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Stay Current in Pediatric Surgery

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ECMO Podcast

This 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


18 Oct 2019

Rank #1

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Gastroesophageal Reflux Disease

This 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| 00:24:00Work up of a patient with GERD like symptoms| 02:50:27Esophagoscopy| 08:22:11Normal Endoscopy - What next | 15:57:17Management of "suspected GERD" who are unable to feed | 24:40:07pH impedance testing| 40:07:14When to do surgery? | 43:15:25Neurological impairment | 50:21:22Botox injections | 53:43:15The perfect Fundoplication | 56:23:15Post Nissen Retching | 61:32:28Pyloroplasty | 64:17:00Gastric stimulation| 65:17:00Transoral Incisionless Fundoplication | 66:06:02Failed fundoplication| 70:11:02Esophageal dissociation| 75:25:11Ruminators| 77:51:13Conclusion | 80:00:20Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626

1hr 21mins

14 Aug 2018

Rank #2

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Necrotizing Enterocolitis

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 Contents00:00:00 Introduction00:02:41 Work-up of NEC00:04:02 Medications associated with NEC00:05:24 Physical Examination00:07:04 Laboratory Work00:08:44 Imaging studies00:09:15 When to Operate on NEC00:10:45 Medical Management of NEC 00:12:23 Antibiotic regimen00:13:19 Frequency of imaging studies 00:13:55 Length to continue medical management00:14:39 Stricture after NEC00:15:43 When to operate after medical management without absolute indication00:17:11 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 laparotomy00:26:03 Peritoneal drain placement technique00:28:12 Operating after placement of a peritoneal drain00:29:34 Management of patient after peritoneal drain placement 00:30:59 Laparotomy technique00:33:39 Operative management of focal necrotic area00:34:41 Creating a stoma00:36:50 Management of Diffuse NEC00:37:58 Management of skip lesions00:39:21 When to reverse the stoma00:40:34 Re-feeding mucous fistula00:42:04 Management of NEC totalis00:44:05 Management of tension pneumoperitoneumIntro and outro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626License: http://creativecommons.org/licenses/by/3.0/


16 Jan 2017

Rank #3

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Biliary Atresia Part I

This 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 Professor at King’s College Hospital, London, and immediate past President of BAPS. Dr. Jorge Bezerra is the Director of the Division of Gastroenterology, Hepatology and Nutrition, and Medical Director of the Pediatric Liver Care Center at Cincinnati Children’s Hospital. Time stops:00:02:28 Case 1: 50-day-old male with jaundice and clay-colored stools 00:03:26 Stool Card 00:05:20 Differential diagnosis 00:06:01 Bloodwork 00:07:48 Initial imaging: Ultrasound 00:09:38 Absence of gallbladder on ultrasound, now what? 00:09:49 Biopsy? 00:11:13 Scintography and diagnostic laparoscopy? 00:13:50 NASPHGAN Guidelines 00:14:44 Biopsy results 00:17:14 Role of ERCP 00:18:21 After positive biopsy, exploration and cholangiogram 00:19:09 Performing the Kasai procedure 00:19:29 Open Kasai (Davenport) 00:20:19 Open Kasai (Tiao) 00:21:36 Laparoscopic Exploration and Kasai (Yama) 00:25:48 US: Tips & Tricks for the operation 00:28:15 London: Tips & Tricks for the operation 00:30:31 Japan: Tips & Tricks for the operationIntro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626


27 Mar 2019

Rank #4

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Wilms Tumor

An 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 Contents00:00 - Introduction01:09 - Typical clinical case?03:27 - Wilms tumor CT scan04:48 - What after CT scan06:10 - Therapeutic options09:15 - Management of widespread tumor10:18 - Intestinal invasion10:57 - tumor upstaging12:35 - Different therapeutic approaches 14:57 - Crossing midline tumor15:35 - Lung lesion impact on the approach17:15 - Biopsy technique18:39 - Possibility of negative biopsy19:18 - Central line type23:02 - Chemotherapy regimen 25:02 - Stage I and II with lung lesion27:39 - Need for lung lesion biopsy29:02 - Lung lesion after nephrectomy29:19 - Treatment without biopsy30:08 - Differences between COG and SIOP31:16 - Abdominal radiation criteria32:20 - Impact of spillage33:09 - Unclear imaging34:12 - preoperative preparation37:15 - patient position and incision 40:15 - Artery versus vein40:40 - Placing metal clip41:10 - significance of the surgical margins42:12 - Frozen section43:23 - Surgery alone45:50 - Caval extension management48:41 - Effect of chemotherapy on the tumor49:23 - Technical steps to remove thrombus52:29 - Pathological results56:48 - Surprises: other types57:40 - Bilateral wilms01:00:28 - Role of the biopsy 01:02:35 - radiation after the biopsy01:03:11 - Closure Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626License: creativecommons.org/licenses/by/3.0/

1hr 4mins

2 Jun 2017

Rank #5

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Inguinal Hernia With M. Rosen

An 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 Contents1:00:44 1 Introductions2:02:45Work up for groin bulge4:02:16 Role of watchful waiting5:30:26 Contraindications to repair7:02:27 Open versus laparoscopic approach10:48:40 Front door or ceiling: TAPP vs TEP laparoscopic repair12:11:05 Patient counseling14:24:46 Incidental contralateral hernia: To fix or not to fix?15:29:07 Special cases: Check your minimally invasive ego17:26:17 Laparoscopic repair: technical tenants21:10:48 You’ve stepped into it now: Which mesh?24:19:40 Fixation of mesh?25:21:55 Contaminated field: To mesh or not to26:15:14 Femoral hernias: Best approach?28:34:32 Complicated hernias: recurrent, bilateral, incarcerated30:35:18 Summary


29 Oct 2015

Rank #6

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Coagulopathy And Analgesia

This 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 Introduction00:01:22:01 Case Scenario: 12-year-old male in helmeted MVC vs. bicycle accident00:02:36:10 See Where You Are00:05:22:17 Initial Therapy00:06:26:04 General Management00:07:00:04 Viscoelastic Monitoring00:08:05:01 Phases of Viscoelastic Monitoring00:10:47:02 Targeted Therapy00:11:42:25 Real Time Monitoring00:14:38:13 Management of Fibrinolysis00:16:06:18 Balanced Resuscitation00:17:26:16 Efficiency00:18:12:29 Pediatric Evidence00:19:07:08 Massive Transfusion and Balanced Resuscitation00:19:42:28 Case Scenario: Pain Control After Laparotomy00:21:02:12 Narcotics00:22:08:19 Regional Analgesia00:23:29:12 Anxiety00:25:43:24 Case Scenario: Sedation00:27:51:13 Validated Pain Scores 00:29:53:14 Validated Sedation Scores00:31:23:23 Sedation Holidays and ABCDEF Bundles00:32:09:08 A: Assessing Pain00:32:20:29 B: Breathing and Awakening Trials00:33:30:15 C: Choice of Analgesia and Sedation00:34:24:15 D: Delirium00:34:31:25 E: Early Mobility and Exercise00:34:37:24 F: Family Engagement00:35:47:28 Case Scenario: Post-Operative/ICU Delirium00:36:38:04 Risk Factors for Delirium00:37:21:15 Delirium Assessment Tools00:39:23:20 Evaluating for Causes of Altered Mental Status00:40:36:16 Multimodal Treatment for Delirium00:42:51:23 Preventing Delirium00:43:58:22 Conclusion00:44:21:22 Outro/TeaserIntro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626


31 Oct 2019

Rank #7

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Spontaneous Pneumothorax

This 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 Introduction00:01:24:19 Case Scenario: 16-year-old male with right-sided chest pain00:02:21:12 Historical Management of Spontaneous Pneumothorax00:05:01:18 What We Know Now00:07:29:03 Option of Immediate VATS00:08:58:07 Midwest Consortium00:10:27:03 Rationale of Aspiration00:12:16:03 Aspiration Study from Midwest Consortium00:17:30:26 Algorithm from the Aspiration Study00:17:53:20 Outcomes in Patients Discharged Home after Aspiration Alone00:20:18:14 How would you counsel a family based on this study?00:22:07:23 Technique for Aspiration00:22:59:07 Technical Considerations for VATS00:23:21:21 Is there a role for pleurodesis?00:24:55:15 Talc or Chemical Pleurodesis00:26:00:17 Role of CT00:27:22:16 Management of Multiply Recurrent Pneumothorax00:29:46:27 Small Recurrence after VATS with Pleurodesis00:31:16:24 Conclusion and Future Steps00:32:48:23 TeaserIntro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626


11 Jul 2019

Rank #8

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Anorectal Malformations

Discussion 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 malformation03:08 - Distinguishing a normal anus from a perineal fistula04:39 - Associated anomalies10:19 - Timing of surgical repair12:45 - Evaluation of the female baby with an anorectal malformation13:57 - Evaluation of the older child with an anorectal malformation16:08 - Evaluation of the male baby with a high anorectal malformation17:38 - What is the ideal colostomy?19:31 - Distal colostogram22:19 - Choice of procedure for different anorectal malformations24:30 - Evaluation of cloacal anomaly27:28 - Prognosis after repair of anorectal malformations32:45 - Enema technique35:58 - Bowel management for incontinence39:48 - Malone stoma41:33 - Bowel management for constipationPlease send questions and comments to staycurrentpodcast@gmail.com


15 Jul 2015

Rank #9

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Topics in 10: Wilms Tumor

Topics 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, MD00:00:00:00 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 Metastasis00:11:03:14 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


8 Aug 2019

Rank #10

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Pediatric Trauma II: Solid Organ Injury

This 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 status as opposed to a grade of injury?00:07:45 Can you describe some of the other factors that we would use to define hemodynamic stability?00:10:22 Do you use that in your center? Are the vital signs indexes like the shock index or laboratory values like serum lactate in addition to physical exam findings?00:12:44 From a crystalloid infusion standpoint, what are your thoughts as far as limiting crystalloid infusion and patients that you know are actively bleeding not crystalloid, but bleeding blood?00:15:57 What about the complications of transfusion short term and long term and how do we know that that is now not going up because we're giving more blood?00:19:08 It seems like now real viscoelastic assays TEG and Rotem are getting a lot more traction so that we're directing component therapy specifically as opposed to shot gunning a transfusion. I would love your thoughts on that?00:19:11 In a patient who has ongoing bleeding is he hemodynamically unstable and you're in the process of resuscitating them with blood products. What are your thoughts on angioembolization its safety and efficacy in pediatric of blunt liver and spleen injury?00:22:05 So once we have these patients resuscitated and stable in kids with solid organ injury should ICU admission be determined then by injury grade, hemodynamics or a combination of both?00:23:18 Do you have a threshold of volume of transfusion that would then indicate failure or is it a case by case?00:24:33 What are your thoughts as far as time frame for bedrest? How long and what are the parameters that help you decide?00:26:15 In hemodynamically stable patients, do you use a timeframe for observation or are they able to be fast tracked and may be discharged within 24 hours?00:27:47 Do you have criteria or a threshold, Hematocrit or hemoglobin point that indicates lab variability versus actual continued bleeding?00:29:31 So, whenever these kids are ready to go home, do you have a standard follow up regimen of a week, two weeks, four weeks. The rest issue I'll let you discuss as well, as far as time frame where they really stay off of activities until you see them back?00:31:05 is there a type of injury a finding on imaging or a symptom that would then maybe move you to schedule additional imaging in follow up to avoid a complication like a pseudoaneurysm or AV fistula or something along those lines?00:33:00 So, then it even in a grade 4 or a grade 5 injury with an active extravasation there's no real utility van and scheduling a post or a follow up ultrasound or additional imaging?00:34:52 For a patient who is stabilized to the point that he is ready for discharge, what criteria do you use then for timeframe of follow up? 00:37:07 Review 00:41:23 Resources00:43:11 Final comment


25 May 2018

Rank #11

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Tracheoesophageal Fistula

This 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 Index00:00:00 Introduction 00:03:27 Diagnosis of TEF00:06:21 Preoperative planning00:07:09 Management of TEF with right sided aortic arch00:09:00 Timing of Repair in stable patient 00:09:56 Management of patient with respiratory compromise prior to OR00:10:58 Temporizing maneuvers to help improve respiratory function00:13:26 Management of TEF in patients with duodenal atresia00:14:29 Role of preoperative bronchoscopy 00:16:20 Positioning of endotracheal tube00:17:09 Approaches to open technique and benefits of dividing azygous vein00:17:59 Techniques to divide the tracheoesophageal fistula00:19:25 Steps to gain exposure 00:20:58 Mobilization of esophagus00:22:51 Managing an injury to the trachea00:23:56 Creation of anastomosis00:24:26 Elongating techniques for long gap esophageal atresia 00:29:06 Approaches to thoracoscopic repair 00:31:42 Techniques and pearls in performing thoracoscopic anastomosis0034:15 Lung isolation techniques 00:35:46 Postoperative management 00:36:57 Drain management 00:37:44 Managing an anastomotic stricture00:39:43 Managing an anastomotic leak00:41:09 Postoperative and long term follow-up00:42:45 Indications to perform anti-reflux surgery 00:43:46 Management of pure esophageal atresia00:44:38 Closing remarksIntro and outro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626License: http://creativecommons.org/licenses/by/3.0/


19 Aug 2016

Rank #12

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Pediatric Ovarian Tumors

An 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 Introduction02:17:12 Case 1: Ovarian cystic mass with solid components 04:09:16 Overview of ovarian tumors05:18:22 Workup of Case 1 08:02:10 Operative technique11:06:21 Exploring retroperitoneal lymph nodes12:40:13 Ovarian Salvage14:20:07 Case 2: Large ovarian cystic mass in adolescent16:59:00 Operative technique18:23:23 Case 3: Solid ovarian mass in adolescent20:27:09 Preoperative workup21:10:02 Surgical approach23:41:06 Chemotherapy 24:01:05 Cryopreservation24:31:14 Case 4: Ovarian torsion 26:31:15 Role of oophoropexy28:42:13 Follow up after torsion without a mass29:11:22 Outcomes 31:57:20 ConclusionIntro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626License: creativecommons.org/licenses/by/3.0/


16 Feb 2018

Rank #13

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Anorectal Malformations Complications

In 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 beginning02:29 – Missed perineal fistula in a male04:47 – Does surgical correction of a missed perineal fistula improve constipation?05:57 – Physical exam for perineal fistula07:27 – Perineal fistula in a female09:50 – Anal sphincter stimulation12:12 – Recto-urethral fistula13:53 – Missed cloaca16:42 – Common colostomy problems17:39 – Incompletely diverting loop colostomy18:28 – Transverse colostomy19:14 – Dr Levitt’s preferred colostomy20:53 – Anoplasty techniques23:17 – Distal colostogram26:34 – Identifying the distal rectum29:54 – PSARP vs laparoscopy32:50 – Rectal prolapse35:27 – Perineal body dehiscence38:31 – Problems with laparoscopy40:12 – Problems with PSARP41:36 – Postoperative soiling44:33 – Redo pull-through45:44 – Closing remarks


3 Feb 2016

Rank #14

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Drs Erika Newman, Dan von Allmen and Tony Sandler join Dr. Todd Ponsky in a discussion covering the latest in neuroblastoma.Time Stops00:00:31 Introductions00:01:39 Case 1: Prenatal 26 week consult00:01:55 Differential Diagnosis00:02:29 Family counseling00:04:05 Postnatal evaluation00:04:33 Axial imaging00:06:53 MIBG scan00:07:05 Metastasis in neonatal phase00:07:19 Observe?00:08:23 Surveillance00:12:35 To operate or not to operate?00:13:49 Surgical Approach00:14:44 Case 1: Now with metastasis00:16:21 When to biopsy00:18:08 Case 2: 3 year old with abdominal mass00:18:29 Initial evaluation00:20:31 Case 2 continued...management00:21:49 Do you need a PET scan?00:23:28 Laparoscopic vs Percutaneous vs Open Biopsy00:31:18 Staging00:36:56 Case 2 continued...further management00:40:54 When to perform surgery in relation to chemotherapy00:43:56 Surgical Approach00:53:33 ImmunotherapyIntro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626


23 Aug 2019

Rank #15

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Hirschsprung Disease Listener Mailbag: BoTox & Post-pullthrough Dilated Colon

Discussion 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 BoTox07:07 - BoTox technique09:11 - Management of dilated post-pullthrough colonhttp://www.globalcastmd.com/ soundcloud.com/globalcastmd/hirschsprung-disease-listenerPlease send any questions or comments to staycurrentpodcast@gmail.com


15 Jul 2015

Rank #16

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Abdominal Wall Disorders

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 Contents00:00 - Introduction03:56 - Prenatal counseling for gastroschisis05:34 - Mode of delivery for gastroschisis06:22 - Timing of delivery in gastroschisis07:29 - Induction of labor in gastroschisis08:34 - Location of delivery in gastroschisis09:45 - Management of simple gastroschisis11:46 - Bedside closure of gastroschisis15:05 - Role of intubation in gastroschisis16:54 - Does every patient require staged closure?18:46 - Intestinal atresia and gastroschisis20:50 - Management of association intestinal atresia23:48 - Awaiting bowel function after gastroschisis repair27:54 - Cryptorchidism and gastroschisis28:26 - Prenatal counseling for omphalocele30:06 - Mode, location, and timing of delivery in omphalocele32:28 - Approach to giant omphalocele35:04 - Use of the sac as the silo39:26 - Role of silver sulfadiazine in omphalocele42:03 - Flip flop” and mesh for omphalocele44:44 - Pentalogy of Cantrell45:56 - GERD and omphalocele48:42 - Role of Ladd’s procedure in abdominal wall defects49:57 - Kinking of hepatic vessels


23 Nov 2016

Rank #17

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Topics in 10: Neuroblastoma

Drs 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 | Introduction00:23 | Epidemiology00:37 | Presentation01:01 | Work Up02:36 | Pre-biopsy staging03:53 | Management05:09 | Post-biopsy risk stratification09:00 | Clinical PearlsIntro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626


12 Sep 2019

Rank #18

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Vascular Access

An 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, GeorgiaTable of Contents01:15 - Catheter selection02:48 - Neck cutdown technique06:38 - Catheter selection, continued07:02 - Neck cutdown technique, continued07:18 - Determine catheter length09:34 - Percutaneous technique13:24 - Long-term access15:22 - Utility of vascular studies17:50 - Choice of vessel19:17 - Line infections20:06 - Choice of vessel, continued22:44 - Groin cutdown technique23:17 - Preoperative workup24:38 - Heparin use25:20 - Ethanol use26:14 - Line infections, continued27:35 - Antibiotic-coated catheters27:47 - Heparin-coated catheters28:04 - Exhaustion of vessel options31:15 - Skin preparation32:37 - Tunneled catheter removalIntro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626License: http://creativecommons.org/licenses/by/3.0/


17 Aug 2015

Rank #19

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History Of Pediatric Surgery

An 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 Contents00:00:00 Introduction 00:01:54 Origin of Pediatric Surgery00:05:47 Historical events in medicine involving pediatric patients00:07:21 How Dr. Nakayama became interested in the history of pediatric surgery00:08:59 History of pyloric stenosis00:11:38 First pyloric stenosis operations00:14:46 Start of perioperative care of pyloric stenosis patients00:18:04 History of Hirschsprung disease00:23:08 The contributions of Dr. Swenson00:25:16 Feud between Dr. Swenson and Dr. Gross00:28:16 History of the Soave procedure00:30:33 Story of the first PDA ligation00:36:41 Feud between Dr. Gross and Dr. Ladd00:37:21 History of esophageal atresia00:44:29 First successful esophageal atresia repair 00:46:36 Management of the first esophageal leak00:50:36 Closing remarks Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.Artist URL: ccmixter.org/files/grapes/16626License: creativecommons.org/licenses/by/3.0/


14 Apr 2017

Rank #20