An discussion of the medical and operative management of necrotizing enterocolitis between Todd Ponsky, MD and Gail Besner, MD.
Dr. Besner is a H. William Clatworthy Professor of Pediatric Surgery, Chief of the Department of Pediatric Surgery, Principal Investigator of the Center of Perinatal Research, and Associate Director of the Pediatric Surgery Training Program at Nationwide Children's Hospital.
Table of Contents
00:00:00 Introduction
00:02:41 Work-up of NEC
00:04:02 Medications associated with NEC
00:05:24 Physical Examination
00:07:04 Laboratory Work
00:08:44 Imaging studies
00:09:15 When to Operate on NEC
00:10:45 Medical Management of NEC
00:12:23 Antibiotic regimen
00:13:19 Frequency of imaging studies
00:13:55 Length to continue medical management
00:14:39 Stricture after NEC
00:15:43 When to operate after medical management without absolute indication
00:17:11 Peritoneal drain versus laparotomy
00:19:42 Randomized control trials comparing peritoneal drain and laparotomy
00:22:51 How to choose between peritoneal drain and laparotomy
00:26:03 Peritoneal drain placement technique
00:28:12 Operating after placement of a peritoneal drain
00:29:34 Management of patient after peritoneal drain placement
00:30:59 Laparotomy technique
00:33:39 Operative management of focal necrotic area
00:34:41 Creating a stoma
00:36:50 Management of Diffuse NEC
00:37:58 Management of skip lesions
00:39:21 When to reverse the stoma
00:40:34 Re-feeding mucous fistula
00:42:04 Management of NEC totalis
00:44:05 Management of tension pneumoperitoneum
Intro and outro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626
License: http://creativecommons.org/licenses/by/3.0/
