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Pediatric Surgery Update Course Highlights
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
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At lower volume institutions where neonatologists are very involved with care, switching to early repair when only putting one or two children on ECMO per year for CDH is a challenge and requires whole team buy-in. Update Course Rewind: 2024 Top Ten Key Takeaways · 7:12
Update Course Rewind: 2024 Top Ten Key Takeaways
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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, pract
podcast18:01 · Jul 2026
Update course rewind: 2024 top ten key takeaways in pediatric surgery
Listen →
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, pract
podcast18:01 · Jul 2026
Update Course Rewind: 2024 Top Ten Key Takeaways
Watch →
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 surgica
video18:01 · Jun 2025
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Update Course Rewind: 2024 Top Ten Key Takeaways
At Cincinnati Children's, interventional radiologists teach pediatric surgery fellows how to use ultrasound guidance for vascular access.
Host summaryThe host summarizing the discussion — not the host's own clinical position0:53 ↗
You don't have to have a hybrid OR to do image-guided surgery collaboration; it can occur in a regular OR by bringing in an ultrasound machine.
Host summaryThe host summarizing the discussion — not the host's own clinical position1:02 ↗
Cone beam CT is performed on a C-arm fluoroscopy unit that rotates around the patient collecting multiple images which are stacked together to create a CT.
clinical1:25 ↗
ChatGPT can screen thousands of articles in systematic reviews by analyzing Excel sheets and screening included articles based on title and abstract.
Host summaryThe host summarizing the discussion — not the host's own clinical position2:20 ↗
In cryoanalgesia for pectus procedures, a double lumen endotracheal tube is used in all patients to deflate the lung on the side of cryoablation.
Host summaryThe host summarizing the discussion — not the host's own clinical position4:35 ↗
Cryoanalgesia targets nerves from T3 to T8 with a 2-minute freeze cycle starting at the third rib and working down.
Host summaryThe host summarizing the discussion — not the host's own clinical position4:46 ↗
Subpleural injection with 0.25% marcaine with epinephrine works immediately, as opposed to the 8 to 10 hour delay with cryo nerve block.
Host summaryThe host summarizing the discussion — not the host's own clinical position4:56 ↗
Cryoanalgesia blocks fail when surgeons use a single lumen tube and perform the block too far anteriorly.
Host summaryThe host summarizing the discussion — not the host's own clinical position5:13 ↗
The SER Protocol from Michigan used prenatal criteria to guide decisions on offering ECMO versus comfort care for severe unilateral CDH, and outcomes showed survival was equivalent between groups.
Host summaryThe host summarizing the discussion — not the host's own clinical position6:43 ↗
Every unilateral isolated CDH should be pursued with ECMO if there was good prenatal counseling with the parents.
Host summaryThe host summarizing the discussion — not the host's own clinical position6:58 ↗
With bivalrudin, you can operate after 8 hours of putting patients on ECMO as long as levels are stable, and it's a much easier surgical repair.
Host summaryThe host summarizing the discussion — not the host's own clinical position7:26 ↗
Early repair while on ECMO is safe and can offer physiological benefits, with the optimal window between 8 to 24 hours.
Host summaryThe host summarizing the discussion — not the host's own clinical position7:41 ↗
CO2 laser emits infrared light in the spectrum of 920 to 1400 nanometers, which is well absorbed by water.
Host summaryThe host summarizing the discussion — not the host's own clinical position8:14 ↗
In 56 circumcision cases using CO2 laser with the sleeve technique, dorsal slit, and cyanoacrylate adhesive, the complication rate was only 3%.
Host summaryThe host summarizing the discussion — not the host's own clinical position8:30 ↗
CO2 laser was used for frenulectomy in 47 patients with low pain profile and no suture required.
Host summaryThe host summarizing the discussion — not the host's own clinical position8:40 ↗
Autofluorescence has shown to reduce rates of hypoparathyroidism and hypocalcemia following thyroidectomy in a randomized controlled trial from France.
Host summaryThe host summarizing the discussion — not the host's own clinical position9:37 ↗
With autofluorescence, parathyroids naturally autofluoresce at a specific wavelength without injecting anything.
clinical9:53 ↗
Hypocalcemia rates were about 50% lower with autofluorescence use versus not using it.
epidemiological10:07 ↗
A surgery-first pathway for pediatric biliary stones reduces resource utilization, including MRCP, according to recently published work.
epidemiological11:32 ↗
With ERCP, you're going to get pancreatitis 10% of the time no matter how good you are.
epidemiological12:02 ↗
With a surgery-first mindset, stone clearance rate reflected by negative intraoperative cholangiogram was 86%.
Host summaryThe host summarizing the discussion — not the host's own clinical position12:14 ↗
If you just did flushing or got the catheter a little more into the common bile duct or reamed the sphincter, the success rate was in the 90s.
epidemiological12:25 ↗
MMP-7 was identified about 10 years ago by Georgia Bezarra as a diagnostic biomarker for biliary atresia.
Host summaryThe host summarizing the discussion — not the host's own clinical position13:07 ↗
Data from a recent Midwest study shows that every 10-day delay in biliary atresia treatment worsens outcomes by 20%.
Host summaryThe host summarizing the discussion — not the host's own clinical position13:41 ↗
MMP-7 is not a validated biomarker for biliary atresia; it's not perfect, and the sensitivity is pretty good, but cutoffs vary because the assay is still evolving.
Host summaryThe host summarizing the discussion — not the host's own clinical position13:58 ↗
The institutional commitment is to perform Kasai procedure within 7 days of patients showing up if they have biliary atresia.
Host summaryThe host summarizing the discussion — not the host's own clinical position14:15 ↗
REBOA can be used in children if you have it at your center and you're good at it, though it's not done a lot in pediatric hospitals.
Host summaryThe host summarizing the discussion — not the host's own clinical position15:08 ↗
REBOA seems to take longer than opening the abdomen or chest if you're just needing to cross-clamp the aorta.
Host summaryThe host summarizing the discussion — not the host's own clinical position15:48 ↗
Patients presenting with wounds as their initial presentation for pilonidal disease tend to not always get to the finish line fully healed with a minimally invasive approach.
Host summaryThe host summarizing the discussion — not the host's own clinical position16:23 ↗
John Armstrong, while serving in the US Army, ran a clinic where patients were shaved weekly, and they observed a dramatic improvement, significantly reducing the need for surgical intervention in pilonidal disease.
Host summaryThe host summarizing the discussion — not the host's own clinical position16:40 ↗
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