WEBVTT 00:00:16.940 --> 00:00:19.800 Hello pediatric surgery family. I'm Em Gootee from 00:00:19.800 --> 00:00:21.839 Cincinnati Children's Hospital Medical Center. 00:00:22.079 --> 00:00:24.899 And today our team is going to deliver the articles 00:00:24.899 --> 00:00:32.259 that you should know about. We have three papers 00:00:32.259 --> 00:00:35.079 today, all from different journals. We don't 00:00:35.079 --> 00:00:41.640 have much time, so let's start. Our first paper 00:00:41.640 --> 00:00:44.219 titled, Peer Support to Promote Surgeon Well 00:00:44.219 --> 00:00:47.329 -Being. The APSA Program Experience by Fall et 00:00:47.329 --> 00:00:50.469 al. This paper is summarized by Lizzy Lee, a 00:00:50.469 --> 00:00:53.009 physician associate by profession and a member 00:00:53.009 --> 00:00:55.549 of our team here at Cincinnati Children's, dedicated 00:00:55.549 --> 00:01:00.270 to creating content for pediatric surgery. The 00:01:00.270 --> 00:01:02.789 American Pediatric Surgical Association, or the 00:01:02.789 --> 00:01:05.870 APSA, created a peer support program for pediatric 00:01:05.870 --> 00:01:08.969 surgeons in 2020. This article talks about how 00:01:08.969 --> 00:01:11.489 they implemented it, the experiences they had, 00:01:11.609 --> 00:01:14.310 and outcomes. Their goal was to support surgeons 00:01:14.310 --> 00:01:17.129 after traumatic events. The most common referral 00:01:17.129 --> 00:01:19.730 reasons were toxic work environments and adverse 00:01:19.730 --> 00:01:23.269 events. 50 surgeons total agreed to receive training 00:01:23.269 --> 00:01:26.209 on how to be a supporter. Over 80 % were able 00:01:26.209 --> 00:01:29.010 to use these peer support skills informally with 00:01:29.010 --> 00:01:31.450 colleagues, partners, and trainees. The peer 00:01:31.450 --> 00:01:34.349 support program shows that this type of support 00:01:34.349 --> 00:01:36.709 system can work really well to help surgeons 00:01:36.709 --> 00:01:39.530 heal from traumatic experiences and toxic work 00:01:39.530 --> 00:01:46.480 environments. Great. Our second paper is Tracheomalacia 00:01:46.480 --> 00:01:49.659 and Tracheomegaly in Infants and Children with 00:01:49.659 --> 00:01:52.560 Congenital Diaphragmatic Hernia Managed with 00:01:52.560 --> 00:01:55.299 and without Phetoscopic Endoluminal Tracheal 00:01:55.299 --> 00:01:58.920 Occlusion, or FETO, a Multi -Center Retrospective 00:01:58.920 --> 00:02:02.420 Cohort Study by Basurdo et al. And this paper 00:02:02.420 --> 00:02:05.239 is summarized by Carlos Colunga. He is a pediatric 00:02:05.239 --> 00:02:07.780 surgeon from Mexico and collaborates with us 00:02:07.780 --> 00:02:11.889 to produce these article reviews. Researchers 00:02:11.889 --> 00:02:14.270 from this multicenter cohort study examined the 00:02:14.270 --> 00:02:16.509 outcomes from infants with congenital diaphragmatic 00:02:16.509 --> 00:02:19.129 hernia with or without tracheal occlusion to 00:02:19.129 --> 00:02:21.620 assess its impact on tracheomalacia prevalence 00:02:21.620 --> 00:02:24.659 and its related complications. And what did they 00:02:24.659 --> 00:02:27.300 find? First, tracheomalacia was 5 % more common 00:02:27.300 --> 00:02:29.620 in tracheally occluded infants with 4 % more 00:02:29.620 --> 00:02:32.500 cases, although these symptoms typically receded 00:02:32.500 --> 00:02:36.159 within 55 months. Second, these infants typically 00:02:36.159 --> 00:02:39.180 showed a larger trachea, which was around 31 00:02:39.180 --> 00:02:42.919 % wider. And finally, 37 % of tracheally occluded 00:02:42.919 --> 00:02:45.599 cases retained metallic balloon components, although 00:02:45.599 --> 00:02:48.020 no significant complications were reported. In 00:02:48.020 --> 00:02:50.020 conclusion, while tracheal occlusion is effective 00:02:50.020 --> 00:02:52.620 in promoting lung growth, it is associated with 00:02:52.620 --> 00:02:54.639 a higher risk of tracheal accumulation, although 00:02:54.639 --> 00:02:57.460 most cases result and they do not appear to have 00:02:57.460 --> 00:03:03.500 long -term effects. Now, moving to the last paper 00:03:03.500 --> 00:03:06.680 of the day, Image -Guided Core Needle or Surgical 00:03:06.680 --> 00:03:09.520 Biopsy for Neuroblastoma Diagnosis in Children, 00:03:09.759 --> 00:03:12.479 a systematic review and meta -analysis from the 00:03:12.479 --> 00:03:15.400 International Society of Pediatric Surgical Oncology, 00:03:15.520 --> 00:03:19.520 or IPSO. by Pio et al. This paper is summarized 00:03:19.520 --> 00:03:22.060 by Cecilia Higiena. She's one of the previous 00:03:22.060 --> 00:03:27.099 research fellows at Cincinnati Children's. This 00:03:27.099 --> 00:03:29.460 is a systematic review and meta -analysis done 00:03:29.460 --> 00:03:33.120 by IBSO, and they wanted to analyze the accuracy 00:03:33.120 --> 00:03:36.580 and safety of image -guided corn needle biopsy 00:03:36.580 --> 00:03:40.520 for neuroblastoma. And what did they find? They 00:03:40.520 --> 00:03:42.939 gathered eight retrospective studies with 490 00:03:42.939 --> 00:03:45.849 patients. And what they found is that tissue 00:03:45.849 --> 00:03:49.330 adequacy and biological characterization of the 00:03:49.330 --> 00:03:52.590 biopsy was not significantly different in both 00:03:52.590 --> 00:03:56.930 groups. But intraoperative transfusions and complications 00:03:56.930 --> 00:04:00.889 were higher in the surgical group. So it seems 00:04:00.889 --> 00:04:03.889 that image -guided corneal biopsy is safe and 00:04:03.889 --> 00:04:10.990 effective for diagnosed neuroblastoma. Thank 00:04:10.990 --> 00:04:13.180 you for listening. Please check the link in the 00:04:13.180 --> 00:04:15.699 description below to read each paper. We hope 00:04:15.699 --> 00:04:18.120 you liked this episode. Please follow Stay Current 00:04:18.120 --> 00:04:20.980 MD on social media, give us a rating, and subscribe 00:04:20.980 --> 00:04:23.480 to our YouTube channel. And don't forget to download 00:04:23.480 --> 00:04:25.699 the Stay Current app on the App Store or Play 00:04:25.699 --> 00:04:27.079 Store for tons of content.