8th Annual Pediatric Surgery Update Course

Ligation of testicular vessels during orchiopexy leads to significant reduction of spermatogonia despite preserved testicular volume, meaning you bring down a good-sized testis of poor quality

The Shehata technique for intraabdominal testes achieves 88% success rate with 7% slip traction requiring redo, 12% atrophy rate, and no reported cases of internal hernia in over 430 cases over 15 years

In national survey of thoracic aortic injury management, 67% were managed non-operatively, 27% endovascularly, and 6% with open repair

Thoracic aortic injury in children managed with endovascular repair shows better outcomes than non-operative management, with decreased mortality and reduced spinal cord injury risk compared to open repair

DVT prophylaxis started within 24 hours of injury in trauma patients significantly reduces DVT incidence compared to delayed initiation, based on Midwest Consortium data

Adult randomized controlled trial of 6000 patients showed aspirin was non-inferior to Lovenox for DVT prophylaxis in orthopedic trauma patients

18% of lateral cutaneous nerve branches are posterior to the mid-axillary line, requiring posterior cryoprobe placement to avoid ineffective blocks

Dr. Kim's double-freeze technique targeting both the main intercostal nerve and the collateral branch on the rib above resulted in 9 of 22 patients reporting pain scores of zero

Every 10 days of delay in Kasai procedure translates to 20% worse outcomes in biliary atresia patients

Kasai portoenterostomy performed before 45 days of age reduces the incidence of liver transplant need in biliary atresia patients

Conversion rate to open thoracotomy due to failure to localize subcentimeter pulmonary nodules during thoracoscopy is 47%