# Quick Literature Updates Ep 22 — GCMD Library We’re back with 22nd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

0:00 Introduction
0:39 The use of postoperative calibrations in Hirschsprung disease: a practice to reconsider?
1:47 Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
2:57 Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases
4:06 Outro

https://pubmed.ncbi.nlm.nih.gov/38967682/

Beati F, D'Angelo T, Iacusso C, Iacobelli BD, Scorletti F, Valfré L, Pellegrino C, Bagolan P, Conforti A, Fusaro F. The use of postoperative calibrations in Hirschsprung disease: a practice to reconsider? Pediatr Surg Int. 2024 Jul 5;40(1):176. doi: 10.1007/s00383-024-05761-6. PMID: 38967682.

https://pubmed.ncbi.nlm.nih.gov/38796391/

Slidell MB, McAteer J, Miniati D, Sømme S, Wakeman D, Rialon K, Lucas D, Beres A, Chang H, Englum B, Kawaguchi A, Gonzalez K, Speck E, Villalona G, Kulaylat A, Rentea R, Yousef Y, Darderian S, Acker S, St Peter S, Kelley-Quon L, Baird R, Baerg J. Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations (A Systematic Review From the American Pediatric Surgical Association Outcomes & Evidence Based Practice Committee). J Pediatr Surg. 2024 Aug;59(8):1408-1417. doi: 10.1016/j.jpedsurg.2024.03.044. Epub 2024 Apr 30. PMID: 38796391.

https://pubmed.ncbi.nlm.nih.gov/38413264/

Peiffer SE, Mehl SC, Powell P, Lee TC, Keswani SG, King A. Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases. J Pediatr Surg. 2024 May;59(5):825-831. doi: 10.1016/j.jpedsurg.2024.01.042. Epub 2024 Feb 4. PMID: 38413264.
Type: video · 4 min · posted 2025-10-15 Canonical: https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118 ## Chapters - [0:00](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=0) Introduction and Hirschsprung Dilation Study - [1:47](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=107) Gastroschisis Management Systematic Review - [2:56](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=176) CDH Volume-Outcome Study and Closing ## Statements - "The Hirschsprung study was prospective and took place 2021 to 2023, including 33 patients under six months old who underwent endorectal pull-through surgeries" — Lizzie Lee (clinical) [1:03](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=63) - "Primary outcomes examined were anastomotic complications, enterocolitis, and constipation" — Lizzie Lee (clinical) [1:20](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=80) - "There was no significant difference in anastomotic complications between dilation and non-dilation groups" — Lizzie Lee (clinical) [1:27](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=87) - "The non-dilation group had less enterocolitis and less constipation compared to traditional dilation group" — Lizzie Lee (clinical) [1:27](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=87) - "Choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis" — Lizzie Lee (opinion) [1:36](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=96) - "For gastroschisis, delivery after 37 weeks is optimal" — Alex Halpern (guideline) [2:18](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=138) - "Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis" — Alex Halpern (guideline) [2:21](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=141) - "Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit" — Alex Halpern (guideline) [2:28](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=148) - "Sutureless repair for gastroschisis is safe, effective, and does not delay feeding or increase length of stay" — Alex Halpern (clinical) [2:28](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=148) - "There is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants" — Alex Halpern (opinion) [2:42](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=162) - "The CDH study was retrospective, done in Texas using a state hospital database" — Cecilia Gigena (clinical) [3:16](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=196) - "The CDH study identified 1,314 patients: 728 from high volume centers, 9 from mid-volume centers, and 79 from low volume centers" — Cecilia Gigena (epidemiological) [3:32](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=212) - "High volume centers had significantly lower mortality rates for CDH despite having significantly sicker patients" — Cecilia Gigena (clinical) [3:46](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=226) - "High volume centers had significantly shorter length of stay for CDH patients" — Cecilia Gigena (clinical) [3:46](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=226) - "High volume centers had better outcomes for patients with CDH" — Cecilia Gigena (opinion) [4:00](https://library.globalcastmd.com/watch/quick-literature-updates-ep-22-11118?t=240) ## Transcript Hello pediatric surgery family, I'm Em Gdy from Cincinnati Children's Hospital Medical Center, and today our team is gonna deliver the articles that you should know about. We have 3 papers today, but don't have much time, so let's start. Our first paper titled The Use of Postoperative Calibrations in Hirschprung Disease, a Practice to reconsider by Beotti et al. 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 prospective study took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries. Patients were assigned to a new non-dilation protocol group or a traditional dilation group. The primary outcomes they looked at were anastomotic complications, enterocolitis, and constipation. What did they find? There was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation. This means that choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis. Our second paper is Management of Gastroschisis, timing of Delivery, antibiotic usage, and closure Consideration. A systematic review from the ABSA Outcomes and Evidence-based Practice Committee by Slidell et al. and this paper is summarized by Alex Halpern. He is a research fellow at Children's National and collaborates with us to produce these article reviews. The APSA Outcomes and Evidence-based Practice Committee performed a systematic review to try and answer this question. They found that delivery after 37 weeks is optimal. Prophylactic antibiotics covering skin floor are adequate to reduce infection risk until closure. Studies support primary fascial repair as long as hemodynamics and abdominal domain permit, and sutureless repair is safe, effective. And does not delay feeding or increased length of stay. They concluded that there is a need for a high quality randomized controlled trials to help provide evidence-based care for these infants. Does this information change your practice at all? Moving to the last paper of the day, treatment facility case volume and disparities in outcomes of congenital diaphragmatic hernia cases by Pefer et al. This paper is summarized by Cecilia Ina. She's one of the previous research fellows at Cincinnati Children's Hospital. This is a retrospective study done in Texas using a state hospital database, and their aim was to see if there were a difference in the outcomes of patients with CDH that were operated in high, low, or mid-volume centers. They identified 1,314 patients. 728 were from high volume centers, 9 were from mid-volume centers, and 79 were from low volume centers. And what they found is that high volume centers had significantly less mortality rates, even though they have significantly sicker patients, and also they had significantly less length of stay. So it seems that high volume centers had better outcomes for patients with CDH. Thank you for listening. Please check the link in the description below to read each paper. We hope you liked this episode. Please follow Stay Current MD 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. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai