Journal of Pediatric Surgery Article Review: Q1 (Jan-Mar) 2024
With Dr. Romeo Ignacio & Dr. Mark Davenport & Dr. Scott Short or Katie Russell & Dr. Bruce Jeffrey · hosted by Dr. Cecilia Jigena · StayCurrentMD
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
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Pooling Patients to Study Rare Pediatric Tumors: An Introduction to PSORC
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The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
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Indocyanine green assists with sentinel lymph node mapping in pediatric and adolescent patients
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What the experts said
The study compared two cohorts defined by time frame before and after implementation of stopping antibiotics at discharge
185 patients were in the home antibiotic group and 121 patients in the no home antibiotic group
There was no significant difference in deep organ space infection requiring intervention between groups
There was no difference in length of stay between antibiotic groups
Secondary outcomes including C. diff infections, superficial site infections, post-operative CT imaging, and readmission showed no difference
The study was a 25 year experience describing 220 consecutive infants with esophageal atresia in Newcastle
13% of the 215 esophageal atresia patients had complex esophageal atresia
25 patients with complex EA survived the repair: 14 were type A and 11 were type C
Type C esophageal atresia is the most common type and means esophageal atresia with a distal fistula
Type A means pure esophageal atresia with no fistula to the trachea
Of 25 survivors, 18 had delayed primary anastomosis and 7 had esophageal replacement
Two of the esophageal replacements were salvage procedures following failed traction
Only 4 patients with esophageal atresia were potentially treatable by traction
The esophagus has a great intrinsic blood supply and can be mobilized right down to the diaphragm and up to the thoracic inlet while staying alive
Many cases proposed for lengthening may be because surgeons get cold feet about attempting a primary anastomosis
Native esophagus was retained in 80% of cases where traction techniques had not been attempted
Median time to esophageal continuity was 77 days
Management of complex esophageal atresia without lengthening procedures can result in similar rates of native esophagus retention but with significantly less morbidity
The pectus study enrolled 47 patients with median bar dwell time of approximately 2.9 years
Patients had a median of 2 bars placed, with almost 81% secured with pericostal sutures
About half of the patients had some degree of hypoesthesia
T5 was the most common dermatome with hypoesthesia
The area with hypoesthesia was less than 5% of the entire surface treated with cryo
Neuropathic symptoms were identified by only 13% of patients and none required treatment
Long-term chest wall hypoesthesia after minimally invasive pectus repair with cryo is limited to one or two dermatomes and chronic symptomatic neuropathic pain is very rare