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.
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