An interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD.
Dr. Langer is professor of surgery at the University of Toronto and Head of the Division of General and Thoracic Surgery at The Hospital for Sick Children in Toronto, Canada.
Table of Contents
00:00 - Introduction
03:56 - Prenatal counseling for gastroschisis
05:34 - Mode of delivery for gastroschisis
06:22 - Timing of delivery in gastroschisis
07:29 - Induction of labor in gastroschisis
08:34 - Location of delivery in gastroschisis
09:45 - Management of simple gastroschisis
11:46 - Bedside closure of gastroschisis
15:05 - Role of intubation in gastroschisis
16:54 - Does every patient require staged closure?
18:46 - Intestinal atresia and gastroschisis
20:50 - Management of association intestinal atresia
23:48 - Awaiting bowel function after gastroschisis repair
27:54 - Cryptorchidism and gastroschisis
28:26 - Prenatal counseling for omphalocele
30:06 - Mode, location, and timing of delivery in omphalocele
32:28 - Approach to giant omphalocele
35:04 - Use of the sac as the silo
39:26 - Role of silver sulfadiazine in omphalocele
42:03 - Flip flop” and mesh for omphalocele
44:44 - Pentalogy of Cantrell
45:56 - GERD and omphalocele
48:42 - Role of Ladd’s procedure in abdominal wall defects
49:57 - Kinking of hepatic vessels
