An discussion of the medical and operative management of necrotizing enterocolitis between Todd Ponsky, MD and Gail Besner, MD. Dr. Besner is a H. William Clatworthy Professor of Pediatric Surgery, Chief of the Department of Pediatric Surgery, Principal Investigator of the Center of Perinatal Research, and Associate Director of the Pediatric Surgery Training Program at Nationwide Children's Hospital. Table of Contents 00:00:00 Introduction 00:02:41 Work-up of NEC 00:04:02 Medications associated ...
Jan 16, 2017•47 min
An interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. Langer is professor of surgery at the University of Toronto and Head of the Division of General and Thoracic Surgery at The Hospital for Sick Children in Toronto, Canada. Table of Contents 00:00 - Introduction 03:56 - Prenatal counseling for gastroschisis 05:34 - Mode of delivery for gastroschisis 06:22 - Timing of delivery in gastroschisis 07:29 - Induction of labor in gastrosc...
Nov 23, 2016•53 min
This 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 Anesth...
Oct 20, 2016•30 min
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...
Aug 19, 2016•46 min
An 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 nodul...
Jun 17, 2016•46 min
An 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 wo...
Jun 08, 2016•35 min
An 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...
Jun 08, 2016•27 min
An 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...
Jun 08, 2016•32 min
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 beginning 02:29 – Missed perineal fistula in a male 04:47 –...
Feb 03, 2016•48 min
In 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 w...
Dec 08, 2015•48 min
An 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 04:1...
Nov 02, 2015•1 hr 7 min
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 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...
Oct 29, 2015•31 min
This 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’...
Oct 19, 2015•44 min
An 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 inte...
Oct 19, 2015•53 min
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, 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...
Aug 17, 2015•36 min
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 BoTox 07:07 - BoTox technique 09:11 - Management of dilated post-pullthrough colon http://www.globalcastmd.com/ soundcloud.com/globalcastmd/hirschsprung-disease-listener Please send any questions or comments to staycurrentpodcast@gmail.com
Jul 15, 2015•13 min
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 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 b...
Jul 15, 2015•48 min
Dr. 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
Jun 18, 2015•37 min
Continuation 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 - Evalu...
May 17, 2015•45 min
