Quick Literature Updates Episode 20

Hello Pediatric surgery family! I'm M. Gody from Cincinnati Children's Hospital Medical Center. And today our team is going to deliver the articles that you should know about. We have three papers today, all from different journals. We don't have much time, so let's start. Our first paper titled: Comprehensive meta analysis of surgical procedure for congenital diaphragmatic hernia, thoracoscopic versus open repair by Shibuya at all. This paper is summarized by Lizzie Lee, a physician associate by profession and a member of our team here at Cincinnati Children's dedicated to creating content for pediatric surgery. This meta analysis included 709 patients from 15 research studies across multiple international centers. They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair. They found that thoracoscopic repair has higher recurrence rates and longer operative times compared to open repair. However, thoracoscopic repair has a lower incidence of postoperative bowel obstruction compared to open repair. Here's our second paper. Use of a new vertical traction device for early traction assisted stage closure of congenital abdominal wall defects, a prospective series of 16 patients by Ziegler at all. And this paper is summarized by Alex Halpern. He's a research fellow at Children's National and collaborates with us to produce these article reviews. Ziegler at all performed a prospective study in 10 patients with giant omphalocele and six with complicated gastroschisis trying to answer this question. They utilized fascia tends pediatric, a traction assisted abdominal wall closure device. They were able to achieve complete fascial closure after a median time of 7 days in children with giant omphalocele and 5 days in children with complicated gastroschisis. No patients developed abdominal compartment syndrome and no ventral hernias occurred after a median follow up of 12 months. So it seems like fascia tends pediatric helps facilitate early fascial closure in these patients. Let's move to the last paper of the day. Indocyanine green, fluorescent cholangiography during laparoscopic cholecystectomy using rubina technology. Preliminary experience in two pediatric surgery centers by Esposito at all. This paper is summarized by Cecilia Higena. She's one of the previous research fellows at Cincinnati Children's. This is a retrospective comparison done in Italy between the laparoscopic cholecystectomy with and without ICG. They had 83 patients in group one that was laparoscopic cholecystectomy without ICG. And 90 patients in group two, that was laparoscopic cholecystectomy with ICG. And what they found is that group two, meaning with ICG, had no complications compared to 12% in group one, had shorter surgery time, and a better visualization of the biliary tree. So, it seems that laparoscopic cholecystectomy with ICG can be the new standard in our practice. Thank you for listening. Please check the link in the description below to read each paper. We hope you like this episode. Please follow Stay Current and be on social media, give us a rating, and subscribe to our YouTube channel. And don't forget to download the Stay Current app on the App Store or Play Store for tons of content.