WEBVTT 00:00:16.839 --> 00:00:19.940 Hello, pediatric surgery family. I'm Em Gootee from 00:00:19.940 --> 00:00:22.120 Cincinnati Children's Hospital Medical Center. 00:00:22.620 --> 00:00:25.039 And today, our team is going to deliver the articles 00:00:25.039 --> 00:00:32.399 that you should know about. We have three papers 00:00:32.399 --> 00:00:35.140 today, all from different journals. We don't 00:00:35.140 --> 00:00:41.850 have much time, so let's start. Our first paper 00:00:41.850 --> 00:00:44.509 titled Comprehensive Meta -Analysis of Surgical 00:00:44.509 --> 00:00:47.149 Procedure for Congenital Diaphragmatic Hernia, 00:00:47.409 --> 00:00:51.030 Turcoscopic vs. Open Repair by Shibuya et al. 00:00:51.469 --> 00:00:54.030 This paper is summarized by Lizzy Lee, a physician 00:00:54.030 --> 00:00:56.409 associate by profession and a member of our team 00:00:56.409 --> 00:00:59.070 here at Cincinnati Children's, dedicated to creating 00:00:59.070 --> 00:01:05.049 content for pediatric surgery. This meta -analysis 00:01:05.049 --> 00:01:08.370 included 709 patients from 15 research studies 00:01:08.370 --> 00:01:11.500 across multiple international centers. They wanted 00:01:11.500 --> 00:01:13.959 to know whether thoracoscopic repair has a higher 00:01:13.959 --> 00:01:16.180 recurrence rate and longer operating room time 00:01:16.180 --> 00:01:20.019 compared to open repair. They found that thoracoscopic 00:01:20.019 --> 00:01:22.859 repair has higher recurrence rates and longer 00:01:22.859 --> 00:01:25.959 operative times compared to open repair. However, 00:01:26.219 --> 00:01:28.540 thoracoscopic repair has a lower incidence of 00:01:28.540 --> 00:01:30.640 post -operative bowel obstruction compared to 00:01:30.640 --> 00:01:37.299 open repair. Here's our second paper. Use of 00:01:37.299 --> 00:01:40.159 a new vertical traction device for early traction 00:01:40.159 --> 00:01:42.920 -assisted stage closure of congenital abdominal 00:01:42.920 --> 00:01:46.200 wall defects, a prospective series of 16 patients, 00:01:46.640 --> 00:01:49.420 by Ziegler et al. And this paper is summarized 00:01:49.420 --> 00:01:52.319 by Alex Halpern. He is a research fellow at Children's 00:01:52.319 --> 00:01:54.159 National and collaborates with us to produce 00:01:54.159 --> 00:01:59.709 these article reviews. Ziegler et al. performed 00:01:59.709 --> 00:02:02.569 a prospective study in 10 patients with giant 00:02:02.569 --> 00:02:05.890 omphalocele and 6 with complicated gastroschisis 00:02:05.890 --> 00:02:08.389 trying to answer this question. They utilized 00:02:08.389 --> 00:02:11.789 Fasciaten's pediatric, a traction -assisted abdominal 00:02:11.789 --> 00:02:14.210 wall closure device. They were able to achieve 00:02:14.210 --> 00:02:17.009 complete fascial closure after a median time 00:02:17.009 --> 00:02:19.689 of 7 days in children with giant omphalocele 00:02:19.689 --> 00:02:22.870 and 5 days in children with complicated gastroschisis. 00:02:23.150 --> 00:02:25.930 No patients developed abdominal compartment syndrome 00:02:25.930 --> 00:02:28.370 and no ventral hernias occurred after a median 00:02:28.370 --> 00:02:31.189 follow -up of 12 months. So it seems like fascia 00:02:31.189 --> 00:02:34.050 -tense pediatric helps facilitate early fascial 00:02:34.050 --> 00:02:39.770 closure in these patients. Let's move to the 00:02:39.770 --> 00:02:42.270 last paper of the day. In the Sanning Green, 00:02:42.430 --> 00:02:44.710 fluorescent cholangiography during laparoscopic 00:02:44.710 --> 00:02:48.330 cholecystectomy using Rubina technology. Preliminary 00:02:48.330 --> 00:02:51.110 experience in two pediatric surgery centers by 00:02:51.110 --> 00:02:54.449 Esposito et al. This paper is summarized by Cecilia 00:02:54.449 --> 00:02:56.870 Gihanna. She's one of the previous research fellows 00:02:56.870 --> 00:03:02.969 at Cincinnati Children's. This is a retrospective 00:03:02.969 --> 00:03:06.409 comparison done in Italy between the laparoscopic 00:03:06.409 --> 00:03:10.509 cholecystectomy with and without ICG. And what 00:03:10.509 --> 00:03:14.150 did they find? They had 83 patients in group 00:03:14.150 --> 00:03:17.949 1 that was laparoscopic cholecystectomy without 00:03:17.949 --> 00:03:22.639 ICG. and 90 patients in group 2 there was laparoscopic 00:03:22.639 --> 00:03:26.780 colostectomy with ICG. And what they found is 00:03:26.780 --> 00:03:31.240 that group 2, meaning with ICG, had no complications 00:03:31.240 --> 00:03:35.520 compared to 12 % in group 1, had shorter surgery 00:03:35.520 --> 00:03:39.240 time, and a better visualization of the bulimia 00:03:39.240 --> 00:03:42.580 tree. So it seems that laparoscopic colostectomy 00:03:42.580 --> 00:03:45.759 with ICG can be the new standard in our practice. 00:03:48.370 --> 00:03:50.789 Thank you for listening. Please check the link 00:03:50.789 --> 00:03:52.789 in the description below to read each paper. 00:03:53.229 --> 00:03:55.530 We hope you liked this episode. 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