Pediatric Surgery Updates for the PCP - Full Show
With Dr. Greg Tia & Dr. Dan Chuu & Dr. Georgie Bezarra & Dr. Becky Brown · hosted by Dr. Steve Warwick · StayCurrentMD
Part of
Pectus Carinatum 14 items
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Podcast
Chest Wall Deformities with Dr. Robert Kelly
46 min · Published Jan 2017
Video
An Update on Chest Wall Anomalies and Their Treatment: Advanced Practice...
Dr. Todd Ponsky · 46 min · Published Jul 2017
Video
Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
Dr. Todd Ponsky · 44 min · Published Nov 2018
Podcast
Chest Wall Deformities with Dr. Robert Kelly
46 min · Published Jan 2017
Video
Radiology: Pectus Innovations
38 min · Published Oct 2015
Video
Pectus - Preoperative Assessment - Genetics
9 min · Published Nov 2018
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Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
56 s · Published May 2026
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
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Pooling Patients to Study Rare Pediatric Tumors: An Introduction to PSORC
56 s · Published May 2026
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The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
44 s · Published May 2026
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Indocyanine green assists with sentinel lymph node mapping in pediatric and adolescent patients
1 min · Published May 2026
What the experts said
The Cincinnati Children's Division of Pediatric Surgery has 19 partners, many of whom subspecialize within pediatric surgery.
A pilot program in Northern Kentucky assigns a contact person (Dr. Koigal) who knows the schedule for all pediatric surgeons to facilitate timely care for urgent needs.
Pectus excavatum occurs in approximately 1 in 300 to 400 people, more commonly in males (80%) than females (20%).
Pectus excavatum is familial in about 40% of patients and associated with connective tissue diseases (Ehlers-Danlos, Marfan, Pott's disease, hypermobility syndrome) in 10-20% of patients.
Pectus excavatum is associated with scoliosis in about 30% of patients.
Symptoms occur in about 75% of pectus patients and may include exercise intolerance, shortness of breath at rest or with position changes, fatigue, and psychosocial issues.
Vacuum bell therapy for pectus can completely correct the deformity in 25-40% of patients aged 6-10 years with milder defects and flexible chest walls.
Using erector spinae catheters for pain management after Nuss procedure, patients can be discharged within 2 days and opioid use has been minimized by a factor of 13.
A normal Haller index (ratio of chest width to depth at deepest point) is about 2.5 to 2.7; greater than 3.25 may warrant surgical correction.
In a study of 345 pectus patients undergoing cardiac MRI, 16-22% had abnormal cardiac function at rest with right ventricular ejection fractions less than 50% and left ventricular ejection fractions less than 55%.
33% of pectus patients had abnormal cardiopulmonary exercise tests.
Button battery ingestions are true emergencies that have caused fatalities within 2 hours of ingestion.
Multiple magnets or a magnet with another metallic object can attract across bowel walls causing perforation and fistulas.
Coins in the esophagus or causing symptoms need urgent removal; objects greater than 25mm may not pass the pylorus.
Sharp objects that reach the intestine tend to pass without difficulty and can be observed.
Pilonidal disease almost always presents in patients who have started puberty; presentation much younger than puberty age is exceedingly rare.
For acute pilonidal abscesses, packing wounds with strips does not help drainage, increases pain, and creates home care challenges; tucking a corner of gauze into the opening is sufficient for hemostasis.
Pilonidal patients with acute infections should be placed on broad-spectrum antibiotics (Augmentin, Clindamycin, or Cipro/Flagyl for recurrent/significant infections) for 5-7 days.
The GIPS procedure for pilonidal disease uses skin biopsy punches to remove pits, curettes to scrape the cavity and remove hair, and leaves holes open to heal; about 75% of patients are cured.
The cleft lift procedure for pilonidal disease has an over 95% success rate.
Ovarian torsion may present with sharp onset of pain and a palpable or tender pelvic mass on exam; ultrasound does not always definitively diagnose torsion.
Symptomatic cholelithiasis patients often have had more than one episode of pain, while acute cholecystitis tends to be more abrupt in onset.
Appendicitis pain often starts periumbilical and migrates to the right lower quadrant as localized peritoneal inflammation develops.
Single-incision laparoscopic appendectomy is performed through an umbilical incision, mobilizing the cecum and appendix to remove the appendix through the belly button.
If a button battery has reached past the stomach in an asymptomatic patient, it can be observed as operative retrieval would be required and the danger point has usually passed.
Honey (2 teaspoons every 10 minutes up to 6 doses) given en route to the emergency room may reduce damage from button batteries.
Carafate used in the emergency room setting appears to reduce damage from button batteries based on available evidence.
Mesenteric adenopathy is a secondary sign that can be associated with appendicitis but also occurs with gastroenteritis or mesenteric adenitis, requiring consideration of the whole clinical picture.
In the Midwest Pediatric Consortium study, about 67% of children treated non-operatively for appendicitis did not require appendectomy within the next year.
In the CODA study (adult randomized trial), 40% of patients with an appendicolith failed non-operative management and required surgery within the first 90 days.