We’re back with seventeenth 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
https://pubmed.ncbi.nlm.nih.gov/37983822/
Zhang M, Huang J, Jin Z, Zhang X, Zhou Y, Chi S, Rong L, Zhang Y, Cao G, Li S, Tang ST. Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis. Int J Surg. 2024 Feb 1;110(2):891-901. doi: 10.1097/JS9.0000000000000889. PMID: 37983822; PMCID: PMC10871573.
https://pubmed.ncbi.nlm.nih.gov/38677965/
Ullrich S, Austin K, Avansino JR, Badillo A, Calkins CM, Crady RC, Durham MM, Fuller MK, Rana A, Reeder RW, Rentea RM, Rollins MD, Saadai P, Speck KE, Wood RJ, van Leeuwen K, Frischer JS; Pediatric Colorectal and Pelvic Learning Consortium. Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium. J Pediatr Surg. 2024 Jul;59(7):1250-1255. doi: 10.1016/j.jpedsurg.2024.03.034. Epub 2024 Mar 18. PMID: 38677965.
https://pubmed.ncbi.nlm.nih.gov/37978002/
Ameer A, Mirza MB, Talat N. The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial. J Pediatr Surg. 2024 Jun;59(6):1186-1189. doi: 10.1016/j.jpedsurg.2023.10.062. Epub 2023 Oct 30. PMID: 37978002.
Type: video · 4 min · posted 2025-02-14 Canonical: https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803 ## Chapters - [0:16](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=16) Introduction and Paper 1: Robotic vs Thoracoscopic EA Repair - [1:41](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=101) Paper 2: Delayed Hirschsprung Diagnosis Outcomes - [3:01](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=181) Paper 3: Stoma Reversal Closure Techniques and Closing ## Statements - "The study by Zeng et al. is a retrospective multi-center study done in China comparing robotic repair versus thoracoscopic repair for esophageal atresia" — Cecilia Gigena (clinical) [0:58](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=58) - "After propensity score matching, the study included 126 patients with 63 in each group" — Cecilia Gigena (clinical) [1:07](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=67) - "Robotic surgery had longer operative time but shorter anastomotic time compared to thoracoscopic repair" — Cecilia Gigena (clinical) [1:15](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=75) - "The robotic group had lower anastomotic strictures compared to thoracoscopic repair" — Cecilia Gigena (clinical) [1:22](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=82) - "The robotic group had lower readmissions within 2 years post-op compared to thoracoscopic repair" — Cecilia Gigena (clinical) [1:28](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=88) - "Robotic surgery is a good answer for esophageal atresia repair" — Cecilia Gigena (opinion) [1:32](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=92) - "The Pediatric Colorectal and Pelvic Learning Consortium study included 679 patients with Hirschsprung disease from 14 different sites between 2017 and 2023" — Alex Halpern (clinical) [2:05](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=125) - "Increased age at diagnosis of Hirschsprung disease was associated with a greater likelihood of undergoing fecal diversion after initial pull-through procedure" — Alex Halpern (clinical) [2:22](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=142) - "Increasing age at diagnosis of Hirschsprung disease was associated with an increased risk of constipation or incontinence requiring intervention postoperatively" — Alex Halpern (clinical) [2:32](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=152) - "No association was found between age at diagnosis of Hirschsprung disease and 30-day complication rate after initial pull-through" — Alex Halpern (clinical) [2:42](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=162) - "No association was found between age at diagnosis of Hirschsprung disease and need for pull-through revision" — Alex Halpern (clinical) [2:48](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=168) - "Delayed diagnosis of Hirschsprung disease does affect certain outcomes in these patients" — Alex Halpern (opinion) [2:51](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=171) - "The Children's Hospital in Pakistan conducted a randomized control trial including 124 patients in 2021 to 2022 who needed stoma reversal" — Lizzie Lee (clinical) [3:25](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=205) - "The study aimed to compare surgical site infections and cosmetic outcomes of scars in patients receiving purse-string or linear skin closure techniques for stoma reversal" — Lizzie Lee (clinical) [3:35](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=215) - "The purse-string closure group had way fewer surgical site infections compared to the linear closure group" — Lizzie Lee (clinical) [3:44](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=224) - "The purse-string closure group had much better scar quality compared to the linear closure group" — Lizzie Lee (clinical) [3:49](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=229) - "When reversing a stoma, purse-string closure technique is the best way to do it" — Lizzie Lee (opinion) [3:52](https://library.globalcastmd.com/watch/quick-literature-updates-episode-17-9803?t=232) ## Transcript Hello pediatric surgery family, I'm Em Goddy 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. We don't have much time, so let's start. Our first paper titled Comparison of Robotic versus Terchoscopic Repair for Congenital Esophageal atresia, a propensity score Matching analysis by Zeng et al. This paper is summarized by Cecily Genna. She's one of the previous research fellows at Cincinnati Children's. This is a retrospective multi-center study done in China that aimed to compare the robotic repair versus thoracoscopic repair for esophageal atricia. After a propensity score matching, they had 126 patients, 63 in each group, and what they found is that robotic surgery had longer operative time but shorter anastomatic time. As well as the robotic group had lower anatomically lower anastomatic strictures and lower readmissions within 2 years post-op. So it seems that robotic surgery is a good answer for esophageal tissue repair. Also, here's our second paper of the day. Does delayed diagnosis of Hirschsprung disease impact post-operative and functional outcomes? A multi-center review from the Pediatric Colorectal and Pelvic Learning Consortium by Ulrich et al. And this paper is summarized by Alex Halpern. He's a research fellow at Children's National and collaborates with us to produce these article reviews. The pediatric Colorectal and Pelvic Learning Consortium conducted a multi-center retrospective review from 2017 to 2023 trying to answer this question. They included 679 patients with Hirschrung disease from 14 different sites. They found that an increased age at diagnosis was associated with a greater likelihood of undergoing fecal diversion after initial pull through procedure. They also found that increasing, A diagnosis was associated with an increased risk of constipation or incontinence requiring intervention postoperatively. They did not find an association between age at diagnosis and 30 day complication rate after initial pull through or need for pull-through revision. So, it seems like delayed diagnosis of Hirschrung's disease does affect certain outcomes in these patients. Now moving to the last paper, the outcome of purse string versus conventional wound closure techniques in patients undergoing stoma reversal, a randomized control trial by Amir et al. This paper 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. The Children's Hospital in Pakistan conducted a randomized control trial, including 124 patients in 2021 to 2022 who needed a stoma reversal. Their aim was to compare surgical site infections and cosmetic outcomes of scars in patients who were getting the purse string or linear skin closure techniques. The purse string closure group had way fewer surgical site infections and much better scar quality compared to the linear closure group. So when reversing a stoma, purse string closure technique is the best way to do it. 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 the YouTube channel. And don't forget to download the Stay Current app on the App Store or Play Store for tons of content. Global Cat MD along with Cincinnati Children's Hospital, sharing knowledge to improve child health around the globe. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai