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Ovarian Teratoma
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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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Surgical extent determines clinical group in rhabdomyosarcoma: group 1 is complete resection, group 2 is microscopic residual, group 3 is biopsy only — Andrea Hayes-Jordan, Ovarian Teratoma - Ovarian Torsion - Soft Tissue Sarcoma: Update Course 2015 · 27:15
Ovarian Teratoma - Ovarian Torsion - Soft Tissue Sarcoma: Update Course 2015
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Dr. Andrea Hayes Jordan discusses ovarian teratomas, ovarian torsion, soft tissue sarcomas. Her presentation covers ovarian masses, ovarian germ cell tumors and treatment, bilateral ovarian disease, ovarian preservation technique, IRS clini
video34:37 · Nov 2018
Compiled Hayes Jordan Rapid Fire Sessions: Update Course 2015
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Dr. Andrea Hayes Jordan from Children's Cancer discusses ovarian teratomas, ovarian torsion, soft tissue sarcomas. Her presentation covers ovarian masses, ovarian germ cell tumors and treatment, bilateral ovarian disease, ovarian preservati
video33:36 · Jan 2019
The Midwest Consortium data suggests chest tubes should not be placed in spontaneous pneumothorax patients because those whose hole is already sealed can go home after aspiration, and those whose hole remains open (83%) will need VATS anyway, making chest tubes an unnecessary source of pain. — Todd Ponsky, What's New in Pediatric Surgery 2020 - FULL SHOW · 6:40
What's New in Pediatric Surgery 2020 - FULL SHOW
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Cincinnati Children’s Hospital, in partnership with the Journal of Pediatric Surgery, hosted a live interactive session where we discussed some of the top practice-changing publications of 2020
video57:41 · Oct 2020
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What's New in Pediatric Surgery 2020 - FULL SHOW
In the Midwest Pediatric Surgery Consortium prospective trial of spontaneous pneumothorax, 83% of patients who failed initial aspiration (pneumothorax recurred within 6 hours) eventually required VATS procedure.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position3:52 ↗
Patients with spontaneous pneumothorax who were sent home after successful aspiration had a 44% recurrence rate with no episodes of tension pneumothorax.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position4:28 ↗
The Midwest Consortium data suggests chest tubes should not be placed in spontaneous pneumothorax patients because those whose hole is already sealed can go home after aspiration, and those whose hole remains open (83%) will need VATS anyway, making chest tubes an unnecessary source of pain.
opinionTodd Ponsky6:40 ↗
In a 12-center UK retrospective review, the recurrence rate of benign ovarian tumors (mature and immature teratomas and serous cystadenomas) in children was 8%.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position10:00 ↗
The UK study authors recommend every 6-month ultrasounds for benign ovarian tumor follow-up but do not conclude on duration of surveillance.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position10:25 ↗
After uncomplicated appendectomy, 84% of patients require no opioids on post-operative day 1, 95% by post-op day 2, and 100% by post-op day 3.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position12:10 ↗
In the Riley Hospital RCT comparing pyloric stenosis feeding strategies, a relaxed ad-lib feeding protocol decreased time to goal feeds and overall length of stay without significant differences in post-operative vomiting or readmissions compared to incremental scheduled feeds.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position17:30 ↗
Pyloric stenosis patients with serum chloride less than 100 on admission took significantly longer to reach their feeding goal.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position18:15 ↗
Nationwide Children's Hospital reduced stoma takedown wound infection rate from 21% to 8% by implementing a perioperative bundle, then further reduced it to 2% by changing antibiotics from cefoxitin to Unasyn.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position21:20 ↗
The reason for switching to Unasyn for stoma takedown was that infections after stoma closure were predominantly enterococcus, and Unasyn provides better enterococcus coverage than cefoxitin.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position24:10 ↗
Dr. Levitt identified changing gloves and changing instruments when doing fascial and skin closures as the bundle element that probably made the biggest difference in reducing stoma takedown infections.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position22:40 ↗
In a multi-state retrospective cohort study, umbilical hernia repair before age 4 had double the recurrence rate and double the readmission rate compared to repair at age 4 or later.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position19:00 ↗
A 1960s study of African-American children in the United States found that very large umbilical hernia defects had a lower chance of spontaneous closure.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position23:50 ↗
In a prospective multicenter study published in Journal of Crohn's and Colitis, appendectomy in patients with refractory ulcerative colitis resulted in sustained symptomatic improvement in 30%, pathologic improvement in 50%, and complete endoscopic remission in 17%.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position22:10 ↗
In a retrospective study of 24 patients with penile necrosis after circumcision, five predictive factors were identified: monopolar cautery use, post-circumcision infection, compartment syndrome, local anesthetic agent use, and methemoglobinemia.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position29:00 ↗
The Gips procedure for pilonidal disease involves coring out pits with a trephine or punch biopsy, extracting granulation tissue and hair with a mosquito, curettage with a smaller trephine, flushing with saline then hydrogen peroxide, leaving punch openings unpacked and unsutured with no drains, and takes 3-5 minutes.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position35:00 ↗
In a 133-patient series using chest CT for suspected airway foreign body, CT excluded foreign body in 30% of patients who would have otherwise undergone bronchoscopy.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position43:20 ↗
When chest CT showed findings of airway foreign body, bronchoscopy confirmed the findings 94% of the time, compared to only 61% positive yield when bronchoscopy was performed based on clinical suspicion alone.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position43:45 ↗
Modern pediatric chest CT delivers 1 to 10 millisieverts of radiation, equivalent to living on Earth for 1 year, with chest CTs often in the 1-3 millisievert range.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position46:40 ↗
For intussusception that reaches the cecum on contrast enema but cannot be fully reduced, a second enema attempt has a 50-64% success rate in stable patients without peritoneal signs.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position48:00 ↗
The ATOMAC multi-center prospective data showed that pediatric trauma patients do better with earlier blood administration: only one 20 cc/kg bolus of saline should be given, and if the patient does not respond, blood should be given rather than a second crystalloid bolus.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position49:10 ↗
In pediatric trauma, the magic number for operative intervention is 40 cc/kg of blood or 4 units: patients transfused with this amount probably cannot be managed non-operatively and should go to the operating room.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position50:20 ↗
For stable pediatric solid organ injury patients who never required blood transfusion, they can be discharged home the next day if hemoglobin remains stable.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position51:20 ↗
Kansas City data on 622 central line placements showed that obtaining chest X-rays only for symptomatic patients (rather than routine post-procedure imaging) resulted in no critically ill patients, with only one patient requiring intervention.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position52:40 ↗
In an RCT of glycopyrrolate for anastomotic leak after esophageal atresia repair, the treatment group had chest tube output of 124 mL versus 370 mL in placebo, leak resolution in 76% versus 29%, and oral feeding achieved in 71% versus 14%.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position53:50 ↗
In the Riley Hospital study of operating room headgear, cloth skull caps had the lowest permeability and lowest particle/microbial shedding on the surgical field, while disposable bouffant caps had the highest shedding.
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position56:20 ↗
At Cincinnati Children's, the current practice for spontaneous pneumothorax is to aspirate, wait 6 hours, check X-ray, and if no recurrence send home; if recurrence, go straight to VATS without placing a chest tube.
clinicalTodd Ponsky8:05 ↗
The speaker stopped sending home narcotics after uncomplicated appendectomy based on the data showing 85% of patients do not need opioids on post-op day 1.
clinicalTodd Ponsky14:10 ↗
One participant uses monopolar cautery for circumcision but wraps the base of the penis with saline-soaked gauze and keeps the penis attached to the body to prevent electrical injury, and has never seen penile necrosis.
clinical29:44 ↗
One participant always uses a knife for circumcision incision and cautery only for hemostasis, never for cutting.
clinical31:14 ↗
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