Shows
Stay Current in Pediatric SurgeryUpdate Course Rewind: Updates in Achalasia 2023Our 11th Annual Update Course in Pediatric Surgery was hel past August. In this video series, we'll recap the sessions and share the main highlights with you!Today we will talk about "Updates in Achalasia Management". Joining the discussion are Dr. Mikael Petrosyan, Dr. Timothy Kane and Dr. George (Whit) HolcombHost: Cecilia GigenaThis was meant to be a video so it has a lot of visual information. If you want to see please visit our youtube channel StaycurrentMD or download the Staycurrent App
2024-03-1408 min
Stay Current in Pediatric SurgeryHepatic Infections: Hepatitis, Abscess & Cysts with Dr. Alex BondocIn this episode, we will be exploring the types, presentation, diagnosis and management of various hepatic infections with Dr. Alex Bondoc, a pediatric surgeon from Cincinnati Children’s Hospital.Throughout this podcast we will use a few imagings that will help us understand the cases. If you want to follow along and check them out, they are below in the description on the StayCurrent App.Host: Em Gootee, MD
2023-10-1215 min
Stay Current in Pediatric SurgeryPortal Hypertension with Dr. Alex BondocThis is another episode of the StayCurrent Podcast. Here we cover all the important things you need to know about Portal Hypertension. And for that we have the expert Dr. Alex Bondoc, a pediatric surgeon from Cincinnati Children's Hospital.Hosts: Cecilia Gigena & Ellen Encisco
2023-08-1011 min
Stay Current in Pediatric SurgeryJournal of Pediatric Surgery Case Reports Review: Quarter 1 (Jan, Feb, Mar 2023)We are back with a somewhat new series of the StayCurrent podcast. We've been highlighting JPS articles every month but now we are also highlighting JPS Case Reports! For the First quarter we have three articles with case reports! The editor was Dr. Pablo Laje and we talk to authors Dr. James Dunn and Dr. Dustin FlanneryHosts: Ellen Encisco, Em Tombash & Cecilia GigenaHope you enjoy!!!"Intestinal lengthening via mechanical enterogenesis in an infant with short gut syndrome" Taylor N. Anderson, Claudia Mueller, James C.Y. Dunn Full article: https://www.sciencedirect.com/science/article/pii/S2213576623000209?via%3Dihub"Synthetic patch...
2023-07-1315 min
Stay Current in Pediatric SurgeryUpdate Course Rewind: CT Evaluation of Suspected Airway Foreign Body 2022We are back with another Update Course Rewind video! This time we are presenting you "CT Evaluation of Suspected Airway Foreign Body" with Dr. Mary Edwards from APSA Professional Development Committee.Host: Brittany LevySee more lectures, articles, and more on the StayCurrent app! https://www.globalcastmd.com/stay-current-app-download
2023-05-1103 min
Stay Current in Pediatric SurgeryUpdate Course Rewind: Intraoperative Radiation Safety 2022We are back with another Update Course Rewind video! This time we are presenting you "Intraoperative Radiation Safety" with Dr. Mary Edwards from APSA Professional Development Committee.Host: Brittany LevySee more lectures, articles, and more on the StayCurrent app! https://www.globalcastmd.com/stay-current-app-download
2023-04-2705 min
Stay Current in Pediatric SurgeryUpdate Course Rewind: NPO Guidelines 2022We are back with another Update Course Rewind video! This time we are presenting you “Updates in pre-op fasting and NPO Guidelines" with Dr. Mary Edwards from APSA Professional Development Committee.Host: Brittany LevyDon't forget to like and subscribe to our YouTube channel to see more entertaining medical educational videos!See more lectures, articles, and more on the StayCurrent app!
2023-04-1303 min
Stay Current in Pediatric SurgeryImage Guided Surgery Video Series, Episode 5 - 3D Printed Models in OrthopedicsWe’re back with the fifth episode of our image guided surgery video series! In this episode we're discussing the advantages and disadvantages of using 3D printed models in orthopedics reconstruction cases in hybrid OR with some of our Interventional Radiology and Orthopedics Surgeon colleagues at Cincinnati Children’s Hospital. Our guests Drs. Joel Sorger, John Racadio and Neil Johnson are joined by Nicole Hilvert.Hosts: Ellen Encisco, MD, Em Tombash, MDWith image guided surgery, surgeon uses real-time images of the inside of the body during an operation. These images are generally produced by a co...
2023-02-1612 min
Stay Current in Pediatric SurgeryPilomatrixoma with Dr. Rebeccah BrownCheck out this StayCurrent Short, where Dr. Rebeccah Brown gives us insight into the workup and management of Pilomatrixoma.
Don't forget to like and subscribe to see more entertaining medical educational videos!
See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download
2023-01-1902 min
Stay Current in Pediatric SurgeryDermoid Cyst with Dr. Rebeccah BrownThe diagnosis and management of skin and subcutaneous lesions can be vast. Join Dr. Rebeccah Brown for tips and tricks in identification of pediatric skin and subcutaneous lesions in this Staycurrent Short.
2022-07-1904 min
Stay Current in Pediatric SurgeryImage Guided Surgery Series, Episode 2 - Lung Nodule Localization & Resection Part 2We’re back with the second episode of our image guided surgery video series! In the second part of this episode we're discussing lung nodule resection in hybrid OR with some of our Interventional Radiology and Pediatric Surgery colleagues at Cincinnati Children’s Hospital. Our guests are Dr. Anusua "Roshni" Dasgupta, Dr. John Racadio, Dr. Neil Johnson and Nicole Hilvert. And we’re joined by Dr. Denise Liu, radiology resident at University of Toledo.
Hosts: Rod Gerardo, MD, Em Tombash, MD
With image guided surgery, surgeon uses real-time images of the inside of the body during an operation. These images are ge...
2022-07-0510 min
Stay Current in Pediatric SurgeryStayCurrent Forums - Laparoscopic CholecystectomyJeffrey Ponsky, Professor Emeritus of Surgery and Nathaniel Soper, Chairman of Surgery, go back to the basics on Laparoscopic Cholecystectomy on this episode of the StayCurrent Forum.
2022-04-2516 minStay Current in Pediatric SurgeryStayCurrent Forums - Public Health EducationRod Gerardo, CCHMC Research Fellow and Brittany Levy, CCHMC Research Fellow, talk about the education of public healthcare on this week's episode of the StayCurrent Forums.
See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download
2022-04-2209 minStay Current in Pediatric SurgeryStayCurrent Forum - Resident WellnessRod Gerardo, CCHMC Research Fellow and Trevor Skrobut, Emergency Medicine Physician, talk about how important it is for residents to take care of their health and wellness on this week's episode of the StayCurrent Forums. Download the Stay Current app: https://bit.ly/3KfxMMH
2022-04-1011 min
Stay Current in Pediatric SurgeryStayCurrent SpacesIntroducing StayCurrent Spaces, a digital, shareable file box within StayCurrent. All of the content you have come to love along with your own virtual file cabinet of personally relevant resources.
#pediatricsurgery #SoMe4Peds #pedsurg
Download the Stay Current app: https://bit.ly/3KfxMMH
2022-04-1000 minStay Current in Pediatric SurgeryStayCurrent SurveyHey StayCurrent listeners we would love to hear from you! Please share your thoughts https://bit.ly/3uPtHIq
2022-04-0600 minStay Current in Pediatric SurgeryStay Current Forums How To Find Dedicated Pediatric Surgery Research (Original)Rod Gerardo, CCHMC Research Fellow and Nikhil Shah, UTMB General Surgery PGY3, talk about how to find dedicated pediatric surgery research on this episode of the StayCurrent Forums.
2022-04-0412 minStay Current in Pediatric SurgeryStaycurrent Forums - Obesity In Children (Original)Jeffrey Ponsky, Professor Emeritus of Surgery and Stephanie Walsh, Associate Professor of Surgery and Pediatrics, talk about obesity in children and what to do on this episode of the StayCurrent Forum.
2022-04-0113 min
Stay Current in Pediatric SurgeryStayCurrent Forum Medical Aid At The Ukrainian Border With Dr. Bukavina (1080p)The full episode of our first GlobalcastMD Forum with Dr. Laura Bukavina joining Dr. Rod Gerardo to discuss her work at the Ukrainian border. 🇺🇦
To support Dr. Bukavina's efforts or other organizations working to assist in the crisis, click the links below.
https://bit.ly/37E0sR8
https://bit.ly/3q9ZD8P
https://bit.ly/34OrAvy
#pedsurg #pediatricsurgery #SoMe4PedSurg
2022-03-1812 min
Stay Current in Pediatric SurgeryCommercial Audio Only (1080p)GlobalCastMD is revealing brand new content that is different from our normal youtube videos or podcasts that take a deep dive into Pediatric Surgery! Rod Gerardo along with Jeffrey Ponsky are interviewing people from around the globe, residents, fellows, attendings, etc. about all types of content whether that be resident wellness, general surgery concepts, new technology, etc.! See you on the next episode of the StayCurrent Forums!
2022-03-0400 min
Stay Current in Pediatric SurgeryUpdate Course Rewind: Spontaneous Pneumothorax 2021We've seen a lot of recent updates about the management of primary spontaneous pneumothoraces. At the recent 2021 Pediatric Surgery Update Course, Dr. Ronnie Sullins reviewed the latest literature. And now we're giving you the highlights in this video.
Hosted by: Rod Gerardo, Ellen Encisco, Todd Ponsky
Download the StayCurrent: Pediatric Surgery app here: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901
2021-10-2808 min
Stay Current in Pediatric SurgeryHirschsprung Disease in BriefThe surgical management for Hirschsprung disease has changed dramatically over the past few decades. So here, we discuss the basics of workup, diagnosis, and surgical treatment for aganglionic megacolon AKA Hirschsprung disease with Dr. Aaron Garrison and Dr. Jason Frischer from Cincinnati Children's Hospital Medical Center.
CCHMC HAEC resource: https://staycurrentapp.app.link/62V0jx2Dxkb
Hosted by Dr. Rod Gerardo, Dr. Ellen Encisco, and Dr. Todd Ponsky
Watch this podcast on YouTube here: https://youtu.be/BQtKUwcX6JI
Download the StayCurrent: Pediatric Surgery app here: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901
2021-10-2112 min
Stay Current in Pediatric SurgeryUpdate Course Rewind: 2021 Top Ten Key TakeawaysThe 9th annual Pediatric Surgery Update Course was held as a webinar on August 27, 2021. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this podcast we are reviewing the top ten key takeaways from the update course.
Hosted by Ellen Encisco, Rod Gerardo, and Todd Ponsky
Download the StayCurrent: Pediatric Surgery app here: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901
To see the images referenced, the associated video can be viewed on YouTube: https://youtu.be/jHZbXL1eW64
2021-10-1516 min
Stay Current in Pediatric SurgeryJournal of Pediatric Surgery Article Review: September 2021We're highlighting three articles from the September 2021 issue of the Journal of Pediatric Surgery. We review the articles with Dr. Mikko Pakarinen (JPS Editor for Europe), Dr. Todd Ponsky, and two of the authors from one of the articles (Drs. Gillian Goddard and Iris Lim-Beutel).
Hosts: Rod Gerardo & Ellen Encisco
Articles featured:
Peng Y, Xiao D, Xiao S, et al. Early enteral feeding versus traditional feeding in neonatal congenital gastrointestinal malformation undergoing intestinal anastomosis: A randomized multicenter controlled trial of an enhanced recovery after surgery (ERAS) component. Journal of Pediatric Surgery. 2021 Mar 18. https://www.jpedsurg.org/article/S0022-3468(21)00209-8...
2021-10-0511 min
Stay Current in Pediatric SurgeryJournal Club: Appendicitis in 2021We all know how commonly pediatric surgeons see patients with appendicitis and how frequently new literature is published on its management. Dr. Jose Campos helped us find some of the latest publications on appendicitis management and we discussed a few of the articles featured in this podcast.
Hosts: Rodrigo Gerardo & Ellen Encisco
Featured articles plus more:
RIFT study group. Appendicitis risk prediction models in children presenting with right iliac fossa pain (RIFT study): a prospective, multicentre validation study. April 2020. https://doi.org/10.1016/S2352-4642(20)30006-7
Unsdorfer KML, An JY, Binkovitz, LA. Pediatric appendiceal ultrasoun: maintaining accuracy, increasing determinacy and improving...
2021-08-2415 min
Stay Current in Pediatric SurgeryTracheomalaciaThe guidance for treatment of tracheomalacia has evolved over time so today, Dr. Dan von Allmen discusses the surgical management including aortopexy and posterior tracheopexy.
Host: Rod Gerardo
Checkout our YouTube page here: https://youtube.com/c/GlobalCastMD
Download the StayCurrent: Pediatric Surgery app here: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901
2021-08-1912 min
Stay Current in Pediatric SurgeryFetoscopic Repair of Myelomeningocele (MMC)Continuing our series on Fetal Surgery, today's episode reviews the basics of fetoscopic repair of myelomeningocele with Dr. Foong-Yen Lim, M.D.
Host: Rod Gerardo
Download the StayCurrent: Pediatric Surgery app to get videos, podcasts, guidelines and interactive surgical cases on your phone: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901
2021-08-0505 min
Stay Current in Pediatric SurgeryHirschsprung Disease WorkupThe workup for Hirschsprung disease is bread-and-butter pediatric surgery but it can certainly get confusing. Dr. Nelson Rosen is the Associate Director of the Colorectal Center at the Cincinnati Children's Hospital Medical Center and here he is discussing the basics of how to workup a patient with Hirschsprung disease.
Host: Rod Gerardo, M.D.
Download the StayCurrent Pediatric Surgery App here: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901
2021-07-0110 min
Stay Current in Pediatric SurgeryLaryngeal CleftsDr. Michael Rutter is an ENT surgeon and the director of the Aerodigestive Center at Cincinnati Children's Hospital Medical Center. In this podcast, he discusses some surgical approaches to laryngeal clefts. This episode is available as an audio or video podcast
Watch on YouTube here: https://youtu.be/hS-mzchgJBw
Download the app here: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901
2021-06-2414 min
Stay Current in Pediatric SurgeryStay Current Journal Club Episode 1: Ventricular dysfunction in CDH and ERAS for NussIntroducing the StayCurrent Pediatric Surgery Journal club - run by residents across the country. In this episode, Vik Gupta and Joe L'Huillier talk about the role of ventricular dysfunction in congenital diaphragmatic hernia and how ERAS can improve outcomes for patients undergoing a Nuss repair for pectus.
Host: Rodrigo Gerardo
2021-02-1716 min
Stay Current in Pediatric SurgeryColorectal Quiz Episode 3.5: Proximal Hirschsprung DiseaseIn this episode, Dr. Levitt and Dr. Frischer discuss the workup and management for a patient with suspected proximal Hirschsprung disease. Listen as they walk you through a their thought process and what to consider in these complex patients.
Host: Rodrigo Gerardo
2021-02-1508 min
Stay Current in Pediatric SurgeryHistory Of Pimping (in medicine)In medicine, there's a 4 letter word that we use every day from rounds to the OR: "Pimp". It's that constant barrage of clinical questions that we use to teach or even to learn. But where did this word come from? In this episode, our medical students take Rod and Todd through the history of pimping and some predictions on its future.
Credit to our medical student guests:
Krithika Sundaram, Prachi Lele, Sanjana Datla, Vardhan Avasarala, Varun Aitharaju
Host: Rodrigo Gerardo
2021-02-1011 min
Stay Current in Pediatric SurgeryThe Colorectal Quiz Episode 3: Hirschsprung DiseaseIn the third episode of the Colorectal Quiz series, Dr. Levitt and Dr. Frischer discuss the basics of the initial management and diagnosis of Hirschsprung disease.
Host: Rodrigo Gerardo
2021-02-0819 min
Stay Current in Pediatric SurgeryIntroducing Jose CamposWe can all agree that there are too many scientific publications pushed out by journals every month. How is a clinical surgeon supposed to keep up with the constantly increasing volume of literature? Jose and his team in Chile have created a way to find impactful journal articles on pediatric surgery and narrow a monthly list down to a top 10. Rod and Todd had some questions . . .
Chilean Society of Pediatric Surgery (SChCP)
Dr. Tyare Fuentes, Dr. Bárbara Rivera, Dr. Carola San Martín, Dr. Camila Bastías, Dr. Albert Pasten, Dr. Alberto Torres, Dr. Josefina Sáez, Dr. Paula Aylw...
2021-02-0410 min
Stay Current in Pediatric SurgeryThe History of the PEGOne of the most common procedures that surgeons and gastroenterologists perform is a percutaneous endoscopic gastrostomy tube (PEG tube). But have you ever wondered how this procedure and the PEG tube were invented? Check out our latest podcast with the co-creator of the PEG tube, Dr. Jeff Ponsky to hear a story about endoscopes, surgical innovation, and Jeff.
Host: Rodrigo Gerardo
2021-01-2713 min
Stay Current in Pediatric SurgeryColorectal Quiz: Episode 2In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectoplasty? Listen as they walk you through their thought process on 2 different cases before a deep dive into a recent JPS article on redo outcomes.
Read the article here: https://pubmed.ncbi.nlm.nih.gov/32682544/
Host: Rodrigo Gerardo
2021-01-2518 min
Stay Current in Pediatric SurgeryGastroschisis and Sutureless Abdominal Wall ClosureDr. Rod Gerardo and Dr. Todd Ponsky talk to Dr. Jason Fraser about the paradigm shift in gastroschisis management that is still in flux. Plus a deep dive into Dr. Fraser's recent publication: "Sutureless vs sutured abdominal wall closure for gastroschisis: Operative characteristics and early outcomes from the Midwest Pediatric Surgery Consortium"
https://www.jpedsurg.org/article/S0022-3468(20)30118-4/abstract
Host: Rodrigo Gerardo
2021-01-2012 min
Stay Current in Pediatric SurgeryThe Colorectal Quiz: Episode 1Pediatric colorectal surgeons Dr. Marc Levitt and Dr. Jason Frischer discuss a case of a new born with a low anorectal malformation. Listen as they take you through the workup, diagnosis, and treatment of an ARM with an ending that you might not have predicted.
Host: Rodrigo Gerardo
2021-01-1315 min
Stay Current in Pediatric SurgerytPA, Empyema, and VATSDr. Rod Gerardo and Dr. Todd Ponsky speak with Dr. Shawn St. Peter as he explains how the management of empyema has evolved over time including a deep dive into Dr. St. Peter's recent publication "Declining frequency of thoracoscopic decortication for empyema — redefining failure after fibrinolysis".
Download our app, StayCurrent: Pediatric Surgery
Follow us on Twitter, Facebook, Instagram
Host: Rodrigo Gerardo
2020-12-1613 min
Stay Current in Pediatric SurgeryAcute Appendicitis 2020 UpdateDr. Beth Rymeski, Dr. Rod Gerardo, and Dr. Todd Ponsky discuss the recent Midwest Pediatric Surgery Consortium publication on acute appendicitis and how it might change management in 2020 and on.
"Association of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis"
Host: Rodrigo Gerardo
2020-12-0712 min
Stay Current in Pediatric SurgeryCholedochal Cyst PodcastIn this podcast, Dr. Alex Bondoc and Dr. Rae Hanke discuss the intricacies of choledochal cysts. Contributing editor: Dr. Rod Gerardo.
00:00 | Introduction
00:26 | Definition of Choledochal cyst
00:36 | Epidemiology
01:06 | Etiology
02:00 | Todani Classification
03:20 | Presentation
05:08 | Differential diagnosis
05:42 | Workup
07:54 | Why only surgical treatment options?
09:18 | When to operate
10:12 | Preoperative evaluation
11:10 | Surgical goals of care
13:17 | Surgical technique
16:42 | Type II cyst
17:40 | Type III cyst
18:43 | Post operative care
20:29 | Key clinical takeaways
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2020-11-1322 min
Stay Current in Pediatric SurgeryHirschsprung's DiseaseDr. Rae Hanke, Dr. Alex Casar, Dr. Jason Frischer, and Dr. Aaron Garrison come together to provide you the essentials on diagnosis and management of Hirschprung's Disease.
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2020-10-1520 min
Stay Current in Pediatric SurgeryTopics in 10: Pediatric Umbilical HerniasDr. Meera Kotagal, Dr. Rae Hanke, and Dr. Gillian Goddard come together to provide you the essential on diagnosis and management of pediatric umbilical hernias.
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2020-10-0606 min
Stay Current in Pediatric SurgeryPancreatic MassesDrs Jaimie Nathan, Rae Hanke, Alex Gibbons, and Todd Ponsky discuss the diagnosis and management of pancreatic masses.
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2020-09-1036 min
Stay Current in Pediatric SurgeryNeurogenic BladderThis podcast is an interactive discussion about Neurogenic Bladder between Dr. Rae Hanke, Dr. Lynn Woo, and Dr. Al Ray
Dr. Lynn Woo is an Associate Professor of Urology and Program Director at Case Western and Cleveland Medical Center. She is also a Pediatric Urologist at Rainbow Babies & Children's Hospital.
Dr. Al Ray is a urology PGY-4 at Case Western and currently on his research year.
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
Dr. @lynnlwoo & Dr. Al Ray from @CaseUrology
2020-08-1255 min
Stay Current in Pediatric SurgeryIFMSS 2019 : Clinical StudiesDr. Beth Rymeski (Fetal Surgeon) and Dr. Rae Hanke (Pediatric Surgical Education Fellow) from Cincinnati Children’s Hospital bring you highlights from the 2019 International Fetal Medicine and Surgical Society (IFMSS) meeting. Part III includes interviews focusing on clinical studies.
Special guests include:
•Stephen Fenton, MD, Director of Fetal Center and Pediatric Surgeon at Primary Children’s Hospital in Salt Lake City, Utah, USA
•Uchenna Kennedy, MD, Pediatric Surgeon at University Children’s Hospital Zurich, Switzerland, and previous Fellow at Children’s Hospital of Philadelphia, Pennsylvania, USA
•Oluyinka Olutoye, MD, PhD, Surgeon-In-Chief at Nationwide Children’s Hospital, Ohio, USA
•Christina (Nina) Bence, MD, Pediatr...
2020-04-0619 min
Stay Current in Pediatric SurgeryIFMSS 2019 : Technical & Educational InnovationDr. Beth Rymeski (Fetal Surgeon) and Dr. Rachel (Rae) Hanke (Pediatric Surgical Education Fellow) from Cincinnati Children’s Hospital bring you highlights from the 2019 International Fetal Medicine and Surgical Society (IFMSS) meeting. Part II includes interviews focusing on technical and educational innovation.
Special guests include:
•Stephen Emery, MD, Director of Center for Innovative Fetal Intervention at University of Pittsburgh Medical Center & Associate Professor of Obstetrics and Gynecology at Pittsburgh Magee Hospital, Pennsylvania, USA
•Jose Peiro, MD, Director of Endoscopic Fetal Surgery at the Cincinnati Fetal Center and Associate Professor at the University of Cincinnati Department of Surgery, Ohio, USA
•Anouk van der...
2020-03-2014 min
Stay Current in Pediatric SurgeryIFMSS 2019 - Translational Research & Clinical TrialsDr. Beth Rymeski (Fetal Surgeon) and Dr. Rachel (Rae) Hanke (Pediatric Surgical Education Fellow) from Cincinnati Children’s Hospital bring you highlights from the 2019 International Fetal Medicine and Surgical Society (IFMSS) meeting. Part I includes interviews focusing on translational research and clinical trials.
Special guests include:
•Ueli Moehrlen, MD, Pediatric Surgeon at University Children’s Hospital Zurich, Switzerland
•Benjamin Amberg, MD/PHD student at Monash University, Melbourne, Australia
•Barbara Coons, MD, recent Research Fellow at Children’s Hospital of Philadelphia and General Surgery Resident at Columbia-Presbyterian, New York, USA
•David Stitelman, MD, Pediatric Surgeon at Yale University, Connecticut, USA
•Adele Ricciardi, MD/Ph...
2020-03-1116 min
Stay Current in Pediatric SurgeryGuest Podcast from EAST Traumacast: Pediatric Trauma Society 2019This is a guest podcast and collaboration with the EAST Traumacast, which highlights the Sixth Annual Pediatric Trauma Society Meeting in November 2019.
Dr. Ian Mitchell from Children's Hospital San Antonio, Dr. Alexander Gibbons from Akron Children's Hospital, and Dr. Alejandra Casar Berazaluce from Cincinnati Children's Hospital hosted several interviews to discuss some of the main topics from the meeting.
EAST Traumacast focuses on bringing the leaders of the trauma community together to address upcoming research and its application to the injured patient, education efforts related to trauma, and novel methods in the management of injury. Find more at https://www...
2020-02-2856 min
Stay Current in Pediatric SurgeryTopics in 10: BurnDr. Pramod Puligandla, Pediatric Surgeon and Intensivist at Montreal Children’s Hospital, joins the Stay Current in Pediatric Surgery team to discuss the essentials on burn resuscitation.
Podcast edited and narrated by Rachel (Rae) Hanke, MD at Cincinnati Children's Hospital.
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626.
2020-01-0315 min
Stay Current in Pediatric SurgeryGuest Podcast from BackTable - Collaboration In The Hybrid ORDirector of Interventional Radiology Innovation Dr. John Racadio and Pediatric Surgeon-in-Chief Dr. Daniel von Allmen of Cincinnati Children’s Hospital discuss their experiences in the Hybrid OR, how they built it, and how cross-specialty collaboration with pulmonary, urology, and orthopedic surgeons has greatly improved patient care.
This episode is hosted by Dr. Aaron Fritts, interventional radiologist with Interventional & Vascular Care in Dallas, Texas. The BackTable Podcast is a resource for vascular and interventional specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Find out more at https://www.backtable.com/podcast.
2019-12-1828 min
Stay Current in Pediatric SurgeryTraumatic Brain InjuryDr. Pramod Puligandla, Traumatic Pediatric Surgeon and Intensivist at Montreal Children’s Hospital, joins the Stay Current Team to review the Cliff Notes on traumatic brain injury (TBI).
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626.
2019-11-2214 min
Stay Current in Pediatric SurgeryCoagulopathy And AnalgesiaThis podcast is an interactive discussion about the management of coagulopathy, analgesia, sedation, and delirium in critically ill pediatric patients between Dr. Adam Vogel and Dr. Alexander Gibbons.
00:00:00:00 Introduction
00:01:22:01 Case Scenario: 12-year-old male in helmeted MVC vs. bicycle accident
00:02:36:10 See Where You Are
00:05:22:17 Initial Therapy
00:06:26:04 General Management
00:07:00:04 Viscoelastic Monitoring
00:08:05:01 Phases of Viscoelastic Monitoring
00:10:47:02 Targeted Therapy
00:11:42:25 Real Time Monitoring
00:14:38:13 Management of Fibrinolysis
00:16:06:18 Balanced Resuscitation
00:17:26:16 Efficiency
00:18:12:29 Pediatric Evidence
00:19:07:08 Massive Transfusion and Balanced Resuscitation
00:19:42:28 Case Scenario: Pain Control After Laparotomy
00:21:02:12 Narcotics
00:22:08:19 Regional Analgesia
00:23:29:12 Anxiety
00:25:43:24 Case Scenario: Sedation
00:27:51:13 Validated Pain Scores
00:29:53:14 Validated Sedation Scores
00:31:23:23 Sedation Holidays and ABCDEF Bundles
00:32:09:08 A: Assessing Pain
00:32:20:29 B: Breathing...
2019-10-3145 min
Stay Current in Pediatric SurgeryECMO PodcastThis episode is a review of pediatric ECMO with Dr. Samir Gadepalli, Dr. Alejandra Casar Berazaluce, and Dr. Todd Ponsky.
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2019-10-1854 min
Stay Current in Pediatric SurgeryIPEG 2019: From Virtual Reality and Magnets to Robots at the BedsidePonsky fellows Rae Hanke, Alex Casar and Alex Gibbons join forces to bring you highlights from IPEG 2019. Interviews with Drs Jordan Taylor, Daniel von Allmen, Bethany Slater, Philipp Szavay, Aayed Alqahtani, Steven Rothenberg and Whit Holcomb cover a breadth of topics, including using virtual reality to reduce sedation, repairing esophageal atresia with magnets, innovations in bariatric surgery and more!
Enjoying Stay Current podcasts? Then you should check out the StayCurrent app for an even better listening experience including the ability to skip straight to the sections and topics you want, read the key points and highlights, resume where you left...
2019-09-2312 min
Stay Current in Pediatric SurgeryTopics in 10: NeuroblastomaDrs Daniel von Allmen, Todd Ponsky and Rae Hanke come together to provide you the essentials on the diagnosis and management of Neuroblastoma.
Time Stops:
00:00 | Introduction
00:23 | Epidemiology
00:37 | Presentation
01:01 | Work Up
02:36 | Pre-biopsy staging
03:53 | Management
05:09 | Post-biopsy risk stratification
09:00 | Clinical Pearls
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2019-09-1210 min
Stay Current in Pediatric Surgery#APSA50: Benjy Brooks Panel - The Women of APSAThis episode is a panel discussion by members of the Benjy Brooks (Women of APSA) Committee during the APSA 50th Anniversary Meeting in celebration of Women in Medicine Month. It is part of our collaboration with the Behind the Knife podcast.
Join Dr. Kathryn Anderson, Dr. Diana Farmer, and Dr. Marion Henry as they share their stories of flat heads from breaking glass ceilings and paving the way for women in Pediatric Surgery.
Edited by Alejandra M. Casar Berazaluce, MD.
Music tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2019-09-0535 min
Stay Current in Pediatric Surgery#APSA50: Top Educational ContentThis episode reviews the Top Educational Content sessions from the APSA 50th Anniversary meeting. It is part of our collaboration with the Behind the Knife podcast.
-Dr. Aaron Jensen discusses Cervical Spine Clearance in Pediatric Trauma.
-Dr. Shawn Rangel covers Antibiotic Stewardship in Pediatric Surgery.
-Dr. Samir Gadepalli addresses Sepsis as a Surgical Problem.
(Tweetorial at https://twitter.com/alejandracasar/status/1130466960943267840)
Remember to review the 2018 Pediatric Surgery Practice Gaps by the APSA Professional Development Committee. (Available in the StayCurrentApp Video Library and at https://twitter.com/StayCurrentApp/status/1141048992782069761)
Edited by Alejandra M. Casar Berazaluce, MD.
Music tracks are adapted from "...
2019-08-261h 07
Stay Current in Pediatric SurgeryNeuroblastomaDrs Erika Newman, Dan von Allmen and Tony Sandler join Dr. Todd Ponsky in a discussion covering the latest in neuroblastoma.
Time Stops
00:00:31 Introductions
00:01:39 Case 1: Prenatal 26 week consult
00:01:55 Differential Diagnosis
00:02:29 Family counseling
00:04:05 Postnatal evaluation
00:04:33 Axial imaging
00:06:53 MIBG scan
00:07:05 Metastasis in neonatal phase
00:07:19 Observe?
00:08:23 Surveillance
00:12:35 To operate or not to operate?
00:13:49 Surgical Approach
00:14:44 Case 1: Now with metastasis
00:16:21 When to biopsy
00:18:08 Case 2: 3 year old with abdominal mass
00:18:29 Initial evaluation
00:20:31 Case 2 continued...management
00:21:49 Do you need a PET scan?
00:23:28 Laparoscopic vs Percutaneous vs Open Biopsy
00:31:18 Staging
00:36:56 Case 2 continued...further management
00:40:54 When to perform surgery in relation to chemotherapy
00:43:56 Surgical Approach
00:53:33 Immunotherapy
Intro and...
2019-08-2456 min
Stay Current in Pediatric SurgeryTopics in 10: Wilms TumorTopics in 10: Drs Andrew Davidoff, Todd Ponsky and Rae Hanke come together to provide you the essentials on the diagnosis and management of Wilms Tumor.
Contributing editor: Rachel (Rae) Hanke, MD
00:00:00:00 Introduction
00:00:15:24 What is Wilms tumor?
00:01:16:27 How does it present?
00:01:41:05 What do you do to work up suspected renal mass?
00:02:55:00 Staging (1 through 5)
00:04:03:13 Management
00:04:08:09 Unilateral disease
00:06:49:00 Bilateral disease
00:07:26:07 Solitary kidney or unilateral tumor but predisposed to developing second tumor
00:08:37:04 Intravascular tumor extension
00:09:52:29 Metastasis
00:11:03:14 Wilms Tumor Clinical Pearls
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
2019-08-0812 min
Stay Current in Pediatric SurgerySpontaneous PneumothoraxThis podcast is an interactive discussion about the management of spontaneous pneumothorax between Dr. Todd Ponsky and Dr. Dan Ostlie.
Dr. Ostlie is Surgeon-in-Chief, Chair of Surgery, and Executive Vice-President at Phoenix Children’s Hospital, and has helped carry out multiple studies looking at the optimal way to manage spontaneous pneumothorax in pediatric patients.
00:00:00:00 Introduction
00:01:24:19 Case Scenario: 16-year-old male with right-sided chest pain
00:02:21:12 Historical Management of Spontaneous Pneumothorax
00:05:01:18 What We Know Now
00:07:29:03 Option of Immediate VATS
00:08:58:07 Midwest Consortium
00:10:27:03 Rationale of Aspiration
00:12:16:03 Aspiration Study from Midwest Consortium
00:17:30:26 Algorithm from the Aspiration Study
00:17:53:20 Outcomes in Patients Discharged Home after Aspiration Alone
00:20:18:14 How wo...
2019-07-1133 min
Stay Current in Pediatric Surgery#APSA50: Academic Surgery in 2019Next in our #APSA50 series, comes a thoughtful discussion regarding academic surgery and future transformations. Dr. Ron Hirschl starts us off with a discussion on the changes they implemented at this years’ conference, including focused TED-style talks and presentations beyond the field of surgery. Dr. Allan Goldstein shares his thoughts on the shifting general surgery paradigm. We wrap it up with a continued debate on the role of social media in academic medicine. Drs Allan Goldstein and Todd Ponksy share their differing opinions.
Have a listen, and tell us—what do you think? How do you think academic medicine will chan...
2019-07-0511 min
Stay Current in Pediatric Surgery#APSA 50: Robert E Gross DebateThe 50th APSA meeting featured a debate moderated by Dr. Jacob Langer from The Hospital for Sick Children. The topic debated was:
"Be it resolved that I would NOT encourage my daughter or son to become a pediatric surgeon."
Representing the side supporting this statement were Dr. Cathy Burnweit from Nicklaus Children's Hospital and Dr. Daniel Ostlie from Phoenix Children's Hospital. Representing the side against this statement were Dr. Andrea Hayes-Jordan from North Carolina Children's Hospital and Dr. Douglas Barnhart from Primary Children's Hospital.
00:00:00 Introduction
00:36:05 Dr. Langer’s Preface
03:25:00 Dr. Burnweit’s Opening Argument (Pro)
08:39:07 Dr. Hayes-Jordan’s Opening Argument (Con)
...
2019-07-0559 min
Stay Current in Pediatric Surgery#APSA 50: Artificial IntelligenceThis episode is the third in our #APSA50 series, where we teamed up with the Behind the Knife Podcast to cover the 50th Anniversary Meeting of the American Pediatric Surgical Association. In this episode, we interviewed Dr. Michael Muelly, who gave the first of the meeting's PED (Pediatric Surgery, Education, and Disruption) talks on the topic of artificial intelligence in healthcare.
Dr. Muelly is a product manager at Google Cloud’s Healthcare & Lifesciences team and is a radiology faculty member at Stanford University. He has spent time researching machine learning, and has co-founded companies dedicated to bringing radiology to the cl...
2019-06-1415 minStay Current in Pediatric Surgery#APSA50: The Future and The PastThis is the next episode in our #APSA50 series, where we teamed up with the Behind the Knife Podcast to cover the 50th Anniversary Meeting of the American Pediatric Surgical Association. The coverage of the conference wouldn’t be complete without a little history lesson and guidance for the future. Drs Jim O’Neill, Jr. and Jo Shapiro join Rae Hanke, Alex Casar and Alex Gibbons to take a journey through the past and peak into the future.
Throughout the discussion, we first review the journey of three pediatric surgery pioneers, Drs William Ladd, Herbert Coe, and Oswald Wyatt. Dr. O’Ne...
2019-06-1116 min
Stay Current in Pediatric Surgery#APSA50: Social Determinants Of Health PodcastThis episode is the first in our #APSA50 series, where we teamed up with the Behind the Knife Podcast to cover the 50th Anniversary Meeting of the American Pediatric Surgical Association. It is a conversation between Alex Casar, Alex Gibbons, Rae Hanke, and our invited guest.
It presents an interactive discussion and thoughtful reflection on the topic of Social Determinants of Health, which was a cornerstone of this year’s meeting.
Social determinants of health refer to factors like economic stability, housing, transportation, physical and psychological safety, zip code and geography, literacy and education, hunger, poverty, community support and engagement, di...
2019-06-0547 min
Stay Current in Pediatric SurgeryGallstone DiseaseThis podcast is an interactive discussion about gallstone disease between Dr. Todd Ponsky and his father, Dr. Jeffrey Ponsky.
Dr. Jeffrey Ponsky is a professor of surgery at Cleveland Clinic Lerner College of Medicine, and is an expert in advanced therapeutic endoscopic treatment of biliary disease.
00:00:00:00 Introduction
00:01:55:10 Work-Up for Right Upper Quadrant Abdominal Pain
00:03:41:03 Case 1: 14-year-old overweight female
00:06:33:01 Laparoscopic Cholecystectomy Tips and Tricks: Port Placement
00:10:22:05 Tips for the Difficult Laparoscopic Cholecystectomy
00:12:58:16 Tips for the “Easy” Laparoscopic Cholecystectomy
00:14:48:12 Tips and Tricks for Cholangiography
00:18:33:29 Same-Day Discharge?
00:19:35:25 Case 2: One Week of Symptoms
00:20:17:19 Case 3: Excessive Post-Operative Pain
00:23:22:22 Case 4: Biliary Dyskinesia
00:23:44:28 Case 5: Gallstone Pancreatitis
00:27:27:14 Gallstone Panc...
2019-05-0947 min
Stay Current in Pediatric SurgeryUnconscious BiasThis episode is an interactive discussion about Unconscious Bias between Dr. Todd Ponsky, Dr. Julie Freischlag, Dr. Mary Brandt, Dr. Quinn Capers IV, Dr. Alejandra (Alex) Casar Berazaluce, Dr. Rachel (Rae) Hanke, and Dr. Alexander Gibbons.
Dr. Julie Freischlag is CEO of Wake Forest Baptist Medical Center and Dean of Wake Forest School of Medicine. Dr. Mary Brandt is a Professor of Surgery, Pediatrics, and Medical Ethics at Baylor College of Medicine and a Pediatric Surgeon and Director of the Adolescent Bariatric Surgery Program at Texas Children’s Hospital. Dr. Quinn Capers IV is the Associate Dean for Admissions, Associate Pr...
2019-03-2858 min
Stay Current in Pediatric SurgeryBiliary Atresia Part IIThis podcast is a discussion of the international approach to diagnosis and management of biliary atresia, amongst Dr. Todd Ponsky, Dr. Yamataka Atsuyuki, Dr. Greg Tiao, Dr. Mark Davenport, and Dr. Jorge Bezerra.
Dr. Greg Tiao is the Director of General and Thoracic Surgery, Frederick C. Ryckman Chair in Pediatric Surgery, Surgical Director of Liver Transplantation, and Associate Director of the Pediatric Surgery Fellowship at Cincinnati Children’s Hospital. Dr. Yamataka Atsuyuki is Professor and Head of Pediatric General and Urogenital Surgery at Juntendo University in Tokyo, Japan. Dr. Mark Davenport is the Head of Department of Pediatric Surgery and Pr...
2019-03-2742 min
Stay Current in Pediatric SurgeryBiliary Atresia Part IThis podcast is a discussion of the international approach to diagnosis and management of biliary atresia, amongst Dr. Todd Ponsky, Dr. Yamataka Atsuyuki, Dr. Greg Tiao, Dr. Mark Davenport, and Dr. Jorge Bezerra.
Dr. Greg Tiao is the Director of General and Thoracic Surgery, Frederick C. Ryckman Chair in Pediatric Surgery, Surgical Director of Liver Transplantation, and Associate Director of the Pediatric Surgery Fellowship at Cincinnati Children’s Hospital. Dr. Yamataka Atsuyuki is Professor and Head of Pediatric General and Urogenital Surgery at Juntendo University in Tokyo, Japan. Dr. Mark Davenport is the Head of Department of Pediatric Surgery and Pr...
2019-03-2731 min
Stay Current in Pediatric SurgeryGastroesophageal Reflux DiseaseThis podcast is a multidisciplinary discussion on a controversial topic, management of pediatric Gastroesophageal Reflux Disease, amongst Dr. Todd Ponsky, Dr. Rachel Rosen, and Dr. George "Whit" Holcomb.
Dr. Rachel Rosen is Director of the Aerodigestive Center and Pediatric Gastroenterologist at Boston Children's Hospital, and Associate Professor of Pediatrics at Harvard Medical School. Dr. George "Whit" Holcomb is the Senior Vice President at Children's Mercy Hospital, Director of the Center for Minimally Invasive Surgery, Professor of Pediatric Surgery at University of Missouri-Kansas City School of Medicine, and Editor in Chief of the Journal of Pediatric Surgery.
Time stops:
Introduction| 00:24:00
Work...
2018-08-141h 21
Stay Current in Pediatric SurgeryPediatric Trauma II: Solid Organ InjuryThis podcast is an interactive discussion about pediatric trauma between Dr. Todd Ponsky, Dr. Mark McCollum, and Dr. David Notrica.
Dr. David Notrica is the trauma medical director at Phoenix Children's Hospital and is associate professor of surgery at the Mayo Clinic College of Medicine and Associate Professor of Surgery at the University of Arizona College of Medicine in Phoenix.
00:01:30 Dr. David Notrica
00:02:28 Can you tell us a little bit more about what ATOMIC is and what you guys did about it?
00:05:12 In patient with blunt solid organ injury, what is the evidence to support non-operative management based on hemodynamic...
2018-05-2637 min
Stay Current in Pediatric SurgeryPediatric Ovarian TumorsAn interactive discussion between Dr. Ponsky and Dr. Rescorla about the management of ovarian tumors in pediatric patients.
Dr. Frederick Rescorla is surgeon-in-chief at Riley Children's Hospital, Anna Olivia Healey Professor of Pediatric Surgery at Indiana University School of Medicine, and COG germ cell committee member.
Timestops:
00:00:00 Introduction
02:17:12 Case 1: Ovarian cystic mass with solid components
04:09:16 Overview of ovarian tumors
05:18:22 Workup of Case 1
08:02:10 Operative technique
11:06:21 Exploring retroperitoneal lymph nodes
12:40:13 Ovarian Salvage
14:20:07 Case 2: Large ovarian cystic mass in adolescent
16:59:00 Operative technique
18:23:23 Case 3: Solid ovarian mass in adolescent
20:27:09 Preoperative workup
21:10:02 Surgical approach
23:41:06 Chemotherapy
24:01:05 Cryopreservation
24:31:14 Case 4: Ovarian torsion
26:31:15 Role of oophoropexy
28:42:13 Follow up after...
2018-02-1633 min
Stay Current in Pediatric SurgeryPediatric Bariatric SurgeryAn interactive discussion between Dr. Ponsky, Dr. Harmon and Dr. Inge about the role of bariatric surgery in pediatric patients.
Dr. Inge is Chief of Pediatric Surgery, Akers Endowed Chair in Pediatric Surgery, and Director of Adolescent Bariatric Surgery at Children’s Hospital of Colorado.
Dr. Harmon is professor of Surgery at University of Buffalo and Surgeon-in-Chief at Oishei Childrne’s Hospital.
Timestamps:
00:00:00 Introduction
00:01:37 Need for Bariatric Surgery in the current era
00:03:05 Non-operative therapy for obesity
00:06:13 Pharmacotherapy for obesity in adolescents
00:07:13 Timing of bariatric surgery
00:09:46 Patient referral
00:12:12 Multidisciplinary pre-operative management
00:15:55 How often is surgery recommended
00:19:44 Surgical options
00:23:48 Technical steps of oper...
2018-01-1549 min
Stay Current in Pediatric SurgeryHepatoblastomaAn interactive discussion between Todd Ponsky, MD and Max Langham, MD on the management of hepatoblastomas.
Dr. Max Langham is a Professor of Surgery and Pediatrics and the Vice Chairman of the Department of Surgery at the University of Tennessee Health Science Center.
Table of Contents
00:00 - Introduction
01:15 - Work-up of a newly diagnosed liver mass
04:20 - Differential diagnosis of liver mass
08:03 - Tumor biopsy
10:11 - Pretext staging system
14:43 - Upfront resection
16:18 - How to use the pretext system to determine resectability
20:14 - Annotation factors
22:25 - Histologic subtypes
25:17 - Management of unresectable tumors
28:44 - What makes hepatoblastoma high-risk?
30:52 - Approach...
2017-11-1754 min
Stay Current in Pediatric SurgeryPediatric Urology IThis podcast is a discussion between Dr. Todd Ponsky and Dr. Patricio C. Gargollo who is the senior associate consultant pediatric urology at the Mayo Clinic Rochester and associate professor of urology at the Mayo medical school. It is a bout pediatric urology mostly regarding external genitalia and this is going to be an overview for pediatric surgeons to get an idea about all the things that we probably should know about external genitalia as a relates to pediatric urology.
Facilitator: Dr. Todd Ponsky
Editors: Dr. Todd Ponsky, Dr. Sophia Abdulhai, Dr. Abdulraouf Lamoshi and Dr. Raghavendra Rao
2017-11-021h 10
Stay Current in Pediatric SurgeryPediatric BurnsSpeaker: Dr. Robert L. Sheridan
Facilitator: Dr. Todd Ponsky
Editors: Dr. Todd Ponsky, Dr. Sophia Abdulhai, Dr. Abdulraof Lamoshi and Dr. Raghavendra Rao
2017-10-0351 min
Stay Current in Pediatric SurgeryAcute PancreatitisDr. Maisam A. Abu-El-Haija acute pancreatitis presentation, she is the medical director of pancreas care center, division of pediatric gastroenterology at Cincinnati Children's Hospital, with participation from some experts and audience
2017-07-2345 min
Stay Current in Pediatric SurgeryWilms TumorAn interactive discussion about Wilms tumor between Todd Ponsky, MD, Avraham Schlager, and Peter Ehrlich, MD.
Dr. Peter Ehrlich is a professor of pediatrics surgery at the University of Michigan C.S. Mott Children’s Hospital who is also a vice chair of surgery and renal tumor section of the children oncology group.
Table of Contents
00:00 - Introduction
01:09 - Typical clinical case?
03:27 - Wilms tumor CT scan
04:48 - What after CT scan
06:10 - Therapeutic options
09:15 - Management of widespread tumor
10:18 - Intestinal invasion
10:57 - tumor upstaging
12:35 - Different therapeutic approaches
14:57 - Crossing midline tumor
15:35 - Lung lesion impact on the ap...
2017-06-021h 04
Stay Current in Pediatric SurgeryHistory Of Pediatric SurgeryAn interactive discussion between Todd Ponsky, MD and Don Nakayama, MD about the history of pediatric surgery, specifically the evolution of the management of pyloric stenosis, Hirschprung disease and esophageal atresia.
Dr. Nakayama is an adjunct professor of the department of surgery at the Herbert Wertheim College of Medicine at Florida International University and pediatric surgeon at Sacred Heart Medical Group.
Table of Contents
00:00:00 Introduction
00:01:54 Origin of Pediatric Surgery
00:05:47 Historical events in medicine involving pediatric patients
00:07:21 How Dr. Nakayama became interested in the history of pediatric surgery
00:08:59 History of pyloric stenosis
00:11:38 First pyloric stenosis operations
00:14:46 Start of perioperative care of...
2017-04-1452 min
Stay Current in Pediatric SurgeryIntestinal FailureAn interactive discussion about intestinal failure between Todd Ponsky, MD and Brad Warner, MD.
Dr. Warner is the Jessie L. Ternberg, MD, PhD Distinguished Professor of Pediatric Surgery at Washington University School of Medicine and surgeon-in-chief for St. Louis Children’s Hospital in St. Louis, Missouri.
Table of Contents
00:00 - Introduction
01:39 - What is intestinal failure?
02:50 - Required bowel length
05:39 - Nature history of short gut
07:07 - Mortality in intestinal failure
07:39 - Small bowel transplant candidacy
09:15 - Causes of short gut
09:42 - Medical management of short gut syndrome
12:40 - Primary prevention of TPN cholestasis
16:15 - Summary of medical management
18:03 - Im...
2017-03-3152 min
Stay Current in Pediatric SurgeryNecrotizing EnterocolitisAn 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...
2017-01-1646 min
Stay Current in Pediatric SurgeryAbdominal Wall DisordersAn 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...
2016-11-2352 min
Stay Current in Pediatric SurgeryUmbilical Cord DefectsThis podcast discusses the work up and management of umbilical cord defects.
Dr. Todd A. Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital.
Dr. Kenneth S. Azarow is surgeon-in-chief for Doernbecher Children’s Hospital and Helen B. Tracy professor of pediatric surgery at Oregan Health and Science University.
Time Markers:
00:00:00 Introduction
00:02:04 Timing of surgery
00:05:18 Diagnosing an incarcerated umbilical hernia
00:07:23 Anesthesia
00:08:24 Suture preference
00:08:49 Antibiotic use
00:10:09 Umbilicoplasty
00:12:30 Management of Gastroschisis
00:14:37 Management of Omphalocele
00:16:39 Use of mesh for umbilical hernia repairs
00:17:00 Do asymptomatic umbilical hernias require operative repair?
00:18:33 Work-up and management of drainage from umbilicus
00:20:54 Ma...
2016-10-2030 minStay Current in Pediatric SurgeryTracheoesophageal FistulaThis podcast discusses the work up, operative management, and follow-up management of tracheoesophageal fistulas.
Dr. Todd Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital.
Dr. Avraham Schlager is a pediatric surgeon at Akron Children's Hospital.
Dr. Daniel von Allmen is the surgeon-in-chief, Lester W. Martin chair of pediatric surgery, senior vice president of the surgical services, and professor at University of Cincinnati department of surgery.
Audio Index
00:00:00 Introduction
00:03:27 Diagnosis of TEF
00:06:21 Preoperative planning
00:07:09 Management of TEF with right sided aortic arch
00:09:00 Timing of Repair in stable patient
00:09:56 Management of patient with respiratory...
2016-08-1945 minStay Current in Pediatric SurgeryPediatric Thyroid DisordersAn interactive discussion about malignant and benign pediatric thyroid disorders between Todd Ponsky, MD and Diana Diesen, MD.
Dr. Diesen is assistant professor of surgery and pediatric surgery fellowship program director at the University of Texas Southwestern Medical Center and is a member of the Children's Health Pediatric Thyroid Center at the Children's Medical Center of Dallas.
Contents
00:00 Introduction
02:31 Asymptomatic thyroid nodule
03:00 History
04:08 Risks factors for thyroid nodules and cancers
04:25 Family history
04:56 Physical exam
05:24 Physical exam pearls
06:03 Concerning physical exam findings
06:56 Laboratory evaluation
07:42 Thyroid scintigraphy
08:08 Hot thyroid nodules
09:13 Nodule with normal TSH
09:26 Thyroid ultrasound
10:15 Thyroid cysts
10:52 Lesion size and FNA...
2016-06-1746 minStay Current in Pediatric SurgeryGastroesophageal Reflux DiseaseAn interactive discussion about gastroesophageal reflux disease between Jeffrey Ponsky, MD and Michael Rosen, MD.
Dr. Rosen is a professor of surgery at the Cleveland Clinic Lerner College of Medicine, and general surgery staff in department of surgery at Cleveland Clinic in Cleveland, OH. Dr. Ponsky, is a professor of surgery at the Cleveland Clinic Lerner College of Medicine and Department of Surgery at Cleveland Clinic.
Table of Contents
00:01:06|GERD
00:01:16|Case presentation 40 year old woman with heartburn(00:01:16:30)
00:02:56|H2-blockers
00:03:19|Refractory symptoms after PPI
00:04:23|Role of EGD- assess esophagitis, and rule out Barrett’s
00:04:57|Frequency of EGD
00:06:17|Bravo-study performed with patient of...
2016-06-0835 minStay Current in Pediatric SurgeryColorectal CancerAn interactive discussion about colorectal cancer between Jeffrey Ponsky, MD and Conor Delaney, MD, PhD.
Dr. Delaney, is the chairman of the Digestive Disease and Surgery Institute at Cleveland Clinic, Cleveland, OH. Dr. Delaney is also a professor of surgery at Cleveland Clinic Lerner College of Medicine. Dr. Ponsky, is a professor of surgery at the Cleveland Clinic Lerner College of Medicine and staff surgeon in the department of Surgery at Cleveland Clinic, Cleveland, OH.
Table of Contents
01:04:09|Role Of Colonoscopy For Screening And For Serrated Polyps
04:15:59|Rectal Cancers At 6cm In Today’s Era
08:17:45|Endoscopic Ultrasound And Preoperative Radiation
13:05:22|Pr...
2016-06-0826 minStay Current in Pediatric SurgeryAcute CholecystitisAn interactive discussion about acute cholecystitis disease between Jeffrey Ponsky, MD and John Rodriguez, MD.
Dr. Rodriguez is a general surgery staff surgeon in department of surgery at Cleveland Clinic in Cleveland, OH. Dr. Ponsky, is a professor of surgery at the Cleveland Clinic Lerner College of Medicine and Department of Surgery at Cleveland Clinic.
Table of Contents
00:57:01|Acute Cholecystitis: Simple Versus Mitigating Cases
07:12:11|Management Of Cholecystostomy Tube
08:59:20|After The Tube: Operative Planning For Sick Patients
11:17:32|Operative Technique For Simple Acute Cholecystitis
15:18:54|Intra-operative Challenges
20:33:55|Cholangiograms
23:27:10|Transcystic Antegrade Sphincteroplasty
25:37:32|Difficult Dissections
2016-06-0832 minStay Current in Pediatric SurgeryAnorectal Malformations ComplicationsIn this episode, Dr. Marc Levitt from Nationwide Children’s Hospital discusses complications of anorectal malformations. This episode is brought to you by the Center for Colorectal and Pelvic Reconstruction at Nationwide Children’s Hospital. Our collaborative team performs more than 1,000 procedures each year for kids from around the world. Visit nationwidechildrens.org/CCPR for more information.
Table of contents:
00:00 – Play from the beginning
02:29 – Missed perineal fistula in a male
04:47 – Does surgical correction of a missed perineal fistula improve constipation?
05:57 – Physical exam for perineal fistula
07:27 – Perineal fistula in a female
09:50 – Anal sphincter stimulation
12:12 – Recto-urethral fistula
13:53 – Missed cloaca
16:42 – Common colostomy problems
17:39 – Incompletely diverting l...
2016-02-0348 minStay Current in Pediatric SurgeryOvarian TorsionIn this episode, Dr Jennifer Dietrich from Texas Children’s Hospital discusses ovarian torsion.
Table of contents:
00:00 – PLAY FROM THE BEGINNING
01:33 – Evaluation of the adolescent with lower abdominal pain
02:49 – Ultrasound
04:29 – Ovarian blood flow
07:06 – Peripherally located follicle
08:06 – Ovarian mass or lesion
11:14 – What findings are suggestive of malignancy?
12:13 – Role for CT or MRI
13:16 – Are pelvic exams necessary?
13:58 – Labs
15:01 – Tumor markers
16:50 – When to operate with normal blood flow
19:40 – Classic presenation of ovarian torsion
21:09 – Difference between symptomatic ovarian cyst and ovarian torsion
22:38 – Operative technique
23:48 – Cystectomy vs fenestration
26:08 – Ovarian salvage
27:51 – Ovarian bivalve procedure
30:48 – Oophoropexy
35:00 – Tubo-ovarian abscess
35:53 – Pregnancy
37:57 – Ectopic pregnancy
39:49 – Endometriosis
42:15 – Post-operative management
43:26 – Oral contraceptives
44:19 – Surveillance
45:33 – Closing remarks
Intro track is adapted from "I dunno" by...
2015-12-0847 minStay Current in Pediatric SurgeryLung LesionsAn interactive discussion about pediatric lung lesions between Todd Ponsky, MD and Steve Rothenberg, MD.
Dr. Rothenberg is Chief of Pediatric Surgery and the Chairman of the Department of Pediatrics at the Rocky Mountain Hospital for Children in Denver, CO. He is also faculty at Columbia University, College of Physicians and Surgeons in the Division of Pediatric Surgery as a Senior Consultant in Pediatric Minimal Access Surgery.
Table of Contents
00:00 Introduction
02:46 Prenatal evaluation
04:11 Role of fetal MRI
04:30 Fetal imaging features
05:11 Choice of delivery location
06:01 Role of fetal intervention
07:09 Administration of corticosteroids
07:49 Cyst volume ratio
08:32 Spectrum of CPAM
11:16 Routine neonatal care
13:45...
2015-11-021h 07Stay Current in Pediatric SurgeryInguinal Hernia With M. RosenAn interactive discussion about inguinal hernia between Jeffrey Ponsky, MD and Michael Rosen, MD.
Dr. Rosen is professor of surgery at Cleveland Clinic Lerner College of Medicine.
Table of Contents
1:00:44 1 Introductions
2:02:45Work up for groin bulge
4:02:16 Role of watchful waiting
5:30:26 Contraindications to repair
7:02:27 Open versus laparoscopic approach
10:48:40 Front door or ceiling: TAPP vs TEP laparoscopic repair
12:11:05 Patient counseling
14:24:46 Incidental contralateral hernia: To fix or not to fix?
15:29:07 Special cases: Check your minimally invasive ego
17:26:17 Laparoscopic repair: technical tenants
21:10:48 You’ve stepped into it now: Which mesh?
24:19:40 Fixation of mesh?
25:21:55 Contaminated field: To mesh or not to
26:15:14 Femoral hernias: Best approach?
28:34:32 Co...
2015-10-2931 min
Stay Current in Pediatric SurgeryJournal Club Part 1This episode is our first audio journal club. We discuss 5 papers today with our guests, Dr Dan von Allmen, Dr George Whit Holcomb, and Dr Aaron Lipskar.
Table of contents:
00:00 Introduction
00:55 Corticosteroids for biliary atresia
05:21 Dr von Allmen’s comments
10:54 Antiseptic agents and surgical site infection
14:15 Dr Holcomb’s comments
20:17 Non-operative management of non-perforated appendicitis
25:19 Dr Holcomb’s comments
30:41 Enteral autonomy after intestinal failure
33:37 Dr Lipskar’s comments
36:41 Anesthesia neurotoxicity
40:27 Dr Lipskar’s comments
Use of Corticosteroids After Hepatoportoenterostomy for Bile Drainage in Infants With Biliary Atresia: the START randomized clinical trial
Discussed by Dr Dan von Allmen
Bezerra JA, et al. Use...
2015-10-1944 min
Stay Current in Pediatric SurgeryCloacal ExstrophyAn interactive discussion about cloacal exstrophy between Todd Ponsky, MD and Alberto Peña, MD.
Dr. Peña is is the founding director of the Peña Colorectal Center at Cincinnati Children's Hospital and clinical professor of surgery at the University of Cincinnati
Table of Contents
00:00 Introduction
01:24 What is cloacal exstrophy?
06:24 Management of cloacal exstrophy
07:56 Sexual function in males
11:38 Team approach
12:50 Role of the pediatric surgeon
13:21 Differentiating urothelium from intestinal mucosa
13:51 Bladder closure
14:04 End colostomy creation
15:11 Consequences of end ileostomy creation
16:41 Rescue operation
18:51 Common mistake: Failure to separate bowel from bladder
20:15 Pelvic osteotomies for pelvic approximation
21:37 End colostomy complications
23:23 Reversal of...
2015-10-1953 min
Stay Current in Pediatric SurgeryVascular AccessAn interactive discussion about vascular access in the pediatric patient population between Todd Ponsky, MD and Mark Wulkan, MD.
Dr. Wulkan is Professor of Surgery and Chief, Division of Pediatric Surgery, Department of Surgery, Emory University School of Medicine, Emory Children's Center, Atlanta, Georgia
Table of Contents
01:15 - Catheter selection
02:48 - Neck cutdown technique
06:38 - Catheter selection, continued
07:02 - Neck cutdown technique, continued
07:18 - Determine catheter length
09:34 - Percutaneous technique
13:24 - Long-term access
15:22 - Utility of vascular studies
17:50 - Choice of vessel
19:17 - Line infections
20:06 - Choice of vessel, continued
22:44 - Groin cutdown technique
23:17 - Preoperative workup
24:38 - Heparin use
25:20...
2015-08-1735 min
Stay Current in Pediatric SurgeryHirschsprung Disease Listener Mailbag: BoTox & Post-pullthrough Dilated ColonDiscussion with Dr Marc Levitt, Dr Scott Engum and Dr Todd Ponsky regarding the use of BoTox in the post-pullthrough patient as well as management of dilated post-pullthrough colon.
Table of contents:
01:17 - Algorithm for BoTox
07:07 - BoTox technique
09:11 - Management of dilated post-pullthrough colon
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Please send any questions or comments to staycurrentpodcast@gmail.com
2015-07-1512 min
Stay Current in Pediatric SurgeryAnorectal MalformationsDiscussion with Dr. Andrea Bischoff and Dr. Todd Ponsky regarding evaluation and management of anorectal malformations.
Table of contents:
01:19 - Evaluation of the male baby with an anorectal malformation
03:08 - Distinguishing a normal anus from a perineal fistula
04:39 - Associated anomalies
10:19 - Timing of surgical repair
12:45 - Evaluation of the female baby with an anorectal malformation
13:57 - Evaluation of the older child with an anorectal malformation
16:08 - Evaluation of the male baby with a high anorectal malformation
17:38 - What is the ideal colostomy?
19:31 - Distal colostogram
22:19 - Choice of procedure for different anorectal malformations
24:30 - Evaluation of cloacal anomaly
27:28...
2015-07-1547 min
Stay Current in Pediatric SurgeryEmpyemaDr. Shawn St. Peter and Dr. Todd Ponsky discuss contemporary diagnosis and management of empyema
Table of contents:
2:37 - Evaluation of patient with pleural effusion
07:26 - Treatment algorithm for empyema
11:23 - Duration of antibiotic therapy
14:51 - Imaging for empyema
16:03 - Fibrinolysis
23:15 - Post-procedure chest x-ray
23:45 - Determining failure of therapy
26:44 - Pulmonary necrosis
31:57 - Pulmonary abscess
33:44 - Resection for pulmonary necrosis?
34:26 - Agents for fibrinolysis
2015-06-1836 min
Stay Current in Pediatric SurgeryHirschsprung Disease Part 2Continuation of our previous podcast on Hirschsprung disease with Dr Marc Levitt that focuses on the evaluation and management of post-pull-through complications.
Table of contents:
04:12 - Evaluation of post-pull-through problems
08:08 - Post-pull-through enterocolitis
12:49 - Contrast enema
15:39 - Exam under anesthesia
17:26 - Repeat biopsy
19:19 - Redo transanal dissection
20:13 - Persistent cuff
21:45 - Myectomy
23:43 - BoTox
27:46 - Twisted bowel
29:40 - Duhamel complications
32:35 - Evaluation for persistent soiling
42:20 - Surgical treatment for soiling
2015-05-1744 min