1 00:00:00,000 --> 00:00:18,520 Hello, pediatric surgery family. 2 00:00:18,520 --> 00:00:22,280 I'm Em Gootee from Cincinnati Children's Hospital Medical Center. 3 00:00:22,280 --> 00:00:31,760 And today, our team is going to deliver the articles that you should know about. 4 00:00:31,760 --> 00:00:33,040 We have three papers today. 5 00:00:33,040 --> 00:00:41,200 We don't have much time, so let's start. 6 00:00:41,200 --> 00:00:46,600 Our first paper titled, Comparison of Robotic vs. Turcoscopic Repair for Congenital Isophagia 7 00:00:46,600 --> 00:00:51,320 Latresia, a Propensity Score Matching Analysis, by Zeng et al. 8 00:00:51,320 --> 00:00:53,640 This paper is summarized by Cicely Hehena. 9 00:00:53,640 --> 00:00:58,800 She's one of the previous research fellows at Cincinnati Children's. 10 00:00:58,800 --> 00:01:03,720 This is a retrospective multicenter study done in China that aimed to compare the robotic 11 00:01:03,720 --> 00:01:07,960 repair versus thoracoscopic repair for isophagia latresia. 12 00:01:07,960 --> 00:01:15,120 After a propensity score matching, they had 126 patients, 63 in each group. 13 00:01:15,120 --> 00:01:20,960 And what they found is that robotic surgery had longer operative time, but shorter anastomatic 14 00:01:20,960 --> 00:01:29,560 time, as well as the robotic group had lower anastomatic strictures and lower readmissions 15 00:01:29,560 --> 00:01:32,600 within two years post-op. 16 00:01:32,600 --> 00:01:39,400 So it seems that robotic surgery is a good answer for isophagia latresia repair. 17 00:01:39,400 --> 00:01:42,400 Awesome. 18 00:01:42,400 --> 00:01:44,480 Here's our second paper of the day. 19 00:01:44,480 --> 00:01:49,200 Does delayed diagnosis of Hirschsprung disease impact postoperative and functional outcomes? 20 00:01:49,200 --> 00:01:54,840 A Multicenter Review from the Pediatric Colorectal and Pelvic Learning Consortium, by Ulrich et 21 00:01:54,840 --> 00:01:55,840 al. 22 00:01:55,840 --> 00:01:58,240 And this paper is summarized by Alex Halpern. 23 00:01:58,240 --> 00:02:02,240 He's a research fellow at Children's National and collaborates with us to produce these article 24 00:02:02,240 --> 00:02:05,360 reviews. 25 00:02:05,360 --> 00:02:11,840 The Pediatric Colorectal and Pelvic Learning Consortium conducted a multicenter retrospective 26 00:02:11,840 --> 00:02:16,800 review from 2017 to 2023 trying to answer this question. 27 00:02:16,800 --> 00:02:22,640 They included 679 patients with Hirschsprung disease from 14 different sites. 28 00:02:22,640 --> 00:02:27,560 They found that an increased age at diagnosis was associated with a greater likelihood of 29 00:02:27,560 --> 00:02:32,220 undergoing fecal diversion after initial pull-through procedure. 30 00:02:32,220 --> 00:02:37,760 They also found that increased age at diagnosis was associated with an increased risk of constipation 31 00:02:37,760 --> 00:02:42,240 or incontinence requiring intervention postoperatively. 32 00:02:42,240 --> 00:02:47,360 They did not find an association between age at diagnosis and 30-day complication rate 33 00:02:47,360 --> 00:02:51,360 after initial pull-through or need for pull-through revision. 34 00:02:51,360 --> 00:02:56,280 So it seems like delayed diagnosis of Hirschsprung disease does affect certain outcomes in these 35 00:02:56,280 --> 00:03:01,280 patients. 36 00:03:01,280 --> 00:03:03,200 Now moving to the last paper. 37 00:03:03,200 --> 00:03:08,200 The outcome of Per-Strength vs. Conventional Wound Closure Techniques in Patients Undergoing 38 00:03:08,200 --> 00:03:13,320 Stomach Reversal, a Randomized Control Trial by Amir et al. 39 00:03:13,320 --> 00:03:18,000 This paper is summarized by Lizzy Lee, a physician associate by profession and a member of our 40 00:03:18,000 --> 00:03:25,200 team here at Cincinnati Children's, dedicated to creating content for pediatric surgery. 41 00:03:25,200 --> 00:03:30,560 The Children's Hospital in Pakistan conducted a randomized control trial including 124 patients 42 00:03:30,560 --> 00:03:35,560 in 2021 to 2022 who needed a stoma reversal. 43 00:03:35,560 --> 00:03:40,960 Their aim was to compare surgical site infections and cosmetic outcomes of scars in patients 44 00:03:40,960 --> 00:03:44,400 who were getting the per-strength or linear skin closure techniques. 45 00:03:44,400 --> 00:03:49,400 The per-strength closure group had way fewer surgical site infections and much better scar 46 00:03:49,400 --> 00:03:52,320 quality compared to the linear closure group. 47 00:03:52,320 --> 00:03:58,120 So when reversing a stoma, per-strength closure technique is the best way to do it. 48 00:03:58,120 --> 00:04:00,720 Thank you for listening. 49 00:04:00,720 --> 00:04:03,560 Please check the link in the description below to read each paper. 50 00:04:03,560 --> 00:04:05,800 We hope you liked this episode. 51 00:04:05,800 --> 00:04:10,560 Please follow StakeHurnMD on social media, give us a rating and subscribe to our YouTube 52 00:04:10,560 --> 00:04:11,560 channel. 53 00:04:11,560 --> 00:04:15,240 And don't forget to download the StakeHurn app on the App Store or Play Store for tons 54 00:04:15,240 --> 00:04:18,080 of content. 55 00:04:18,080 --> 00:04:27,240 Globalcast MD, along with Cincinnati Children's Hospital, sharing knowledge to improve child 56 00:04:27,240 --> 00:04:34,240 health around the globe.