StayCurrentMD · Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue
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Podcast10 min·Published Jan 2024Older

Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue

With Dr. Mary Brindle & Dr. Jamie Schnuck & Dr. Bill Chu · hosted by Dr. Cecilia Genna · StayCurrentMD
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What the experts said21 expert statements
Study period was 2011 to 2021 comparing patients who had cryoanalgesia versus those who hadn't
ClinicalMary Brindle
44 patients total, 29 had cryoanalgesia
ClinicalCecilia Gigena
Patients with cryoanalgesia had 3.0 days hospital stay versus 5.4 days without
ClinicalCecilia Gigena
Hospital costs were less than $1000 difference, cheaper with cryoanesthesia
ClinicalCecilia Gigena
Cryoanalgesia equipment is incredibly expensive
ClinicalMary Brindle
70% decrease in complication rates with cryoanalgesia, from 33% to 17%
ClinicalMary Brindle
130 lung resections performed between 2013 and 2022
ClinicalMary Brindle
59 procedures were lobectomies (group 1), 19 diagnostic wedge resections (group 2), 52 excisional wedge resections (group 3)
Clinical
Patients were less than 21 years of age, exclusion criteria was spontaneous pneumothorax
ClinicalJamie Schnuck
In lobectomy group, 75% had no air leak with median chest tube duration of 2 days
ClinicalJamie Schnuck
In diagnostic wedge resection group, nearly 90% had no air leak with median chest tube duration of 1 day
Clinical
In excisional wedge resection group, 80% had no air leak with median chest tube duration of 1 day
Clinical
Most chest tubes were removed on the first day after surgery and majority did not have an air leak
ClinicalJamie Schnuck
Pilonidal disease study data were prospectively gathered despite being retrospective study
ClinicalBill Chu
198 patients total in pilonidal disease study, divided by skin types: 21 with types 1-2, 156 with types 3-4, 21 with types 5-6
ClinicalCecilia Gigena
151 patients had dark color hair
ClinicalCecilia Gigena
To reach 75% hair reduction requires mean of 4.8 to 6.8 laser ablation sessions depending on skin and hair characteristics
ClinicalCecilia Gigena
Dark hair and skin types 5-6 were associated with higher recurrence rates
ClinicalCecilia Gigena
Overall recurrence rate was 6%
ClinicalCecilia Gigena
Laser ablation for pilonidal disease costs money and insurance coverage varies
ClinicalMary Brindle
All three papers were chosen as PAPS Award winners at annual conference
OpinionMary Brindle