Stay Current in Pediatric Surgery

Learn the procedural aspects of Fetoscopic Endoluminal Tracheal Occlusion (FETO) with Beth Rymeski, DO, a Pediatric Surgeon from Cincinnati Children's. This video details the steps of using a fetoscope to insert and inflate a balloon in the fetal trachea, a technique designed to prevent pulmonary hypoplasia in congenital diaphragmatic hernia (CDH) babies by promoting lung expansion. Witness real-l...

This video presents a complex case of severe Congenital Diaphragmatic Hernia (CDH) managed with Fetal Endoscopic Tracheal Occlusion (FETO). Dr. Beth Rymeski from Cincinnati Children's discusses the prenatal diagnosis, the FETO procedure, and the challenging postnatal course. The case highlights unexpected congenital anomalies found at birth despite extensive prenatal imaging and the limitations of...

This video presents a detailed case study of a 24-year-old mother with a late diagnosis of severe congenital diaphragmatic hernia (CDH) at 28 weeks of gestation. Pediatric Surgeon Dr. Beth Rymeski from Cincinnati Children's Hospital highlights the successful application of Fetal Endoluminal Tracheal Occlusion (FETO) to promote fetal lung development. The presentation covers the diagnostic findings...

Explore the latest advancements in pediatric intestinal failure, including innovative therapies and improved patient outcomes. Dr. Stephanie Bachi de Castro Oliveira and Dr. Paul W. Wales discuss intestinal rehabilitation, challenges like chronic inflammation and liver disease, and the crucial role of multidisciplinary teams. They also highlight groundbreaking nutritional strategies and novel pept...

Dr. P. Ben Ham III discusses diaphragm pacing as an intervention for children with respiratory failure, aiming to help them wean off mechanical ventilation. The video covers indications such as central hypoventilation, spinal cord injury, ALS, and metabolic disorders like Pompe's disease. It explains the mechanism of phrenic nerve and diaphragm muscle stimulation, and differentiates between variou...

This video, featuring Dr. Douglas von Allmen from Cincinnati Children's Hospital, explores the differential diagnosis and management of cystic neck masses in pediatric patients, specifically ranulas and lymphatic malformations. It presents a clinical case that highlights diagnostic challenges and discusses various treatment approaches, including surgical excision, sclerotherapy, and emerging medic...

Narrated by Lizzy Lee, PA-C & Maggie Koenig, FNP-BC, this podcast, a rewind from the 2025 Pediatric Surgery Update Course, delves into crucial updates in Necrotizing Enterocolitis (NEC) management. Leading pediatric surgeons Drs. Augusto Zani, Simon Eaton, & Dan Ostlie discuss diagnostic challenges, highlighting the superior sensitivity of ultrasound over X-rays for early detection of surg...

This video, featuring experts from Cincinnati Children's, discusses the challenging management of recurrent tracheoesophageal fistula (TEF) years after initial repair. Dr. Douglas von Allmen presents a clinical scenario and highlights the risk of recurrent laryngeal nerve (RLN) injury during re-repair. The episode emphasizes a transtracheal approach to improve surgical exposure and minimize potent...

This video, featuring Dr. P. Ben Ham III, discusses sacral nerve stimulation (SNS) as a treatment option for children with severe fecal incontinence and constipation refractory to conventional medical therapies. It presents a clinical scenario of a 13-year-old male and reviews the technique, efficacy, and potential complications of SNS in pediatric patients. The discussion highlights improved cont...

This video, featuring Dr. Douglas von Allmen from Cincinnati Children's Hospital, explores the management of branchial cleft cysts. It discusses a clinical scenario of a child with a painless neck swelling and delves into the congenital nature of these cysts. The video highlights the comparison between endoscopic cauterization and open surgical excision, emphasizing the benefits of the endoscopic...

This video recaps key highlights from the 13th Annual Pediatric Surgery Update Course, focusing on nerve monitoring in pediatric thyroid surgery. Dr. Ben Ham discuss clinical scenarios, the utility of TI-RADS in children, and the role of intraoperative nerve monitoring (IONM) in preventing recurrent laryngeal nerve injury. The discussion covers current guidelines, surgeon expertise, and advancemen...

This video, presented by Dr. Beth Rymeski of Cincinnati Children's Hospital, details the procedural aspects of Fetal Endoluminal Tracheal Occlusion (FETO). It explains how a fetoscope is used to insert a balloon into the fetal trachea to temporarily block fluid, facilitating lung expansion and preventing pulmonary hypoplasia in CDH babies. The presentation includes real-life video footage, demonst...

This video explores innovative technologies for central line management, focusing on solutions for blocked superior vena cava (SVC). Dr. Nathan Fagan discusses the MeritMedical Surfacer system for image-guided SVC recanalization via a femoral approach. The presentation also delves into the potential of 4D intracardiac echo catheters for radiation-free recanalization and reviews transhepatic and tr...

Dr. Nathan Fagan, a Pediatric Interventional Radiologist from Akron Children's Hospital, presents a clinical scenario on central line management from the 13th Annual Pediatric Surgery Update Course. He discusses diagnosing and managing a malfunctioning subclavian dual-lumen port, highlighting how proper access assessment can prevent unnecessary port removal. The video also covers interventional ra...

This video series recaps highlights from the 13th Annual Pediatric Surgery Update Course. Dr. Juan Gurria discusses the pros and cons of robotic surgery in pediatric patients, comparing it to laparoscopic surgery, and exploring its future. The discussion covers surgical proficiency, cost-effectiveness, and various indications for robotic interventions in children. For more information on Dr. Juan...

This video, featuring experts from Cincinnati Children's and Akron Children's, provides an in-depth look at Vertebral Body Tethering (VBT) for pediatric scoliosis. It covers clinical scenarios, highlighting VBT's advantages as a minimally invasive, non-fusion alternative to standard spinal fusion. The discussion includes precise timing for the procedure, current indications for patient selection,...

Discover how Cincinnati Children's Hospital implemented protocol changes to significantly improve outcomes for babies with Congenital Diaphragmatic Hernia (CDH). This video details updates in ventilator management, ECMO utilization, blood pressure support, nutrition, and sedation protocols, leading to increased survival rates and reduced mechanical ventilation time. Learn about the evidence-based...

This video provides a comprehensive overview of Congenital Diaphragmatic Hernias (CDH), a significant birth defect. Dr. Paul Kingma from Cincinnati Children's discusses the incidence, prenatal assessment, and key factors influencing prognosis. The presentation highlights novel research using postnatal MRI, including Ultrashort Echo Time (UTE) MRI, to evaluate lung growth and vascular development,...

This video, part of the GlobalCastMD series featuring Cincinnati Children's, recaps key highlights from the 13th Annual Pediatric Surgery Update Course. Dr. Jill Knepprath and Dr. Aaron Garrison discuss important updates in colorectal surgery, focusing on Hirschsprung's Disease (HD) and Anorectal Malformation (ARM). The presentation highlights the incidence of these combined conditions, particular...

This video from GlobalCast MD, featuring Cincinnati Children's, recaps key insights from the 13th Annual Pediatric Surgery Update Course on the use of Botox in Hirschsprung's Disease. It discusses current practices, poll results among pediatric surgeons regarding intrasphincteric botox injection during pull-through procedures, and findings from studies on its efficacy in reducing enterocolitis ris...

In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery , Drs. Annie Le-Nguyen, Jamie Harris, and Elizabeth Speck discuss one of the most debated questions in Hirschsprung disease management: when is the best time to perform a pull-through procedure? Key Highlights: Neonatal vs Delayed Pull-Through: Audience opinions were widely split, reflecting the lack of consensus...

In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery , Drs. Jamie Harris, Elizabeth Speck, Aaron Garrison, and Annie Le-Nguyen revisit a long-standing postoperative practice in colorectal surgery: are routine anal dilations after PSARP truly necessary? Key Highlights: Questioning a Surgical Tradition: For decades, postoperative anal dilations have been considered st...

In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery , Drs. Nelson Rosen, Elizabeth Speck, Aaron Garrison, and Jamie Harris explore a key surgical debate: classic PSARP vs. the perineal body–preserving approach for anorectal malformations. Key Highlights: Technique Comparison: The perineal body–preserving PSARP is gaining traction, with many surgeons adopting it as...

In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery , Dr. Jamie Harris—joined by Drs. Nelson Rosen, Annie Le-Nguyen, Aaron Garrison, and Elizabeth Speck—explores one of the most debated questions in colorectal surgery: when is the optimal timing for PSARP in patients with rectovestibular fistula? Key Highlights: Early vs. Delayed PSARP: Both early repair (during th...

In this segment from Lurie Children’s Hospital, Dr. Justin Ryder breaks down the evolving science and treatment paradigm of pediatric obesity—highlighting why it must be approached as a chronic, biologically driven disease rather than a lifestyle issue. Key Highlights: Obesity Is a Disease: Pediatric obesity is multifactorial, shaped by genetics, epigenetics, hormones, environment, stress, and soc...