Quick Literature Updates Episode 20

Hello, pediatric surgery family. I'm Em Gootee from Cincinnati Children's Hospital Medical Center. And today, our team is going to deliver the articles that you should know about. We have three papers today, all from different journals. We don't have much time, so let's start. Our first paper

titled Comprehensive Meta -Analysis of Surgical Procedure for Congenital Diaphragmatic Hernia, Turcoscopic vs. Open Repair by Shibuya et al. This paper is summarized by Lizzy Lee, a physician associate by profession and a member of our team here at Cincinnati Children's, dedicated to creating content for pediatric surgery. This meta -analysis included 709 patients from 15 research studies

across multiple international centers. They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair. They found that thoracoscopic repair has higher recurrence rates and longer operative times compared to open repair. However, thoracoscopic repair has a lower incidence of post -operative bowel obstruction compared to open repair. Here's our second paper. Use of

a new vertical traction device for early traction -assisted stage closure of congenital abdominal wall defects, a prospective series of 16 patients, by Ziegler et al. And this paper is summarized by Alex Halpern. He is a research fellow at Children's National and collaborates with us to produce these article reviews. Ziegler et al. performed a prospective study in 10 patients with giant omphalocele and 6 with complicated gastroschisis

trying to answer this question. They utilized Fasciaten's pediatric, a traction -assisted abdominal wall closure device. They were able to achieve complete fascial closure after a median time of 7 days in children with giant omphalocele and 5 days in children with complicated gastroschisis. No patients developed abdominal compartment syndrome and no ventral hernias occurred after a median follow -up of 12 months. So it seems like fascia -tense pediatric helps facilitate early fascial

closure in these patients. Let's move to the

last paper of the day. In the Sanning Green, fluorescent cholangiography during laparoscopic cholecystectomy using Rubina technology. Preliminary experience in two pediatric surgery centers by Esposito et al. This paper is summarized by Cecilia Gihanna. She's one of the previous research fellows at Cincinnati Children's. This is a retrospective comparison done in Italy between the laparoscopic cholecystectomy with and without ICG. And what

did they find? They had 83 patients in group 1 that was laparoscopic cholecystectomy without ICG. and 90 patients in group 2 there was laparoscopic colostectomy with ICG. And what they found is that group 2, meaning with ICG, had no complications compared to 12 % in group 1, had shorter surgery time, and a better visualization of the bulimia tree. So it seems that laparoscopic colostectomy with ICG can be the new standard in our practice.

Thank you for listening. Please check the link in the description below to read each paper. We hope you liked this episode. Please follow Stakerun MD on social media, give us a rating, and subscribe to our YouTube channel. And don't forget to download the Stakerun app on the App Store or Play Store for tons of content.