In this educational video, Dr. Robin Bowman from Lurie Children’s Hospital in Chicago demonstrates the surgical release of a fatty filum terminale in a patient with tethered cord syndrome. Tethered cord syndrome is a stretch-induced condition that can cause progressive neurological deficits, including gait abnormalities, loss of bladder control, and chronic pain. Key Highlights: Understanding Tethered Cord Syndrome: How abnormal attachment of the filum terminale stretches the spinal cord and imp...
Jan 17, 2025•5 min
In this episode of the Colorectal Quiz, Drs. Marc Levitt and Jason Frischer are joined by Drs. Jeffrey Avansino and Hira Ahmad to discuss the nuances of the Malone procedure, used for managing fecal incontinence and constipation in pediatric patients. From patient selection to managing complications, this in-depth conversation highlights the importance of collaboration between urology and surgery for optimal outcomes. Key Topics: Understanding the Malone Procedure: Creating a channel to administ...
Jan 16, 2025•24 min
In this podcast, we explore the anatomy, conditions, and treatment strategies related to umbilical disorders in newborns and young children with Dr. Rebeccah Brown from Cincinnati Children's. From umbilical cord anatomy and infections like omphalitis to congenital abnormalities like gastroschisis and umbilical hernias, this comprehensive discussion covers key diagnostic and management approaches. We also highlight treatment guidelines for umbilical granulomas and practical tips for avoiding comp...
Jan 09, 2025•11 min
In this video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, discusses the unique airway and aspiration challenges faced by children with CHARGE syndrome. From structural abnormalities like anteriorly positioned arytenoids to feeding difficulties due to cranial nerve impairments, Dr. Hart explores the multidisciplinary approaches required to provide optimal care. Key Highlights: CHARGE Larynx Features: Structural differences leading to upper airway obstruction, foreshortened vocal fo...
Jan 07, 2025•9 min
In this educational video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, provides an overview of CHARGE syndrome, a rare genetic disorder that affects multiple organ systems. Learn about its diagnosis, clinical features, and the comprehensive care required for patients with this condition. Key Highlights: What is CHARGE Syndrome? The acronym stands for coloboma, heart defects, atresia of the choanae, retardation of growth and development, genital/urinary anomalies, and ear malformati...
Dec 24, 2024•3 min
In this session from the 12th Annual Pediatric Surgery Update Course, Dr. Gloria Gonzalez discusses the innovative use of lipiodol to mark pulmonary nodules for minimally invasive resection in children. Adapted from adult procedures, lipiodol is a promising alternative to traditional localization methods, offering precise marking with minimal complications. Key Points Covered: Challenges in Nodule Localization: High conversion rates during thoracoscopy due to failure to locate small or calcified...
Dec 19, 2024•5 min
In this video, we take you through a Total Pancreatectomy with Islet Autotransplantation (TPIAT)—one of the most complex abdominal surgeries performed in children. Learn about who qualifies for TPIAT, the surgical process, and the critical role of the lab team in isolating islet cells for infusion. From patient evaluation to the OR, lab preparation, and postoperative care, you’ll see how multiple specialists—surgeons, lab physicians, GI experts, and critical care teams—work together to ensure su...
Dec 19, 2024•10 min
In this episode of the Colorectal Quiz, Drs. Mark Levitt, Jason Frischer, and Chris Gayer discuss a complex case of persistent constipation in a patient with a history of Hirschsprung’s disease. Despite a successful pull-through surgery in infancy, the patient continued to experience significant symptoms into adulthood, highlighting the importance of long-term management. Key Points Covered: Challenges Post-Surgery: Why constipation persists in some Hirschsprung’s patients despite anatomically s...
Dec 12, 2024•15 min
In this insightful session from the QUAD Conference, Dr. David Lehenbauer, a cardiothoracic surgeon at Cincinnati Children’s, discusses the management of concurrent cardiac pathology in patients undergoing slide tracheoplasty. Learn about the role of ECMO vs. cardiopulmonary bypass, timing of cardiac and tracheal repairs, and the challenges of addressing complex cases with multiple comorbidities. Key Points Covered: Slide Tracheoplasty: A transformative surgical technique for congenital tracheal...
Dec 10, 2024•10 min
In this recap from the 12th Annual Pediatric Surgery Update Course, Drs. Regan Williams and Katie Russell delve into the latest approaches to deep vein thrombosis (DVT) prophylaxis in pediatric trauma patients. Learn when to start chemical prophylaxis, how to balance bleeding risks, and the best options for discharge medication. Key Points Covered: Timing is Critical: Start chemical DVT prophylaxis within 24 hours of admission for stable trauma patients to reduce the risk of venous thromboemboli...
Dec 05, 2024•6 min
In this episode of the Colorectal Quiz, research fellow Filipa Jalles from Children's National Hospital is joined by Dr. Marc Levitt, Dr. Jason Frisher, and Dr. Paola Midrio to discuss a challenging case involving perineal hypospadias and anorectal malformation. Together, they explore the intricacies of diagnosis, the emotional impact on families, and the detailed surgical approach required for successful outcomes. Key Topics Covered: Prenatal Diagnosis: How advancements in imaging are reshaping...
Nov 28, 2024•18 min
In this video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, discusses the endoscopic repair of minor laryngeal clefts, highlighting key surgical techniques and considerations. She explains the importance of accurately diagnosing these subtle clefts using combined evaluations and the criteria for deciding when surgery is necessary. Key Points Covered: When to Operate: Indications include persistent respiratory symptoms, aspiration, or recurrent infections in children. Surgical Techni...
Nov 26, 2024•6 min
In this educational video, experts from Cincinnati Children’s Pancreas Care Center discuss the complexities of diagnosing and managing chronic pancreatitis. Dr. Maisam Abu-El-Haija and Dr. Andrew Trout cover the condition’s impact on pancreatic function, imaging techniques, genetic testing, and treatment options. Key Topics: What is Chronic Pancreatitis? A progressive inflammatory condition leading to fibrosis, loss of pancreatic function, and complications like diabetes and malnutrition. Diagno...
Nov 21, 2024•2 min
In this insightful podcast, Drs. Marc Levitt, Jason Frischer, and Chris Westgarth-Taylor discuss the challenging anatomy and surgical strategies for complex female anorectal malformations. They walk us through a unique case involving a cloacal malformation with a high blind-ending rectum, highlighting the importance of detailed preoperative planning, multidisciplinary collaboration, and a tailored surgical approach. Key Topics Covered: Case Presentation: A young patient with a rare cloacal anoma...
Nov 19, 2024•19 min
In this video, Dr. Charlie Myer IV from Cincinnati Children's Hospital explores the role of laryngeal sensory reinnervation in children with swallowing and aspiration issues, particularly those with nerve injuries impacting both motor and sensory functions. He reviews the significance of combining motor function restoration with sensory reinnervation to improve swallowing and reduce the risk of aspiration. Key Points Covered: Sensory & Motor Balance in Swallowing: Understanding that swallowi...
Nov 12, 2024•7 min
In this recap from our 12th Annual Update Course in Pediatric Surgery, Lizzy Lee introduces a thought-provoking session on Resuscitative Endovascular Balloon Aortic Occlusion (REBOA) for pediatric trauma patients, featuring Drs. Regan Williams and Katie Russell. This emerging technique is categorized as both a Black Diamond (unproven) and Blue Square (newer) practice, sparking valuable discussion among trauma surgeons. Key Points Discussed: What is REBOA? A life-saving procedure used to control ...
Nov 07, 2024•4 min
In this video, Dr. Carl Backer, renowned pediatric surgeon, shares insights on vascular rings and aortic uncrossing at Cincinnati Children's Hospital. Discover the history, diagnosis, and surgical approaches to these complex congenital anomalies that compress the trachea and esophagus, impacting respiratory and digestive health. Key Points Covered: History of Vascular Rings: From Dr. Robert Gross's first case in 1945 to the techniques established today. Diagnostic Process: Importance of chest X-...
Oct 29, 2024•8 min
Join us for an insightful discussion with Dr. Jose Peiro, pediatric surgeon and director of endoscopic fetal surgery at Cincinnati Children’s Fetal Care Center, which is the highest-volume fetoscopic center in the nation. Dr. Peiro walks us through the importance of fetal surgery, the role of advanced prenatal diagnostics, and groundbreaking techniques like fetoscopy, open fetal surgery, and the EXIT procedure. Key Topics Covered: Prenatal Diagnosis: Utilizing ultrasounds, Doppler, and MRI to de...
Oct 24, 2024•10 min
We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the third quarter of 2024, July, August and September issues. This time we're talking to editors Drs. Colin Martin, Casey Calkins and Whit Holcomb joined by authors Drs. Sarah Ullrich, Jason Frischer, Joanne Baerg, Mark Slidell and Omid Madadi-Sanjani. Host: Em Gootee 0:00 Introduction 0:57 Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and ...
Oct 17, 2024•19 min
In this video, Dr. Doug von Allmen from Cincinnati Children’s Hospital shares insights into managing innominate artery compression using a transcervical approach. Originally described in the 1940s, this condition is seen in about 30% of children under 2 years old and can lead to tracheomalacia and obstructive symptoms. Dr. von Allmen reviews the procedure, patient selection, and outcomes from his team’s experience with this approach. Key Highlights: Innominate Artery Compression: Causes tracheal...
Oct 15, 2024•6 min
In this episode, we have a guest from the pediatric gynecology department here at Cincinnati Children’s, Dr. Lesley Breech. And she will talk about management of tubal torsion and when to consider salpingectomy. Host: Em Gootee 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...
Oct 10, 2024•3 min
In this video, Dr. Jose Peiro from Cincinnati Children’s discusses the groundbreaking role of fetoscopy in modern fetal surgery, offering hope for conditions like Twin to Twin Transfusion Syndrome (TTTS), amniotic band syndrome, and congenital diaphragmatic hernia (CDH). Fetoscopy, a minimally invasive technique, allows surgeons to intervene in utero and improve survival outcomes by targeting the root causes of these conditions. Host: Em Gootee Key Highlights: Twin to Twin Transfusion Syndrome (...
Oct 03, 2024•11 min
In this video, Dr. Sara Zak from Cincinnati Children's Hospital discusses the essential role of flexible bronchoscopy in the management of patients undergoing slide tracheoplasty. She covers its application during the preoperative, intraoperative, and postoperative phases to ensure optimal outcomes. Key Points: Preoperative Use: Bronchoscopy helps assess airway anatomy, detect infections, and guide surgical planning for better outcomes. Intraoperative Use: Ensures proper tube placement, visualiz...
Oct 01, 2024•9 min
Welcome to this educational video presented by GlobalCastMD and Cincinnati Children's Hospital, where we explore the diagnosis and treatment of acute pancreatitis in children. In collaboration with experts from the Pancreas Care Center, Dr. Maisam A. Abu-El-Haija, Dr. Andrew Trout, and Dr. Juan Gurría, we break down the key points of this critical condition. Key Topics Covered: • What is Acute Pancreatitis?: Learn about the inflammation of the pancreas, its causes, and symptoms such as intense u...
Sep 27, 2024•5 min
In this podcast, we cover the basics of neuroblastoma including presentation, differentiation, diagnosis and management with Dr. Meera Kotagal. Host: Em Gootee 0:00 Introduction 1:00 Case 1 8:31 Case 2 11:39 Case 3 13:02 Summary
Sep 27, 2024•14 min
In this video, we dive into the complexities of tracheal A-frame deformities, a common issue following airway surgeries like tracheostomies or reconstructions. What Are A-Frame Deformities? A tracheal deformity that typically occurs at the site of a previous tracheostomy, affecting about a third of patients with prior airway surgery. Challenges in Airway Sizing: Traditional endotracheal tube sizing is unreliable for A-frame deformities due to the oblong shape of the airway, making it crucial to ...
Sep 17, 2024•6 min
We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the second quarter of 2024, April, May, and June issues. This time we're talking to editors Drs. Mary Brindle, Alana Beres and Whit Holcomb joined by authors Dr. Michael Livingston, Emma Moore and Prof. Sebastian King. Host: Em Gootee 0:00 Introduction 0:48 Clinical Characteristics and Prognosis of Biliary Atresia with Low Serum Matrix Metalloproteinase-7 Levels ...
Sep 12, 2024•17 min
In this episode of the Colorectal Quiz, hosted by Liza Bokova, a colorectal research fellow at Children's National, we explore a case of a 12-year-old female with a history of cloaca and Mullerian anomaly. Joined by leading experts Dr. Levitt from Children's National, Dr. Frischer from Cincinnati Children's Hospital, Dr. Lesley Breech, and Dr. Veronica Gomez-Lobo, we discuss the importance of gynecologic assessments in patients with anorectal malformations, the challenges of identifying Mulleria...
Sep 06, 2024•23 min
In February 2024, we held our 3rd Best of the Best in Pediatric Surgery live event and we are bringing you the top four key takeaways from that day. #4 APSA, Dr. David Grabski “Post-Operative Opioid Reduction Protocol Reduces Racial Disparity of Clinical Outcome in Children” #3 CAPS, Dr. Matthew Urichuk “Individuals with thoracoabdominal congenital surgical anomalies are at increased risk of adverse mental health outcomes" #2 BAPS, Dr. Shruthi Srinivas "Outcomes from Colonic Pull-Through for Clo...
Sep 05, 2024•13 min
In this video, we explore groundbreaking research from Dr. Helmrath and his team at Cincinnati Children's CuSTOM lab, where they are developing methods to grow entire human gastrointestinal (GI) tracts from stem cells. These innovative techniques could revolutionize the treatment of GI disorders. Key Highlights: Complexity of the Gut: The GI tract is more than just an epithelial lining—it's a complex system involving nerves, muscles, immune responses, and microbiota. Lab Achievements: The team h...
Sep 03, 2024•9 min
