune responses, and microbiota. Lab Achievements: The team has successfully grown human intestines from stem cells, which have been transplanted into animals and shown to be fully functional. Nerve Integration: Adding nerves to the transplanted tissue enhances vascular growth, making the grafts more effective, particularly for structures like the esophagus. Tissue Engineering: The team developed methods to create long tubes of GI tissue with integrated nerves and demonstrated peristalsis, critical for creating functional organs. Clinical Applications: The researchers are working on methods to transplant these tissues into patients, using advanced techniques like hydrogels and UV polymerization to secure the cells in place. Future Prospects: Esophageal Strictures and Beyond: This research could lead to new treatments for conditions like esophageal strictures, with potential clinical applications expected within this decade. https://library.globalcastmd.com/video/9104 2024-08-30T06:18:34+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6739 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6739/thumbnail_6739_2023-06-16_16-00-16.jpg How to Care for Your Child’s Malone Site After Surgery Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. If you’re watching this video, it’s because your child has had a MiniACE device placed in their Malone tract to perform a daily a colon flush. This video will review every day care measures for your child’s MiniAce device. The goal of this video is to educate you on how to keep the Malone site clean and keep your child from getting an infection. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal https://d1dnj0gz56dmdu.cloudfront.net/24201b78-1474-4154-b09f-1cc0ee713536/AppleHLS1/7fcb072e43019975177fc71b8a81f916.m3u8 2023-06-16T16:00:16+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/1713 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1713/thumbnail_1953_2019-09-30_22-00-07.jpg Gastrografin Protocol for Adhesive Small Bowel Obstruction (SBO) Dr. Meera Kotagal discusses the use of gastrografin for diagnosis and potential therapeutic treatment for adhesive small bowel obstruction. Here you will find the evidence-based guideline in place at Cincinnati Children's Hospital (August 2019) as guided by the following studies:• Grant HW et al. Adhesions after abdominal surgery in children. JPS 2008;43(1):152-156. • Branco BC et al. Systematic review and meta-analysis of the diagnostic and therapeutic role of water-soluble contrast agent in adhesive small bowel obstruction. BJS 2010;97(4):470-478. • Lee CY et al. Evaluation of a water-soluble contrast agent for conservative management of adhesive small bowel obstruction in pediatric patients. JPS 2015;50(4):581-585. • Linden et al. Evaluation of a water-soluble contrast protocol for non-operative management of pediatric adhesive small bowel obstruction. JPS 2019;54(1):184-188. • Zeilinski MD et al. Multi-institutional, prospective, observational study comparing the Gastrograffin challenge versus standard treatment in adhesive small bowel obstruction. J Traum and ACS 2017;83(1):47-54.  https://library.globalcastmd.com/video/1713 2019-09-30T22:00:07+00:00 31 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6498 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6498/thumbnail_6498_2023-03-14_22-00-14.jpg Laparoscopic Repair of a Recto Bladderneck Urethral Fistula Marc A. Levitt, MD  Division of Colorectal & Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/9582a3a7-5803-4604-b1b5-6b1133cd59ce/AppleHLS1/1c0bd3e88a7fbd9cd9d291be1666e21a.m3u8 2023-03-14T22:00:14+00:00 4 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/3216 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3216/thumbnail_4170_2020-10-21_06-00-10.jpg IPEG 2020 TOP ABSTRACT: Utilizing laparoscopy in rectovaginal fistula repair IPEG 2020 Annual Meeting - Top Abstracts Timothy F Tirrell, MD, PhD; Prathima Nandivada, MD; Alex G Cuenca, MD, PhD; Farokh R Demehri, MD; Erin R McNamara, MD, MPH; Jill M Zalieckas, MD, MPH; Belinda H Dickie, MD, PhD; Boston Children's Hospital Congenital rectovaginal fistula is a rare type of anorectal malformation. Laparoscopy has been used in rectal mobilization for other anorectal malformations but its use in repair of rectovaginal fistulas is not broadly reported. We have utilized laparoscopy in repair of several rectovaginal fistulas and present a case highlighting its advantages. Rectal mobilization and division of the common rectovaginal wall were performed laparoscopically. The motility gained by laparoscopic dissection of abdominal structures enabled a more limited perineal incision than usual, and sparing of the perineal body. Timothy F Tirrell, MD, PhD timothy.tirrell@childrens.harvard.edu https://d1dnj0gz56dmdu.cloudfront.net/50f20ee1-148f-4d57-bcf6-7b3e47f7e25d/AppleHLS1/56b65460a21577bf3c501a4930ed18e6.m3u8 2020-10-21T06:00:10+00:00 9 Medical Education yes IPEG no https://library.globalcastmd.com/video/8006 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8006/thumbnail_9538_2024-02-26_10-15-48.jpg Dariusz Patkowski, MD, PhD - Best of the Best in Pediatric Surgery 2024 Watch IPEG's Dr. Dariusz Patkowski's presentation on “Thoracoscopic Approach for Long Gap Esophageal Atresia Using the Internal Traction Technique” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8006/file_9538_2024-02-26_10-15-48.mp4 2024-02-26T10:15:48+00:00 10 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/320 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/320/thumbnail_346_2018-09-14_23-19-59.jpg Posterior Tracheopexy For Severe Tracheomalacia Dr. Ian Glenn and Dr. Todd Ponsky give a two minute review of "posterior tracheopexy for severe tracheomalacia," and article published in the Journal of Pediatric Surgery. Dr. Hester Shieh and colleagues performed posterior tracheopexy on patients who had significant posterior intrusion of the trachea, with significant improvement in clinical symptoms. Article: http://dx.doi.org/10.1016/j.jpedsurg.2017.03.018 https://library.globalcastmd.com/video/320 2018-09-14T23:19:59+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6972 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6972/thumbnail_8431_2023-08-02_18-00-13.jpg Una revisión sistemática y metanálisis de la tomografía computarizada en el diagnóstico de aspiración de cuerpo extraño pediátrico Otro articulo que tenes que conocer por Cecilia Gigena "Una revisión sistemática y metanálisis de la tomografía computarizada en el diagnóstico de aspiración de cuerpo extraño pediátrico"  Autores: Jayson Lee Azzi, Chanhee Seo, Graham McInnis, Matthew Urichuk, Rasheda Rabbani, Katya Rozovsky, Darren J. Leitao  Articulo completo: gcmd.co/3QvsEtA Introducción La broncoscopia rígida sigue siendo el estándar de oro para el diagnóstico de aspiración de cuerpo extraño (FBA) a pesar de las altas tasas de broncoscopias negativas. El uso de imágenes de tomografía computarizada (TC) en la evaluación de FBA ha surgido recientemente y podría ayudar a obviar la broncoscopia innecesaria en estos pacientes. El objetivo de este estudio es evaluar la precisión diagnóstica de la TC en el diagnóstico de FBA pediátrica. Métodos Se realizó una revisión sistemática de la literatura para identificar estudios que informaran sobre el uso de imágenes por TC en sospechas de FBA pediátrica. La búsqueda incluyó artículos publicados en Ovid MEDLINE, Ovid EMBASE, PubMed MEDLINE y Web of Science. La estrategia de búsqueda incluyó todos los artículos desde el inicio de la base de datos hasta enero de 2021. Los manuscritos se revisaron y calificaron según su calidad mediante la herramienta QUADAS-2. Se realizaron análisis de subgrupos basados ​​en el uso de broncoscopia virtual (VB) y sedación. También se realizó un metanálisis que evaluó el uso de VB en el diagnóstico de FBA. Resultados Dieciséis manuscritos cumplieron con todos los criterios de inclusión. En total, 2056 pacientes pediátricos de entre 0,3 y 15 años se sometieron a TC por sospecha de FBA. La sensibilidad y especificidad de la TC fueron 98,8% y 96,6%, respectivamente. Se utilizó VB en el 71,4% (1391/1948) de los pacientes mientras que se requirió sedación durante la TC en el 70,2% (1263/1800) de los pacientes. La dosis de radiación varió de 0,04 a 2 mSv, 0,99 a 59,1 mGy-cm y 0,03 a 16,99 mGy. Conclusión https://library.globalcastmd.com/video/6972 2023-08-02T18:00:13+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6737 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6737/thumbnail_6737_2023-06-16_16-00-15.jpg Post Operative Skin Care After Colorectal Surgery Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to teach you how to care for your child’s skin on their bottom after surgery. We want to prevent and treat any skin breakdown that happens due to the presence of stool on the skin. For more information on this topic or to access other educational videos and resources, please visit our website at https://childrensnational.org/departments/colorectal spaces/8/content/6737/file_8185_2023-06-16_16-00-15.mp4 2023-06-16T16:00:15+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/10570 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10570/04a58d6d4b2cefadc58057a5207c78cb.jpg Update Course Rewind: Intraoperative Cholangiogram 2024 In this insightful session from the 12th Annual Update Course in Pediatric Surgery, Drs. David Vitale, Luke Neff, and Jeff Ponsky break down the essentials of intraoperative cholangiography (IOC)—a technique that plays a key role in identifying biliary anatomy and managing stones. Key Highlights: Technique Tips: From contrast flushes to balloon dilation, the team shares practical advice on improving success rates during IOC. Clinical Decision-Making: When and how to incorporate glucagon, and when to call in GI for support. Avoiding Pitfalls: Recognizing common challenges, including misinterpretation of images and catheter misplacement. Collaborative Care: How surgical teams can streamline intraoperative strategy and reduce post-op complications through consistent IOC use. This session emphasizes IOC as a powerful tool when performed correctly—and reminds us that thoughtful execution and teamwork can make all the difference in surgical outcomes. https://library.globalcastmd.com/video/10570 2025-06-17T09:37:01+00:00 update course 2024 intraoperative cholangiography IOC biliary anatomy managing stone contrast flushes balloon dilation success rates glucagon GI Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2629 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2629/thumbnail_3566_2020-05-29_04-00-07.jpg MediByte - Intraoperative temperatures impact on postoperative infections Dr. Patrick Chung reviews the key points of Walker and colleagues study "Effects of Intraoperative Temperatures on Postoperative Infections in Infants and Neonates" from the Journal of Pediatric Surgery.Link to the full article:  gcmd.co/OpTempCreated and edited by Rae Hanke, MD and Zach Korb. https://library.globalcastmd.com/video/2629 2020-05-29T04:00:07+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3980 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/3980/thumbnail_5064_2021-04-30_08-00-16.jpg Choledocal Cyst Excision RouxenY Hepaticojejunostomy Dr Tamer Ashraf Wafa In this video, Choledocal Cyst Excision & Roux-en-Y Hepatico-jejunostomy is demonstrated. The video shows the surgeon's point of view (POV). This video is intended as an education material and should not replace formal surgical training. In this procedure, the operative steps are played in normal speed while some of the steps is played in faster speed for illustration purpose.The original video is one hour and 210. minutes. Surgical steps a described in the subtitles during the video. This is an educational video designed for junior pediatric surgeons in training. https://library.globalcastmd.com/video/3980 2021-04-30T08:00:16+00:00 93 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6504 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6504/thumbnail_6504_2023-03-15_22-00-12.jpg Laparoscopic Segmental Colectomy for Functional Constipation David Coyle, Devin R. Halleran, Hira Ahmad, Alessandra Gasior, Richard J. Wood, Marc A. Levitt, Karen A. Diefenbach  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital spaces/8/content/6504/file_7927_2023-03-15_22-00-12.mp4 2023-03-15T22:00:12+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8895 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/8895/thumbnail_10447_2024-07-19_13-27-04.jpg Laparoscopic pull-through for Hirschsprung disease updated 2024 Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org) spaces/8/content/8895/file_10447_2024-07-19_13-27-04.mp4 2024-07-19T13:27:04+00:00 10 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/10674 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10674/5cd4ea938d93e434df6430b70f4f93a8.jpg 2025 Western Pediatric Trauma Conference - Day 3 Dan Jaffurs - Plastic Surgery for Non-Plastics People Katie Flynn-Obrien - Longterm Follow-up Clinic Zach Kastenberg - Local Case: Liver Trauma Julia Smith - Teletrauma Lorraine Kelley-Quon - Opioids in Trauma Molly Dorfman - PICU UP Jennifer York, James Hutcheson - Wrap-up & Awards spaces/17/content/10674/57bd13f70219ee33d6799a1e9c10ad93.mp4 2025-07-15T15:36:32+00:00 1 channel#live_event_content 2025wptc western pediatric trauma conference pediatric surgery pediatric trauma some4pedsurg Plastic Surgery for Non-Plastics People Longterm Follow-up Clinic Local Case: Liver Trauma Teletrauma Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7859 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7859/thumbnail_9387_2024-01-02_22-00-06.jpg SILS Appendectomy by Dr. Nelson Rosen In this video Dr. Nelson Rosen shows an appendectomy by a single umbilical incision.  spaces/1/content/7859/file_9387_2024-01-02_22-00-06.mp4 2024-01-02T22:00:06+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/3262 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3262/thumbnail_4216_2020-11-04_06-00-08.jpg IPEG 2020 TOP ABSTRACT: Thoracoscopic Division of a Double Aortic Arch Vascular Ring Anomaly IPEG 2020 Annual Meeting - Top Abstract Claire Gerall, MD1; Jennifer DeFazio, MD1; Vincent Duron, MD1; Steven Rothenberg, MD2; 1Morgan Stanley Children's Hospital/Columbia University Irving Medical Center; 2Rocky Mountain Hospital for Children This video demonstrates that division of a vascular ring involving large caliber vessels can safely and effectively be accomplished with thoracoscopy and division using a 5mm stapler. Our patient is a 43-day old male with a vascular ring comprised of a right side dominant double aortic arch. A 4mm camera port was placed in the 5th intercostal space posterior to the tip of the scapula and two 3mm working ports placed in the 7th intercostal space in the posterior axillary line and 3rd intercostal space inferior to the axilla. The left sided ductus arteriosus and recurrent laryngeal nerve were identified. The ductus arteriosus was clamped with stability of vitals prior to transection. The left aortic arch was dissected and the atretic segment clamped without change in vitals. The posterior port was upsized and the left aortic arch was transected using a 5mm stapler, releasing the vascular ring without any complications. spaces/2/content/3262/file_4216_2020-11-04_06-00-08.mp4 2020-11-04T06:00:08+00:00 7 Medical Education yes IPEG no https://library.globalcastmd.com/video/3299 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/3299/thumbnail_4253_2020-11-11_17-00-11.jpg Pediatric Surgery Updates for the PCP - Full Show Cincinnati Children’s hosted a free live webinar concerning Pediatric Surgery Updates on November 11, 2020, from 7:00-8:00am (EST). This webinar featured short 10 minute or less topical updates from Pediatric Surgery faculty with opportunity for Q&A following each presentation. Learn more about Cincinnati Children's Community Practice Support Tools at: https://www.cincinnatichildrens.org/professional/resources/community-practice-support-tools For this On-Demand recording of the live event, there is CME, CNE, and ABP MOC education credit available. To receive continuing education you must have a CME profile. Create one at: https://www.cincinnatichildrens.org/professional/continuing-education spaces/1/content/3299/file_4253_2020-11-11_17-00-11.mp4 2020-11-11T17:00:11+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10811 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10811/ac42f91c2ea9d44ceaebc07c0a18923b.jpg Identifying Quality Improvement Targets After Pediatric Gastrostomy Tube Insertion Anoosha Moturua, Melvin Colemana, Catherine Metsa, Vanessa Thompsona, Catherine Granta, Clifford Y. Koa, Jacqueline M. Saitod, Loren Bermane, & Derek Wakemanf Background Gastrostomy tube (GT) placement is one of the most common procedures performed by pediatric surgeons; however, no current national clinical data registry exists to assess GT-specific care processes and morbidity. The American College of Surgeons (ACS) National Surgical Quality Improvement Program–Pediatric (NSQIPPed) GT Pilot was created to provide participants with these data. This study aims to analyze these data to identify variability in perioperative practices and post-operative morbidity in pediatric GT operations and to provide targets for future quality improvement (QI) interventions. Methods This retrospective cohort analysis of the ACS NSQIP-Ped database included pediatric surgical patients (0-17 years) who underwent GT placement between January 1, 2023 and December 31, 2023. The analysis focused on perioperative measures, such as preoperative upper gastrointestinal (UGI) study utilization, and postoperative morbidity outcomes, including emergency department (ED) visits related to GT placement and dislodgements. Results GT placement represented 5.3 % (8047/151508) of operations submitted to the NSQIP-Ped from all 157 hospitals in 2023. The 71 pilot hospitals that voluntarily participated in this pilot study submitted 57 % (4612/8047) of GT cases, with 77 % (3563/4612) of these cases being first-time GT. UGI studies were obtained in 45 % (1600/3563) of GT cases, with substantial interhospital variability (0-99 %). Postoperative morbidity outcomes included ED visits within 0-30 days in 14 % of GT cases and GT dislodgement in 5.2 % of cases. Conclusions Within pediatric GT placement, high variability exists in preoperative UGI use and high postoperative GT-related morbidity, including ED visits and dislodgements among pediatric facilities. The results of this analysis https://library.globalcastmd.com/video/10811 2025-08-14T09:12:04+00:00 channel#pediatric_surgery Gastrostomy tube GT some4pedsurg pediatric surgery pedsurg procedures pediatric surgeons clinical data perioperative practices Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7963 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7963/thumbnail_9493_2024-02-07_16-00-13.jpg Stephanie Walsh, MD - 2024 Pediatric Bariatric Surgery Update Course Stephanie Walsh, MD presents “Recurrent Obesity and Inadequate Primary Weight Loss” at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7963/file_9493_2024-02-07_16-00-13.mp4 2024-02-07T16:00:13+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6483 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6483/thumbnail_6483_2023-03-14_22-00-12.jpg Surgical Treatment of Recto-Urethral Fistula (No audio) Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/928b2562-6207-47c4-8949-0433567be63a/AppleHLS1/bc797353a473e20ccfa13b2e29b0c3db.m3u8 2023-03-14T22:00:12+00:00 4 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8011 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8011/thumbnail_9543_2024-02-26_10-28-16.jpg Bailey Roberts, MD - Best of the Best in Pediatric Surgery 2024 Watch IPSO's Dr. Bailey Roberts's presentation on “Extracellular vesicles from metastatic osteosarcoma contribute to creation of a pre-metastatic nich” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8011/file_9543_2024-02-26_10-28-16.mp4 2024-02-26T10:28:16+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9504 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9504/thumbnail_11060_2024-12-09_08-42-48.jpg Natasha Henner, MD - 2024 Fetal Care Center Navigating Perinatal Care for Trisomy 13 & 18 In this presentation, Dr. Natasha Henner speaks on family centered prenatal counseling and support. spaces/17/content/9504/file_11060_2024-12-09_08-42-48.mp4 2024-12-09T08:42:48+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7456 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7456/thumbnail_8964_2023-10-25_22-00-09.jpg Initial Outcomes Using Cryoablation in Surgical Management of Slipping Rib Syndrome Another article from the Journal of Pediatric Surgery by Dr. Cecilia Gigena  "Initial Outcomes Using Cryoablation in Surgical Management of Slipping Rib Syndrome" Authors: Krista Lai, R Scott Eldredge, Melissa Nguyen, Benjamin E. Padilla, Lisa E. McMahon Full article: https://gcmd.co/40civ85 Introduction Minimally invasive repair of pectus excavatum (MIRPE) and cartilaginous rib excision (CRE) for slipping rib syndrome (SRS) are painful procedures. Intercostal nerve cryoablation (Cryo) controls pain and decreases opioid use in MIRPE. Herein, we describe our experience with cryoablation in CRE. Methods A retrospective chart review was performed of all patients undergoing CRE between 2018 and 2022. Data on demographics, clinical characteristics, operative details, and hospital course were collected. Results A total of 98 patients underwent CRE: 68 CRE without cryo, 22 CRE + Cryo, and 8 combined MIRPE + CRE + Cryo. Ninety percent of patients underwent bioabsorbable rib plating. Patients were predominantly female (79%, 73%, 50% respectively) with median ages 17.6, 16.9, and 14.2 years respectively. CRE + Cryo patients used significantly less opioids in hospital (0.6 OME/kg [0.1,1.2]) compared to CRE without cryo (1.0 OME/kg [0.6,2.1]), p < 0.05. The median length of stay (LOS) in CRE + Cryo was 1 day [1,2] compared to 2 days in CRE without cryo [1,2], p = 0.09. MIRPE + CRE + Cryo patients used 0.6 OME/kg [0.2,8.0] with a 2 day [1,5.5] LOS. Ninety-one percent of Cryo patients had cryoablation of T9 and/or T10 intercostal nerves, with no documented abdominal wall laxity at median follow-up of 16 days. Cryo was applied extra-thoracically in CRE + cryo without thoracoscopy or lung isolation, while MIRPE + CRE + Cryo used a combination extra-/intra-thoracic cryoablation in with thoracoscopy. Conclusion Intercostal nerve cryoablation reduces opioid use and LOS in patients undergoing cartilaginous rib excision for slipping rib syndrome. Cryotherapy to as low as T10 https://library.globalcastmd.com/video/7456 2023-10-25T22:00:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8010 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8010/thumbnail_9542_2024-02-26_10-27-53.jpg Yuichiro Miyake, MD - Best of the Best in Pediatric Surgery 2024 Watch CAPS' Dr. Yuichiro Miyake’s presentation on “Using microinjection for drug delivery with nanoparticles in lung explants to study prenatal treatment of congenital diaphragmatic hernia” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8010/file_9542_2024-02-26_10-27-53.mp4 2024-02-26T10:27:53+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/650 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/650/thumbnail_737_2018-11-10_00-05-18.jpg Tricks - Neonatal Gastric Necrosis - Sherif Emil Dr. Sherif Emil gives an informative case presentation of neonatal gastric necrosis.  spaces/1/content/650/file_737_2018-11-10_00-05-18.mp4 2018-11-10T00:05:18+00:00 7 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/649 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/649/thumbnail_736_2018-11-10_00-05-18.jpg Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of... Dr. Luis Mauricio Figueroa discusses colonic perforation as a complication of percutaneous drainage of appendiceal abscess.  spaces/1/content/649/file_736_2018-11-10_00-05-18.mp4 2018-11-10T00:05:18+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8051 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8051/thumbnail_9584_2024-03-06_08-20-06.jpg Quality Improvement Campaign Improved Utilization of Rapid Sequence MRI for Diagnosis of Pediatric Appendicitis New article you should know from Journal of Pediatric Surgery by Cecilia Gigena "Quality Improvement Campaign Improved Utilization of Rapid Sequence MRI for Diagnosis of Pediatric Appendicitis" Authors: Bailey D. Lyttle, Marina L. Reppucci, Connor Prendergast, Ioannis A. Ziogas, Suhong Tong, Shannon N. Acker, Sarah Milla, Jeffrey J. Tutman, Amanda Rutherford, Jonathan Orsborn, Tellen D. Bennett, Lisa DeCamp, Jose L. Diaz-Miron Full article: https://gcmd.co/3wFqtMo Introduction Appendicitis is the most common indication for emergency general surgery in the pediatric population. Computed tomography (CT) or magnetic resonance imaging (MRI) may be used for diagnosis when ultrasound findings are equivocal. However, CT involves unnecessary radiation exposure if MRI is available. After introducing a rapid sequence MRI (rsMRI) appendicitis protocol at our institution, CT was still preferentially used. We therefore implemented a quality improvement (QI) campaign to reduce the rate of CTs and increase the rate of rsMRI. Here, we assess the effectiveness of the QI campaign while evaluating potential barriers to using rsMRI. Methods We conducted a mixed methods study, first performing stakeholder interviews which informed the design of a QI campaign initiated in May 2021 and a midway feedback survey in December 2021. A retrospective cohort study was then performed of children evaluated for appendicitis at our institution between January 1, 2016, and April 30, 2022. CT and rsMRI rates were compared before and after QI campaign implementation. Results There was a significant decrease in rate of CTs and increase in rate of rsMRIs performed following the initiation of the QI campaign (p < 0.0001). The rate of CT scans decreased by a factor of 0.4 while the rate of rsMRI increased by a factor of 9.5. Conclusion A successful QI campaign was initiated at our institution, resulting in decreased utilization of CT and increased use of rsMRI for the evalua https://library.globalcastmd.com/video/8051 2024-03-06T08:20:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7958 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7958/thumbnail_9488_2024-02-07_16-00-12.jpg Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course Kanika Bowen-Jallow, MD and Faisal Qureshi, MD presents on “Post Operative Care” discussing ERAS protocols, Gallbladder and GERD concerns at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7958/file_9488_2024-02-07_16-00-12.mp4 2024-02-07T16:00:12+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/1046 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/1046/thumbnail_1046_2019-01-11_16-41-50.jpg Focus on Technique- Laparoscopic Pediatric Hernia Repair 2015 Dr. Todd Ponsky introduces the event focusing on Laparoscopic Pediatric Hernia Repair. Recently, the non-mesh laparoscopic pediatric hernia repair in children and adolescents has gained immense popularity. This event, "Focus on Technique: Laparoscopic Pediatric Hernia Repair",  is designed to provide practicing surgeons what they need to know in order to perform this procedure on their own and will focus on the fine points of the technique. We will present many of the different options available for the non-mesh lap hernia repair and then focus on the specific steps of the lap-assisted, percutaneous technique as described by Darius Patkowski,  evidence-based discussions, review of edited surgical videos, and discussion of surgical tips and tricks. Some important topics covered in this video include discussion of the traditional open high ligation hernia repair, the laparoscopic approach, incarceration, recurrence after open repair of indirect hernia, recurrence rate of lap inguinal hernias, infertility risks, various laparoscopic techniques, Ck Yeung approach, subcutaneous endoscopically assisted ligation, Patkowski's surgical technique, laparoscopic pediatric inguinal hernia repair, adolescent cases, and laparoscopic approach advantages.  https://d1dnj0gz56dmdu.cloudfront.net/96f5b605-1646-4b04-8bb2-e02753175bd7/AppleHLS1/f1a9f8d1a7da85a73d3ec9ca48a20384.m3u8 2019-01-11T16:41:50+00:00 10 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6358 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6358/thumbnail_6358_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Fereshteh Salimi Jazi, PAPS - Presentation Watch Fereshteh Salimi Jazi, MD, present her presentation on "Increasing amount of hair reduction using laser correlates with lower probability of recurrence in patients with pilonidal disease." https://library.globalcastmd.com/video/6358 2023-02-06T18:00:13+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2231 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2231/thumbnail_3157_2020-02-24_19-58-22.jpg Laparoscopic Excision of an Abdominal Lymphatic Malformation This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2231 2020-02-24T19:58:22+00:00 13 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10417 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10417/e5ffe129882d96ee4f636a05be600ce6.jpg Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model Rahul Gadde, Jason Xia, Sophia Hameedi, Angela Saulsbery, Carly Schafer, Lourenço Sbragia, Oluyinka O Olutoye Background: Necrotizing enterocolitis (NEC) remains a devastating intestinal disease that affects 5-7% of preterm neonates. Remote ischemic conditioning (RIC) has been shown to protect against intestinal ischemia in rodents. We aimed to determine the efficacy of RIC in a large animal model of NEC. Methods: Using an established piglet model of NEC, preterm piglets of 103-107 days gestation (term = 115 days) were randomly assigned to receive RIC or serve as untreated controls. RIC was initiated at 24 h of life and consisted of 4 cycles of 4-min occlusion followed by reperfusion; cycles were repeated every 24 or 12 h for low frequency (LF) and high frequency (HF) groups, respectively. Piglets were monitored clinically for NEC which was confirmed postmortem using established anatomic and histologic scoring. Results: Eighty-six piglets were randomized into controls (N = 38), LF-RIC (n = 26) and HF-RIC (n = 22) groups. In contrast to the rodent models, in piglets LF-RIC (every 24 h) did not decrease the incidence of NEC compared to controls. However, HF-RIC (every 12 h) significantly reduced the incidence of NEC (OR = 0.13; 95% CI: 0.03, 0.55; p = 0.02) and resulted in a lower severity of NEC (p < 0.0001) compared to controls. Conclusions: RIC offers protection against NEC in the piglet model only when administered more frequently than in rodents. Further studies are needed to define the optimum frequency of RIC for piglets that may translate to clinical use. https://library.globalcastmd.com/video/10417 2025-04-28T06:55:05+00:00 1 Alex halpern jps journal of pediatric surgery Remote ischemic conditioning Piglet nec Necrotizing enterocolitis Enteral nutrition Animal model cincinnati childrens Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5826 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5826/thumbnail_5826_2022-09-07_22-00-07.jpg Update Course 2022 - WHO TO SEND HOME FROM THE EMERGENCY DEPARTMENT - Justin Huntington, Elizabeth Speck, and Mark Wulkan In this session we review with Drs. Justin Huntington, Elizabeth Speck and Mark Wulkan the latest updates for discharge from the ER. Avoid unnecessary admissions and hospital charges.  Topics and articles discussed: 1. Spontaneous pneumothorax Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax: A Simple Aspiration Test Predicts Need for Operation Conservative versus Interventional Treatment for Spontaneous Pneumothorax 2. Asymptomatic spontaneous pneumomediastinum Are esophagrams indicated in pediatric patients with spontaneous pneumomediastinum? 3. Equivocal US for appendicitis Cost-Effectiveness of Diagnostic Approaches to Suspected Appendicitis in Children 4. Straddle injuries Pediatric female genital trauma managed under conscious sedation in the emergency department versus general anesthesia in the operating room- a single center comparison of outcomes and cost 5. Loss of consciousness with negative CT Admission of Pediatric Concussion Injury Patients: Is It Necessary? 6. Intussusception Outpatient management of intussusception: a systematic review and meta-analysis 7. Skull fractures Observation for isolated traumatic skull fractures in the pediatric population: unnecessary and costly The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/3268c634-ab82-4335-b157-7fda7fa62b9c/AppleHLS1/49412b6ea698f8b25c3680da27f2d0b6.m3u8 2022-09-07T22:00:07+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/3586 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3586/thumbnail_3586_2021-01-25_22-00-54.jpg Robotic-Assisted Release of the Median Arcuate Ligament for Pediatric MALS Presented by Alejandra M Casar Berazaluce, MD; Alexander Gibbons, MD; and Jaimie D Nathan, MD from Cincinnati Children's Hospital Medical Center at the IPEG - International Pediatric Endosurgery Group 28th Annual Congress for Endosurgery in Children. Scientific Video Session l: Coolest Tricks Moderators: Carroll Harmon, MD & Holger Till, MD Median Arcuate Ligament Syndrome is a chronic abdominal pain syndrome characterized by epigastric pain, nausea, and vomiting that leads to anorexia and weight loss. It is a diagnosis of exclusion, hypothesized to be caused by compression of the celiac artery and celiac plexus by the median arcuate ligament at the junction of the right and left diaphragmatic crura. Due to the presence of an identifiable mechanical constriction, the management of MALS is surgical. In this video, we present the key features of the robotic approach for its release in the pediatric population. https://library.globalcastmd.com/video/3586 2021-01-25T22:00:54+00:00 1 Medical Education yes IPEG no https://library.globalcastmd.com/video/6893 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6893/thumbnail_8349_2023-07-20_08-00-13.jpg Neonatal Open Repair of Esophageal Atresia & Tracheo-esophageal Fistula EA_TEF. Dr Tamer Ashraf In this video, open thoracotomy and repair of esophageal atresia and distal tracheo-esophageal fistula is demonstrated in for a 3 day old baby. The video shows the surgeon's point of view (POV). This video is intended as an education material and should not replace formal surgical training. In this procedure, the operative steps are played in normal speed while some of the steps is played in faster speed for illustration purpose.The original video is one hour and 40 minutes. Surgical steps a described in the subtitles during the video. This is an educational video designed for junior pediatric surgeons in training. https://library.globalcastmd.com/video/6893 2023-07-20T08:00:13+00:00 12 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11811 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11811-c8d8bb5f02.jpg Characteristics of Transfusion and Association With Oncologic Outcomes in Hepatoblastoma Resection Stephanie F Polites, Jennifer H Aldrink, Timothy B Lautz, Robert A Vierkant, Mecklin V Ragan, Audra Reiter, Stephanie Y Chen, Eugene S Kim, Hannah N Rinehardt, Marcus M Malek, Andrew M Fleming, Andrew J Murphy, Jonathan P Roach, Sridharan Radhakrishnan, Zachary J Kastenberg, Nelson Piche, Yasmin Osman, Harold N Lovvorn III, Elisabeth T Tracy, Juan Favela, Hau D Le, John Marquart, Brian Craig, Dave R Lal, Natashia Seemann, Robin Petroze, Barrie S Rich, Richard D Glick, Leigh Selesner, Ashley Yoo, Elizabeth Fialkowski, Erin G Brown, Chloe Boehmer, Roshni Dasgupta, Max R Langham JrIntroduction: Children with hepatoblastoma (HB) and other solid tumors frequently undergo intraoperative blood transfusion (IBT) with unknown impact on oncologic outcomes and scant data to guide transfusion in this population. This study tested the hypothesis that IBT is associated with poorer survival in children with HB.Methods: A multicenter retrospective observational study of patients aged <18 years with HB who underwent primary tumor resection, including liver transplantation, from 2010 to 2019 was performed at 19 institutions. The association of IBT with risk of recurrence and death were determined using propensity score reweighted (PSR) Cox proportional hazards regression analyses.Results: There were 338 patients identified who met inclusion criteria and had sufficient data for inclusion. Of those, 257 (76%) received IBT, including 253 (98%) who received packed red blood cells (pRBC), 84 (33%) who received plasma, and 28 (11%) who received platelets. IBT was associated with higher pretreatment extent of disease (p < 0.001), presence of annotation factors (+VPEFR: 50%, n = 129 vs. 37%, n = 30, p = 0.035), and complex resections (extended, meso-, or total hepatectomy: 54%, n = 139 vs. 27%, n = 22, p < 0.001); these differences were mitigated after applying propensity score weighting. Patients who received IBT had greater postoperative hemoglobin (g/dL) (median 10 (I8-11) vs. 9 (8-10), p https://library.globalcastmd.com/video/11811 2026-04-10T11:21:29+00:00 blood management hepatoblastoma pediatric liver resection pediatric surgical oncology transfusion oncology pediatric surgery some4pedsurg pedsurg intraoperative blood transfusion Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6489 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6489/thumbnail_6489_2023-03-14_22-00-12.jpg Wildebeest from Bird Box Studio A couple of wildebeest contemplate crossing a river. http://birdboxstudio.com/ spaces/8/content/6489/file_7912_2023-03-14_22-00-12.mp4 2023-03-14T22:00:12+00:00 1 channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/661 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/661/thumbnail_748_2018-11-10_00-05-19.jpg Groin Controversies - Todd Ponsky: Update Course 2014 Dr. Todd Ponsky presents various cases involving groin hernia repairs. Topics discussed include reducible inguinal hernia, high ligation repair, mesh repair, hernia diagnostic exam, indirect versus direct hernia, open hernia repair, intracorporeal laparoscopic repair, and percutaneous laparoscopic repair.  https://d1dnj0gz56dmdu.cloudfront.net/3b719aa0-fe39-43ec-976f-dc159c4cbd6c/AppleHLS1/6510ad02f2bf3a280f5441d74127c9e1.m3u8 2018-11-10T00:05:19+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7956 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7956/thumbnail_9486_2024-02-07_16-00-08.jpg Indocyanine green fluorescent cholangiography: The new standard practice to perform laparoscopic cholecystectomy in pediatric patients New Article you should know by Dr. Cecilia GIgena "Indocyanine green fluorescent cholangiography: The new standard practice to perform laparoscopic cholecystectomy in pediatric patients"  Authors: Ciro Esposito, Kirtikumar J Rathod, Mariapina Cerulo, Fulvia Del Conte, Rahul Saxena, Vincenzo Coppola, Arvind Sinha, Giovanni Esposito, Maria Escolino Full article: https://gcmd.co/3Su3Phd Background:  This study aimed to compare outcomes of standard laparoscopic cholecystectomy and indocyanine green fluorescent cholangiography laparoscopic cholecystectomy over a 10-year period. Methods:  From 2013 to 2023, 173 laparoscopic cholecystectomies were performed in 2 pediatric surgery units: 83 using standard technique (G1) and 90 using indocyanine green fluorescent cholangiography (G2). Patients included 96 girls and 77 boys, with a median age of 12.3 years (range 4-17) and a median weight of 51 kg (range 19-114). The 2 groups were compared regarding the following: (1) perioperative complications rate; (2) overall length of surgery (T1); (3) length of cystic duct isolation, clipping, and sectioning (T2); (4) time of gallbladder removal (T3); (5) degree of visualization of biliary tree; (6) safety and feasibility of indocyanine green fluorescent cholangiography; (7) incidence of anatomical anomalies detected intraoperatively. Results:  All laparoscopic cholecystectomies were accomplished without conversion to open. The perioperative complications rate was significantly higher in G1 compared with G2 (12% vs 0%; P = .0007). Median T1, T2, and T3 were significantly longer in G1 (90, 37, 35 minutes) compared with G2 (55, 17, 19 minutes) (P = .0001), respectively. The visualization rate of the complete biliary tree was significantly higher in G2 (98.8%) than in G1 (80.7%) (P = .0001). No adverse reactions to indocyanine green were recorded. The incidence of biliary anomalies detected intraoperatively was significantly higher in G2 (7.8%) than in G1 (1.2%) spaces/1/content/7956/file_9486_2024-02-07_16-00-08.mp4 2024-02-07T16:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7191 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7191/thumbnail_8676_2023-09-20_22-00-09.jpg Manejo del neumotórax primario espontáneo en niños Nuevo artículo que debes conocer de la Dra. Cecilia Gigena "Manejo del neumotórax primario espontáneo en niños: análisis del protocolo de una sola institución" Autores: Shai Stewart, James A. Fraser, Rebecca M. Rentea, Pablo Aguayo, David Juang, Jason D. Fraser, Charles L. Snyder, Richard J. Hendrickson, Tolulope A. Oyetunji, Shawn D. St. Peter Artículo completo: https://www.jpedsurg.org/article/S0022-3468(23)00075-1/fulltext Introducción El Consorcio de Cirugía Pediátrica del Medio Oeste (MWPSC) sugirió un protocolo de aspiración simple del neumotórax espontáneo primario (PSP), en su defecto, se debe considerar la cirugía toracoscópica asistida por video (VATS). Describimos nuestros resultados utilizando este protocolo sugerido. Métodos Se realizó un análisis retrospectivo de una sola institución en pacientes entre 12 y 18 años que fueron diagnosticados con PSP entre 2016 y 2021. El manejo inicial implicó aspiración sola con un tubo de toracostomía percutánea ≤12 F seguido de pinzamiento del tubo y radiografía de tórax a las 6 h. El éxito se definió como una distancia ≤2 cm entre la pared torácica y el pulmón en el ápice y sin fuga de aire cuando se soltó la pinza. Se siguió VATS si la aspiración fallaba. Resultados Se incluyeron cincuenta y nueve pacientes. La mediana de edad fue 16,8 años (RIC 15,9, 17,3). La aspiración tuvo éxito en el 33% (20), mientras que el 66% (39) requirió VATS. La mediana de LOS con aspiración exitosa fue de 20,4 h (RIC 16,8, 34,8), mientras que la mediana de LOS después de VATS fue de 3,1 días (RIC 2,6, 4). En comparación, en el estudio MWPSC, la estancia media para aquellos tratados con un tubo torácico después de una aspiración fallida fue de 6,0 días (±5,5). La recurrencia después de una aspiración exitosa fue del 45% (n = 9), mientras que la recurrencia después de VATS fue del 25% (n = 10). La mediana del tiempo hasta la recurrencia después de una aspiración exitosa fue más rápida que la del grupo VATS [16, https://library.globalcastmd.com/video/7191 2023-09-20T22:00:09+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8020 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8020/thumbnail_9552_2024-02-26_10-50-35.jpg David Grabski, MD - Best of the Best in Pediatric Surgery 2024 Watch APSA's Dr. David Grabski’s presentation on “Post-Operative Opioid Reduction Protocol Reduces Racial Disparity of Clinical Outcome in Children” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8020/file_9552_2024-02-26_10-50-35.mp4 2024-02-26T10:50:35+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11527 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11527-be47e45795.jpg A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children Michela Carter, Steven T Papastefan, Yao Tian, Stephen J Hartman, Meredith S Elman, Sara G Ungerleider, Aaron P Garrison, Tolulope A Oyetunji, Matthew P Landman, Mehul V Raval, Seth D Goldstein, Timothy B Lautz Background: Utilization of the laparoscopic approach for inguinal hernia repair has increased significantly over the past decade. The purpose of this study is to compare rates of second hernia operation and same side recurrence following open and laparoscopic inguinal hernia repair in a large national cohort.Methods: This retrospective analysis utilized the Pediatric Health Information System database to identify children <18 years-old who underwent laparoscopic or open primary inguinal hernia repair from 2017 to 2021. Data were collected through 2022 to allow minimum one year follow-up. Second hernia operation rates, inclusive of same side recurrence and metachronous contralateral hernia, and same side recurrence rates were compared by multivariable mixed effects model controlling for confounders and institutional clustering. Misclassification rates were determined through data validation at four constituent institutions. Sensitivity analyses determined true outcome rates.Results: We identified 53,287 operations (15.6% laparoscopic). Rate of second hernia operation was greater following laparoscopic repair (2.9% vs 2.6%, p = 0.04) with no difference on multivariable analysis (OR 1.14, 95% CI 0.98-1.32). Same side recurrence rate was greater following laparoscopic repair (1.5% vs 0.4%, p < 0.001) which persisted on multivariable analysis (OR 3.72, 95% CI 2.90-4.78). Sensitivity analysis demonstrated true laparoscopic and open repair rates of 14.2% and 85.8%, respectively. True rates of second hernia operation and same side recurrence were identical to those determined by PHIS.Conclusion: Laparoscopic inguinal hernia repair in children has more than three times the odds of same side hernia recurrence than open repair which is balanced by a reduced rate of seco https://library.globalcastmd.com/video/11527 2026-02-17T20:27:31+00:00 Children Hernia repair inguinal hernia Laparoscopic surgery Minimally invasive surgical procedures Pediatrics pediatric surgery some4pedsurg metachronous hernia Laparoscopic inguinal hernia repair Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5405 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5405/thumbnail_5405_2022-05-19_16-01-24.jpg Update Course 2021: UPDATE COURSE 2020: REVIEW OF LAST YEAR'S IMPORTANT T OPICS General surgery residentRodrigo Gerardo, MD reviews the highlights from the 2020 Update Course including MMP7 for diagnosing biliary atresia, complex gastroschisis, and so much more. https://library.globalcastmd.com/video/5405 2022-05-19T16:01:24+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/13833 2026-08-01 monthly 0.7 16_Ivon_Martinez_02_Meeting_Marc_Levitt This is "16_Ivon_Martinez_02_Meeting_Marc_Levitt" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737623176 2026-07-29T23:11:05+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5790 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/5790/thumbnail_5790_2022-08-24_18-00-06.jpg Endarterectomía Carotidea Anatimation Mira esta ilustración de como se realiza una endarterectomia.    spaces/14/content/5790/file_7208_2022-08-24_18-00-06.mp4 2022-08-24T18:00:06+00:00 3 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/10526 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10526/abc9ea1b86606dcd5d67a4ed0facdb32.jpg Update Course Rewind: 2024 Top Ten Key Takeaways Join us for a highlight reel of the Top 10 Key Takeaways from the 12th Annual Update Course in Pediatric Surgery. This session covers the latest advances, practical tools, and emerging trends that are shaping the future of pediatric surgical care. Key Highlights: 10. Collaboration Between Surgery & Interventional Radiology: Drs. Dan von Allmen, John Racadio, and Timothy Lautz highlight how combining surgical and interventional radiology techniques enhances precision and patient outcomes. 9. Top AI Tools for Surgeons: Drs. Ramy Shaaban and Carlos Colunga introduce AI platforms improving research, education, and clinical workflow. 8. Cryoanalgesia in Pectus Surgery: Dr. John DiFiore explains how cryoanalgesia is transforming pain management in chest wall repairs. 7. ECMO in Severe CDH: Drs. Steven Lee and Rebecca Stark explore ECMO’s evolving role in managing severe congenital diaphragmatic hernia. 6. CO₂ Laser Applications: Dr. Carlos Colunga shares expanding applications of CO₂ lasers for minimally invasive pediatric procedures. 5. Autofluorescence & ICG in Thyroid Surgery: Drs. Justin Huntington and Ben Ham showcase imaging technologies that improve parathyroid identification and reduce hypocalcemia. 4. Surgery-First Approach for Pediatric Biliary Stones: Drs. David Vitale, Luke Neff, and Jeff Ponsky advocate for earlier surgical intervention to avoid unnecessary imaging. 3. MMP-7 for Early Biliary Atresia Diagnosis: Dr. Greg Tiao presents the impact of MMP-7 as a biomarker for faster diagnosis and better outcomes. 2. REBOA in Pediatric Trauma: Dr. Regan Williams discusses the role of resuscitative endovascular balloon aortic occlusion in critical pediatric trauma cases. 1. Patient Education in Pilonidal Disease: Dr. Nelsen Rosen outlines strategies to manage pilonidal disease non-surgically through hygiene and hair removal. These takeaways represent the cutting edge of pediatric surgery, offering practical insights for surgeons, https://library.globalcastmd.com/video/10526 2025-06-03T10:29:08+00:00 1 channel#pediatric_surgery update course 2024 pediatric surgery patient education pilonidal disease hair removal hygiene REBOA pediatric trauma resuscitative end-vascular balloon aortic occlusion Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/624 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/624/thumbnail_711_2018-11-10_00-05-16.jpg Urologic intervention: Cincinnati Fetal Center This final event discussion is on pediatric urologic intervention. Dr. Pramod P. Reddy, discusses the plan of action for a baby born with post urethral valves. His presentation includes topics of bladder decompression by feeding tube, goals of management of post urethral valves, renal function monitoring, diagnostic testing, kidney health, kidney transplant, bladder injury, elevated storage pressure damage, and hypertonic/ hypotonic bladder.  spaces/1/content/624/file_711_2018-11-10_00-05-16.mp4 2018-11-10T00:05:16+00:00 6 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6671 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6671/thumbnail_6671_2023-05-24_18-00-11.jpg Isolated low-grade solid organ injuries in children following blunt abdominal trauma New article you should know by Dr. Cecilia Gigena "Isolated low-grade solid organ injuries in children following blunt abdominal trauma: Is it time to consider discharge from the emergency department?" Authors: Leah Plumblee 1, Regan Williams, Dennis Vane, Jingwen Zhang, Aaron Jensen, Bindi Naik-Mathuria, Lauren Evans, Christian J Streck Full article: https://pubmed.ncbi.nlm.nih.gov/32769952/ Abstract Introduction: Acute intervention (AI) for solid organ injury (SOI) is rare in hemodynamically stable children. Pediatric guidelines recommend admission with follow-up laboratories, even for low-grade injuries. Methods: Data sets from two large multicenter prospective observational studies were used to analyze a cohort of children (age, <17 years) with grade I to III SOI following blunt abdominal trauma. Children with hollow viscus injuries were excluded. Patients were divided into (a) those with or without other major injuries (OMIs) (traumatic brain injury, hemothorax or pneumothorax, pelvic fracture, urgent orthopedic or neurosurgical operations) and (b) with grade I or II versus grade III injuries. Outcomes included AIs (transfusion, angiography, abdominal operation) and disposition (admission unit and length of stay). Results: There were 14,232 children enrolled in the two studies, and 791 patients had a SOI (5.6%). After excluding patients with hollow viscus injuries and higher-grade SOIs, 517 patients with a grade I to III SOI were included, and 262 of these had no OMI. Among patients with no OMI, none of 148 patients with grade I or II SOI underwent AI, while only 3 of 114 patients with grade III injuries underwent AI (3 transfusions/1 angioembolization). All three had hemoperitoneum; two of three had an additional organ with a grade II injury. Among grade I and II SOIs with no OMI, 28 (18.9%) of 148 were admitted to an intensive care unit, 110 (74.3%) of 148 to floor, and 7 (4.7%) of 148 discharged home from emergency department; median len https://library.globalcastmd.com/video/6671 2023-05-24T18:00:11+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10897 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10897/thumbnail_10897_1_1756388281871.jpg 2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Updates in Pediatric Surgery feat. non-JPS JournalsSpeakers:José Campos, MD & Dr. Rodrigo CasalsModerator: Todd Ponsky, MD, FACS spaces/17/content/10897/file_10897_1_1756388202179.mp4 2025-08-28T13:36:42+00:00 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/628 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/628/thumbnail_715_2018-11-10_00-05-17.jpg Lumps & Bumps: Soft Tissue Masses and Lesions This segment involves discussion of lumps and bumps. Dr. Danielle Walsh leads in discussion of lumps and bumps. She presents multiple case studies. Panel discussion topics include excisions, pyogenic granuloma, silver nitrate, melanoma, spitz or spitzoid, pediatric melanoma diagnostic criteria, sentinel lymph node, lymphoma, mycobacteria, drainage, buttock abscess, mastitis neonatorum, fibroadenoma, and malignant breast disease.  spaces/1/content/628/file_715_2018-11-10_00-05-17.mp4 2018-11-10T00:05:17+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2251 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2251/thumbnail_3177_2020-02-24_19-58-27.jpg Staged Closure of Gastroschisis with Spring-loaded Silo This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2251 2020-02-24T19:58:27+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9086 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9086/thumbnail_10640_2024-08-28_12-40-03.jpg 2024 Update Course - The New Approaches for Wilms Tumor - Michael Nightingale, Bhargava Mullapudi, & Justin Huntington This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Michael Nightingale and Bhargava Mullapudi, with Justin Huntington as moderator, speaks on the new approaches for Wilms Tumor. spaces/17/content/9086/file_10640_2024-08-28_12-40-03.mp4 2024-08-28T12:40:03+00:00 8 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11313 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11313-1282a659d7.jpg Size of traumatic pneumothorax on initial chest x-ray is independently associated with failed observation in children Shruthi Srinivas, Brenna Rachwal, Katherine C Bergus, Akhila Ankem, Elaine Koberlein, Taha Akbar, Summit Shah, Julia R Coleman, Kyle Van Arendonk, Rajan Thakkar, Dana SchwartzBackground: Traumatic pneumothorax (tPTX) in children is typically treated with tube thoracostomy (TT). We aimed to determine if the size of tPTX on initial chest x-ray (CXR) was associated with a need for TT and failure of observation without TT. Methods: We performed a single-institution retrospective review of children (18 years or younger) presenting to a Level 1 pediatric trauma center between 2010 and 2023 with tPTX, excluding children without CXR and those transferred after TT. Observation was defined as progression in care with known tPTX but without TT; failed observation was defined as TT after initial observation. The volumetric Collins method was used to estimate size of tPTX on CXR. Area under the receiver operating characteristic curve (AUROC), Youden's index, and multivariable regression analyses were performed. Results: There were 313 children with 358 instances of tPTX; of those undergoing observation, 45 (13.5%) failed. Those who failed observation had larger tPTX (14.1% vs. 6.5%, p < 0.001) and more frequently were hypotensive on arrival (26.7% vs. 10.2%, p = 0.006), had hemopneumothorax (22.2% vs. 3.5%, p < 0.001), received supplemental oxygenation (nasal cannula, 33.3% vs. 11.1%; nonrebreather, 37.8% vs. 58.5%; ventilated, 15.6% vs. 10.7%; overall p < 0.001), and were admitted to the pediatric intensive care unit (47.4% vs. 30.6%, p = 0.008). Optimal size predicting need for TT placement on CXR was 12.5% (AUROC 0.715). On multivariable regression controlling for tPTX size ≥12.5%, mechanical ventilation, hemopneumothorax, and hypotension, only size ≥12.5% was associated with failure of observation. Conclusion: In children observed with tPTX, Collins size of ≥12.5% on CXR was independently associated with failure. In children with smaller tPTX, prophylactic TT placement may n https://library.globalcastmd.com/video/11313 2025-12-12T17:15:26+00:00 pneumothorax Collins pediatric trauma trauma surgery pediatric surgery pedsurg tPTX Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5792 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/5792/thumbnail_5792_2022-08-24_18-00-06.jpg Nissen laparoscópico vs gastroyeyunostomía Ganancia de peso y consultas extras a guardia de niños en los que realizó un Nissen laparoscópico vs una gastroyeyunostomía Bouchard et al, Pediatric Surgery International, January 2022 Artículo: https://gcmd.co/3LuuS73 https://d1dnj0gz56dmdu.cloudfront.net/f67a7aa6-c9e2-4e88-a2aa-80d41089f6dd/AppleHLS1/c7ba8c705a80bcbc4e01f5a7d46ef73d.m3u8 2022-08-24T18:00:06+00:00 4 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/10050 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10050/4d30a7dad084b32dc3bda1f10e3427d6.jpg Dr. Elsa Mariana Zúñiga Lara - Best of the Best in Pediatric Surgery 2025 Watch Mexico Pediatric Surgery Society's Dr. Elsa Mariana Zúñiga Lara's presentation on “Incidence and Risk Factors for Vascular Complications in Pediatric Kidney Transplantation” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10050 2025-03-19T09:41:06+00:00 1 BOB2025 pediatric surgery some4pedsurg Incidence risk factors vascular complications kidney transplantation channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7966 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7966/thumbnail_9496_2024-02-07_16-00-13.jpg Evan Nadler, MD - 2024 Pediatric Bariatric Surgery Update Course Evan Nadler, MD presents “Clinical Controversies” including MBS for syndromic and genetic obesity, role of surgery for pediatric class I obesity at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7966/file_9496_2024-02-07_16-00-13.mp4 2024-02-07T16:00:13+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/11849 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/11849/file_11849_1_1776110935442.jpg Overview of the Surgical Management of Acute and Chronic Pancreatitis in Children with Dr. Juan Gurria Join us for a virtual webinar on Surgical Management of Acute and Chronic Pancreatitis in Children with Dr. Juan Gurria.This session will provide a practical overview of surgical approaches, decision-making, and management strategies for pediatric pancreatitis, followed by a live Q&A. https://library.globalcastmd.com/video/11849 2026-04-13T20:08:55+00:00 1 pediatric surgery ped surg some4pedsurg pancreatitis pancreas acute pancreatitis chronic pancreatitis TPIAT Total Pancreatectomy with Islet Autotransplantation pediatric pancreatitis Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6843 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6843/thumbnail_6843_2023-07-19_18-00-08.jpg La vigilancia esofágica en pacientes pos reparación de atresia de esófago Otro articulo que tenes que conocer por la dra. Gigena Cecilia “La vigilancia esofagica en pacientes pos reparacion de atresia de esófago” Hamilton-Hall III MN et.al. Autores: Malcolm N. Hamilton-Hall III, Dana Jungbauer, Christine Finck, William Middlesworth, Benjamin Zendejas, Samuel M. Alaish, Cornelia L. Griggs, Robert T. Russell, Hester F. Shieh, Stefan Scholz, Shaun M. Kunisaki, Christina Feng, Melissa E. Danko, Jennifer R. DeFazio, Charles J. Smithers, Irving J. Zamora, J. Leslie Knod, On behalf of theEastern Pediatric Surgery Networw Articulo:https://www.jpedsurg.org/article/S0022-3468(23)00151-3/fulltext Abstract Introducción Las pautas de vigilancia endoscópica para pacientes con atresia esofágica (EA) reparada se basan principalmente en la opinión de expertos. Antes de embarcarnos en un registro prospectivo de vigilancia de EA, buscamos comprender las prácticas de vigilancia de EA dentro de la Red de Cirugía Pediátrica del Este (EPSN). Métodos Se envió por correo electrónico una encuesta anónima de Qualtrics de 23 preguntas a 181 médicos (cirujanos y gastroenterólogos) en 19 instituciones miembros. Las preguntas de la escala de Likert midieron el acuerdo con las declaraciones derivadas de las pautas de vigilancia internacional de EA. Preguntas de opción múltiple evaluaron prácticas individuales e institucionales. Resultados La tasa de respuesta fue del 77%. La mayoría de los encuestados (80 %) está totalmente de acuerdo o de acuerdo en que la endoscopia de vigilancia de la AE debe seguir un programa establecido, mientras que solo el 36 % afirmó realizar una endoscopia GI superior de rutina independientemente de los síntomas. Muchas instituciones (77%) cuentan con una clínica aerodigestiva, aunque algunas carecen de un equipo multidisciplinario de EA. La mayoría de los médicos (72 %) expresaron un gran interés en ayudar a desarrollar pautas basadas en la evidencia. Conclusiones Nuestra encuesta revela que los médicos están https://library.globalcastmd.com/video/6843 2023-07-19T18:00:08+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/10011 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10011/e4adf9796b0b315d17811509050fc228.jpg Optimizing Congenital Diaphragmatic Hernia Repair on ECMO: Evaluating the Risk of Bleeding Nicholas Schmoke, Anna Rose, Christopher Nemeh, Yeu Sanz Wu, Pengchen Wang, Paul Kurlansky, Cindy Neunert, William Middlesworth, Vincent Duron Background: Institutions lack consensus on the management of patients with congenital diaphragmatic hernia (CDH) who are repaired on extracorporeal membrane oxygenation (ECMO). Our study aimed to evaluate risk factors associated with bleeding complications in patients with CDH repaired on ECMO. Methods: A single-institution retrospective review evaluated all patients with CDH who underwent on-ECMO repair between January 2005 and December 2023. A significant bleeding complication post-repair was defined as bleeding necessitating re-operation. The association between preoperative factors and bleeding complications was evaluated. Results: Forty-six patients were included. Bleeding complications developed in 11/46 (24%) patients. Birthweight (2.5 vs. 3.2 kg, p = 0.02), platelet count <100/mm3 (64% vs. 29%, p = 0.04), elevated blood urea nitrogen (BUN; 24.5 vs. 17.5 mg/dL, p = 0.05), and older age at repair (8 vs. 5 days, p = 0.04) were associated with bleeding. In univariate analysis, patients with platelets under 100/mm3 were more likely to develop a bleeding complication (OR = 4.4, p = 0.04). Patients who experienced a significant bleeding event experienced increased ECMO days (12 vs. 7 days, p < 0.01), ventilator days (31 vs. 18 days, p < 0.05), and lower survival to discharge (36% vs. 74%, p = 0.03). Conclusion: Among CDH patients undergoing repair on ECMO, those with lower birth weight, platelet counts under 100/mm3, elevated BUN, and older age at repair had an increased risk of a significant bleeding complication, resulting in more ECMO and ventilator days and higher mortality. Patients undergoing on-ECMO repair should have platelet count transfused to greater than 100/mm3. Patients at high risk for bleeding may benefit from early repair on ECMO. spaces/1/content/10011/b108723cc0f4dcc2eccf4c3e036ac3f7.mp4 2025-03-12T05:53:01+00:00 3 channel#pediatric_surgery Bleeding cdh ecmo Extracorporeal membrane oxygenation Congenital diaphragmatic hernia complications hernia Alex halpern jps Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10981 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/public-assets/defaults/default_thumbnail.jpg Incidence of Recurrent Laryngeal Nerve Palsy in Thoracic Surgery in Neonates Khaled Al Tabaa ∙ Matthias Claire ∙ Arnaud Bonnard ∙ Souhayl Dahmani ∙ Thierry Van Den Abbeel ∙ Natacha Teissier∙ Emilie BoisObjectivePostoperative vocal cord paralysis (VCP) is a known complication of thoracic surgeries that carry a risk of recurrent laryngeal nerve (RLN) injury. The primary aims of this study were to evaluate the prevalence of postoperative VCP, identify associated risk factors, and assess the impact on feeding and length of hospital stay in pediatric thoracic surgery.Materials and MethodsWe conducted a prospective, interventional, single-center study from September 2020 to January 2022. Preoperative laryngeal fibroscopy was performed, and children with pre-existing laryngeal immobility were excluded. Postoperative laryngeal fibroscopy was systematically performed 15 days after surgery to assess the incidence of VCP. Data were compared between children with and without VCP to identify risk factors and evaluate the impact on feeding and hospital length of stay.ResultsDuring the study period, 17 children (mean age 3.2 days; mean weight 2628 g) who underwent thoracic surgery at risk of RLN injury were included: 15 for esophageal atresia, 1 for ductus arteriosus ligation, and 1 for aortic arch surgery. Of these, 4 children were excluded because they could not undergo laryngoscopy at day 15. Postoperative fibroscopy was performed in the remaining 13 children, revealing VCP in 5 (38.5%). VCP was always symptomatic, with stridor requiring specific management in 2 patients. Weight and gestational age emerged as significant factors influencing the risk of postoperative VCP, while associated malformations did not impact VCP risk. No major effects on feeding or length of hospital stay were observed.ConclusionVCP is a common complication of thoracic surgery in children, highlighting the importance of its prevention due to potential severe consequences. Further research is needed to refine strategies for preventing VCP and improving outcomes in this patient po spaces/1/content/10981/file_10981_1_1757692594689.mp4 2025-09-12T15:56:34+00:00 1 thoracic surgery VCP vocal cord paralysis pediatric surgery recurrent laryngeal nerve paralysis Lizzy Lee postop Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6895 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6895/thumbnail_8351_2023-07-20_08-00-13.jpg Esophageal Atresia/Tracheoesophageal Fistula Bronchoscopy and Surgical Technique Is there any case that gets a pediatric surgery fellow more excited than the repair of an Esophageal Atresia with a Tracheoesophageal Fistula? In today's episode, we hear from Dr. Dan von Allmen, Dr. Mike Rutter, Dr. Aaron Garrison, and Dr. Todd Ponsky about the preoperative planning and surgical approach to this bread and butter pediatric surgery case. Hosted by Rod GerardoLink for video: https://youtu.be/oB7-ysybG5Q  https://library.globalcastmd.com/video/6895 2023-07-20T08:00:13+00:00 7 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6640 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6640/thumbnail_6640_2023-05-17_16-00-10.jpg Outcomes of laparoscopic versus open resection of pediatric choledochal cyst "Outcomes of laparoscopic versus open resection of pediatric choledochal cyst" Ramsey et al, Journal of Pediatric Surgery https://www.jpedsurg.org/article/S0022-3468(22)00799-0/fulltext Video: Ellen Encisco https://library.globalcastmd.com/video/6640 2023-05-17T16:00:10+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7971 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7971/thumbnail_9501_2024-02-07_22-00-08.jpg Colangiografía fluorescente con verde de indocianina: la nueva práctica estándar para realizar colecistectomía laparoscópica en pacientes pediátricos Nuevo Artículo que debes conocer de la Dra. Cecilia GIgena "Colangiografía fluorescente con verde de indocianina: la nueva práctica estándar para realizar colecistectomía laparoscópica en pacientes pediátricos" Autores: Ciro Esposito, Kirtikumar J Rathod, Mariapina Cerulo, Fulvia Del Conte, Rahul Saxena, Vincenzo Coppola, Arvind Sinha, Giovanni Esposito, Maria Escolino Artículo completo: https://gcmd.co/3Su3Phd Introducción Este estudio tuvo como objetivo comparar los resultados de la colecistectomía laparoscópica estándar y la colecistectomía laparoscópica con colangiografía fluorescente con verde de indocianina durante un período de 10 años. Métodos Del 2013 al 2023 se realizaron 173 colecistectomías laparoscópicas en 2 unidades de cirugía pediátrica: 83 mediante técnica estándar (G1) y 90 mediante colangiografía fluorescente con verde de indocianina (G2). Los pacientes incluyeron 96 niñas y 77 niños, con una mediana de edad de 12,3 años (rango 4-17) y un peso mediano de 51 kg (rango 19-114). Los 2 grupos se compararon con respecto a lo siguiente: (1) tasa de complicaciones perioperatorias; (2) duración total de la cirugía (T1); (3) longitud del aislamiento, recorte y seccionamiento del conducto cístico (T2); (4) momento de la extirpación de la vesícula biliar (T3); (5) grado de visualización del árbol biliar; (6) seguridad y viabilidad de la colangiografía fluorescente con verde de indocianina; (7) incidencia de anomalías anatómicas detectadas intraoperatoriamente. Resultados Todas las colecistectomías laparoscópicas se realizaron sin conversión a abierta. La tasa de complicaciones perioperatorias fue significativamente mayor en el G1 en comparación con el G2 (12% frente a 0%; P = 0,0007). Las medianas de T1, T2 y T3 fueron significativamente más largas en G1 (90, 37, 35 minutos) en comparación con G2 (55, 17, 19 minutos) (P = 0,0001), respectivamente. La tasa de visualización del árbol biliar completo fue significativamente mayor en el spaces/14/content/7971/file_9501_2024-02-07_22-00-08.mp4 2024-02-07T22:00:08+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6463 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6463/thumbnail_6463_2023-03-14_16-00-12.jpg Rectoperineal Fistula with Vaginal Agenesis Victoria A. Lane MBchB, Richard J. Wood MD, Carlos Reck MD, Geri Hewitt MD, Marc A. Levitt MD  Nationwide Children's  https://d1dnj0gz56dmdu.cloudfront.net/9d44cbc6-bbcb-4d8c-9fae-153de99f02e8/AppleHLS1/c079330c4dc29ecd19e2dd0489d09483.m3u8 2023-03-14T16:00:12+00:00 2 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6770 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6770/thumbnail_6770_2023-06-27_16-00-08.jpg Quick Literature Updates Episode 9 We’re back with ninth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash https://www.jpedsurg.org/article/S0022-3468(21)00625-4/fulltext LaRusso K, Joharifard S, Lakabi R, Nimer N, Shahi A, Kasasni SM, Lévesque D, Moreau B, Aspirot A, Laberge JM, Faure C, Emil S. Effect of transanastomotic feeding tubes on anastomotic strictures in patients with esophageal atresia and tracheoesophageal fistula: The Quebec experience. J Pediatr Surg. 2022 Jan;57(1):41-44. doi: 10.1016/j.jpedsurg.2021.09.014. Epub 2021 Sep 20. PMID: 34666898. https://www.jpedsurg.org/article/S0022-3468(22)00603-0/fulltext Fraser JD, Duran YK, Deans KJ, Downard CD, Fallat ME, Gadepalli SK, Hirschl RB, Lal DR, Landman MP, Leys CM, Mak GZ, Markel TA, Minneci PC, Sato TT, St Peter SD; Midwest Pediatric Surgery Consortium. Natural history and consequence of patent processus vaginalis: An interim analysis from a multi-institutional prospective observational study. J Pediatr Surg. 2023 Jan;58(1):142-145. doi: 10.1016/j.jpedsurg.2022.09.012. Epub 2022 Oct 3. PMID: 36307301. https://www.jpedsurg.org/article/S0022-3468(22)00004-5/fulltext Yoeli D, Choudhury RA, Sundaram SS, Mack CL, Roach JP, Karrer FM, Wachs ME, Adams MA. Primary vs. salvage liver transplantation for biliary atresia: A retrospective cohort study. J Pediatr Surg. 2022 Oct;57(10):407-413. https://library.globalcastmd.com/video/6770 2023-06-27T16:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7467 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7467/thumbnail_8975_2023-10-26_16-00-13.jpg Resultados iniciales del uso de crioablación en el tratamiento quirúrgico del síndrome de costilla deslizante Otro artículo del Journal of Pediatric Surgery de la Dra. Cecilia Gigena "Resultados iniciales del uso de crioablación en el tratamiento quirúrgico del síndrome de costilla deslizante" Autores: Krista Lai, R Scott Eldredge, Melissa Nguyen, Benjamin E. Padilla, Lisa E. McMahon Artículo completo: https://gcmd.co/40civ85 Introducción La reparación mínimamente invasiva del pectus excavatum (MIRPE) y la escisión de costillas cartilaginosas (CRE) para el síndrome de costilla deslizante (SRS) son procedimientos dolorosos. La crioablación del nervio intercostal (Cryo) controla el dolor y disminuye el uso de opioides en MIRPE. Aquí describimos nuestra experiencia con la crioablación en CRE. Métodos Se realizó una revisión retrospectiva de las historias clínicas de todos los pacientes sometidos a CRE entre 2018 y 2022. Se recopilaron datos sobre datos demográficos, características clínicas, detalles operativos y evolución hospitalaria. Resultados Un total de 98 pacientes se sometieron a CRE: 68 CRE sin crio, 22 CRE + Cryo y 8 combinados MIRPE + CRE + Cryo. El noventa por ciento de los pacientes se sometió a placas costales bioabsorbibles. Los pacientes eran predominantemente mujeres (79%, 73%, 50% respectivamente) con edades medias de 17,6, 16,9 y 14,2 años respectivamente. Los pacientes con CRE + crioterapia utilizaron significativamente menos opioides en el hospital (0,6 OME/kg [0,1,1,2]) en comparación con CRE sin crio (1,0 OME/kg [0,6,2,1]), p < 0,05. La mediana de la duración de la estancia hospitalaria (LOS) en CRE + Cryo fue de 1 día [1,2] en comparación con 2 días en CRE sin crio [1,2], p = 0,09. Los pacientes con MIRPE + CRE + crioterapia utilizaron 0,6 OME/kg [0,2,8,0] con una LOS de 2 días [1,5,5]. El noventa y uno por ciento de los pacientes con Cryo se sometieron a crioablación de los nervios intercostales T9 y/o T10, sin laxitud documentada de la pared abdominal en una mediana de seguimiento de 16 días. Cryo se aplicó extratorácicamente en CRE + crio si https://library.globalcastmd.com/video/7467 2023-10-26T16:00:13+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/659 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/659/thumbnail_746_2018-11-10_00-05-19.jpg Pilonidal Disease - Aaron Garrison & Nicholas Bruns: Update Course 2014 Dr. Aaron Garrison presents information on pilonidal disease. This discussion includes concepts of pilonidal cyst, incision and drainage, prophylactic excision, excision and primary versus delayed closure, and rhomboid flap closure for pilonidal disease excision.  https://d1dnj0gz56dmdu.cloudfront.net/fd15f4cc-e948-46ed-8a32-ef0507d7bdac/AppleHLS1/9d1781e3e07ddaf5a7c679fd64a331a5.m3u8 2018-11-10T00:05:19+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8647 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8647/thumbnail_10190_2024-05-23_07-32-51.jpg Female Fertility Cryopreservation Outcomes in Childhood Cancer: A Systematic Review New article you should know by Dr. Cecilia Gigena. Selected by Dr. Jose Campos & the Chilean Society of pediatric Surgery  "Female Fertility Cryopreservation Outcomes in Childhood Cancer: A Systematic Review" Authors: Srinithya R. Gillipelli, Luca Pio, Paul D. Losty, Abdelhafeez H. Abdelhafeez Full article: https://gcmd.co/3QNpBML Background and aims As survival rates in childhood cancer progress significantly, health outcomes in adulthood are pivotal to quality of life (QoL). Female patients undergoing chemotherapy and radiation for childhood cancer may experience adverse effects such as gonadotoxicity-related ovarian insufficiency. Ovarian tissue cryopreservation (OTC) is well studied in adults, but has only recently started to be explored in an effort to preserve fertility in young patients with childhood cancer. This systematic review aims to critically highlight contemporary outcomes of cryopreservation in female pediatric cancer patients. Methods A systematic search was conducted in PubMed, Embase, and Web of Science databases to identify English-language full text articles and abstracts published between 2004 and 2022 describing cryopreservation among female children (0–21 years old) with cancer. Abstracts and full-text articles were screened for inclusion. Subsequently, data from eligible studies was extracted and analyzed. Descriptive statistics were utilized to estimate overall outcomes of cryopreservation. Results Of 104 abstracts and 34 full-text articles, 12 studies were included. Data was collected from 7 world countries and involved some 612 pediatric and adolescent patients with malignant disease. Most common cancers included hematological malignant disease (81%), CNS nervous system malignant tumors (56%), and sarcomas (39%). Of the 6 studies with full reporting, OTC was undertaken in 501 patients, and 5.9% (30/501) of these patients underwent ovarian tissue transplantation (OTT). After OTT, 27 patients desired pregnancy an https://library.globalcastmd.com/video/8647 2024-05-23T07:32:51+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2532 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2532/thumbnail_3467_2020-05-01_22-00-09.jpg Pyloric Stenosis Dr. Bhargava Mullapudi, Pediatric Surgeon at Cincinnati Children’s, and Dr. Gillian Goddard, Pediatric Surgery Research Fellow at Cincinnati Children's, joins Dr. Rae Hanke to review the essentials of pyloric stenosis in this videocast.Pyloric Stenosis·      Definition: Acquired gastric outlet obstruction in infants·      Epidemiology:o   1-4/1000 Caucasian live births. (less common in other races)o   M:F 2-5:1,o   First born infantso   Genetic predisposition, but not related to a specific genetic syndrome/mutation·      Etiology: multifactorial. Hypothesis related to absence of Nitric oxide synthase in circular muscular layerto muscle spasm hypertrophy of pyloric sphincter hypertrophic pyloric stenosis·      Pathophysiology:o   Hypertrophy and hyperplasia of inner circular layer with associated mucosal hypertrophy.o   Leads to GOO in infants 2-10 of age.·      Presentation:o   Infant with Nonbilious “projectile” vomiting aged 2-10 weeks of life.  Hungry vomiters. Dehydration, lethargy.o   Timeline: 1-3 weeks from onset of symptoms to hospital presentation. Electrolyte abnormalities and dehydration worse the longer symptoms have been presento   Hyperbilirubinemia, down regulation of hepatic enzymes associated with starvation. Reversible with rehydration and nutrition.·      Differential diagnosis:o   Gastric esophageal refluxo   Pyloric spasmo   Gastroenteritiso   Duodenal/antral webo   Pyloric atresiao   Duplicationso   Bilious emesis must w/u for midgut volvulus!·      Work upo   History: onset and duration, character/nature of emesiso   Physical exam: palpable epigastric mass, dehydration (depressed fontanelle, dry MM, decreased cap refill, low UOP), lethargy (sign of dehydration)o   Labs: CMP for electrolytes (bicarb, chloride, potassium)o   Ultrasound: pyloric measurements are diagnostic (thick 3mm, length 15mm)o   Extraneous TestingUpper GI  used in resource poor countries (previously Gold standard)§  Barium needs to be seen emptying to rule out atresia/ https://library.globalcastmd.com/video/2532 2020-05-01T22:00:09+00:00 30 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7266 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7266/thumbnail_8756_2023-10-09_22-00-08.jpg Update Course 2023 - Rapid Updates in Pediatric Trauma This session is on rapid updates in pediatric trauma with Drs. Katie Russell & Meera Kotagal.  The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know! spaces/17/content/7266/file_8756_2023-10-09_22-00-08.mp4 2023-10-09T22:00:08+00:00 channel#live_event_content UpdateCourse2023 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7988 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7988/thumbnail_9518_2024-02-14_16-00-06.jpg Image-guided core-needle or surgical biopsy for neuroblastoma diagnosis in children New article you should know by Cecilia Gigena "Image-guided core-needle or surgical biopsy for neuroblastoma diagnosis in children: A systematic review and meta-analysis from the International Society of Pediatric Surgical Oncology (IPSO)" Authors: Luca Pio, Hervé J Brisse, Rita Alaggio, Elisa Zambaiti, Jacob Stenman, Stefano Giuliani, Valentina Montano, Alexander Siles Hinojosa, Anders Toel Hoel, Andrea Pevere, Ahmed Abu-Zaid, Stephanie Franchi-Abella, Abdelhafeez H Abdelhafeez, Andrew M Davidoff, Paul D Losty Full article: https://gcmd.co/42kahvV Abstract Background Image-guided core-needle biopsy (IGCNB) is a widely used and valuable clinical tool for tissue diagnosis of pediatric neuroblastoma. However, open surgical biopsy remains common practice even if children undergo more invasive and painful procedures. This review aims to determine the diagnostic accuracy and safety of IGCNBs in pediatric patients with neuroblastoma. Methods We conducted a systematic review of peer-reviewed original articles published between 1980 and 2023, by searching "pediatric oncology," "biopsy," "interventional radiology," and "neuroblastoma." Exclusion criteria were patients older than 18 years, studies concerning non-neurogenic tumors, case reports, and language other than English. Both the systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results A total of 533 abstracts articles were analyzed. Of these, eight retrospective studies met inclusion criteria (490 infants, 270 surgical biopsies [SB], 220 image-guided biopsies). Tissue adequacy for primary diagnosis (SB: n = 265, 98%; IGCNB: n = 199, 90%; p = .1) and biological characterization (SB: n = 186, 95%; IGCNB: n = 109, 89%; p = .15) was similar with both biopsy techniques, while intraoperative transfusion rate (SB: n = 51, 22%; IGCNB: n = 12, 6%; p = .0002) and complications (%) (SB: n = 58, 2 https://library.globalcastmd.com/video/7988 2024-02-14T16:00:06+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6480 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6480/thumbnail_6480_2023-03-14_22-00-12.jpg Cloaca Total Urogenital Mobilization (TUM) Victoria A. Lane, Richard J. Wood, Geri Hewitt, VR Jayanthi, Marc A. Levitt Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/f39c5bb5-21c1-4228-af14-73920bb5e84f/AppleHLS1/c18d83150bfdba5c32853e512d77efee.m3u8 2023-03-14T22:00:12+00:00 9 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6291 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/6291/thumbnail_6291_2023-01-19_16-00-09.jpg Pilomatrixoma with Dr. Rebeccah Brown Check out this StayCurrent Short, where Dr. Rebeccah Brown gives us insight into the workup and management of Pilomatrixoma.  https://library.globalcastmd.com/video/6291 2023-01-19T16:00:09+00:00 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/6473 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6473/thumbnail_6473_2023-03-14_18-00-11.jpg Redo transanal pull-through for Hirschsprung's Disease (No audio) Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. Nationwide Children's Hospital  https://d1dnj0gz56dmdu.cloudfront.net/312f8b34-8d60-4a93-9806-aaca4e20def8/AppleHLS1/4f8cabee77fb08e1b7c26c365dc96d34.m3u8 2023-03-14T18:00:11+00:00 4 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/9088 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9088/thumbnail_10642_2024-08-28_12-46-03.jpg 2024 Update Course - Over and Under the Radar in Literature Updates - Jose Campos & Shawn St. Peter This year was the 12th Annual Pediatric Surgery Update Course, where top hospital experts from around the world discussed this year’s changes in practices and innovation. Rewatch the event to learn more about the future of pediatric surgery and be at the forefront of medical excellence.  In this clip, Drs. Jose Campos & Shawn St. Peter as moderator, speaks on over and under the radar in Literature Updates.   Topics to be discussed: • PPI in EA to prevent strictures • Inguinal hernia early vs late • Ovarian Salvage article • Updates in appendicitis • natiximab for NB: the only thing that has changed survival in NB recently spaces/17/content/9088/file_10642_2024-08-28_12-46-03.mp4 2024-08-28T12:46:03+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/13841 2026-08-01 monthly 0.7 01_Marc_Levitt_03 The History of Colorectal Team Overseas_h264_15k_1080p25_cc_220807 This is "01_Marc_Levitt_03 The History of Colorectal Team Overseas_h264_15k_1080p25_cc_220807" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/737409362 2026-07-29T23:11:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8768 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8768/thumbnail_10317_2024-06-24_09-44-08.jpg Intestinal Rehabilitation Webinar 2023 - Top 5 Key Takeaways In November 2023 we held the first Intestinal Rehabilitation webinar with Dr. Paul Wales & Dr. Michael Helmrath, 2 experts from the Intestinal Rehab center at Cincinnati Children's. These are the top 5 key takeaways from this webinar!! Host: Dr. Cecilia Gigena https://library.globalcastmd.com/video/8768 2024-06-24T09:44:08+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11714 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/11714/d6ba58ae4f6a89abafd08f122c9e42cc.jpg Sphincter Reconstruction in a patient who suffered from Fournier’s gangrene Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital  spaces/8/content/11714/9236175e465894803baf1dfac011f052.mp4 2026-03-19T14:22:48+00:00 sphincterreconstruction Fourniersgangrene channel#private_colorectal_channel Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/5876 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5876/thumbnail_5876_2022-09-19_22-00-07.jpg Telementoring feat. Proximie - Transforming Healthcare, Episode 5 Bonus *This is not a paid partnership w/ Proximie.* In this series we aim to introduce to new technologies and some of the leaders working on and with those technologies. We’re back with another new technology that we believe will transform healthcare. Telementoring… Here’s what you need to know in a nutshell! Host: Em Tombash, MD By definition, telementoring is “a relationship, facilitated by telecommunication technology, in which an expert provides guidance to a less experienced learner from a remote location.” Previous research has shown us that telementoring can be used effectively and reliably as a surgical training aid. But, how did it start? In the traditional residency training model, a resident (trainee) spends day in and day out with an expert learning by watching the expert. Then the expert watches the trainee over and over again and over time, the trainee gets more and more autonomy. But then we graduate and we go off into practice and we're like on an island by ourselves, especially as all these new devices and technologies are developed. How do we learn new techniques once we're in practice? So they created a model of how a practicing surgeon can learn a new technique. Step one is a course or didactic instruction. Step two is that the trainee watches the expert physically in the operating room. And at this point, they institute a simulation model of one that exists in preparation for step three, which is that the trainee actually performs the case and the experts watching them physically there in the operating room. So then because it's difficult in practice to keep traveling, to go watch the expert over and over again, we've instituted the concept of telementoring. Telementoring allows for the two surgeons to work together virtually in classes where the expert can actually watch the trainee and certify that they actually are able to do the case on their own. Don't forget to like and subscribe to see more entertaining medical educational vi https://library.globalcastmd.com/video/5876 2022-09-19T22:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/737 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/737/thumbnail_836_2018-11-13_00-04-31.jpg CinciHirsch - Pathology of Hirschprung Disease Dr. Andrea Bischoff presents the audience with question poles on hirschsprung's disease diagnosis gestational age, suction rectal biopsy with absent ganglion cells, and full thickness biopsy, and permanent section versus frozen, intraoperative suction visibility, nerve measurements. Discussion is generated among panel members. Dr. Margaret H. Collins discusses the pathologists' response, including a presentation on  transition zone measurements, ganglion cells, submucosal hyperganglionosis, inconsistent diagnostic criteria, and inadequate control data.  spaces/1/content/737/file_836_2018-11-13_00-04-31.mp4 2018-11-13T00:04:31+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7655 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/7655/thumbnail_9168_2023-11-15_16-00-07.JPG Transition of Care - Patients' point of view Video on the patients' point of view (Chapter 3 of the Helsinki series). ERNICA (https://ern-ernica.eu/) spaces/7/content/7655/file_9168_2023-11-15_16-00-07.mp4 2023-11-15T16:00:07+00:00 channel#eupsa transition Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/6708 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6708/thumbnail_6708_2023-06-07_22-00-17.jpg Enfermedad Inflamatoria intestinal asociada a Hirschsprung Nuevo articulo que tenes que conocer por Cecilia Gigena “Enfermedad Inflamatoria intestinal asociada a Hirschsprung: Un estudio multicéntrico del grupo de interés de la enfermedad de Hirschsprung de APSA” Sutthatarn P et. al. Autores: Pattamon Sutthatarn, Eveline Lapidus-Krol, Caitlin Smith, Ihab Halaweish, Kristy Rialon, Matthew W. Ralls, Rebecca M. Rentea, Mary B. Madonna, Candace Haddock, Ana M. Rocca, Ankush Gosain, Jason Frischer, ], Hannah Piper, Allan M. Goldstein, Payam Saadai, Megan M. Durham, Belinda Dickie, Mubeen Jafri, Jacob C. Langer Articulo completo: https://www.jpedsurg.org/article/S0022-3468(23)00037-4/fulltext Abstract Antecedentes/Propósito Una pequeña cantidad de pacientes con enfermedad de Hirschsprung (EH) desarrollan síntomas similares a los de la enfermedad inflamatoria intestinal (EII) después de la cirugía de descenso. La etiología y la fisiopatología de la EII asociada a Hirschsprung (HD-IBD) siguen siendo desconocidas. Este estudio tiene como objetivo caracterizar aún más la HD-IBD, identificar los posibles factores de riesgo y evaluar la respuesta al tratamiento en un grupo grande de pacientes. Métodos Estudio retrospectivo de pacientes diagnosticados de EII tras un descenso, entre 2000 y 2021, en 17 instituciones. Se revisaron los datos sobre la presentación clínica y el curso de la EH y la EII. La efectividad del tratamiento médico para la EII se registró mediante una escala de Likert. Resultados Hubo 55 pacientes (78% hombres). El 50% (n = 28) tenía enfermedad de segmento largo. La enterocolitis asociada a Hirschsprung (HAEC) se notificó en el 68% (n = 36). Diez pacientes (18%) tenían trisomía 21. La EII se diagnosticó después de los 5 años en el 63% (n = 34). La presentación de la EII consistió en inflamación del colon o del intestino delgado similar a la EII en el 69% (n = 38), fístula inexplicable o persistente en el 18% (n = 10) y HAEC inexplicable >5 años o que no responde al tratamiento estándar en e https://library.globalcastmd.com/video/6708 2023-06-07T22:00:17+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/532 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/532/thumbnail_532_2018-10-19_18-17-01.jpg How I Do It Levitt PSARP Dr Marc Levitt from Nationwide Children's Hospital shows how he performs a posterior sagital anorectoplasty (PSARP) for a "no-fistula" anorectal malformation. See more videos like this at http://videolibrary.globalcastmd.com/how-i-do-it-levitt-psarp https://d1dnj0gz56dmdu.cloudfront.net/2936b336-fd9d-4bdc-8607-84c4f71e10a3/AppleHLS1/7c8dfdd382b437c31b28910088c36039.m3u8 2018-10-19T18:17:01+00:00 62 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8961 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8961/thumbnail_10514_2024-08-05_13-21-38.jpg QUAD #12 Utilizing ENT for Cervical Approach in Esophageal Atresia (EA) Repair with Dr. Matt Smith Learn about the crucial role of ENT surgeons in the multidisciplinary approach to esophageal atresia repair. This video highlights the benefits of a team approach involving pediatric surgeons, ENTs, GIs, pulmonary specialists, speech therapists, and nutritionists. Key Points: Team Collaboration: The importance of utilizing diverse skill sets for optimal patient outcomes. ENT Surgeon's Perspective: Focusing on future swallowing, recurrent laryngeal nerve health, and preventing potential injuries. Cervical Approach: Isolating the cervical trachea and esophagus, avoiding nerve damage, and creating a tunnel for colonic interposition. Simultaneous Operations: Coordinated efforts where one surgeon harvests the graft while another prepares the esophagus. Case Study: Addressing recurrent tracheoesophageal fistulas and achieving successful outcomes with the aid of ENT expertise. Why ENT Surgeons are Essential: Their knowledge of head and neck anatomy and experience in complex airway management improve care delivery, outcomes, and reduce operative times. Immediate Involvement: Engaging ENT specialists early in the process to address complications with voice and swallowing. https://library.globalcastmd.com/video/8961 2024-08-05T13:21:38+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9460 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9460/thumbnail_11016_2024-11-27_06-17-10.jpg The use of postoperative calibrations in Hirschsprung disease Federico Beati, Tommaso D'Angelo, Chiara Iacusso, Barbara Daniela Iacobelli, Federico Scorletti, Laura Valfré, Chiara Pellegrino, Pietro Bagolan, Andrea Conforti, Fabio Fusaro. Purpose: Daily postoperative anal dilations after endorectal pull-through for Hirschsprung disease (HD) are still considered a common practice. We analyzed the potential risks of this procedure and its effectiveness compared to a new internal protocol. Methods: All infants (< 6 months of age) who underwent transanal endorectal pull-through between January 2021 and January 2023 were prospectively enrolled in a new postoperative protocol group without daily anal dilations (Group A) and compared (1:2 fashion) to those previously treated by postoperative anal dilations (Group B). Patients were matched for age and affected colonic tract. Patients with associated syndromes, extended total intestinal aganglionosis, and presence of enterostomy were excluded. Outcomes considered were: anastomotic complications (stenosis, disruption/leakage), incidence of enterocolitis, and constipation. Results: Eleven patients were included in group A and compared to 22 matched patients (group B). There were no significant differences in the occurrence of anastomotic complications between the two groups. We found a lower incidence of enterocolitis and constipation among group A (p = 0.03 and p = 0.02, respectively). Conclusion: A non-dilation strategy after endorectal pull-through could be a feasible alternative and does not significantly increase the risk of postoperative anastomotic complications. Moreover, some preliminary advantages such as lower enterocolitis rate and constipation should be further investigated. https://library.globalcastmd.com/video/9460 2024-11-27T06:17:10+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9373 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9373/thumbnail_10929_2024-11-01_10-51-32.jpg QUAD #20: Endoscopic Repair of Minor Laryngeal Clefts with Dr. Catherine Hart In this video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, discusses the endoscopic repair of minor laryngeal clefts, highlighting key surgical techniques and considerations. She explains the importance of accurately diagnosing these subtle clefts using combined evaluations and the criteria for deciding when surgery is necessary. Key Points Covered: When to Operate: Indications include persistent respiratory symptoms, aspiration, or recurrent infections in children. Surgical Technique: The procedure involves removing the interarytenoid mucosa, using precise suturing to prevent issues like inverted edges, and ensuring complete demucosalization at the apex. Postoperative Care: Patients are monitored overnight and follow a preoperative diet until a follow-up evaluation 6-8 weeks later, which includes a video swallow study and endoscopy. Outcomes and Complications: While endoscopic repair shows a high success rate, Dr. Hart discusses the potential risks, including scarring and supraglottic infections, and emphasizes the importance of technique to minimize these complications. Learn how Cincinnati Children's ENT team ensures successful outcomes for kids with minor laryngeal clefts and why endoscopic repair is often preferred. https://library.globalcastmd.com/video/9373 2024-11-01T10:51:32+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8000 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8000/thumbnail_9530_2024-02-22_06-50-21.jpg Update Course Rewind: Updates in Indocyanine Green (ICG) 2023 Our 11th Annual Update Course in Pediatric Surgery was hel past August. In this video series, we'll recap the sessions and share the main highlights with you! Today we will talk about "Update in ICG". Joining the discussion is Dr. Seth Goldstein. Host: Cecilia Gigena https://library.globalcastmd.com/video/8000 2024-02-22T06:50:21+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6344 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6344/thumbnail_6344_2023-02-06_16-00-12.jpg BOB Ped Surg 2023 - Fulvia Del Conte, IPEG - Presentation Watch Fulvia Del Conte, MD, present her presentation on "Embolization vs surgical treatment in pulmonary sequestration: preliminary results of a retrospective multicenter study." https://library.globalcastmd.com/video/6344 2023-02-06T16:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/322 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/322/thumbnail_348_2018-09-14_23-19-59.jpg Standardization of Care for Pediatric Perforated Appendicitis Dr. Todd Ponsky reviews the article "Standardization of Care for Pediatric Perforated Appendicitis Improves Outcomes," by Dr. Yousef, Dr. Sherif Emil and colleagues from Hopital de Montreal pour enfants.DOI: https://doi.org/10.1016/j.jpedsurg.2017.08.054 https://d1dnj0gz56dmdu.cloudfront.net/8970c945-cff4-48bd-8365-5d97460b86c3/AppleHLS1/6d7b29229cba96b66dd3a694762203fd.m3u8 2018-09-14T23:19:59+00:00 4 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5794 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/5794/thumbnail_5794_2022-08-24_18-00-06.jpg Un cateter percutáneo versus un tubo de torax para el tratamiento del hemotorax traumático Otro articulo que tenés que saber! Dra Gigena Cecilia "Un #cateterpercutáneo versus un #tubodetorax para el tratamiento del #hemotoraxtraumático..." Narong Kulvatunyou et.al. Art. completo: https://pubmed.ncbi.nlm.nih.gov/33843... https://d1dnj0gz56dmdu.cloudfront.net/1bdb68f3-45ee-4cf4-abd5-f1ade26807d2/AppleHLS1/6d785cd30222c5724f309fe6ba6a9a24.m3u8 2022-08-24T18:00:06+00:00 14 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/6954 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6954/thumbnail_6954_2023-07-24_12-00-14.jpg Quick Literature Updates Episode 11 We’re back with eleventh episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash https://www.jpedsurg.org/article/S0022-3468(22)00621-2/fulltext Stevens J, Pickett K, Reppucci ML, Nolan M, Moulton SL. National trends in pediatric firearm and automobile fatalities. J Pediatr Surg. 2023 Jan;58(1):130-135. doi: 10.1016/j.jpedsurg.2022.09.028. Epub 2022 Sep 26. PMID: 36307297. https://www.jpedsurg.org/article/S0022-3468(23)00195-1/fulltext Lascano D, Zamora AK, Mahdi E, Ourshalimian S, Russell CJ, Kim E, Kelley-Quon LI. Gabapentin is Associated With Decreased Postoperative Opioid Use and Length of Stay After Appendectomy in Children With Perforated Appendicitis: A Propensity Score-Matched Analysis. J Pediatr Surg. 2023 Mar 16:S0022-3468(23)00195-1. doi: 10.1016/j.jpedsurg.2023.03.009. Epub ahead of print. PMID: 37029026. https://www.jpedsurg.org/article/S0022-3468(22)00250-0/fulltext Fraser JA, Deans KJ, Fallat ME, Helmrath M, Kabre R, Leys CM, Markel TA, Dillon PA, Downard C, Wright TN, Gadepalli SK, Grabowski JE, Hirschl R, Johnson KN, Kohler JE, Landman MP, Mak GZ, Minneci PC, Rymeski B, Sato TT, Slater BJ, Peter SDS, Fraser JD; Midwest Pediatric Surgery Consortium. Evaluating the risk of peri-umbilical hernia after sutured or sutureless gastroschisis closure. J Pediatr Surg. 2022 Dec;57(12):786-791. doi: 10.1016 https://library.globalcastmd.com/video/6954 2023-07-24T12:00:14+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6362 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6362/thumbnail_6362_2023-02-06_18-00-13.jpg BOB Ped Surg 2023 - Bernadette Jeremiasse, IPSO - Presentation Watch Bernadette Jeremiasse, MD, present her presentation on "Multiplex Organoid-Based 3D Live Imaging Platform to Screen Probes for Fluorescence Guided Surgery." https://library.globalcastmd.com/video/6362 2023-02-06T18:00:13+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8116 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8116/thumbnail_9649_2024-03-27_12-26-21.jpg QUAD #5 Pharyngeal Scar Management with Dr. Doug von Allmen Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to review pharyngeal scar management with Dr. Doug von Allmen, a pediatric otolaryngologist from Cincinnati Children's. Host: Em Gootee https://library.globalcastmd.com/video/8116 2024-03-27T12:26:21+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8558 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8558/thumbnail_10097_2024-05-01_08-37-33.jpg Transcystic Laparoscopic Common Bile Duct Exploration for Pediatric Patients with Choledocholithiasis New article you should know by Cecilia Gigena from Journal of Pediatric Surgery "Transcystic Laparoscopic Common Bile Duct Exploration for Pediatric Patients with Choledocholithiasis: A multi-center study" Authors: Jessica Rauh, Goeto Dantes, Marshall Wallace, Amelia Collings, Gloria D. Sanin, Gabriel E. Cambronero, Maggie E. Bosley, Aravindh S. Ganapathy, James W. Patterson, Romeo Ignacio, Jennifer Leslie Knod, Bethany Slater, Kylie Callier, Michael H. Livingston, Hanna Alemayehu, Katerina Dukleska, Stefan Scholz, Matthew T. Santore, Irving J. Zamora, Lucas P. Neff Full article: https://gcmd.co/3Jy2LVA Background Patients with choledocholithiasis are often treated with endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC). Upfront LC, intraoperative cholangiogram (IOC), and possible transcystic laparoscopic common bile duct exploration (LCBDE) could potentially avoid the need for ERCP. We hypothesized that upfront LC + IOC ± LCBDE will decrease length of stay (LOS) and the total number of interventions for children with suspected choledocholithiasis. Methods A multicenter, retrospective cohort study was performed on pediatric patients (<18 years) between 2018 and 2022 with suspected choledocholithiasis. Demographic and clinical data were compared for upfront LC + IOC ± LCBDE and possible postoperative ERCP (OR1st) versus preoperative ERCP prior to LC (OR2nd). Complications were defined as postoperative pancreatitis, recurrent choledocholithiasis, bleeding, or abscess. Results Across four centers, 252 children with suspected choledocholithiasis were treated with OR1st (n = 156) or OR2nd (n = 96). There were no differences in age, gender, or body mass index. Of the LCBDE patients (72/156), 86% had definitive intraoperative management with the remaining 14% requiring postoperative ERCP. Complications were fewer and LOS was shorter with OR1st (3/156 vs. 15/96; 2.39 vs 3.84 days, p < 0.05). Conc https://library.globalcastmd.com/video/8558 2024-05-01T08:37:33+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5818 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5818/thumbnail_5818_2022-09-07_22-00-06.jpg Update Course 2022 - UPDATE COURSE 2021 + BEST OF THE BEST RECAP - Ellen Encisco, Cecilia Gigena, and Brittany Levy Drs. Ellen Encisco, Brittany Levy, and Cecilia Gigena review our events from the past year, including the 2021 Pediatric Surgery Update Course and Best of the Best: Pediatric Surgery 2021. Access the talks referenced in the app or on YouTube! The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/f9a1a827-f594-48f5-892a-6d494a46d54f/AppleHLS1/355da549656c89aea166eacd3eedb337.m3u8 2022-09-07T22:00:06+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7706 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7706/thumbnail_9219_2023-11-23_00-00-09.jpg Reparación tardía versus temprana de la hernia inguinal en bebés prematuros Otro Artículo que debes conocer por la Dra. Cecilia Gigena "Reparación tardía versus temprana de la hernia inguinal en bebés prematuros: una revisión sistemática y un metanálisis" Autores: Candy SC Choo, Yong Chen y Merrill McHoney Artículo completo: https://gcmd.co/3uqGGUH Objetivos Evaluar los resultados clínicos de la herniotomía en recién nacidos prematuros sometidos a reparación temprana versus tardía, los factores de riesgo de complicaciones e identificar el mejor momento para la cirugía. Métodos Se realizaron búsquedas en las bases de datos Medline, Embase y Central desde el inicio hasta el 25 de enero de 2021 para identificar publicaciones que compararan el momento de la reparación de la hernia inguinal neonatal entre la intervención temprana (antes del alta de la primera hospitalización) y la intervención tardía (después del alta de la primera hospitalización). Los criterios de inclusión fueron recién nacidos prematuros diagnosticados con hernia inguinal durante el ingreso a la unidad de cuidados intensivos neonatales. Los resultados se analizaron mediante un metanálisis de efectos fijos y aleatorios (RevManv5.4). Resultados De los 721 artículos encontrados, seis estudios se incluyeron en el metanálisis. Los pacientes del grupo inicial tenían menores probabilidades de desarrollar encarcelamiento [odds ratio (OR) 0,43, intervalo de confianza (IC) del 95 % 0,34–0,55, I2 = 0 %, p < 0,001]; pero mayor riesgo de complicaciones respiratorias posoperatorias (OR 4,36, IC 95% 2,13–8,94, I2 = 40%, p < 0,001). No se informaron diferencias significativas en la tasa de recurrencia (OR 3,10, IC 95 % 0,90–10,64, I2 = 0 %, p = 0,07) y la tasa de complicaciones quirúrgicas (OR 0,94, IC 95 % 0,18–4,83, I2 = 0 %, p = 0,94) entre los grupos tempranos y retrasados. Conclusión Si bien la reparación temprana de la hernia inguinal en bebés prematuros reduce el riesgo de encarcelamiento, aumenta el riesgo de complicaciones respiratorias posoperator https://library.globalcastmd.com/video/7706 2023-11-23T00:00:09+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/11848 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/11848/file_11848_1_1776110461448.jpg Clinical & Research Update: Pediatric Liver Tumors - A Case-Based Discussion with Drs. Katherine Somers & Alex Bondoc This live event offered a focused, case-based conversation exploring current approaches to pediatric liver tumors across four critical domains:• Liver transplantation — indications, timing, and outcomes• Relapse management — surveillance and salvage strategies• Surgical guidelines — evolving standards and decision-making frameworks• The syndromic & medically complex patient — tailoring care to the whole childRather than a formal didactic session, Drs. Somers, Bondoc, Towbin, & Ranganathan used selected cases to ground the discussion in real-world clinical and research contexts — making this an ideal learning experience for surgeons, oncologists, hepatologists, and multidisciplinary team members involved in the care of these patients. https://library.globalcastmd.com/video/11848 2026-04-13T20:01:01+00:00 1 Liver transplantation pediatric surgery ped surg some4pedsurg liver tumor pediatric liver tumor relapse management heptalogist oncologist surgeon Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10942 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10942/881457f38b471d5f8b59d474dbaa00f4.jpg Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation Megan A. Read, Liese C.C. Pruitt, Brenna Rachwal, Kristine L. Griffina, Richard J. Wood, Alessandra C. Gasio Purpose Rectal prolapse is a known complication of surgery for anorectal malformations (ARM), however morbidity of prolapse repair and long-term outcomes are not well-described. Methods We performed a single-institution retrospective review of patients who underwent surgery for ARM then were treated for rectal prolapse at our institution from 2014 to 2024. Demographics, clinical characteristics, and surgical outcomes were assessed, and compared using Chi-squared or Fisher's exact testing. Results Of the 1275 patients with ARM treated at our institution during this period, 85 patients with previously repaired ARM underwent rectal prolapse repair (54 males, 63.53 %). Median age at initial surgery for rectal prolapse was 3 years (IQR 1.25–6.50). Median follow-up duration was 4 years (IQR 1.50–6.00). Recurrent prolapse requiring repeat repair occurred in 26 patients (30.59 %). Clinically significant post-operative stricture was identified in 27 patients (31.76 %), of whom 24 underwent Heineke-Mikulicz stricturoplasty (88.89 %). Patients who developed stricture were significantly more likely to have been asymptomatic from their prolapse on initial presentation compared to patients who did not develop stricture (N = 22, 81.48 % vs N = 32, 55.17 %, p = 0.028). Asymptomatic patients had a stricture rate of 40.74 %, as compared to 16.13 % for symptomatic patients. The presence of an ostomy and undergoing simultaneous ostomy takedown with prolapse repair was significantly associated with recurrent prolapse (p = 0.016), but not post-operative stricture formation (p = 0.769). There was no difference in rates of prolapse recurrence (p = 0.086) or anal stricture formation (p = 0.757) between patients who underwent partial, complete circumferential, or planned two-stage repair of a circumferential prolapse. Conclusion Morbidity from post-operative st https://library.globalcastmd.com/video/10942 2025-09-04T13:48:42+00:00 rectal prolapse anal stricture anorectal malformation ARM Lizzy Lee pedsurg channel#pediatric_surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6896 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6896/thumbnail_8352_2023-07-20_08-00-14.jpg History of Veres Needle Ya know that spring loaded needle we use to create pneumoperitoneum? How do you spell that? Because you're wrong. It's named after Dr. Janos Veres. Jorge and Belen walked us through the history of the man, the needle, and the spelling. https://library.globalcastmd.com/video/6896 2023-07-20T08:00:14+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6948 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6948/thumbnail_6948_2023-07-20_16-00-09.jpg Update Course Rewind: Laparotomy Over PPD 2022 We are back with another Update Course Rewind video! This time we are presenting you "Laparotomy Over PPD" with Dr. Paul Jeziorczak from APSA Professional Development Committee. Host: Ellen Encisco Register for #UpdateCourse2023 (Aug 28) here https://library.globalcastmd.com/video/6948 2023-07-20T16:00:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2228 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2228/thumbnail_3154_2020-02-24_19-58-22.jpg Thoracoscopic Resection of Extralobar Bronchopulmonary Sequestration This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2228 2020-02-24T19:58:22+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11901 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11901-27da62f54c.jpg Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study Gillian R Goddard, Stephanie Oliveira, Crystal Slaughter, Kim Klotz, Marilyn Stoops, Julie Schletker, Jackie Wessel, Michael Helmrath, Samuel Kocoshis, Monique Goldschmidt, Paul W WalesBackground: As patients with intestinal failure reach adulthood, transitioning to adult care remains challenging because of a lack of specialized programs. This study evaluated outcomes of patients who transitioned care from a pediatric intestinal rehabilitation program.Methods: A retrospective cohort study was conducted of intestinal failure patients who turned 20 years old between 2013 and 2022 with follow-up through February 2025. Patient characteristics, including demographics, anatomy, nutrition, and comorbidities, were collected for all patients at the age of 18 years. Patients were classified into exposure groups based on whether they transitioned to adult care or continued follow-up at our institution. Univariate analysis comparing groups was performed with Mann-Whitney U test or chi-square/Fisher's exact test, with P < 0.05 being significant.Results: Forty-six patients were included, with 68% having short bowel syndrome. Nine patients (20%) had an ostomy and 14 of 46 (30%) continued to receive parenteral nutrition. Twenty-seven patients (59%) transitioned to adult care at a median age of 20.8 (interquartile range [IQR], 3.8) years. No demographic, nutrition, or comorbidity differences were observed between groups. Higher mortality rates occurred among patients who transitioned care compared with patients continuing care at our institution (33% vs 5%; P = 0.02). The median time duration to death was 12 months (IQR, 43.5).Conclusion: Patients transitioned to adult care have a higher mortality rate, despite no obvious difference in medical complexity based on medical devices or comorbidities. Additional studies are needed to understand this difference. Increased awareness and structured transition programs are essential to ensuring optimal long-term outcomes. https://library.globalcastmd.com/video/11901 2026-05-04T16:18:20+00:00 intestinal failure mortality transition to adult care pediatric intestinal rehabilitation program short bowel syndrome comorbidity parenteral nutrition pediatric surgery some4pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6685 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6685/thumbnail_6685_2023-05-27_04-00-15.jpg Annual Pediatric Laparoscopic Hernia Repair Event 2023 This 2hr course is focused on teaching the fine points of a particular technique, Laparoscopic Pediatric Hernia Repair. Recently, the non-mesh laparoscopic pediatric hernia repair in children and adolescents has gained immense popularity. This event, is designed to provide practicing surgeons what they need to know in order to perform this procedure on their own and focused on the fine points of the technique. https://d1dnj0gz56dmdu.cloudfront.net/89782edb-c1c7-4aa2-834d-1a6f3f98d5ee/AppleHLS1/f992dc188144a7c4af7ab1fc0ab6b5f9.m3u8 2023-05-27T04:00:15+00:00 33 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6468 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6468/thumbnail_6468_2023-03-14_16-00-13.jpg Perineal Body Disruption Following Unrecognized Obstetrical Trauma Lane VA, Wood RJ, Levitt MA, Hewitt G  Center for Colorectal and pelvic Reconstruction, Nationwide Children's Hospital   spaces/8/content/6468/file_7891_2023-03-14_16-00-13.mp4 2023-03-14T16:00:13+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2533 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2533/thumbnail_3468_2020-05-02_00-00-10.jpg Wilms Tumor Dr. Andrew Davidoff, chairman of surgery at St. Jude Children's, joins Dr. Rae Hanke to review the essentials of Wilms tumor in this videocast. https://library.globalcastmd.com/video/2533 2020-05-02T00:00:10+00:00 29 lecture Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7754 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7754/thumbnail_9269_2023-12-01_18-00-07.jpg Approaches to Biliary Atresia Care at Cincinnati Children's Full Event Drs. Aki Asai, Alex Miethke, Anna Peters, MD, PhD, Greg Tiao, MD & Alex Bondoc, MD, & Amy Taylor, MD present on Approaches to Biliary Atresia Care. spaces/17/content/7754/file_9269_2023-12-01_18-00-07.mp4 2023-12-01T18:00:07+00:00 12 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6479 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6479/thumbnail_6479_2023-03-14_22-00-11.jpg Rectal Atresia Victoria A. Lane, Richard J. Wood, Marc A. Levitt  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/aeaebee3-86b5-4047-9f97-44633277c207/AppleHLS1/91c59ce58f9cc681a1f5ec2161e0f780.m3u8 2023-03-14T22:00:11+00:00 4 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6686 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6686/thumbnail_6686_2023-05-28_18-00-11.jpg Quick Literature Updates Episode 7 We’re back with seventh episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash https://www.jpedsurg.org/article/S0022-3468(22)00340-2/fulltext Allin BSR, Opondo C, Bradnock T, Kenny SE, Kurinczuk JJ, Walker G, Knight M; For and on behalf of the NETS(2HD) collaboration. Impact of rectal dissection technique on primary-school-age outcomes for a British and Irish cohort of children with Hirschsprung disease. J Pediatr Surg. 2022 Dec;57(12):902-911. doi: 10.1016/j.jpedsurg.2022.05.006. Epub 2022 May 20. PMID: 35934524. https://www.jpedsurg.org/article/S0022-3468(21)00628-X/fulltext Peters FB, Bone JN, Van Oerle R, Albersheim S, Casey L, Piper H. The Importance of the ileocecal valve and colon in achieving intestinal independence in infants with short bowel syndrome. J Pediatr Surg. 2022 Jan;57(1):117-121. doi: 10.1016/j.jpedsurg.2021.09.028. Epub 2021 Sep 20. PMID: 34696920. https://www.jpedsurg.org/article/S0022-3468(21)00834-4/fulltext Olson SL, Ingram ME, Graffy PM, Murphy PM, Tian Y, Samis JH, Josefson JL, Rastatter JC, Raval MV. Effect of surgeon volume on pediatric thyroid surgery outcomes: A systematic review. J Pediatr Surg. 2022 Sep;57(9):208-215. doi: 10.1016/j.jpedsurg.2021.12.005. Epub 2021 Dec 10. PMID: 34980469. https://pubmed.ncbi.nlm.nih.gov/35913888/ Tandon S, Ensor ND, Pacilli M, Laird AJ, Bort https://library.globalcastmd.com/video/6686 2023-05-28T18:00:11+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9204 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9204/thumbnail_10759_2024-09-25_06-19-17.jpg QUAD #17 - Innominate Artery Compression and Management Through The Neck - Dr. Doug von Allmen In this video, Dr. Doug von Allmen from Cincinnati Children’s Hospital shares insights into managing innominate artery compression using a transcervical approach. Originally described in the 1940s, this condition is seen in about 30% of children under 2 years old and can lead to tracheomalacia and obstructive symptoms. Dr. von Allmen reviews the procedure, patient selection, and outcomes from his team’s experience with this approach. Key Highlights: Innominate Artery Compression: Causes tracheal compression leading to breathing difficulties, especially in syndromic patients. Procedure Overview: A transcervical approach to innominate artery pexy, which includes removing the thymus and lifting the artery to relieve tracheal compression. Patient Case: A 6-month-old with a history of esophageal atresia and tracheoesophageal fistula underwent the surgery with successful outcomes. Postoperative Results: Improvements in the tracheal lumen, weaning off oxygen, and even decannulation for some patients. This procedure offers a good alternative in appropriately selected patients, and the team at Cincinnati Children’s Hospital has shown positive results with this approach. https://library.globalcastmd.com/video/9204 2024-09-25T06:19:17+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6347 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6347/thumbnail_6347_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Georgina Falcioni, CIPESUR - Presentation Watch Georgina Falcioni, MD, present her presentation on "Comparative effectiveness of Telesimulation vs standard simulation for MIS essential skills training." https://library.globalcastmd.com/video/6347 2023-02-06T18:00:12+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2250 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2250/thumbnail_3176_2020-02-24_19-58-27.jpg Laparoscopic-assisted Treatment of Abdominoscrotal Hydrocele This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2250 2020-02-24T19:58:27+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2081 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2081/thumbnail_3006_2020-01-14_18-00-13.jpg Laparoscopic-assisted Repair of Morgagni Hernia This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2081 2020-01-14T18:00:13+00:00 39 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7396 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7396/thumbnail_8889_2023-10-23_22-00-09.jpg CNA Conference - Dr. Roman Piotrowski - Randomized trials for CNA: what’s been done and what remains to be done Dr. Roman Piotrowski presents “Randomized trials for CNA: what’s been done and what remains to be done” at the Second World Congress on Cardioneuroablation. spaces/17/content/7396/file_8889_2023-10-23_22-00-09.mp4 2023-10-23T22:00:09+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/3011 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3011/thumbnail_3963_2020-09-16_16-00-06.jpg IPEG 2020 TOP ABSTRACT: Cloaca repair with image-guided and combined endoscopic and laparoscopic (CELS) anorectoplasty with delayed urogenital reconstruction IPEG 2020 Annual Meeting - Top Abstracts CLOACA REPAIR WITH IMAGE-GUIDED AND COMBINED ENDOSCOPIC AND LAPAROSCOPIC (CELS) ANORECTOPLASTY WITH DELAYED UROGENITAL RECONSTRUCTION Brian P Fallon, MD1; Marcus D Jarboe, MD1; Bryan S Sack, MD2; Elisabeth H Quint, MD3; Matthew W Ralls, MD1; 1Section of Pediatric Surgery, Department of Surgery, University of Michigan; 2Department of Urology, University of Michigan; 3Department of Obstetrics and Gynecology, University of Michigan Traditionally, cloaca is repaired through an open posterior sagittal anorecto-vagino-urethroplasty (PSARVUP) and abdominal mobilization. Despite years of developing this technique, functional outcomes remain poor, including obstructed menstruation in 38% of patients and amenorrhea in 25%. This video presents an alternative operative strategy with delayed urogenital reconstruction. This muscle-sparing approach begins with real-time MRI-guided needle placement through the anal sphincter complex and levator ani, followed by combined endoscopic and laparoscopic (CELS) rectal mobilization, and finally anorectal pull-through. The patient in this video was born with persistent cloaca with no cervical os identified, no hydrocolpos, and normal bladder capacity. The patient’s family was counseled by Pediatric Urology, Adolescent Gynecology, and Pediatric Surgery. They elected to delay urogenital reconstruction and proceed with the above-described anorectoplasty. With appropriate patient selection, this technique addresses fecal diversion only with urogenital reconstruction delayed to an age where the patient can actively participate in shared decision making. Presenter: Brian P Fallon, MD bfallon@med.umich.edu spaces/2/content/3011/file_3963_2020-09-16_16-00-06.mp4 2020-09-16T16:00:06+00:00 6 Medical Education yes IPEG no https://library.globalcastmd.com/video/2249 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2249/thumbnail_3175_2020-02-24_19-58-27.jpg Thoracoscopic Treatment of Spontaneous Pneumothorax This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2249 2020-02-24T19:58:27+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6853 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/3/content/6853/thumbnail_6853_2023-07-20_04-00-14.jpg Colorectal Collaboration: Neurogastroenterology/Motility Disorders Pediatric Colorectal Surgery is a team sport. That's why this episode is about how the pediatric colorectal surgery team, lead by Dr. Jason Frischer, collaborates with the neurogastroenterology department at Cincinnati Children's Hospital Medical Center. Guest speaker, Dr. Ajay Kaul, M.D.   Host: Rodrigo Gerardo https://library.globalcastmd.com/video/6853 2023-07-20T04:00:14+00:00 1 Medical Education yes Colorectal Channel - Old no https://library.globalcastmd.com/video/8012 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8012/thumbnail_9544_2024-02-26_10-30-14.jpg Matthew Urichuk, PhD - Best of the Best in Pediatric Surgery 2024 Watch CAPS' Dr. Matthew Urichuk’s presentation on “Individuals with thoracoabdominal congenital surgical anomalies are at increased risk of adverse mental health outcomes: a longitudinal retrospective cohort study” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8012/file_9544_2024-02-26_10-30-14.mp4 2024-02-26T10:30:14+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4766 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/7/content/4766/thumbnail_4766_2021-12-23_12-00-09.jpg Decision making in pediatric colorectal surgery May 27, 2020                 Webinar of case discussion                  A collaboration of EUPSA - Washington Children's National - European Journal of Pediatric Surgery Reports                 Discussant Marc Levitt, M.D., chief, Division of Colorectal and Pelvic Reconstructive Surgery At Children’s National Hospital, Washington DC, USA.                 International panel: Giulia Brisighelli (Johannesburg, ZA) Martin Lacher (Leipzig, Germany), Paola Midrio (Triviso, Italy), Carlos Reck (Vienna, Austria), Pim Sloots (Rotterdam, Netherlands), Gaia Tamaro (EUPSA Office), Alejandra Villanova (Madrid, Spain), Tomas Wester (Stockholm, Sweden) spaces/7/content/4766/file_6005_2021-12-23_12-00-09.mp4 2021-12-23T12:00:09+00:00 2 Medical Education yes EUPSA/ERNICA no https://library.globalcastmd.com/video/9267 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/34/content/9267/thumbnail_10822_2024-10-10_07-09-03.jpg GYN #4 Management of Tubal Torsion: When to Consider Salpingectomy with Dr. Lesley Breech In this episode, we have a guest from the pediatric gynecology department here at Cincinnati Children’s, Dr. Lesley Breech. And she will talk about management of tubal torsion and when to consider salpingectomy. Host: Em Gootee https://library.globalcastmd.com/video/9267 2024-10-10T07:09:03+00:00 1 Medical Education yes Grand Rounds no https://library.globalcastmd.com/video/2244 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2244/thumbnail_3170_2020-02-24_19-58-27.jpg Thoracoscopic Resection of Extralobar Bronchopulmonary Sequestration This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2244 2020-02-24T19:58:27+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9953 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9953/3e342f1fde92a14e772e556232a02dfc.jpg QUAD #26 - Use of Ultrashort Echo-Time MRI to Measure Tracheomalacia in Neonates with Esophageal Atresia with Dr. Douglas von Allmen In this QUAD Conference presentation, Dr. Douglas von Allmen from Cincinnati Children’s shares groundbreaking research on using ultrashort echo-time MRI to evaluate tracheomalacia in neonates with esophageal atresia (EA). This innovative imaging technique offers a non-invasive, sedation-free, and radiation-free way to assess airway weakness and create detailed 3D models for better surgical planning. Key Highlights: New Diagnostic Tool: Ultrashort echo-time MRI offers high-resolution imaging without the need for sedation or radiation. Study Findings: Patients with long gap esophageal atresia showed more severe tracheomalacia than those with short gap EA. Pre- and Post-Surgical Analysis: Repair improves upper trachea eccentricity but may worsen the distal trachea postoperatively. Clinical Implications: Long gap EA patients are at higher risk for respiratory complications and require close post-operative monitoring. This research sheds light on how advanced imaging can lead to better diagnosis, treatment, and follow-up care for infants with esophageal atresia and tracheoesophageal fistula (TEF). https://library.globalcastmd.com/video/9953 2025-02-24T10:42:01+00:00 1 channel#pediatric_surgery ultrashort echo-time MRI pediatric surgery pedsurg some4pedsurg tracheomalacia neonates esophageal atresia Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6486 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6486/thumbnail_6486_2023-03-14_22-00-12.jpg Management of Acquired Posterior Urethral Diverticulum Following Repair of ARM Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital https://d1dnj0gz56dmdu.cloudfront.net/628450a3-e521-49e1-8838-7d17b7fdb1c0/AppleHLS1/fa20c6a57f34afa9ce9b328d7270e4b2.m3u8 2023-03-14T22:00:12+00:00 1 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2247 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2247/thumbnail_3173_2020-02-24_19-58-27.jpg Laparoscopic Excision of an Abdominal Lymphatic Malformation This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2247 2020-02-24T19:58:27+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9479 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9479/thumbnail_11035_2024-12-03_07-07-19.jpg Umbilicoplasty in Children with Proboscis Umbilical Hernias In this technique video, Dr. Justin Huntington demonstrates a novel technique for umbilicoplasty in children with proboscis umbilical hernias.  spaces/1/content/9479/file_11035_2024-12-03_07-07-19.mp4 2024-12-03T07:07:19+00:00 30 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5874 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5874/thumbnail_5874_2022-09-19_18-00-07.jpg Machine Learning - Transforming Healthcare, Episode 8 Part 1 We’re back with another new technology that we believe will transform healthcare. Machine learning… Here’s what you need to know in a nutshell! Hosts: Em Tombash, MD, Todd Ponsky, MD, Ramy Shaaban MD, PhD Machine learning is a subfield of AI which allows a machine to automatically learn from past data without programming. The difference between machine learning and AI is frequently misunderstood. Machine learning learns and predicts based on passive observations, whereas AI implies an agent interacting with the environment to learn and take actions that maximize its chance of successfully achieving its goals. #Machinelearning algorithms allow us to use the data we gather to make predictions about the future, taking humans out of the equation as much as possible. Present day machine learning has two purposes, one is to classify data based on models which have been developed, the other purpose is to make predictions for future outcomes. A hypothetical algorithm specific to classifying data may use computer vision of moles coupled with supervised learning in order to train it to classify cancerous moles and a machine learning algorithm for stock trading may predict the future potential trends. Machine learning has proven valuable because it can solve problems at a speed and scale that can't be duplicated by the human mind alone. With massive computational ability for a single task or multiple specific tasks, machines can be trained to identify patterns in and relationships between input data and automate routine processes. But it is important to understand what machine learning can and cannot do. As useful as it is in automating the transfer of human intelligence to machines, it is far from a perfect solution to your data-related issues. Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download https://library.globalcastmd.com/video/5874 2022-09-19T18:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6228 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6228/thumbnail_6228_2022-12-15_22-00-08.jpg ERN eUROGEN ARM Webinar Series: Management of Cloacal Malformations – what is new in 2021? eUROGEN ARM Webinars Series, October 2021   This webinar will be presented by Dr. Marc Levitt from the Children’s National Hospital in Washington D.C. The management of cloacal malformations, including prenatal diagnosis, newborn treatments, surgical reconstruction techniques, and long term outcomes, will be discussed. The webinar is aimed at both healthcare professionals and patient groups. The ARM webinar series covers all aspects of paediatric colorectal surgery, in particular (congenital) anorectal malformations. They are joint presentations between ERN eUROGEN and ERN ERNICA, and are supported by the European Paediatric Surgeons’ Association (EUPSA). spaces/8/content/6228/file_7650_2022-12-15_22-00-08.mp4 2022-12-15T22:00:08+00:00 6 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/6838 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6838/thumbnail_6838_2023-07-13_00-00-12.jpg Consecuencias no anticipadas de las politicas sobre la pandemia COVID-19 en pacientes pediátricos con apendicitis aguda Nuevo articulo que tenes que conocer por Cecilia Gigena "Consecuencias no anticipadas de las politicas sobre la pandemia COVID-19 en pacientes pediátricos con apendicitis aguda" Quaglietta PR Articulo completo:  Abstract Introducción Las pandemias pueden limitar el acceso a la atención especializada, retrasando el diagnóstico y el tratamiento de enfermedades quirúrgicas agudas comunes. Analizamos el impacto de la nueva pandemia de la enfermedad por coronavirus 2019 (COVID-19) en la apendicitis aguda en un centro urbano de atención terciaria. Nuestra hipótesis es que las pandemias se asocian con una presentación tardía y un empeoramiento de las secuelas clínicas, específicamente, una mayor incidencia de perforación en niños. Métodos Evaluamos retrospectivamente a los pacientes ingresados ​​en nuestra institución con apendicitis aguda en las cohortes de control prepandemia (febrero de 2018 a junio de 2019) y COVID-19 (febrero de 2020 a junio de 2021). Los resultados primarios incluyeron tasas de apendicitis complicada (perforación/absceso/obstrucción intestinal), estado de COVID-19, complicaciones y distancia de viaje a nuestra institución. 1107 pacientes cumplieron con los criterios de inclusión: 491 (44,4%) durante el período de control y 616 (55,6%) en la cohorte COVID-19. El análisis estadístico involucró pruebas t, tablas de contingencia y modelos de regresión logística para variables clave. Resultados Se produjo una mayor proporción de apendicitis complicada durante la COVID-19 en comparación con los controles (28,3 % frente a 38,8 %, p < 0,001). La duración de los síntomas en el momento de la presentación y la duración de la estancia no fueron significativamente diferentes. La duración del tratamiento con antibióticos, la duración de la cirugía, la tasa de readmisión y las distancias de viaje fueron significativamente más altas durante la COVID-19. La cohorte prepandémica tenía una distribución de edad significativamente más joven. https://library.globalcastmd.com/video/6838 2023-07-13T00:00:12+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/645 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/645/thumbnail_732_2018-11-10_00-05-18.jpg Tricks - Total Colonic Aganglionosis Associated with Malrotation & Multiple... Dr. Sahned Jaafar presents a difficult case of total colonic aganglionosis with malrotation and Hirschsprungs disease. The presentation is followed by a comprehensive discussion of surgical approaches to this case.  spaces/1/content/645/file_732_2018-11-10_00-05-18.mp4 2018-11-10T00:05:18+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10431 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10431/550a142d582a5385b4418248dc0b6e9a.jpg Non-operative Versus Operative Management of Perianal Abscess in Infants: A 10-year Retrospective Study at Two Centres in the United Kingdom J.J. Neville, K. Humpleby, C. Healy, N.J. Hall, M.P. Stanton Background Perianal abscess (PA), with or without fistula-in-ano (FIA) is common in infants. Treatment options include incision and drainage under general anaesthesia or non-operative treatments, such as antibiotics and/or aspiration under local anaesthetic, which avoid the risks of surgery. Current management is based on surgeon preference due to a poor underlying evidence base. In this study we aimed to compare outcomes for non-operative and operative management of infant PA. Methods 10-year retrospective review (2012–2022) of infants aged ≤12 months presenting with PA to two paediatric surgery centres in the United Kingdom. Clinical features, management and outcome data were extracted from electronic records. Results 116 infants were identified; 113/116 (97 %) were male. Median age at presentation was 2 (IQR 1–6) months. Initial management was non-operative in 73/116 (63 %) and operative in 43/80 (37 %). Median follow-up was 3 (IQR 2–6) months. Recurrence occurred in 49/116 (42 %) at a median time of 1 (IQR 0–3) month and was significantly higher in the non-operative compared to the operative group (39/73 [53 %] versus 10/43 [23 %], p = 0.001). Operative management was independently associated with a reduced risk of PA recurrence (OR 0.25 [95 % confidence interval 0.09–0.68], p = 0.007). Further surgery was performed in 26/73 (36 %) in the non-operative group and 7/43 (16 %) in the operative group (p = 0.026). Subsequent FIA rates were not significantly different (23/73 [32 %] versus 8/43 [19 %], p = 0.129). Conclusions In this study, PA recurrence and the requirement for further operative intervention were significantly higher when a PA was initially managed non-operatively, although subsequent FIA rates were similar. https://library.globalcastmd.com/video/10431 2025-04-29T08:24:17+00:00 1 channel#pediatric_surgery pedsurg LizzyLee fistula anesthesia antibiotics perianal abscess Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11230 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/public-assets/defaults/default_thumbnail.jpg Bedside vs Conventional Operating Room Surgery in Critically Ill Newborns: Systematic Review and Meta-Analysis Fabiola Cassaro, Pietro Impellizzeri, Martina Maiorana, Carmelo Romeo, Salvatore ArenaBackground: Surgical procedures in critically ill neonates are typically performed in the operating room, though transferring unstable patients from the NICU carries risks such as hypothermia and clinical deterioration. Bedside surgery in the NICU has emerged as an alternative for patients unfit for transport. This systematic review and meta-analysis compared perioperative outcomes of bedside versus operating room surgery in neonates.Methods: Following PRISMA guidelines and PROSPERO registration (CRD420251001354), we searched PubMed, Ovid, and CENTRAL (1990-2025) for studies comparing neonatal surgeries performed in the operating room or bedside. Primary outcomes were mortality and surgical site infections; secondary outcomes included intra- and post-operative hypothermia, operative time, and hospital length of stay. Risk of bias was assessed with ROBINS-I and evidence certainty with GRADE.Results: Nine studies (1098 neonates: 693 operating room and 405 bedside group) were included. Mortality was significantly higher in the bedside group (25.82 %) than operating room group (7.32 %) (p < 0.0001). Subgroup analysis showed this difference was significant for congenital diaphragmatic hernia, but not for patent ductus arteriosus. Surgical site infections did not different significantly. Bedside was associated with lower intra-operative hypothermia (p = 0.024), while no differences were found in postoperative hypothermia, length of stay, or operative time.Conclusions: This meta-analysis found higher mortality in the bedside surgery group, though infection risk, post-operative hypothermia, operative time, and hospital stay were similar between groups. Bedside surgery reduced intraoperative hypothermia. Due to study variability and observational designs, surgical approach should be tailored to the neonate's clinical condition and available resources. https://library.globalcastmd.com/video/11230 2025-11-12T15:17:43+00:00 2 Bedside Congenital diaphragmatic hernia CDH pediatric surgery pedsurg some4pedsurg Neonates Newborns Patent ductus arteriosus Surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6578 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6578/thumbnail_6578_2023-04-19_04-00-12.jpg Standardized perioperative care reduces colorectal surgical site infection in children New article you should know! by Dr. Alex Halpern "Standardized perioperative care reduces colorectal surgical site infection in children: A Western Pediatric Surgery Research Consortium multicenter analysis” Joseph Tobias et.al. Full article: https://www.jpedsurg.org/article/S0022-3468(22)00624-8/fulltext  Authors: Joseph Tobias, Benjamin E. Padilla, Justin Lee, Stephanie Chen, Kasper S. Wang, Lorraine I. Kelley-Quon, Claudia Mueller, Stephen B. Shew, Katie Joskowitz, Romeo C. Ignacio Jr., Lauren L. Evans, Aaron R. Jensen, Shannon N. Acker, Andrew Mason, Alicia Johnson, Jessica McConahey, Erik Hansen, Samir R. Pandya, Scott S. Short, Katie W. Russell, Lauren Nicassio, Caitlin A. Smith, Elizabeth Fialkowski Abstract  Purpose Surgical site infection (SSI) remains a significant source of patient morbidity and resource utilization in children undergoing colorectal surgery. We examined the utility of a protocolized perioperative care bundle in reducing SSI in pediatric patients undergoing colorectal surgery. Methods We conducted a prospective cohort study of patients ≤18 years of age undergoing colorectal surgery at ten United States children's hospitals. Using a perioperative care protocol comprising eight elements, or “colon bundle”, we divided patients into low (1–4 elements) or high (5–8 elements) compliance cohorts. Procedures involving colorectal repair or anastomosis with abdominal closure were included. Demographics and clinical outcomes were compared between low and high compliance cohorts. Compliance was compared with a retrospective cohort. The primary outcome was superficial SSI incidence at 30 days. Results Three hundred and thirty-six patients were included in our analysis: 138 from the low compliance cohort and 198 from the high compliance cohort. Age and gender were similar between groups. Preoperative diagnosis was similar except for more patients in the high compliance cohort having inflammatory bowel disease (18.2% versus https://library.globalcastmd.com/video/6578 2023-04-19T04:00:12+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/1890 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1890/thumbnail_2736_2019-11-11_22-05-24.jpg Laparoscopic Distal Pancreatectomy for Traumatic Transection This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/1890 2019-11-11T22:05:24+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8049 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/8049/thumbnail_9581_2024-03-05_12-51-13.jpg Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery Join our hosts and special international guests Dr. Stuart Hosie and Dr. Mark Malota from Germany. Together they discuss the management of a young adult with anorectal malformation, the collaborative care delivered, followed by opportunities for and challenges of transitional care in this complex population.   https://library.globalcastmd.com/video/8049 2024-03-05T12:51:13+00:00 3 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/11894 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11894-c93944ec08.jpg Laparoscopic modified percutaneous internal ring suturing - a mesh-free alternative for indirect inguinal hernia repair in adults. a pilot prospective cohort study Petter Fosse Gjessing, Todd Ponsky, Rolv-Ole LindsetmoBackgroundInguinal hernia surgery has undergone significant and extensive transformation, including the advent of tissue-based repairs and, later, tension-free repair with the acceptance of prosthetic mesh[1].Laparoscopic high-ligation repair of indirect inguinal hernias is the standard practice for most pediatric surgeons. Laparoscopic high-ligation repair is not recommended by adult hernia surgeons because of concerns regarding recurrence[2]. This study aimed to conduct a prospective pilot trial using the modified percutaneous internal ring suturing (mPIRS) technique to examine the efficacy of laparoscopic non-mesh repair of indirect inguinal hernia in adults.Material and methodsThis prospective single-center cohort study was conducted after obtaining approval from a regional ethical review board. Written informed consent was obtained prior to any protocol-related activity.All mPIRS operations, preoperative and postoperative clinical examinations, and follow-up examinations were performed by the same surgeon (PFG). All patients were examined for surgical wound healing and hernia recurrence 1 month and 1 year after surgery. Patients were instructed to fill out three questionnaires for assessment of hernia-related pain and functional activity and to evaluate abdominal-specific and general health-related quality of life [Short Form-36 (SF-36)] prior to surgery and 1 month and 1 year postoperatively[3–5]. Patients were further interviewed by telephone for at least 3 years after surgery to assess the self-reported signs of hernia recurrence.The study inclusion was according to the protocol and performed in an academic hospital setting.Study outcomesThe primary outcome was hernia recurrence. The secondary outcomes were complications from surgery within 1 year of the repair, including pain and discomfort interfering with usual activities and quality of life.EligibilityPatients aged ≥18 years with suspected or radiolog https://library.globalcastmd.com/video/11894 2026-05-01T17:35:58+00:00 1 Laparoscopic modified percutaneous internal ring suturing inguinal hernia hernia mesh-free pediatric surgery pedsurg some4pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9052 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9052/thumbnail_10606_2024-08-22_08-22-31.jpg Update Course Rewind: Who to Send Home from the OR #4 Part 2: Partial Thyroidectomy We are back with another Update Course Rewind video from the Update Course in Pediatric Surgery 2023. This time we are presenting you "Who to Send Home from the OR: Partial Thyroidectomy" with Drs. Mark Wulkan, Justin Huntington, Tolulope Oyetunji, & Phillip Ben Ham. Host: Cecilia Gigena   This video explores the considerations for same day discharge following minimally invasive pectus excavatum repair with intercostal neuro-cryoablation and uncomplicated right thyroid lobectomy. Key Points: Pectus Excavatum Repair: Discharge Timing: The majority of surgeons prefer a post-op stay of 2-3 days, but up to 20% consider same day discharge. The effectiveness of cryoablation and intercostal nerve blocks plays a significant role in determining discharge timing. ERAS Protocol Impact: Combining cryoablation with an Enhanced Recovery After Surgery (ERAS) protocol has shown a reduction in opioid use and length of hospital stay, with many patients able to go home by day two. Patient and Family Education: Setting expectations about post-op pain and recovery is crucial for successful same day or early discharge. Thyroid Lobectomy: Same Day Discharge Feasibility: Approximately 30% of surgeons discharge patients on the same day, with the rest keeping them overnight due to concerns about post-op bleeding and recurrent laryngeal nerve injury. ATA Guidelines: The American Thyroid Association supports same day discharge for suitable patients, considering clinical, social, and procedural factors. Complication Management: While the risk of post-op hematoma exists, newer technologies and careful monitoring have reduced its occurrence, making same day discharge more viable. Summary: Pectus Excavatum Repair: Same day discharge is possible with cryoablation and ERAS, though most patients are discharged on day two or three based on pain control and patient preference. Thyroid Lobectomy: Same day discharge is increasingly accepted, p https://library.globalcastmd.com/video/9052 2024-08-22T08:22:31+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2199 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2199/thumbnail_3125_2020-02-18_18-00-18.jpg Thoracoscopic Diaphragmatic Plication This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2199 2020-02-18T18:00:18+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7538 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7538/thumbnail_9049_2023-11-01_22-00-08.jpg The Timing of CDH Repair on ECMO Impacts Surgical Bleeding Risk Another article from JPS by Cecilia Gigena that you should know about "The Timing of Congenital Diaphragmatic Hernia Repair on Extracorporeal Membrane Oxygenation Impacts Surgical Bleeding Risk" Authors: C. Jason Smithers, Jill M. Zalieckas, Samuel E. Rice–Townsend, Ali Kamran, David Zurakowski, Terry L. Buchmiller Full article: https://gcmd.co/3ShoG94 Background The optimal timing of surgical repair for infants with congenital diaphragmatic hernia (CDH) treated with extracorporeal membrane oxygenation (ECMO) support remains controversial. The risk of surgical bleeding is considered by many centers as a primary factor in determining the preferred timing of CDH repair for infants requiring ECMO support. This study compares surgical bleeding following CDH repair on ECMO in early versus delayed fashion. Methods A retrospective review of 146 infants who underwent CDH repair while on ECMO support from 1995 to 2021. Early repair occurred during the first 48 h after ECMO cannulation (ER) and delayed repair after 48 h (DR). Surgical bleeding was defined by the requirement of reoperative intervention for hemostasis or decompression. Results 102 infants had ER and 44 infants DR. Surgical bleeding was more frequent in the DR group (36% vs 5%, p < 0.001) with an odds ratio of 11.7 (95% CI: 3.48–39.3, p < 0.001). Blood urea nitrogen level on the day of repair was significantly elevated among those who bled (median 63 mg/dL, IQR 20–85) vs. those who did not (median 9 mg/dL, IQR 7–13) (p < 0.0001). Duration of ECMO support was shorter in the ER group (median 13 vs 18 days, p = 0.005). Survival was not statistically different between the two groups (ER 60% vs. DR 57%, p = 0.737). Conclusion We demonstrate a significantly lower incidence of bleeding and shorter duration of ECMO with early CDH repair. Azotemia was a strong risk factor for surgical bleeding associated with delayed CDH repair on ECMO. https://library.globalcastmd.com/video/7538 2023-11-01T22:00:08+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13658 2026-08-01 monthly 0.7 Dr. Lee Ponsky This is "Dr. Lee Ponsky - Entrepreneur of Charity" by Brooke MacKinnon on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/user8872689/dr-lee-ponsky-entrepreneur-of-charity 2026-07-29T22:46:13+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6323 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6323/thumbnail_6323_2023-02-01_22-00-11.jpg BOB in Ped Surg 2023 - IPSO Winner - Steven Scoville, MD Watch the IPSO winner, Steven Scoville MD, present his presentation on "Comparison of outcomes between surveillance ultrasound and completion lymph node dissection in children and adolescents with sentinel lymph node positive cutaneous melanoma." https://library.globalcastmd.com/video/6323 2023-02-01T22:00:11+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9236 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9236/thumbnail_10791_2024-10-03_09-30-07.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 1 - Dr. DonnaMaria Cortezzo Dr. DonnaMaria Cortezzo speaks on the role of palliative care in fetal counseling on Day 1 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9236/file_10791_2024-10-03_09-30-07.mp4 2024-10-03T09:30:07+00:00 channel#live_event_content #day1fetal Medical Education yes Live Event Content no https://library.globalcastmd.com/video/9957 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9957/bd793492d0af810fa7a9be1a9ebb3c76.jpg Empyema with Dr. Aaron Garrison Pediatric empyema pneumonia is a lung infection that occurs when pus collects in the pleural space, the area between the lungs and chest wall. Symptoms include fever, cough, chest pain, and difficulty breathing. In this video, we cover the management of pediatric empyema, including diagnosis, treatment algorithms, imaging, and surgical versus non-surgical approaches with Dr. Aaron Garrison, a pediatric surgeon at Cincinnati Children’s. Host: Brittany Levy Key Takeaways: • Pediatric empyema pneumonia requires a combination of medical and surgical management, but decision-making can be complex. • Community-acquired pneumonia is a leading cause of hospitalization in children, yet bacterial pathogens are detected in only 15% of cases. • Empyema progresses in three stages: exudative, fibrinopurulent, and organizing. The fibrinopurulent stage is when surgical intervention is often needed. • Ultrasound is more sensitive than CT in detecting septations in pleural effusions and avoids radiation exposure. • Chest tube drainage with fibrinolytics (such as TPA) has been shown to be a viable alternative to VATS, reducing hospital stays and costs. • Some children with effusions may not require TPA—clinical improvement within 24 hours of drainage can indicate that it’s unnecessary. • Inhaled foreign bodies, particularly peanuts, can mimic pneumonia and require a high index of suspicion for proper diagnosis. • CT scans are now being used to diagnose airway foreign bodies with high reliability, reducing unnecessary bronchoscopies. • Pulmonary abscesses in otherwise healthy children often resolve with antibiotics alone and rarely require drainage. Further reading: https://api.semanticscholar.org/CorpusID:53467976 Module 2 . Hemodynamic Disorders, 2015 https://thoracickey.com/nonmalignant-pleural-effusions/ Nonmalignant Pleural Effusions by John E. Heffner https://www.ctsnet.org/article/thoracoscopic-decortication Thoracoscopic Decortic https://library.globalcastmd.com/video/9957 2025-02-27T05:47:44+00:00 5 channel#pediatric_surgery PediatricSurgery some4pedsurg vats empyema PulmonaryAbscess Bronchoscopy CT Lung Infection Ultrasound Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6947 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6947/thumbnail_6947_2023-07-20_08-00-22.jpg Laparoscopic Excision of duodenal web This video helps provide instructions around Laparoscopic Excision of duodenal web spaces/2/content/6947/file_8403_2023-07-20_08-00-22.mp4 2023-07-20T08:00:22+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/3238 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/3238/thumbnail_4192_2020-10-28_05-00-07.jpg IPEG 2020 TOP ABSTRACT: Thoracoscopic lingulectomy for a Prenatally diagnosed CPAM in a 3 month old infant IPEG 2020 Annual Meeting - Top Abstract Steven Rothenberg, MD; Rocky Mountain Hospital for Children This video demonstrates the technique for an anatomic segmental resection of the lingula in a 4 kg 3 month old infant. A CPAM was diagnosed on prenatal ultrasound at 26 weeks and measured 2.2x2.8x3.5 cm. Repeat US at 36 weeks showed the size to be 3.9x2.6x3.8. The baby was delivered at 36 weeks and was asymptomatic. A CT scan at 3 months of age showed a CPAM that appeared to be limited to the lingula. The infant was taken to the OR and a anatomic lingulectomy was planned using 3 ports (4,3,5mm). An anatomic segmental resection was performed. The surgery took 90 minutes and a chest drain was left overnight and removed the following morning. The infant was discharged on the second post-operative day without complication. Anatomic segmentectomy is feasible and safe and may be appropriate in some cases of CPAM as a lung sparing alternative. Steven Rothenberg, MD steverberg@aol.com #thoracoscopy #children's lung surgery #lobectomy https://d1dnj0gz56dmdu.cloudfront.net/67cb5492-834d-4b48-9b9e-8c1551a81216/AppleHLS1/0b99f8754fb6488b4e3eabaa4ca1eca3.m3u8 2020-10-28T05:00:07+00:00 18 Medical Education yes IPEG no https://library.globalcastmd.com/video/9515 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/9515/thumbnail_11071_2024-12-10_13-34-57.jpg QUAD #23: CHARGE Syndrome, Airway Considerations with Dr. Catherine Hart In this video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, discusses the unique airway and aspiration challenges faced by children with CHARGE syndrome. From structural abnormalities like anteriorly positioned arytenoids to feeding difficulties due to cranial nerve impairments, Dr. Hart explores the multidisciplinary approaches required to provide optimal care. Key Highlights: CHARGE Larynx Features: Structural differences leading to upper airway obstruction, foreshortened vocal folds, and difficult intubation. Feeding Challenges: Aspiration risks due to absent cough reflex, high rates of reflux, and swallowing dysfunction in over 60% of CHARGE patients. Medical and Surgical Management: Options including Robinul, Botox, duct ligation, submandibular gland excision, and tympanic neurectomy to reduce aspiration risks. Tracheotomy and Beyond: When tracheotomy or laryngotracheal separation becomes necessary for severe cases with chronic lung impact. Learn how the team at Cincinnati Children’s combines innovative treatments and surgical expertise to improve the quality of life for children with CHARGE syndrome. Don’t forget to like, comment, and subscribe for more expert insights! https://library.globalcastmd.com/video/9515 2024-12-10T13:34:57+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/642 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/642/thumbnail_729_2018-11-10_00-05-18.jpg Hirschprung's Disease - Daniel von Allmen Daniel von Allmen discusses various case presentations involving hirschprung's disease patients. Topics of discussion include upper GI imaging, contrast enema, ganglion cell biopsies, duhamel, isolated cecal perforation, primary transanal pullthrough, timing of definitive procedure, suction rectal biopsy, open rectal biopsy, loop colostomy and sigmoid colectomy management.  spaces/1/content/642/file_729_2018-11-10_00-05-18.mp4 2018-11-10T00:05:18+00:00 7 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5404 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5404/thumbnail_5404_2022-05-19_16-01-23.jpg Update Course 2021: TOP PUBLICATIONS IN NON - PED SURG JOURNALS Dr. Jose Campos and his team, Sociedad Chilena Cirugia Pediatrica curate the best pediatric surgical articles in non-core pediatric surgery journals and in this session, they describe their 5 favorites from the past year. The conversation includes debates about ultrasound diagnosis for malrotation and volvulus, nonoperative treatment for appendicitis, results from the HR-NBL1/SIOPEN Study, fetal surgery for CDH, and whole blood resuscitation. Check out their article selections here:https://www.schcp.cl/biblioteca-articulos/Articles discussed: “Ultrasound for the diagnosis of malrotation and volvulus in children and adolescents: a systematic review and meta-analysis"https://pubmed.ncbi.nlm.nih.gov/33879472/“Nonoperative Treatment Versus Appendectomy for Acute Nonperforated Appendicitis in Children" Five-year Follow Up of a Randomized Controlled Pilot Trial ” https://journals.lww.com/annalsofsurgery/fulltext/2020/06000/nonoperative_treatment_versus_appendectomy_for.11.aspx  “Influence of Surgical Excision on the Survival of Patients With Stage 4 High-Risk Neuroblastoma: A Report From the HR-NBL1/SIOPEN Study” https://ascopubs.org/doi/full/10.1200/JCO.19.03117 “ Randomized Trial of Fetal Surgery for Severe Left Diaphragmatic Hernia ”https://www.nejm.org/doi/full/10.1056/NEJMoa2027030“ Whole blood hemostatic resuscitation in pediatric trauma: A nationwide propensity-matched analysis” https://pubmed.ncbi.nlm.nih.gov/34086658/ https://library.globalcastmd.com/video/5404 2022-05-19T16:01:23+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/1953 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1953/thumbnail_2800_2019-11-26_16-00-08.jpg Minimally Invasive Repair of Pectus Carinatum This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/1953 2019-11-26T16:00:08+00:00 11 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8946 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8946/thumbnail_10498_2024-07-30_13-54-20.jpg Cuidado de transición en malformación anorrectal y enfermedad de Hirschsprung Nuevo artículo que debes conocer de la Revista de Cirugía Pediátrica de la Dra. Cecilia Gigena "Atención de transición en malformación anorrectal y enfermedad de Hirschsprung: una revisión sistemática de desafíos y soluciones" Autores: Josip Plascevic, Shaneel Shah, Yew-Wei Tan Artículo completo: https://gcmd.co/3WHxvKX Fondo La literatura sobre cuidados de transición en malformaciones anorrectales (MAR) y enfermedad de Hirschsprung (EH) es diversa y heterogénea. Faltan normas y directrices específicas para la atención de transición en estas condiciones. Nuestro objetivo es establecer y categorizar sistemáticamente los desafíos y soluciones relacionados con la atención de la transición colorrectal. Métodos Se realizó una revisión sistemática de estudios cualitativos de las bases de datos MEDLINE, EMBASE, PubMed y Scopus (2008-2022) para identificar los desafíos y las soluciones de la transición de la atención médica específicas para ARM y HD. Los análisis temáticos se informan con referencia al paciente, al proveedor de atención médica y al sistema de atención médica. Resultados Se incluyeron dieciséis estudios de 234 artículos únicos. Se identifican catorce temas relacionados con desafíos y soluciones, cada uno. La mayoría de los desafíos identificados están relacionados con el paciente. Los desafíos clave se relacionan con: (1) la falta de comprensión del paciente sobre su trastorno, lo que resulta en una dependencia excesiva del equipo quirúrgico pediátrico y una reticencia a la transición a los servicios para adultos; (2) una falta de educación y conciencia entre los cirujanos colorrectales adultos en el cuidado de las afecciones colorrectales pediátricas y una comunicación inadecuada entre los equipos pediátricos y de adultos; y (3) la falta de un programa de transición estructurado y una clínica conjunta para satisfacer las necesidades de los pacientes en transición. Las soluciones clave son: (1) fomentar la autonomía e independencia https://library.globalcastmd.com/video/8946 2024-07-30T13:54:20+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/5819 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5819/thumbnail_5819_2022-09-07_22-00-06.jpg Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos In this session, Dr. Jose Campos leads us through the top publications that are not in the Journal of Pediatric Surgery.  Articles referenced: 1. IMPPACT (Intravenous Monotherapy for Postoperative Perforated Appendicitis in Children Trial): Randomized Clinical Trial of Monotherapy Versus Multi-drug Antibiotic Therapy 2. Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial 3. Gastrostomy Tube Use in Pediatrics: A Systematic Review 4. Ten-Year Outcomes of Children and Adolescents Who Underwent Sleeve Gastrectomy: Weight Loss, Comorbidity Resolution, Adverse Events, and Growth Velocity 5. Total Thyroidectomy vs Thyroid Lobectomy for Localized Papillary Thyroid Cancer in Children: A Propensity-Matched Survival Analysis   The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://library.globalcastmd.com/video/5819 2022-09-07T22:00:06+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6803 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6803/thumbnail_6803_2023-07-10_22-00-09.jpg Cervical Collar clearance in obtunded children presenting without a known traumatic mechanism Another Article you should know by Alex Halpern "Cervical Collar Clearance in Obtunded Children Presenting Without a Known Traumatic Mechanism: Is Imaging Necessary?"  Authors: Emma Y. Wu, Pierce L. Curran, Monica Zukowski, Tonya S. King, Kathryn L. Martin, Christa N. Grant Full article: https://www.jpedsurg.org/article/S0022-3468(23)00189-6/fulltext Abstract Background Obtunded pediatric patients are often placed in cervical collars (c-collars) to protect their cervical spine (c-spine) while injury is being ruled out, even without a known traumatic injury. The goal of this study was to determine the necessity of c-collars in this population by determining the rate of c-spine injury among patients with suspected non-traumatic mechanisms of loss of consciousness. Methods A single institution, ten-year retrospective chart review was conducted including all obtunded patients admitted to the Pediatric Intensive Care Unit without a known traumatic event. Patients were categorized into five groups based on etiology of obtundation: respiratory, cardiac, medical/metabolic, neurologic, and other. Comparisons were made between those placed in a c-collar and a control group who were not, using Wilcoxon rank sum test for continuous measures, and Chi-square or Fisher's exact test for categorical measures. Results 464 patients were included, of which 39 (8.41%) were placed in a c-collar. There was a significant difference in whether a patient was placed in a c-collar based on diagnosis category (p < 0.001). Those placed in a-c-collar were more likely to undergo imaging studies than the control group (p < 0.001). The overall incidence of c-spine injury in this patient population in our study was zero. Conclusion Cervical collar placement and radiographic evaluation is not necessary in obtunded pediatric patients who present without a known traumatic mechanism as the overall risk of injury is low. Consideration for collar placement should be give https://library.globalcastmd.com/video/6803 2023-07-10T22:00:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/12116 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/12116/file_12116_1_1780512854614.png The Perineal Body Preserving PSARP (PPP) Children's National Hospital - Division of Colorectal and Pelvic Reconstruction  spaces/8/content/12116/file_12116_1_1780512854541.mp4 2026-06-03T18:54:14+00:00 9 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/8883 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8883/thumbnail_10435_2024-07-17_10-49-05.jpg PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma New article you should know about by Cecilia Gigena, selected by the Chilean Society of Pediatric Surgery. (To see the Criteria go to the bottom part of the description!) "PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study" Authors: Prof James F Holmes, MD , Prof Kenneth Yen, MD, Irma T Ugalde, MD, Prof Paul Ishimine, MD, Pradip P Chaudhari, MD, Nisa Atigapramoj, MD, Prof Mohamed Badawy, MD, Prof Kevan A McCarten-Gibbs, MD, Donovan Nielsen, BA, Allyson C Sage, MPH, Grant Tatro, MD, Prof Jeffrey S Upperman, MD, Prof P David Adelson, MD, Prof Daniel J Tancredi, PhD, Prof Nathan Kuppermann, M Full Article: https://gcmd.co/3W7f6Wq Background The intra-abdominal injury and traumatic brain injury prediction rules derived by the Pediatric Emergency Care Applied Research Network (PECARN) were designed to reduce inappropriate use of CT in children with abdominal and head trauma, respectively. We aimed to validate these prediction rules for children presenting to emergency departments with blunt abdominal or minor head trauma. Methods For this prospective validation study, we enrolled children and adolescents younger than 18 years presenting to six emergency departments in Sacramento (CA), Dallas (TX), Houston (TX), San Diego (CA), Los Angeles (CA), and Oakland (CA), USA between Dec 27, 2016, and Sept 1, 2021. We excluded patients who were pregnant or had pre-existing neurological disorders preventing examination, penetrating trauma, injuries more than 24 h before arrival, CT or MRI before transfer, or high suspicion of non-accidental trauma. Children presenting with blunt abdominal trauma were enrolled into an abdominal trauma cohort, and children with minor head trauma were enrolled into one of two age-segregated minor head trauma cohorts (younger than 2 years vs aged 2 years and older). Enrolled children were clinically examined https://library.globalcastmd.com/video/8883 2024-07-17T10:49:05+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/1603 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1603/thumbnail_1843_2019-08-16_16-00-09.jpg Journal Club: Review of 2018 Pediatric Surgery Practice Gaps Drs Todd Ponsky, Alex Casar, Alexander Gibbons and Rae Hanke review the top ten practice gaps from 2018, as identified by APSA's Professional Development Committee. https://library.globalcastmd.com/video/1603 2019-08-16T16:00:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6556 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6556/thumbnail_6556_2023-04-12_16-00-11.jpg Reconstructing the anal sphincters to reverse iatrogenic overstretching following a pull-through for Hirschsprung disease New article you should know by gigenace "Reconstructing the anal sphincters to reverse iatrogenic overstretching following a pull-through for #Hirschsprung” Elizaveta Bokova et.al. Full article: https://www.jpedsurg.org/article/S0022-3468(22)00718-7/fulltext Authors: Elizaveta Bokova, Elise McKenna, Wilfried Krois, Carlos A. Reck, Tamador Al-Shamaileh, Shimon E. Jacobs, Laura Tiusaba, Teresa L. Russell, Anil Darbari, Christina Feng, Andrea T. Badillo, Marc A. Levitt Abstract Background In patients with Hirschsprung disease (HSCR), soiling may be related to anal sphincter damage following the initial pull-through. No optimal treatment has been developed for such patients, although enemas (rectal or antegrade) have been applied with some success. We present the one-year outcomes of a new technique for anal sphincter reconstruction. Methods All patients with HSCR referred from other institutions for post pull-through soiling were studied. Seven patients with patulous sphincters underwent sphincter reconstruction. Six had a full preoperative evaluation and were included in the study. Their 12-month outcomes were assessed. Results All six patients had soiling without voluntary bowel movements (VBMs). One patient was clean on Malone flushes when referred. Three underwent pre- and post-reconstruction non-sedated three-dimensional anorectal manometry, and objectively were able to close their sphincters following the reconstruction. All patients without Down syndrome (4 of 6) showed improvement in the abbreviated Baylor Continence Scale (4.5 vs. 0.75). One patient has achieved total bowel control without antegrade flushes, three now have VBMs which they did not have before but have occasional accidents and use antegrade flushes intermittently. They reported higher productivity, the ability to participate in sports and be away from home with confidence in their regimen. Two of 6 patients have Down syndrome and required a redo pull-through for other https://library.globalcastmd.com/video/6556 2023-04-12T16:00:11+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10772 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10772/c7f29b5ea220099cb263e3025cfae933.jpg Update Course Rewind: When & How to Operate CDH Patients on ECMO 2024 In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. Rebecca Stark and Steven Lee from Seattle Children’s Hospital walk through the timing, technique, and controversies surrounding ECMO in severe congenital diaphragmatic hernia (CDH) cases. Key Highlights: VV vs VA ECMO: While venovenous (VV) ECMO is gaining traction with improved cannulas, venoarterial (VA) ECMO remains the predominant choice for most centers treating CDH. When to initiate ECMO: Early intervention is often favored in high-risk CDH cases, especially when prenatal imaging suggests severe compromise. SPHERE protocol in decision-making: A structured approach from Michigan offers criteria for ECMO vs comfort care, but outcome prediction remains unreliable—50% of decisions based on early data may be incorrect. Controversy in selection: Dr. Stark advocates for offering ECMO to all infants with isolated unilateral CDH, emphasizing the importance of treating every case as a potential survivor. Role of prenatal counseling: Early, transparent discussions with families are critical for navigating high-stakes decisions and aligning on care pathways. This session underscores both the technical and ethical complexity in managing severe CDH—and the need for thoughtful protocols paired with clinical flexibility. https://library.globalcastmd.com/video/10772 2025-08-06T11:35:36+00:00 3 channel#pediatric_surgery pediatric surgery pedsurg some4pedsurg pediatric surgery controversies ECMO severe congenital diaphragmatic hernia cdh Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6445 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/8/content/6445/thumbnail_6445_2023-03-08_18-00-10.jpg ERN eUROGEN Colorectal Webinar Series: Redo surgery for pull-through in Hirschsprung's Disease: When and how This webinar was presented at Tuesday 7, March 2023 by Dr. Marc Levitt from the Children’s National Hospital in Washington D.C.and Giulia Brisighelli, attending surgeon at Chris Hani Baragwanath Hospital, Johannesburg. The indications and techniques for redo surgery in Hirschprung disease will be discussed in this interactive webinar. This webinar will be moderated by professor Ivo de Blaauw from the Radboudumc, Nijmegen. The Colorectal webinar series covers all aspects of paediatric colorectal surgery. They are joint presentations between ERNs eUROGEN and ERNICA and are supported by both EUPSA and ARM-Net. eUROGEN is the ERN for rare and complex urogenital diseases and conditions (www.eurogen-ern.eu). ERNICA is the ERN for rare Inherited and Congenital (digestive and gastrointestinal) Anomalies (https://ern-ernica.eu). ARM-Net is a group of professionals and patient representatives that aim to exchange data and knowledge to improve clinical care and to perform research on congenital anorectal malformations (https://www.arm-net.eu). EUPSA promotes surgical care for the paediatric patients in Europe and enhances the capacity of its members to gain new knowledge to the benefit of their patients, along the highest ethical standards in paediatric surgery (www.eupsa.info).  Webinar provided courtesy of Rare Urogenital Diseases & Complex Conditions: ERN eUROGEN (eurogen-ern.eu) spaces/8/content/6445/file_7868_2023-03-08_18-00-10.mp4 2023-03-08T18:00:10+00:00 6 Medical Education yes Colorectal Channel no https://library.globalcastmd.com/video/2011 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2011/thumbnail_2930_2019-12-17_16-00-08.jpg Decrease Surgical Site Infections Dr. Ponsky reviews the JPS article, 'effective methods to decrease surgical site infections in pediatric gastrointestinal surgery' in 30 seconds!Links to the articles discussed:Effective methods to decrease surgical site infections in pediatric gastrointestinal surgery http://bit.ly/2YXpty3Decreasing Surgical Site Infections in Pediatric Stoma Closures http://bit.ly/2r5iQxm https://library.globalcastmd.com/video/2011 2019-12-17T16:00:08+00:00 17 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/9272 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/9272/thumbnail_10827_2024-10-10_09-27-43.jpg 2024 Fetal Care Center Frontiers in Fetal Neurology Day 2 - Dr. David Ritter Dr. David Ritter speaks on the Fetal treatment of Tuberous Sclerosis on Day 2 of the Frontiers in Fetal Neurology 2-day interactive webinar series. spaces/17/content/9272/file_10827_2024-10-10_09-27-43.mp4 2024-10-10T09:27:43+00:00 1 fetalday2 fetology channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7967 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7967/thumbnail_9497_2024-02-07_16-00-13.jpg Justin Ryder, MD- 2024 Pediatric Bariatric Surgery Update Course Justin Ryder, MD presents “Research Hot Topics on the Horizon” at the 2024 Pediatric Bariatric Surgery Update Course. spaces/17/content/7967/file_9497_2024-02-07_16-00-13.mp4 2024-02-07T16:00:13+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6636 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6636/thumbnail_6636_2023-05-15_08-00-11.jpg Quick Literature Updates Episode 6 We’re back with sixth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or APSA Articles of Interest. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Tombash https://www.jpedsurg.org/article/S0022-3468(22)00010-0/fulltext Theodorou CM, Beyer CA, Vanover MA, Brown IE, Salcedo ES, Farmer DL, Hirose S, Beres AL. The hidden mortality of pediatric firearm violence. J Pediatr Surg. 2022 May;57(5):897-902. doi: 10.1016/j.jpedsurg.2021.12.031. Epub 2022 Jan 10. PMID: 35093255. https://www.jpedsurg.org/article/S0022-3468(22)00345-1/fulltext Patterson KN, Beyene TJ, Bergus K, Stafford J, Wurster L, Thakkar RK. Interfacility helicopter transport to a tertiary pediatric trauma center. J Pediatr Surg. 2022 Nov;57(11):637-643. doi: 10.1016/j.jpedsurg.2022.05.010. Epub 2022 May 16. PMID: 35672168. https://www.jpedsurg.org/article/S0022-3468(21)00482-6/fulltext Miyata S, Joharifard S, Trudeau MO, Villeneuve A, Yang J, Bouchard S; Canadian Pediatric Surgery Network (CAPSNet). Tu-be or not tu-be? Is routine endotracheal intubation necessary for successful bedside reduction and primary closure of gastroschisis? J Pediatr Surg. 2022 Mar;57(3):350-355. doi: 10.1016/j.jpedsurg.2021.06.011. Epub 2021 Jul 7. PMID: 34304903. https://pubmed.ncbi.nlm.nih.gov/34533617/ Phillips R, Moore H, Bensard D, Shahi N, Shirek G, Reppucci ML, Meier M, Recicar J, Acker S, Kim J, Moulton S. It is time for TEG in pediatric traum https://library.globalcastmd.com/video/6636 2023-05-15T08:00:11+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5821 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5821/thumbnail_5821_2022-09-07_22-00-06.jpg Update Course 2022 - UPDATES IN APPENDICITIS MANAGEMENT - Meera Kotagal, Tolu Oyetunji, Shawn St. Peter, and Whit Holcomb Appendicitis is one of the most common conditions seen by pediatric surgeons but still has many controversies in management. With Drs. Meera Kotagal, Tolu Oyetunji, Shawn St. Peter, and Whit Holcomb we discuss the updates about treatment and management in appendicitis Articles discussed: An evidence-based definition for perforated appendicitis derived from a prospective randomized trial Computed Tomography Utilization for the Diagnosis of Acute Appendicitis in Children Decreases With a Diagnostic Algorithm Single daily dosing ceftriaxone and metronidazole vs standard triple antibiotic regimen for perforated appendicitis in children: a prospective randomized trial Same-Day Discharge for Nonperforated Appendicitis in Children: An Updated Institutional Protocol Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Perforated Appendicitis: A Prospective Randomized Trial Decreased resource utilization since initiation of institutional clinical pathway for care of children with perforated appendicitis Safety of a new protocol decreasing antibiotic utilization after laparoscopic appendectomy for perforated appendicitis in children: A prospective observational study Association of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! https://d1dnj0gz56dmdu.cloudfront.net/9e76d2f1-a597-41a3-9e4e-8e717f01ba25/AppleHLS1/0c354d2dc98e88cd1550280140ec5215.m3u8 2022-09-07T22:00:06+00:00 9 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4034 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4034/thumbnail_4034_2021-05-17_12-56-33.jpg History of Veres Needle Ya know that spring loaded needle we use to create pneumoperitoneum? How do you spell that? Because you're wrong. It's named after Dr. Janos Veres. Jorge and Belen walked us through the history of the man, the needle, and the spelling. https://library.globalcastmd.com/video/4034 2021-05-17T12:56:33+00:00 10 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/630 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/630/thumbnail_717_2018-11-10_00-05-17.jpg Tricks - New Duhamel - Laparoscopic Trans-rectal Rectosigmoidectomy Dr. Cristobal Abello and his group in Colombia discuss the new Duhamel procedure, covering background and technique for Laparoscopic Trans-rectal Rectosigmoidectomy, followed by a panel discussion. spaces/1/content/630/file_717_2018-11-10_00-05-17.mp4 2018-11-10T00:05:17+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7759 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7759/thumbnail_9274_2023-12-06_22-00-05.jpg Increasing Amount of Hair Reduction using Laser Correlates with Lower Probability of Recurrence in Patients with Pilonidal Disease New Article you should know from JPS by Dr. Cecilia Gigena "Increasing Amount of Hair Reduction using Laser Correlates with Lower Probability of Recurrence in Patients with Pilonidal Disease" Authors: Fereshteh Salimi-Jazi, Claire Abrajano, Razie Yousefi, Deanna Garza, Kyla Santos Dalusag, Akanksha Sabapaty, Talha Rafeeqi, Thomas Hui, Wendy Su, Claudia Mueller, Julie Fuchs, Bill Chiu  Full article: https://gcmd.co/3T6wDyi Background Hair at the gluteal cleft plays a key role in the development and recurrence of pilonidal disease (PD). We hypothesized that more hair reduction achieved using laser could correlate with lower chance of PD recurrence. Methods  PD patients who underwent laser epilation (LE) were categorized by Fitzpatrick skin type, hair color, and hair thickness. Photos taken at LE sessions were compared to determine hair reduction amount. LE sessions completed prior to the recurrences were recorded. Groups were compared using multivariate T-test. Results  198 PD patients had mean age 18.1 ± 3.6 years. 21, 156, and 21 patients had skin types 1/2, 3/4, and 5/6, respectively. 47 patients had light- and 151 had dark-colored hair. 29 patients had fine hair, 129 medium, and 40 thick. Median follow-up was 217 days. 95%, 70%, 40%, and 19% of patients reached 20%, 50%, 75%, and 90% hair reduction after mean LE sessions of 2.6, 4.3, 6.6, 7.8 sessions, respectively. To reach 75% hair reduction, patients require a mean of 4.8-6.8 LE sessions, depending on different skin/hair characteristics. PD recurrence rate was 6%. Probability of recurrence after 20%, 50%, 75% hair reduction was decreased by 50%, 78%, 100%, respectively. Dark hair and skin type 5/6 were associated with higher recurrence rates. Conclusion Patients with dark-color and thick hair require more LE sessions to achieve certain degree of hair reduction. Patients with dark hair and skin type 5/6 were more likely to recur; more hair reduction correlated with lower chance of recurrence.   spaces/1/content/7759/file_9274_2023-12-06_22-00-05.mp4 2023-12-06T22:00:05+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/1973 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1973/thumbnail_2886_2019-12-06_04-00-10.jpg Pectus Excavatum Pathway Dr. Rebeccah L. Brown discusses the clinical care pathway for patients with pectus excavatum in place at Cincinnati Children's Chest Wall Center. spaces/1/content/1973/file_2886_2019-12-06_04-00-10.mp4 2019-12-06T04:00:10+00:00 2 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10898 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10898/thumbnail_10898_1_1756388699127.jpg 2025 Pediatric Surgery Update Course - Updates in Central Line Management On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surgery and be at the forefront of medical excellence.Watch Updates in Central Line ManagementSpeakers: Nathan Fagan, MD &. Justin Huntington, MDModerator: Todd Ponsky, MD, FACS https://library.globalcastmd.com/video/10898 2025-08-28T13:43:56+00:00 2 #UpdateCourse2025 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10390 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10390/0ff6b7cc77fdb2c1468aaf6663709105.jpg Update Course Rewind: Vascular Trauma Management 2024 In this 2024 Update Course Rewind, pediatric surgeons Drs. Regan Williams and Katie Russell share new updates on the management of thoracic aortic injuries. Classified as a “Black Diamond” practice—indicating unproven approaches for early adopters—this session reviews how Thoracic Endovascular Aortic Repair (TEVAR) is emerging as a less invasive and effective treatment option in pediatric patients, especially adolescents. Host: Lizzy Lee, PA-C Key Takeaways: Prioritize stabilization and life-threatening injuries before addressing thoracic aortic injury. Thoracic aortic injuries in children are rare and can be easily missed—maintain a high index of suspicion. A widened mediastinum on chest X-ray should prompt a CT chest to evaluate for vascular injury. Decisions should be guided by patient age, injury severity, and available expertise at your institution. Collaboration with vascular surgeons or interventional radiologists is essential for optimal care. https://library.globalcastmd.com/video/10390 2025-04-24T07:48:06+00:00 channel#pediatric_surgery thoracic aortic injury thoracic injury Lizzy lee Regan williams Katie russell Thoracic Endovascular Aortic Repair tevar pediatric trauma pediatric trauma surgery Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5417 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5417/thumbnail_5417_2022-05-24_18-00-25.jpg Update Course 2021: THORACOTOMY VS VATS FOR OSTEO METS The management of lung metastases in osteosarcoma may necessitate deciding approach–either thoracotomy or VATS. At the 2021 Pediatric Surgery Update Course, Dr. Anusua "Roshni" Dasgupta, MD reviewed the latest literature. https://library.globalcastmd.com/video/5417 2022-05-24T18:00:25+00:00 3 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7843 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7843/thumbnail_9366_2023-12-27_16-00-07.jpg Clinical Symptoms Affect Treatment and Prognosis in Pediatric Patients with Congenital Pulmonary Airway Malformation New article you should know by Dr. Cecilia Gigena "Clinical Symptoms Affect Treatment and Prognosis in Pediatric Patients with Congenital Pulmonary Airway Malformation: A Propensity Score Matching Retrospective Cohort Study" Authors: Guowei Zeng, Qi Zhang, Binqian Song, Xinghui Feng, Jian Sun, Xuming Mo, Kai-Hong Wu Full article: https://gcmd.co/3QWkNW1 Objectives Surgery for asymptomatic congenital pulmonary airway malformation patients is still debatable at this time. This study aims to investigate the safety and efficacy of surgery for asymptomatic patients, as well as the factors influencing the symptoms of this group of patients. Methods An institutional database was sampled for congenital pulmonary airway malformation patients. Patients were divided into the symptomatic group and the asymptomatic group. Propensity score matching (PSM) analysis selected patients in each group to compare perioperative outcomes. A multivariable logistic regression analysis was performed to investigate the potential influences on symptomatic lesions. Results The asymptomatic group had better perioperative results than the symptomatic group, including shorter operating times (119.39 ± 49.42 min vs 100.73 ± 23.09 min, P = 0.031), shorter postoperative mechanical ventilation (2 h [0.5–46] vs 1 h [0.5–5], P = 0.002), shorter chest tube durations (4d [2-29] vs 3d [2-10], P = 0.007), and shorter postoperative hospital stays (10d [6–36] vs 8d [6-16], P  0.05). Age (p = 0.037), postnatal diagnosis (p = 0.018), and maximum cyst diameter (p = 0.032) were found to be independent variables associated with symptomatic lesions by multivariable logistic regression. Conclusions Patients with congenital pulmonary airway malformation appear to have better perioperative outcomes before the beginning of symptoms. Symptomatic pulmonary lesions were associated with age, postnatal diagnosis, and maximum cyst diameter. https://library.globalcastmd.com/video/7843 2023-12-27T16:00:07+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8523 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8523/thumbnail_10061_2024-04-17_08-27-18.jpg Update Course Rewind: Management of Acute Pancreatitis 2023 We are back with another Update Course Rewind video from the Update course in Pediatric Surgery 2023. This time we are presenting you “Management of Acute Pancreatitis" with Dr. Juan Gurría. Host: Cecilia Gigena Brought to you by Cincinnat Children's https://library.globalcastmd.com/video/8523 2024-04-17T08:27:18+00:00 3 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6352 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6352/thumbnail_6352_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Wendy Song, CAPS - Presentation Watch Wendy Song, MD, present her presentation on "A comparison of operative and anesthetic techniques for inguinal hernia repair in infants." https://library.globalcastmd.com/video/6352 2023-02-06T18:00:12+00:00 1 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/2257 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2257/thumbnail_3183_2020-02-24_19-58-28.jpg Laparoscopic Orchidopexy This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2257 2020-02-24T19:58:28+00:00 8 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5670 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/5670/thumbnail_5670_2022-08-10_21-07-51.jpg Welcome to the new IPEG Join the NEW IPEG. Ipeg.org  spaces/2/content/5670/file_7085_2022-08-10_21-07-51.mp4 2022-08-10T21:07:51+00:00 channel#ipeg *no*app* Medical Education yes IPEG no https://library.globalcastmd.com/video/13843 2026-08-01 monthly 0.7 01_Marc_Levitt_01 About Dr Marc Levitt_for_music / Introducing Dr. Marc Levitt This is "01_Marc_Levitt_01 About Dr Marc Levitt_for_music / Introducing Dr. Marc Levitt" by CTO on Vimeo, the home for high quality videos and the people who love them. https://vimeo.com/734887298 2026-07-29T23:11:09+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2022 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2022/thumbnail_2945_2019-12-20_18-00-11.jpg Immediate vs Silo Closure for Gastroschisis Dr. Ponsky reviews his takeaways from the JPS article, “Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study.”Link to full article:  https://gcmd.co/2PItKT3 https://library.globalcastmd.com/video/2022 2019-12-20T18:00:11+00:00 21 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6342 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6342/thumbnail_6342_2023-02-06_16-00-12.jpg BOB Ped Surg 2023 - Mohamad Qinawy, PAPSA - Presentation Watch Mohamad Mahmoud Qinawy, MD, present his presentation on "Comparative study of laparoscopic Nissen fundoplication vs Hill-snow procedure for treatment of gastroesophageal reflux disease in children." https://library.globalcastmd.com/video/6342 2023-02-06T16:00:12+00:00 2 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5785 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5785/thumbnail_5785_2022-08-24_15-05-12.jpg Become an IDEA Ambassador! Our goal is to educate the world of Pediatric Surgery, and we can't do it alone! Join the International Digital Education Alliance (IDEA), a global collection of the thought-leaders in pediatric surgical education. Join the effort to seek out what every pediatric surgeon should know and how to teach them! We look forward to working together to close every knowledge gap.Join us Friday, Dec 20th 12-1pm EST. Email rachel.hanke@cchmc.org to be added to the event! spaces/1/content/5785/file_7203_2022-08-24_15-05-12.mp4 2022-08-24T15:05:12+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8882 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8882/thumbnail_10434_2024-07-17_10-24-03.jpg Reglas de predicción PECARN para imágenes por TC de niños que acuden al servicio de urgencias con traumatismo craneoencefálico menor o abdominal cerrado Nuevo artículo que tienes que conocer resumido por Cecilia Gigena, seleccionado por la Sociedad Chilena de Cirugía Pediátrica. (Para ver los criterios desliza hacia el final de la descripción) "Reglas de predicción de PECARN para imágenes por TC de niños que acuden al servicio de urgencias con traumatismo craneoencefálico menor o abdominal cerrado: Un estudio multicéntrico" Autores: Prof James F Holmes, MD , Prof Kenneth Yen, MD, Irma T Ugalde, MD, Prof Paul Ishimine, MD, Pradip P Chaudhari, MD, Nisa Atigapramoj, MD, Prof Mohamed Badawy, MD, Prof Kevan A McCarten-Gibbs, MD, Donovan Nielsen, BA, Allyson C Sage, MPH, Grant Tatro, MD, Prof Jeffrey S Upperman, MD, Prof P David Adelson, MD, Prof Daniel J Tancredi, PhD, Prof Nathan Kuppermann, M Articulo completo: https://gcmd.co/3W7f6Wq Introducción Las reglas de predicción de lesiones intraabdominales y lesiones cerebrales traumáticas derivadas de la Red de Investigación Aplicada de Atención de Emergencia Pediátrica (PECARN) se diseñaron para reducir el uso inadecuado de la TC en niños con traumatismo abdominal y craneal, respectivamente. Nuestro objetivo fue validar estas reglas de predicción para los niños que acuden a los departamentos de emergencia con un traumatismo craneoencefálico menor o abdominal cerrado.   Métodos Para este estudio de validación prospectivo, inscribimos a niños y adolescentes menores de 18 años que acudieron a seis departamentos de emergencia en Sacramento (CA), Dallas (TX), Houston (TX), San Diego (CA), Los Ángeles (CA) y Oakland. (CA), EE. UU. entre el 27 de diciembre de 2016 y el 1 de septiembre de 2021. Excluimos a pacientes que estaban embarazadas o tenían trastornos neurológicos preexistentes que impedían el examen, traumatismos penetrantes, lesiones más de 24 h antes de la llegada, tomografía computarizada o resonancia magnética antes del traslado, o alta sospecha de trauma no accidental. Los niños que presentaban un traumatismo abdominal cerrado se inscribieron en u spaces/14/content/8882/file_10434_2024-07-17_10-24-03.mp4 2024-07-17T10:24:03+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/10064 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10064/a2ed17208784b23de855cbfc0ba07ce2.jpg Quick Literature Updates Episode 18 We’re back with eighteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/39083294/ Pilkington M, Nelson G, Pentz B, Marchand T, Lloyd E, Chiu PPL, de Beer D, de Silva N, Else S, Fecteau A, Giuliani S, Hannam S, Howlett A, Lee KS, Levin D, O'Rourke L, Stephen L, Wilson L, Brindle ME. Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care. JAMA Surg. 2024 Sep 1;159(9):1071-1078. doi: 10.1001/jamasurg.2024.2044. PMID: 39083294. https://pubmed.ncbi.nlm.nih.gov/38493027/ Moore EJ, Sawyer SM, King SK, Tien MY, Trajanovska M. Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review. J Pediatr Surg. 2024 Jun;59(6):1028-1036. doi: 10.1016/j.jpedsurg.2024.02.012. Epub 2024 Feb 23. PMID: 38493027. https://pubmed.ncbi.nlm.nih.gov/36658074/ Zeng G, Zhang Q, Song B, Feng X, Sun J, Mo X, Wu KH. Clinical Symptoms Affect Treatment and Prognosis in Pediatric Patients with Congenital Pulmonary Airway Malformation: A Propensity Score Matching Retrospective Cohort Study. J Pediatr Surg. 2023 Oct;58(10):1963-1968. doi: 10.1016/j.jpedsurg.2022.11.013. Epub 2022 Nov 29. PMID: 36658074. https://library.globalcastmd.com/video/10064 2025-03-21T05:19:39+00:00 1 channel#pediatric_surgery Delphi technique nicu anesthesiology periop Perioperative Care Neonatal eras Enhanced Recovery After Surgery some4pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5823 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5823/thumbnail_5823_2022-09-07_22-00-06.jpg Update Course 2022 - PEDIATRIC FIREARM INJURIES: TREATMENT AND PREVENTION Marion Henry, Peter Masiakos, Bindi Naik-Mathuria, and Richard Pearl Firearm injuries have become the first cause of death for children in the US. In this session with Drs. Marion Henry, Peter Masiakos, Bindi Naik-Mathuria, and Richard Pearl, we discussed updates in management of penetrating injuries in pediatrics, as well as advocacy and firearm injury prevention.  The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know!   https://d1dnj0gz56dmdu.cloudfront.net/c55a33ca-9eda-4363-beda-87265d06a074/AppleHLS1/ff28235364418e6451d37d603d2a6f04.m3u8 2022-09-07T22:00:06+00:00 4 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10049 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10049/f343e981d3d22340aba108c4c4a6b8f8.jpg Dr. Luis Iván León Ortega & Joel Cazares - Best of the Best in Pediatric Surgery 2025 Watch Mexico Pediatric Surgery Society's Dr. Luis Iván León Ortega & Joel Cazares' presentation on “Initial Experience with the Use of Intraoperative Fluorescence with Indocyanine Green in Minimally Invasive Surgery for Thoracic Duct Ligation in Pediatrics.” at the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal https://library.globalcastmd.com/video/10049 2025-03-19T09:37:06+00:00 1 channel#live_event_content BOB2025 pediatric surgery some4pedsurg Intraoperative Fluorescence Indocyanine Green Minimally Invasive Surgery Thoracic Duct Ligation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/10622 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10622/6e467a28ac87a47b93be29b893eb074a.jpg Update Course Rewind: Part 2 Non-Pectus Uses of Cryoanalgesia 2024 In this insightful recap from the 12th Annual Update Course in Pediatric Surgery, Dr. Thomas Inge of Lurie Children’s Hospital explores emerging uses of cryoanalgesia beyond pectus repair. The video delves into novel applications of cryotherapy for conditions like slipping rib syndrome and rib fractures—highlighting how interventional radiology tools, including percutaneous needle probes, can offer powerful pain relief and reduce narcotic use and hospital stay. Key Highlights: Slipping Rib Syndrome: Often overlooked in teens, this condition can be addressed with intercostal blocks and cryoablation. Percutaneous Cryoablation: A new frontier in treating rib fractures and chronic pain using ultrasound-guided techniques. Multidisciplinary Approach: Collaboration between surgery and IR expands treatment options for hard-to-diagnose chest wall pain. This session emphasizes the evolving role of cryoanalgesia as a versatile, minimally invasive tool in pediatric surgical care. https://library.globalcastmd.com/video/10622 2025-06-30T10:22:48+00:00 1 channel#pediatric_surgery cryoanalgesia pectus repair cryotherapy slipping rib syndrome rib fractures interventional radiology percutaneous percutaneous needle probes pain relief Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10027 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10027/a987b2cc59755290c18465ca7f749fc1.jpg Outcomes of Children With Short Bowel Syndrome: Experiences in a Multidisciplinary Intestinal Rehabilitation Unit Over Two Decades Jaime Tsz-wing Tsang, Adrian Chi-heng Fung , Stephen Cheuk-lam Lau,Kenneth Kak-yuen Wong Background: Short bowel syndrome (SBS) is a rare but serious form of organ failure, and patients with SBS depend on total parenteral nutrition (PN) to maintain growth and development. The present study aimed to evaluate the experiences and outcomes of children with SBS managed by a multidisciplinary intestinal rehabilitation programme in a tertiary paediatric centre. Methods: A retrospective single-centre analysis of all paediatric patients with a clinical diagnosis of SBS between 2001 and 2022 was performed. Clinical outcomes and their predictors were extracted and analysed. Results: Of the 64 children included in the study, 43 (67%) had extensive necrotising enterocolitis. The median bowel length was 45 cm (interquartile range (IQR) ¼18e65) and 18.9% (IQR ¼10e28.5) of the expected length based on age. Over a mean follow-up period of 8.9 years, 57 patients (89%) survived, and 50 (78%) weaned off PN. The presence of intestinal failure-associated liver disease (IFALD) (OR ¼6.375,p ¼0.02) and patients managed before the introduction of fish oil-based PN in 2007 (OR ¼5.895, p ¼0.001) were significant predictors of mortality. There was an overall improvement in survival over time (p ¼0.003). Ultrashort bowel length was not associated with significantly higher mortality (OR ¼1.1, p ¼0.65) but was a poor prognostic factor for weaning off PN (OR ¼3.57, p ¼0.004). Among all patients who weaned off PN, two had bowel lengthening procedures and one received a glucagon-like peptide 2 (GLP-2) analogue. Conclusions: A multidisciplinary intestinal rehabilitation programme offers a comprehensive approach for patients with SBS and has been shown to be effective with favourable outcomes. Improvements in the choice of PN and the development of new treatment strategies potentially improved the survival and enteral autonomy of SBS patients spaces/1/content/10027/b3d1af68aab0fdbbadd366899cd5580e.mp4 2025-03-18T20:08:26+00:00 1 channel#pediatric_surgery Lizzy Lee short bowel syndrome multidisciplinary intestinal rehab JPS pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/5817 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/5817/thumbnail_5817_2022-09-07_22-00-06.jpg Update Course 2022 - Introduction - Todd Ponsky Dr. Todd Ponsky introduces the 10th Annual Pediatric Surgery Update Course. The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know! spaces/17/content/5817/file_7235_2022-09-07_22-00-06.mp4 2022-09-07T22:00:06+00:00 5 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/857 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/857/thumbnail_982_2019-01-11_00-04-57.jpg FAST Discharge for Laparoscopic G-tube Dr. Rachel Hanke and Dr. Todd Ponsky give a two-minute review of "Feeding Advancement and Simultaneous Transition to Discharge (FASTDischarge) after laparoscopic gastrostomy," an article published in the Journal of Pediatric Surgery. Dr. Richard Hendrickson, Dr. Tolulope Oyetunji and colleagues at Children's Mercy Hospital studied safety and efficacy of an expedited pathway with early feeding in patients receiving laparoscopic gastrostomy tube placement. Watch this video for a quick recap of their FAST Discharge pathway, and read the article for the details: http://ow.ly/PRpK30ng91I https://library.globalcastmd.com/video/857 2019-01-11T00:04:57+00:00 12 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2255 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2255/thumbnail_3181_2020-02-24_19-58-28.jpg Laparoscopic Partial Splenectomy for Splenic Cyst This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pediatric surgery. If you’d like to learn more, watch this short video or read this short article. https://library.globalcastmd.com/video/2255 2020-02-24T19:58:28+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8708 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/8708/thumbnail_10255_2024-06-06_08-19-14.jpg Staged laparoscopic orchiopexy of intra-abdominal testis: Spermatic vessels division versus traction? New article you should know selected by the Chilean Society of Pediatric Surgeons, summarized by Cecilia Gigena "Staged laparoscopic orchiopexy of intra-abdominal testis: Spermatic vessels division versus traction? A multicentric comparative study" Authors: Valeska Bidault-Jourdainne, Nathalie Botto, Matthieu Peycelon, Elisabeth Carricaburu, Pauline Lopez, Arnaud Bonnard, Thomas Blanc 6, Alaa El-Ghoneimi, Annabel Paye-Jaouen Full article: https://pubmed.ncbi.nlm.nih.gov/38310033/ Abstract Background: Staged laparoscopic management of intra-abdominal testes using pedicular section is recognized as gold standard technique, successful in 85 % of cases for scrotal testicular position with less than 10 % testicular atrophy. Recently, Shehata proposed a new technique without pedicular division for these testes, using spermatic vessels traction, but did not provide a comparative study of the two techniques. Objective: To evaluate the laparoscopic spermatic pedicular traction (Shehata technique, ST) for the treatment of intra-abdominal testis, as an alternative to gold standard pedicular section (2-stage Fowler-Stephens, FS). Study design: Intra-abdominal testes of 129 patients in two tertiary pediatric urology centers were managed laparoscopically (2011-2019) either by 2-stage FS orchidopexy or ST according to the surgeon preference. Testicular position and size were statistically compared. Results: A total of 147 testes were pulled down by 80 ST and 67 FS, including 18 bilateral cases. Median (IQR) age at surgery was 24.2 (15.6-46.4) months (ST) and 18.3 (13.1-38.2) months (FS) (p = 0.094). Scrotal pulling-down of the testis was performed after a median (IQR) period of 2.3 (1.6-3.4) months (ST) and 6.1 (4.7-8.3) months (FS), respectively (p < 0.005). Although ST had collapsed in 17 cases (21.3 %), only one (1.3 %) redo procedure was required. After a median (IQR) follow-up of 22 (12-40) and 19 (8.75-37) months (p = 0.59), the testis was in the scro spaces/1/content/8708/file_10255_2024-06-06_08-19-14.mp4 2024-06-06T08:19:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10404 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10404/70985473b0cd6b10e0646bef21a271f6.jpg Vacuum Bell Therapy for Pectus Excavatum: Long-term Experience at a Single Center Shelby Aughtman, Charles Hehman, Letitia Janssen, Jamie Golden, Michael J. Goretsky, Robert J. Obermeyer Aim: To evaluate factors associated with excellent correction in pectus excavatum patients undergoing vacuum bell therapy (VBT). Methods: A single-institution retrospective chart review was performed November 2012–April 2023 to assess corrections of patients who underwent VBT. Patient demographics, presentation, and results were collected. Excellent correction was defined as complete correction or >100 % improved from an average standard chest depth of 0.51 cm. Data are reported using odds ratio & confidence intervals; and paired t-test comparison. A p-value of <0.05 was regarded as significant. Results: VBT was utilized in 431 patients with 278 patients included and 153 excluded due to loss of follow-up or incomplete data. Of those included, 89 % were male. There were 31 patients with excellent corrections (11 %) and 247 non-excellent corrections. Initial chest depth < 1.5 cm and chest wall flexibility remain important predictors of positive outcome (p=0.008 and < 0.001, respectively). Excellent correction was statistically more likely in patients aged 8 to 12.9 (OR = 2.2, p = 0.039). Surgical correction following VBT was performed in only 15.5 % (42 of 278) of our patients, none of which were in the group with an excellent correction. Conclusion: Excellent correction for pectus excavatum via VBT was achieved in a small proportion of patients, with improved outcomes in those initiating therapy at a younger age, with a mild defect, and with increased chest wall flexibility. These data may be used to help determine those more likely to achieve complete correction from a nonsurgical approach and guide decisions towards treatment methods. https://library.globalcastmd.com/video/10404 2025-04-24T08:35:47+00:00 1 channel#pediatric_surgery Alex halpern pediatric surgery journal of pediatric surgery jps Pectus excavatum Vacuum bell therapy Chest wall deformities some4pedsurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/2093 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/2093/thumbnail_3018_2020-01-17_16-00-10.jpg Ovarian Tumors in Children: Continued Monitoring is Necessary Dr. Ponsky discusses the need for further monitoring of children with ovarian tumors, with a quick summary of the Journal of Pediatric Surgery article, “Ovarian tumors in children: how common are lesion recurrence and metachronous disease? A UK CCLG Surgeons Cancer Group nationwide study.” Link to full article: https://gcmd.co/3akDgnO https://library.globalcastmd.com/video/2093 2020-01-17T16:00:10+00:00 14 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/8009 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8009/thumbnail_9541_2024-02-26_10-26-21.jpg Dominique Simons, MSc - Best of the Best in Pediatric Surgery 2024 Watch IPSO's Dominique Simons, MSc presentation on “Multimodal 3-D visualization of pediatric neuroblastoma: Aiding surgical planning beyond anatomical information” at the 2024 Best of the Best in Pediatric Surgery event! Moderators: Todd Ponsky, Cecilia Gigena, and Brittany Levy spaces/17/content/8009/file_9541_2024-02-26_10-26-21.mp4 2024-02-26T10:26:21+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6198 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/6198/thumbnail_6198_2022-12-08_04-00-10.jpg Pediatric Inguinal Hernia with Dr. Todd Ponsky Join Dr. Todd Ponsky for a refresher on the anatomy, workup, and management of Pediatric Inguinal Hernia. This video has quick hits the surgical trainee needs to know for rounds, exams, and clinical care.   https://d1dnj0gz56dmdu.cloudfront.net/6bc68552-b38d-4e85-ae2f-97c163e88b98/AppleHLS1/befdbaee56ec405e3e84bbce76597c0e.m3u8 2022-12-08T04:00:10+00:00 51 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6500 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/6500/thumbnail_6500_2023-03-15_08-00-11.jpg ¿Todos los CPVP se transforman en hernias inguinales? Un nuevo artículo que tenés que conocer por la Dra. Cecilia Gigena "Historia natural y consecuencias de un conducto peritoneo-vaginal permeable (CPVP): Un análisis intermedio" Jason D Fraser et.al. Autores: Jason D. Fraser a , ∗, Yara K. Duran a , KatherineJ. Deans b , CynthiaD. Downard c , Mary E. Fallat c , Samir K. Gadepalli d , Ronald B. Hirschl d , Dave R. Lal e , Matthew P. Landman f , Charles M. Leys g , Grace Z. Mak h , Troy A. Markel f , Peter C. Minneci b , Thomas T. Sato e , Shawn D. St. Peter a , on behalf of the Midwest Pediatric Surgery Consortium  Artículo completo: https://www.jpedsurg.org/article/S0022-3468(22)00603-0/fulltext  Abstract introducción La prevalencia e historia natural de un conducto peritoneo-vaginal permeable (CPVP) es desconocida. Un análisis intermedio fue realizado sobre un estudio observacional, multiinstitucional y prospectivo en neonatos que se sometieron a una piloromiotomía laparoscópica donde ambos canales inguinales fueron evaluados. Métodos Niños menores de 4 meses que se sometieron a una piloromiotomía laparoscópica fueron incluídos en 8 hospitales pediátricos. La presencia de un CPVP y sus medidas fueron reportadas. Pacientes con un CPVP son sometidos a una llamada anual de seguimiento hasta los 18 años. Se realizó un análisis intermedio. Resultados En una cohorte de 610 pacientes, en 80 no fue examinada la presencia de CPVP, 4 tuvieron problemas de consentimiento y fueron excluídos, dejando 526 pacientes. De ellos 433 (82%) eran varones, mediana de edad 1.2 meses (IQR 0.9, 1.6), mediana de peso 3.89 kg (IQR 3.4, 4.46), y Edad gestacional 39 weeks (IQR 37, 40). Hubo 283 CPVP, 132 bilaterales (47%), 116 derechos (41%), y 35 izquierdos (12%). Los pacientes con CPVP eran significativamente menores (1.1 meses (IQR 0.9, 1.5) vs 1.3 meses (IQR 0.9, 1.7), p=0.02), pesaban menos (3.76kg (IQR 3.35, 4.26) vs 3.9kg (IQR 3.4, 4.5) p=0.03) y tenían significativamente menor edad gestacional (38 semanas (I https://library.globalcastmd.com/video/6500 2023-03-15T08:00:11+00:00 4 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7997 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/7997/thumbnail_9527_2024-02-20_09-43-25.jpg QUAD #3 Pt.2: Complications of Button Battery & Caustic Ingestion with Dr. Phil Putnam Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway course and the Cincinnati Children's pediatric dysphagia series. In this video series, we will summarize the key takeaway points from each session that has been held at QUAD 2022. Today, we are here to continue our review of the complications of button battery & caustic ingestion with Dr. Phil Putnam, a pediatric gastroenterologist from Cincinnati Children's. Host: Kim Priban https://library.globalcastmd.com/video/7997 2024-02-20T09:43:25+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10427 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/10427/c131c473c52d0eafdada22b09f150a09.jpg STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial Simon Eaton, Niloofar Ganji, Mandela Thyoka, Maher Shahroor, Augusto Zani, Hazel Pleasants-Terashita, Ali El Ghazzaoui, Jayaram Sivaraj, Stavros Loukogeorgakis, Paolo De Coppi, Sandra Montedonico, Sanja Sindjic-Antunovic, Marija Lukac, James Hamill, Candy Suet Cheng Choo, Shireen Anne Nah, Jan Hulscher, Sherif Emil, Aigars Petersen, Rene Wijnen, Cornelius Sloots, David Sigalet, Edward Kiely, Jan F Svensson, Tomas Wester, Agostino Pierro Purpose: The STAT trial is a multicenter randomized controlled trial in 12 centers worldwide aiming to determine the most effective operation for neonates with necrotizing enterocolitis (NEC) requiring intestinal resection: stoma formation (ST) or primary anastomosis (PA). Methods: Infants having a primary laparotomy for NEC were randomized intraoperatively to PA or ST if the operating surgeon thought that both were viable treatment options for that patient. The primary outcome (duration of parenteral nutrition [PN]) was evaluated by Cox regression. Results: Eighty patients were recruited from 2010 to 2019. Infants undergoing anastomosis finished PN significantly earlier than patients undergoing stoma (hazard ratio PA vs. ST 2.38, 95% CI 1.36-4.12 p = 0.004). There was no difference in mortality between the two groups (PA 4/35 vs. ST 8/38 p = 0.35) or in the rate of complications requiring further unplanned operations (p = n.s.). Multiple intestinal complications were more frequent in the stoma group compared to the anastomosis group (ST 12/26 vs. PA 5/31, p = 0.02, Fisher's Exact test). Conclusion: At laparotomy for NEC, when there is no disease distal to resected intestine, primary anastomosis should be performed as it enhances the recovery from NEC, reduces the risk of multiple intestinal complications and does not increase adverse outcomes. https://library.globalcastmd.com/video/10427 2025-04-29T08:18:55+00:00 2 channel#pediatric_surgery mortality enterocolitis nutrition pedsurg Lizzy Lee surgery SoMe4PedSurg Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6123 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6123/thumbnail_6123_2022-11-16_22-00-12.jpg Congenital Diaphragmatic Hernia Live Webinar Series Part 3 Watch part 3, the final part, of CCHMC's Fetal Care Center: Congenital Diaphragmatic Hernia Live Webinar Series. https://d1dnj0gz56dmdu.cloudfront.net/318477a2-810b-4d14-bbcd-f1c15ec534d7/AppleHLS1/e3814e09c916853586c049f0e004cbbe.m3u8 2022-11-16T22:00:12+00:00 5 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/5473 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/5473/thumbnail_6721_2022-06-08_18-00-18.jpg Digital Twinning - Transforming Healthcare, Episode 2, Part 1 We’re back with another new technology that we believe will transform healthcare. Digital twin… Here’s what you need to know in a nutshell! A digital twin is a virtual representation of an object or system that is updated from real-time data, and uses simulation, machine learning and reasoning to help decision-making. The first practical definition of digital twin originated from NASA in an attempt to improve physical model simulation of spacecraft in 2010. With the help of a digital twin, companies can test and validate a product before it even exists in the real world. Generally, by creating a replica of the planned production process, a digital twin enables engineers to identify any process failures before the product goes into production. The use of cognitive computing increases the abilities and scientific disciplines in the digital twin. Technologies and techniques such as Natural Language Processing (NLP), machine learning, object/visual recognition, acoustic analytics, and signal processing are just a few of features used for creating digital twins. Going forward there will be a transition towards cheaper, more accessible, and easier to use digital twins culminating in its democratization. Individuals and smaller companies will have access to the benefits as well as larger companies, increasing the use of the technology rapidly. Hosts: Em Tombash, MD, Todd Ponsky, MD & Ramy Shaaban, MD Don't forget to like and subscribe to see more entertaining medical educational videos! https://www.youtube.com/staycurrentmd https://library.globalcastmd.com/video/5473 2022-06-08T18:00:18+00:00 1 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/6351 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/6351/thumbnail_6351_2023-02-06_18-00-12.jpg BOB Ped Surg 2023 - Joshua Ramjist, CAPS - Presentation Watch Joshua Ramjist, MD, present his presentation on "Development of a five point enhanced recovery protocol for pectus excavatum surgery." https://library.globalcastmd.com/video/6351 2023-02-06T18:00:12+00:00 Medical Education yes Live Event Content no https://library.globalcastmd.com/video/8709 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/8709/thumbnail_10256_2024-06-06_08-24-06.jpg Orquiopexia laparoscópica por etapas de testículo intraabdominal: ¿División de vasos espermáticos o tracción? Nuevo artículo que tenes que conocer seleccionado por la Sociedad Chilena de cirujanos pediátricos, resumido por la Dra. Cecilia Gigena "Orquiopexia laparoscópica por etapas de testículo intraabdominal: ¿División de vasos espermáticos o tracción? Un estudio comparativo multicéntrico" Autores: Valeska Bidault-Jourdainne, Nathalie Botto, Matthieu Peycelon, Elisabeth Carricaburu, Pauline Lopez, Arnaud Bonnard, Thomas Blanc 6, Alaa El-Ghoneimi, Annabel Paye-Jaouen Articulo completo: https://pubmed.ncbi.nlm.nih.gov/38310033/ Abstract Antecedentes: El tratamiento laparoscópico por etapas de los testículos intraabdominales mediante sección pedicular se reconoce como la técnica de referencia, exitosa en el 85 % de los casos para la posición testicular escrotal con menos del 10 % de atrofia testicular. Recientemente, Shehata propuso una nueva técnica sin división pedicular para estos testículos, utilizando tracción de vasos espermáticos, pero no proporcionó un estudio comparativo de ambas técnicas. Objetivo: Evaluar la tracción pedicular espermática laparoscópica (técnica de Shehata, ST) para el tratamiento de testículos intraabdominales, como una alternativa a la sección pedicular estándar de oro (Fowler-Stephens de 2 etapas, FS). Diseño del estudio: Los testículos intraabdominales de 129 pacientes en dos centros terciarios de urología pediátrica fueron tratados por vía laparoscópica (2011-2019), ya sea mediante orquidopexia FS en 2 etapas o ST, según la preferencia del cirujano. Se compararon estadísticamente la posición y el tamaño de los testículos. Resultados: 80 ST y 67 FS derribaron un total de 147 testículos, incluidos 18 casos bilaterales. La mediana (RIQ) de edad al momento de la cirugía fue de 24,2 (15,6-46,4) meses (ST) y 18,3 (13,1-38,2) meses (FS) (p = 0,094). La extracción escrotal del testículo se realizó después de un período mediano (IQR) de 2,3 (1,6-3,4) meses (ST) y 6,1 (4,7-8,3) meses (FS), respectivamente (p <0,005). Aunque el ST h spaces/14/content/8709/file_10256_2024-06-06_08-24-06.mp4 2024-06-06T08:24:06+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/8463 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/8463/thumbnail_9998_2024-04-01_12-28-25.jpg IPEG 2024 Round Table Discussion from East Asia - Outro End of IPEG's 2024 Round Table Discussion from East Asia! spaces/17/content/8463/file_9998_2024-04-01_12-28-25.mp4 2024-04-01T12:28:25+00:00 channel#live_event_content Medical Education yes Live Event Content no https://library.globalcastmd.com/video/7076 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7076/thumbnail_8546_2023-08-30_22-00-12.jpg Manejo expectante o ibuprofeno temprano para el tratamiento del conducto arterioso persistente Nuevo articulo que tenes que conocer por Cecilia Gigena "Manejo expectante o ibuprofeno temprano para el tratamiento del conducto arterioso persistente" Autores: Tim Hundscheid, M.D., Wes Onland, M.D., Ph.D., Elisabeth M.W. Kooi, M.D., Ph.D., Daniel C. Vijlbrief, M.D., Ph.D., Willem B. de Vries, M.D., Ph.D., Koen P. Dijkman, M.D., Anton H. van Kaam, M.D., Ph.D., Eduardo Villamor, M.D., Ph.D., André A. Kroon, M.D., Ph.. Remco Visser, M.D., Ph.D., Susanne M. Mulder-de Tollenaer, M.D., Barbara De Bisschop, M.D Articulo completo: https://www.nejm.org/doi/full/10.1056/NEJMoa2207418 Introducción Los inhibidores de la ciclooxigenasa se usan comúnmente en bebés con conducto arterioso persistente (CAP), pero el beneficio de estos medicamentos es incierto. Métodos  En este ensayo multicéntrico de no inferioridad, asignamos al azar a bebés con CAP confirmado ecocardiográficamente (diámetro >1,5 mm, con derivación de izquierda a derecha) que eran extremadamente prematuros (<28 semanas de edad gestacional) para recibir tratamiento expectante o ibuprofeno temprano. tratamiento. El resultado primario compuesto incluyó enterocolitis necrotizante (estadio IIa de Bell o superior), displasia broncopulmonar de moderada a grave o muerte a las 36 semanas de edad posmenstrual. La no inferioridad del manejo expectante en comparación con el tratamiento temprano con ibuprofeno se definió como una diferencia de riesgo absoluto con un límite superior del intervalo de confianza unilateral del 95% de menos de 10 puntos porcentuales. Resultados Un total de 273 bebés fueron aleatorizados. La edad gestacional media fue de 26 semanas y el peso medio al nacer fue de 845 g. Se produjo un evento de resultado primario en 63 de 136 bebés (46,3%) en el grupo de manejo expectante y en 87 de 137 (63,5%) en el grupo de ibuprofeno temprano (diferencia de riesgo absoluto, −17,2 puntos porcentuales; límite superior del intervalo de confianza [IC] unilateral del 95 %, −7,4; P <0,001 pa https://library.globalcastmd.com/video/7076 2023-08-30T22:00:12+00:00 1 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/7398 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/7398/thumbnail_8891_2023-10-23_22-00-10.jpg CNA Conference - Dr. John Clark - CNA in the pediatric patient Dr. John Clark presents “CNA in the pediatric patient” at the Second World Congress on Cardioneuroablation. spaces/17/content/7398/file_8891_2023-10-23_22-00-10.mp4 2023-10-23T22:00:10+00:00 channel#live_event_content CNA Cardioneuroablation Medical Education yes Live Event Content no https://library.globalcastmd.com/video/4226 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4226/thumbnail_4226_2021-06-24_19-42-08.jpg Laryngeal Clefts Dr. Michael Rutter is and ENT surgeon and the director of the Aerodigestive Center at Cincinnati Children's Hospital Medical Center. In this podcast, he discusses some surgical approaches to laryngeal clefts. This episode is available as an audio or video podcast https://d1dnj0gz56dmdu.cloudfront.net/2c970710-142d-48db-9ad8-76c0d64366ed/AppleHLS1/a20c3b9677a4f07caa794fc703465e81.m3u8 2021-06-24T19:42:08+00:00 5 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/11476 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/thumbnails/agent/11476-78cc8e5e8e.jpg Essential Knowledge and Skills for the Practice of Pediatric Surgical Oncology- A Modified Delphi Consensus Study by the APSA Cancer Committee Elisabeth T Tracy, Abigail Engwall, Erin G Brown, Raphael C Sun, Ashley Walther, Catherine B Beckhorn, Dave Lal, David H Rothstein, Jonathan Roach, Nicholas Cost, Barrie S Rich, Peter F Ehrlich, Jennifer H Aldrink, David Rodeberg; KidsCancerSurgery* Research GroupPurpose: Childhood cancer care has become increasingly complex. However, the exclusive practice of pediatric surgical oncology is not feasible for most surgeons taking care of these children. Thus, the American Pediatric Surgical Association (APSA) Cancer Committee conducted a modified Delphi study to reach a national consensus on the essential knowledge, skills, and institutional setting for surgeons caring for children with cancer.Methods: After development of candidate statements, the APSA Cancer Committee conducted a modified Delphi process consisting of two classic rounds and a third consensus round. Statements were reviewed by an expert panel consisting of pediatric surgical oncologists, pediatric medical oncologists, pediatric surgery program directors, general pediatric, recent pediatric surgery graduates. Consensus was defined a priori as Cronbach's alpha > 0.8 and greater than 80% panel agreement.Results: Initial candidate statements comprised eight domains including solid tumors, metastasis, and institution resources. After review by the expert panel consisting of 35 panelists from 24 institutions across 18 US states and Canada, 177 statements achieved consensus. Internal consistency was excellent (Cronbach's alpha 0.989, 0.987, and 0.987 after rounds 1-3). A major emphasis of the consensus statements was on the importance of multidisciplinary care, including multidisciplinary surgical teams for complex resections, and knowledge of current tumor-specific management principles.Conclusions: This study represents the first national consensus study of the knowledge and skills essential for pediatric surgical oncology. These results should inform ongoing conversations about how best to match children spaces/18/content/11476/file_11476_1_1770650078940.mp4 2026-02-09T15:14:38+00:00 Pediatric cancer Pediatric surgical oncology Regionalization of care Specialization Surgical quality pediatric surgery some4pedsurg oncology APSA American Pediatric Surgical Association Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/1237 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/1237/thumbnail_1403_2019-03-10_00-00-39.jpg Single Site Laparoscopic Hepaticojejunostomy For Giant Choledochal Cyst Guest video: Professors Long Li and Mei Diao from the Capital Institute of Pediatrics in Beijing, China, demonstrate a single incision Laparoscopic Hepaticojejunostomy For A Giant Choledochal Cyst. spaces/1/content/1237/file_1403_2019-03-10_00-00-39.mp4 2019-03-10T00:00:39+00:00 29 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/7830 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/14/content/7830/thumbnail_9353_2023-12-21_00-00-06.jpg Supresión ácida profiláctica para prevenir estenosis anastomóticas después de la cirugía de atresia esofágica Nuevo artículo que debes conocer de JPS por la Dra. Cecilia Gigena "Supresión ácida profiláctica para prevenir estenosis anastomóticas después de la cirugía de atresia esofágica: una revisión sistemática y un metanálisis" Autores: Thomas Wyllie, Eniola Folaranmi, Prabhu Sekaran, W John Watkins, Mallinath Chakraborty Artículo completo: https://gcmd.co/3vi4oCE Introducción La estenosis anastomótica es una complicación posoperatoria común de la reparación de la atresia esofágica ± fístula traqueoesofágica (OA/TOF). La enfermedad por reflujo gastroesofágico ácido (ERGE) se considera un factor en la formación de estenosis y, según una guía consensuada, se recomienda medicación para suprimir el ácido en el posoperatorio. El objetivo fue investigar si los pacientes que fueron tratados profilácticamente con medicamentos supresores de ácido tuvieron una incidencia reducida de estenosis en comparación con aquellos que no los recibieron. Métodos Se realizó una revisión sistemática de los estudios, buscando en múltiples bases de datos sin restricciones de idioma o fecha. Múltiples revisores evaluaron de forma independiente la elegibilidad de los estudios y la calidad de la literatura. El resultado primario fue la formación de estenosis anastomótica, con resultados secundarios de ERGE, fuga anastomótica y esofagitis. El metanálisis se realizó utilizando un modelo de efectos aleatorios y los resultados se expresaron como un odds ratio (OR) con intervalos de confianza (IC) del 95%. Resultados No se identificaron estudios aleatorios sobre el tema. Se incluyeron en el análisis doce estudios observacionales y diez informaron el resultado primario. La evaluación de la calidad mostró un alto riesgo de sesgo en varios artículos, principalmente debido a los métodos no objetivos de evaluación de la estenosis esofágica y a la naturaleza no prospectiva ni aleatoria de los estudios. En total, se evaluaron 1.395 pacientes, de los cuales 753 recibieron medicación supresora del ácido. https://library.globalcastmd.com/video/7830 2023-12-21T00:00:06+00:00 Medical Education yes StayCurrent Espanol no https://library.globalcastmd.com/video/13727 2026-08-01 monthly 0.7 https://i.ytimg.com/vi/i-hwEY8KKE8/hqdefault.jpg SAGES/ALACE Symposium: Integrating New Technologies, Old Tricks, and Operative Approaches Natan Zundel, M.D. & Jeffrey L. Ponsky, M.D., discussion https://library.globalcastmd.com/video/13727 2026-07-29T22:56:54+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/10053 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/17/content/10053/ae774d09a53bf8d41ee030a57da509b7.jpg BOB Winner Announcement - Best of the Best in Pediatric Surgery 2025 Watch who is the overall winner from the 2025 Best of the Best in Pediatric Surgery event! Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal   spaces/17/content/10053/ac1e0a7b597a124e38831fd927e7253f.mp4 2025-03-19T09:45:45+00:00 2 channel#live_event_content BOB2025 pediatric surgery some4pedsurg Medical Education yes Live Event Content no https://library.globalcastmd.com/video/6925 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/2/content/6925/thumbnail_6925_2023-07-20_08-00-20.jpg IPEG 2020 TOP ABSTRACT: Clip & Go Technique for thoracoscopic repair of H-type tracheoesophageal fistula. Presenter: Fernando P Rabinovich, MD Email: Fernando.rabi@hotmail.com Authors: Fernando P Rabinovich, MD; C Millan; J Godoy Lenz; G Bellia Munzon; H Bignon; Toselli L; S Valverde; J Martinez; S Calello; S Prodan; P Cieri; R Kaller; Marcelo Martinez Ferro; Fundacion Hospitalaria - Salud Materno InfantojuvenilIntroduction: H-type tracheoesophageal fistula is a rare disease and the thoracoscopic treatment has been described.The aim of this work is to introduce The Clip & Go technique.Material and Methods: One month old male patient were referred to our center presenting cianosis crisis, choke and cough associated with feeding. It has a swallow contrast X-ray compatible with H-type tracheoesophageal fistula. We decided to perform a respiratory endoscopy and confirm the diagnosis. Surgical technique and details are described in the video.Results: There were no intra or postoperative complications. Oral Feeding was well tolerated 2nd day after procedure. Follow up was 18 month and remains asymptomatic.Conclusion: In this case, Clip & Go technique resulted to be safe, effective and reproducible for the thoracoscopic treatment of H-type tracheoesophageal fistula. spaces/2/content/6925/file_8381_2023-07-20_08-00-20.mp4 2023-07-20T08:00:20+00:00 Medical Education yes IPEG no https://library.globalcastmd.com/video/4002 2026-08-01 monthly 0.7 https://d1u4wu4o55kmvh.cloudfront.net/spaces/1/content/4002/thumbnail_5086_2021-05-07_16-00-20.jpg Descending Colostomy for Anorectal Malformations Dr. Tamer Ashraf Wafa In this video, a creation of a descending colostomy is demonstrated in a newborn with ano-rectal malformation.The video shows the surgeon's point of view (POV). And the surgeon is standing on the patient’s left side. This video is intended as an education material ans should not replace formal surgical training. In this procedure, the operative steps are played in normal speed while some of the steps is played in faster speed for illustration purpose.The original video is one hour and 55 minutes. Surgical steps a described in the subtitles during the video. This is an educational video designed for junior pediatric surgeons in training. Tamer Ashraf Wafa PhD, MRCS Assists Professor, Pediatric Surgery Department https://library.globalcastmd.com/video/4002 2021-05-07T16:00:20+00:00 152 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13880 2026-07-31 monthly 0.7 Update Course Rewind 2025: Neck Pathologies - The Diagnostic Challenge This video, featuring Dr. Douglas von Allmen from Cincinnati Children's Hospital, explores the differential diagnosis and management of cystic neck masses in pediatric patients, specifically ranulas and lymphatic malformations. It presents a clinical case that highlights diagnostic challenges and discusses various treatment approaches, including surgical excision, sclerotherapy, and emerging medical therapies. The role of genetic testing in guiding treatment for lymphatic malformations is also covered. https://library.globalcastmd.com/video/13880 2026-07-31T19:45:51+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13824 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/XEntYLr2NNs/hqdefault.jpg Colorectal Quiz Episode 1 - Low Bulbar Fistua Pediatric colorectal surgeons Dr. Marc Levitt and Dr. Jason Frischer discuss a case of a new born with a low anorectal malformation. Listen as they take you through the workup, diagnosis, and treatment of an ARM with an ending that you might not have predicted. Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download https://library.globalcastmd.com/video/13824 2026-07-29T23:11:01+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13817 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/kYijfwQR6nk/hqdefault.jpg Colorectal Quiz Ep. 50 -16th Annual European Pediatric Colorectal & Pelvic Reconstruction Conference In this special 50th episode of the Colorectal Quiz Podcast, Dr. Marc Levitt and an international panel review key takeaways from the 16th European Pediatric Colorectal Reconstruction Meeting in Stockholm, highlighting emerging ideas, evolving surgical techniques, and global perspectives in the care of children with colorectal conditions. Key Highlights: Early Irrigation Training in Hirschsprung’s Disease: Some centers are beginning irrigation competency even before ostomy takedown, helping families and patients adapt earlier and potentially reducing post-operative enterocolitis risk. Advances in Surgical Technology: Innovations such as robotic-assisted surgery and ICG fluorescence imaging are improving visualization of blood supply during pull-through procedures, helping surgeons reduce complications like leaks and ischemia. New Diagnostic Concepts: High-frequency ultrasound may help measure bowel wall muscle thickness to identify aganglionic segments, potentially supporting or supplementing traditional biopsy-based diagnosis. Understanding Enterocolitis Risk: Emerging research suggests that reduced mucus protection in proximal bowel segments and mechanical stress on the bowel wall may contribute to microbial imbalance and breakdown of the intestinal barrier. The Power of Nursing and Multidisciplinary Care: Dedicated colorectal nursing programs and global case discussions highlighted how long-term outcomes depend not only on surgical technique but also on ongoing bowel management, education, and coordinated care. Evolving Techniques for Anorectal Malformations: New procedures such as perineal-preserving PSARP and posterior rectal advancement anoplasty (PRAA) aim to reduce complications while improving functional outcomes. Transition to Adult Care: Experts emphasized the need for stronger transition programs and multidisciplinary teams—including gynecology, urology, and sexual health specialists—to support patients with congenital colorectal conditions into https://library.globalcastmd.com/video/13817 2026-07-29T23:10:59+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13827 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/Dr9fJQmFZP0/hqdefault.jpg 2019 Chandler Lecture: Dr. Marc Levitt The Division of Pediatric Surgery hosts an annual lecture in honor of Dean Loren "Yank" Chandler. This year's speaker, Dr. Marc Levitt, chief of the Colorectal and Pelvic Reconstruction Surgery Section at Nationwide Children's Hospital, presents: Patient-driven Change: Is Multidisciplinary Care the Future of Medicine? For more information about Stanford University's Department of Surgery, please visit our website: surgery.stanford.edu https://library.globalcastmd.com/video/13827 2026-07-29T23:11:03+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13251 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/VP0qCizR94o/hqdefault.jpg A day well spent with Dr. Ponsky! I cannot tell you how nice it was to be able to trust my surgeon 100%! By the time I had my upper blepharoplasty and chemical peel with Dr. Diana Ponsky, I had been getting treatments with her for years! Of course I was nervous going into a procedure, but I’ve been trusting my face with Dr. Ponsky for so long, so I felt totally confident!! So if you’ve thought about facial rejuvenation, but you’ve been nervous about making the appointment - just start small! Go in for injectables like Botox or filler or get laser treatments. Then you can work your way up to the surgical procedures or heavy chemical peels. 🫶🏻 Thank you Dr. Ponsky and team for all the support before, during, and after my treatments! 💙 https://library.globalcastmd.com/video/13251 2026-06-25T18:37:41+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13819 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/E_qzDnKVejg/hqdefault.jpg Colorectal Quiz Episode 33: Cloaca Exstrophy Dr. Payam Saadai joins Dr. Marc Levitt and Dr. Jason Frischer to discuss the management of cloacal exstrophy covering traditional, and newer techniques. Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download https://library.globalcastmd.com/video/13819 2026-07-29T23:11:00+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13728 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/0wgryuucvRg/hqdefault.jpg Overview of Single Incision Surgery Tool Box and Technique: Jeffrey Ponsky, M.D. Pediatrics Session: Next-Generation Pediatric MAS - A Move Toward Scarless Surgery https://library.globalcastmd.com/video/13728 2026-07-29T22:56:55+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13724 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/9C_meG7sGDM/hqdefault.jpg Ponsky and Gauderer invent the PEG tube Great story from Jeffrey ponsky about the invention of PEG. https://library.globalcastmd.com/video/13724 2026-07-29T22:56:54+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13723 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/mEE-O7ZBEPQ/hqdefault.jpg Jeffrey Ponsky: Portrait of a SAGES Pioneer Presented during the SAGES 2019 Annual Meeting. https://library.globalcastmd.com/video/13723 2026-07-29T22:56:53+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13722 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/q-dOfPs8YB4/hqdefault.jpg POEM by Surgeons – Dr. Jeffrey Ponsky Lectures from the 32nd annual GTSC meeting March 7 - 10, 2019, Naples, Florida https://library.globalcastmd.com/video/13722 2026-07-29T22:56:53+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13719 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/TFhSvn86Ink/hqdefault.jpg From Idea to Ubiquity - the PEG Journey This talk was presented at the Innovation and Investment for the Surgical Entrepreneur (non CME) session by Jeffrey Ponsky on Wednesday, March 16, 2022 during the SAGES 2022 Annual Meeting in Denver, Colorado https://library.globalcastmd.com/video/13719 2026-07-29T22:56:52+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13725 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/pKVOEOcY1Cw/hqdefault.jpg Lessons learned from the introduction of a new endoscopic procedure: PEG Presented by Jeffrey L Ponsky at the Panel: Firsts and Pioneers - Evolutions and Revolutions in Surgery held during the 2017 SAGES Annual Meeting in Houston, TX on Thursday, March 23, 2017 https://library.globalcastmd.com/video/13725 2026-07-29T22:56:54+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13626 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/1CtJhi6DgG4/hqdefault.jpg FRCS Neurosurgery Exam Explained in 2 Minutes Preparing for the FRCS Neurosurgery exam? In just two minutes, I explain the key points you need to know about eligibility, exam attempts, and the format of Sections 1 and 2. Watch until the end, save it, and share it with a colleague preparing for FRCS. #shorts https://library.globalcastmd.com/video/13626 2026-07-29T21:23:10+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13826 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/rp3SpfsCgVo/hqdefault.jpg APSP Online Webinar | Marc Levitt & team | Bowel Management Program for Fecal incontinence Association of Pediatric Surgeons of Pakistan (APSP) Online Webinar Speakers: Marc Levitt, Katherine Worst, Julie Margaret (Children's National Hospital, Washington DC) Topic: Bowel Management Program for Fecal incontinence https://library.globalcastmd.com/video/13826 2026-07-29T23:11:03+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13497 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/0sQ_tWN3DMk/hqdefault.jpg CIRUGIA NO INVASIVA INFANTIL DR GUELFAND CIRUGIA NO INVASIVA INFANTIL DR GUELFAND https://library.globalcastmd.com/video/13497 2026-06-26T16:27:59+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13484 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/PYIXOQnBys8/hqdefault.jpg Atresia Esofágica con Fístula Dr. Miguel Guelfand Clínica Las Condes Atresia Esofágica con Fístula Dr. Miguel Guelfand Clínica Las Condes https://library.globalcastmd.com/video/13484 2026-06-26T16:27:56+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13483 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/xmeOoHMFd3U/hqdefault.jpg Atresia Esofágica sin Fístula Long Gap - Dr. Miguel Guelfand Clínica Las Condes Atresia Esofágica sin Fístula Long Gap - Dr. Miguel Guelfand Clínica Las Condes https://library.globalcastmd.com/video/13483 2026-06-26T16:27:56+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13479 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/PfS0KdjuUdo/hqdefault.jpg Atresia de Esófago Compleja Dr. Miguel Guelfand Atresia de Esófago Compleja Dr. Miguel Guelfand https://library.globalcastmd.com/video/13479 2026-06-26T16:27:56+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13477 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/kwzOj4a16-g/hqdefault.jpg Pediatric Surgeon Miguel Guelfand, MD Pediatric Surgeon Miguel Guelfand, MD https://library.globalcastmd.com/video/13477 2026-06-26T16:27:55+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13685 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/mOcUHIg6f4M/hqdefault.jpg Residency Advice: Dr. Jeffrey Ponsky | St. George's University Preparing for your residency interviews? Tonight's guest lecturer, Dr. Jeffrey Ponsky - named one of America's Top Doctors® for over a decade, offers his advice for residency seekers. http://www.sgu.edu https://library.globalcastmd.com/video/13685 2026-07-29T22:56:42+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13683 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/nXn80gOWQKA/hqdefault.jpg Meet the Master: Jeffrey L. Ponsky, MD, FACS In the latest installment from the VideoGIE Meet the Masters series, Dr. Jeffrey L. Ponsky shares insights and advice from his professional experience. DOI: https://doi.org/10.1016/j.vgie.2019.03.014 https://library.globalcastmd.com/video/13683 2026-07-29T22:56:41+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13682 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/92_1WmKdXvw/hqdefault.jpg ACS Icons in Surgery | Jeffrey L. Ponsky, MD, FACS About American College of Surgeons: The American College of Surgeons (ACS) is a scientific and educational association of surgeons that was founded in 1913 to improve the quality of care for the surgical patient by setting high standards for surgical education and practice and is headquartered in Chicago, IL. The College is a surgical society dedicated to promoting the highest standards of surgical care through education of, and advocacy for, its Fellows and their patients, and to safeguarding standards of care in an optimal and ethical practice environment. Get more ACS: YouTube: https://www.youtube.com/AmCollegeofSurgeons Twitter: https://Twitter.com/amcollsurgeons Facebook: http://Facebook.com/AmCollSurgeons Instagram: https://Instagram.com/amcollsurgeons Jeffrey L. Ponsky, MD, FACS | ACS Icons in Surgery https://youtu.be/92_1WmKdXvw ACS Website: https://www.facs.org/ https://library.globalcastmd.com/video/13682 2026-07-29T22:56:41+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13721 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/WSMjem4WonU/hqdefault.jpg Cholecystitis- Drs Jeffrey Ponsky and Rae Hanke This video didactic lecture discussing everything cholecystitis has been provided by Drs Jeffrey Ponsky and Rachel (Rae) Hanke as well as the incredible surgical app and resource Stay Current: Pediatric Surgery as they work to develop additional general surgery educational content. This video was generously donated by: Jeffrey Ponsky, MD, FACS Professor of Surgery The Cleveland Clinic & Rachel (Rae) Hanke, MD General Surgery Resident Penn State Hershey Medical Center & Stay Current: Pediatric Surgery and Dr. Todd Ponsky https://staycurrent.globalcastmd.com/login https://library.globalcastmd.com/video/13721 2026-07-29T22:56:53+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13674 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/noYd269ChCY/hqdefault.jpg Breast Surgical Oncologist Paula Escobar, MD (Spanish) To learn more about Cleveland Clinic’s Dr. Escobar, please visit https://cle.clinic/4gel6Xk Dr. Escobar specializes in surgery for breast cancer and other breast disorders. Her video is also available in English - https://youtu.be/U31RaQv8yeI Proveedores de Salud que Hablan Español: https://cle.clinic/4fp2dAW Need a primary care doctor or a specialist? Our Find a Provider tool makes it easy to search Cleveland Clinic’s trusted network. Filter by name, specialty or location — and use ratings and reviews to connect with the provider who’s right for you. Find a Provider: https://my.clevelandclinic.org/providers We're here when you need us — for every care in the world. Visit http://clevelandclinic.org Like this video? Hit like and subscribe for more! #clevelandclinic #breastcancer #cancercare https://library.globalcastmd.com/video/13674 2026-07-29T22:47:04+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13662 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/-sZsjBVnWmA/hqdefault.jpg Cuts Like a Cyberknife: New Surgical Technique for Prostate Cancer The future is now for prostate cancer treatment. University Hospitals' Dr. Lee Ponsky explains the latest technology for the treatment of prostate cancer using a new non-invasive surgery procedure. https://library.globalcastmd.com/video/13662 2026-07-29T22:46:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13661 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/tJcewbT_j18/hqdefault.jpg iQuestions: Cyberknife Procedure for Prostate Cancer What is the CyberKnife procedure? How long does it take? Dr. Lee Ponsky, a urologist at University Hospitals, answers these questions and more for ShareWIK.com. https://library.globalcastmd.com/video/13661 2026-07-29T22:46:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13250 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/zwNLR1qpSTY/hqdefault.jpg What to look for in a sunscreen and what to avoid What to look for in a sunscreen and what to avoid https://library.globalcastmd.com/video/13250 2026-06-25T18:37:41+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13654 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/d69vOnSWT34/hqdefault.jpg UH Urology: Hot Ones with Dr. Lee Ponsky- Chairman Our first installment of Hot Ones UH Urology. Our new chairman Dr. Lee Ponsky shares his thoughts, insights, vision and ability to handle hot sauce. https://library.globalcastmd.com/video/13654 2026-07-29T22:46:11+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13653 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/0-esYRaFe_s/hqdefault.jpg Off the grid: how I got off the grid & you can too | Lee Ponsky | TEDxCLE Chief of the Department of Urologic Oncology at University Hospitals in Cleveland, Ohio Lee Ponsky meets patients daily that "live with regret." His interactions with these individuals & his own family inspired him to take a year, get off the grid & he's now ready to share his advice for those looking to do the same. Learn how in his 2015 TEDxCLE talk. Chief of the Department of Urologic Oncology at University Hospitals in Cleveland, Ohio Lee Ponsky meets patients daily that "live with regret." His interactions with these individuals & his own family inspired him to take a year, get off the grid & he's now ready to share his advice for those looking to do the same. Learn how in his 2015 TEDxCLE talk. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx https://library.globalcastmd.com/video/13653 2026-07-29T22:46:11+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13651 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/mmd8rNMXv-w/hqdefault.jpg EUPSA Webinar "GIANT OMPHALOCELE II" Marlinde van den Kamp (The Netherlands) Miguel Guelfand (USA) Moderated by Martin Lacher (Germany) Augusto Zani (Canada) https://library.globalcastmd.com/video/13651 2026-07-29T22:45:20+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13641 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/HAmHX1J9lLY/hqdefault.jpg Clinical Approach to Back Pain: From Diagnosis to Treatment Strategies (4th Medical student) 📚 Back Pain Lecture for 4th-Year Medical Students In this lecture, we dive into the clinical approach to diagnosing and managing back pain. From common causes to evidence-based treatment strategies, you’ll gain practical insights to help you navigate this common yet complex condition in your future practice. Perfect for medical students looking to build a solid foundation in back pain management. #BackPain #MedicalEducation #ClinicalSkills #Pharmacology #FutureDoctors #MedicalStudents https://library.globalcastmd.com/video/13641 2026-07-29T21:23:15+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13640 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/gtcj3c6XcPc/hqdefault.jpg Our novel glioblastoma microfluidic platform 4 min Video , revealing our novel glioblastoma microfluidic platform keeping Human GBM tissue alive for up to 12 days, allowing testing thraputic drugs in mimicking brain environment modle. 🧠💡 Delighted to collaborate with other innovative and passionate scientists utilizing this model ! #Glioblastoma #Microfluidics #CancerResearch #Walton_Centre #Hull_University https://library.globalcastmd.com/video/13640 2026-07-29T21:23:15+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13828 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/cueIydjyjS8/hqdefault.jpg Time for some patient driven change | Marc Levitt | TEDxColumbus Patient driven care - how a patient made me a better doctor, how a collaborative process improves care, and why this is so rare and hard to achieve in medicine. Marc Levitt, MD, is the Surgical Director of the Center for Colorectal and Pelvic Reconstruction (CCPR) at Nationwide Children’s Hospital and Professor of Surgery and Pediatrics at the Ohio State University. The CCPR aligns specialists within GI, Colorectal, Pediatric Surgery, Urology and Gynecology to create a comprehensive treatment program assisting children with these complex disorders, and is the first fully integrated program of its kind in the world. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx https://library.globalcastmd.com/video/13828 2026-07-29T23:11:03+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13639 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/Y3B2hJC-HFc/hqdefault.jpg Essential Evidence for Glioblastoma: A Must-Know for Neurosurgery Exams Preparing for neurosurgery exams? Glioblastoma remains one of the most challenging topics, but focusing on the right evidence-based advancements can make all the difference. , I’ll highlight 7 key treatments you need to know for your exams and clinical practice. Here’s a quick look at the main segments: 1️⃣ Stupp Protocol: The Foundation of GBM Treatment 2️⃣ Extent of Resection: Understanding RANO Criteria 3️⃣ 5-ALA: Guiding Safer, More Precise Surgery 4️⃣ Awake Craniotomy: Balancing Risks and Benefits 5️⃣ Tumor Treating Fields: A New Direction in Therapy 6️⃣ Bevacizumab: Where It Fits in GBM Care 7️⃣ Intraoperative MRI: Maximizing Resection Effectiveness This session is tailored to help you ace your exams and gain a clearer understanding of these critical concepts. Stay tuned! #Neurosurgery #Glioblastoma #ExamPrep https://library.globalcastmd.com/video/13639 2026-07-29T21:23:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13638 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/yMdRpxj4Lf0/hqdefault.jpg Embryology Essentials For FRCS Neurosurgery Exam "Embryology of the CNS 🧠 can feel overwhelming, but it doesn't have to be! 🚀 In this 15-minute video, I break down the essential concepts neurosurgeons need to know for exams like the FRCS—simple, clear, and clinically relevant. Whether you're preparing for your exams or want a quick refresher, this is for you. 🎯 #Neurosurgery #FRCSPreparation #MedicalEducation #Embryology #Neuroscience #ExamTips https://library.globalcastmd.com/video/13638 2026-07-29T21:23:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13637 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/njebCz14l54/hqdefault.jpg Frontal lobe examination Frontal lobe examination can be challenging, especially with time constraints in exam settings. However, with a simple, rehearsed framework, they can become surprisingly manageable. Check out my suggested approach for frontal lobe exam in just 3 minutes. Your feedback and suggestions are highly welcome! https://library.globalcastmd.com/video/13637 2026-07-29T21:23:14+00:00 Medical Education yes StayCurrentMD no https://library.globalcastmd.com/video/13633 2026-07-31 monthly 0.7 https://i.ytimg.com/vi/XbTvEmLol0Y/hqdefault.jpg How Electrical Stimulation Changes Brain Circuits | Functional Neurosurgery Explained – Episode 4 When you switch on deep brain stimulation — what actually happens inside the brain? Welcome to Episode 4 of "Functional Neurosurgery, Explained." In this episode, I use S‑T‑N D‑B‑S in Parkinson's disease as a model to trace exactly what a single electrical pulse does — from the axon membrane, to local field potentials, to whole‑network remodelling. This is not a textbook overview. This is a mechanistic framework you can carry into the operating room and the programming clinic. ▶️ In this video you will learn: Why D‑B‑S is not a reversible lesion — and what it actually is What the Volume of Tissue Activated really means, and why you are programming axons not grey matter What pathological beta oscillations are, why they cause bradykinesia and rigidity, and how high‑frequency stimulation disrupts them How the hyperdirect pathway carries antidromic spikes back to motor cortex within milliseconds Why the connectivity profile of your active contact matters more than its coordinates — and what connectomics means for your side‑effect profile Why dorsolateral S‑T‑N and ventromedial S‑T‑N produce completely different clinical outcomes How chronic stimulation induces synaptic plasticity and neurochemical change — and why dystonia takes months to respond The honest answer to the question: do we actually fully understand how D‑B‑S works? By the end, you will have a three‑layer mechanistic framework — fast electrical effects, network remodelling, and plasticity — that explains the clinical timeline of every D‑B‑S response you will ever see. This series is designed for: Medical students and trainees curious about functional neurosurgery Neurology and neurosurgery residents Neuroscience and biomedical engineering students Any clinician who wants to understand the rationale behind D‑B‑S programming I keep the language simple, avoid unnecessary jargon, and focus on clear mental models you can carry with you into clinical practice. 📺 Series roadmap: Episode 1 – Fin https://library.globalcastmd.com/video/13633 2026-07-29T21:23:12+00:00 Medical Education yes StayCurrentMD no