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Post Pull-through Obstructive Symptoms lecture
Hydrocele and Hernia in Children lecture
Hello pediatric surgeons, Some of you might have noticed that today is a special day for Pediatric Surgery Club (PSC). We got reason to celebrate because today PSC is turning 5 years young. That's right! five (5) years! Pretty hard to believe we managed to keep the boat on course for so long, considering the fact that PSC started and still as one man project . Of course we'd like to celebrate this with you, our members. we have big updates. now PSC include three main sites: 1- https://pediatricsurgery.club/forums classic experience you like updated to latest software standard 2- https://pediatricsurgeryclub.com/ new site with a lot of new features (we are happy to invite all of you to join our new site) 3- https://pediatricsurgeryclub.us/ special site for our pro members! (invite only site, invitation codes are available for pro members) yes we now have new membership type (pro members). Pro members have access to HD operative videos, Question Bank, Quizs, and a lot more!. more details about pro membership here: https://pediatricsurgeryclub.com/subscriptions/ I guess I'm trying to keep this short and simple: This is your site folks, and without you we wouldn't be celebrating our 5th birthday today. Let's make it many more to come. Keep rocking it, like you always did. It makes us proud to be one of the biggest, most awesome pediatric surgery sites Having said that, let's get this party started Here are some of the new sections opened recently: 1- new question bank ,more than 1500 MCQs (for pro members) : https://pediatricsurgeryclub.com/forum/15-mcqs-and-quiz-section/ 2- new Operative videos section, more than 3700 operative video (for pro members) : https://pediatricsurgeryclub.com/forum/26-operative-videos/ 3- new Quiz section with over 50 exams (for pro members) : https://pediatricsurgeryclub.us/index.php?quiz/ 4- new operative gallery, more than 500 illustration : https://pediatricsurgeryclub.com/gallery/ 5- new APSA charts section, more than 100 chart : https://pediatricsurgeryclub.com/gallery/category/6-apsa-charts/ 6- new download section with over 120 lecture, mindmaps, and publications : https://pediatricsurgeryclub.com/files/ 7- new elite mind map section (for pro members) : https://pediatricsurgeryclub.com/files/category/6-premium-mind-maps/ 8- new Pediatric surgery history section: https://pediatricsurgeryclub.us/forum/index.php?board/11-history/ 9- new pediatric anatomy and embryology section : https://pediatricsurgeryclub.us/forum/index.php?board/21-anatomy-and-embryology/ 10- new video lectures section: https://pediatricsurgeryclub.us/forum/index.php?board/5-video-lectures/ 11- new animation videos section: https://pediatricsurgeryclub.us/forum/index.php?board/12-animation-videos/ 12- new algorithms section: https://pediatricsurgeryclub.us/forum/index.php?board/22-algorithms/ 13- minimal access surgery sections: a- basic section : https://pediatricsurgeryclub.us/forum/index.php?board/23-minimal-access-surgery/ b- advanced section : https://pediatricsurgeryclub.com/forum/14-minimal-access-surgery/ 14- pediatric surgery events section : https://pediatricsurgeryclub.com/events/ 15- stay tunned for PSC youtube like operative site (for pro members) Please try and come visit us to have more fun. main PSC portal : https://pediatricsurgery.club/ Link to B-day thread : https://pediatricsurgery.club/forums/threads/happy-5th-birthday-psc.15017/ Regards, -Ahmed Nabil, Consultant and Lecturer of pediatric surgery, Menofia university, Egypt
Postsurgical Perforation of the Esophagus Can Be Treated Using a Fully Covered Stent in Children
Esophageal strictures / perforation , Rule of stenting and review of LiteratureQuotes from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Surgery is indicated only for selected patients with any one of three conditions: (1) when the absorptive surface area is definitely too small to allow enteral feeding; (2) when severe dysmotility in grossly dilated loops entails stagnation of chyme; and (3) when intestinal transit time is too fast to allow sufficient absorption of nutrients. In the first group of patients, intestinal transplantation is the mainstay of surgical therapy. In the second group, peristalsis can be improved by intestinal tapering or tapering and lengthening. In the third group, antiperistaltic segments, colonic interposition, intestinal valves, and/or artificial invagination have been used in selected patients." "Tapering is indicated in patients with sufficient intestinal length but severely dilated small bowel with impaired propulsive peristalsis. The intestinal content in the enlarged intestinal loops causes bacterial overgrowth, inflammation, and bacterial translocation with recurrent sepsis. Grossly dilated loops can be primarily due to an intentionally limited resection of small bowel in patients with intestinal atresia, or they can be the result of the process of intestinal adaptation with subsequent dilatation of the intestinal tract."Quotes from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Resection of the jejunum is well tolerated owing to the enormous adaptive capacity of the ileum, the intact enterohepatic circulation of bile salts, and the preserved absorption of fat-soluble vitamins and vitamin B12. In contrast, if the entire ileum is lacking, absorption of nutrients is significantly more difficult because of the limited intestinal adaptation capacities of the jejunum. Nonabsorbed intestinal contents, including bile acids, spill over into the colon and may cause significant diarrhea. Furthermore, loss of the ileum leads to a reduction of the bile salt pool, malabsorption of fat and fat-soluble vitamins, and a vitamin B12 deficiency." "The pathophysiological process that follows an extensive loss of small bowel is called intestinal adaptation. It includes (1) morphological changes leading to an increase of absorptive surface area, (2) functional changes resulting in augmentation of the absorptive capacity of the remaining enterocytes, and (3) increased intestinal diameter with a concomitant reduction of motility, thereby slowing down the intestinal transit time of chyme." "The presence of intraluminal food is the most important driving force for intestinal adaptation. Enteral nutrients stimulate gastrointestinal secretions and hormones that are known to exert trophic effects on the mucosa. Recent evidence suggests that glucagon-like peptide 2, human growth hormone, epidermal growth factor, and insulin-like growth factor I may play an important role in the process of intestinal adaptation."Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The term “short bowel” was defined by Rickham in 1967 as a small intestinal remnant of 75 cm or less in the newborn, which equals 30% of normal small bowel length in that age group. A more functional description, preferred by most authors, defines a “short bowel syndrome” (SBS) as a state of significant maldigestion and malabsorption due to an extensive loss of functional absorptive intestinal surface area."until
On Tuesday 9/9, Cure4u collaborative with the European Reference Network (ERN) are conducting their monthly colorectal cases discussions. Starting at 4 pm GMT, 7 pm Cairo time Register through the link: https://www.cureforu.com/subscriptions/newuntil
On Wednesday 10/ 9, An ERN eUROGEN ERNICA webinar, supported by EUPSA & ARM-Net on “Fluorescence in Paediatric Colorectal Surgery”.Presented by Carlos Giné, Jetske Ruiterkamp & Willemieke Tummers. Starting at 4 pm GMT, 7 pm Cairo time Register through the link: https://events.zoom.us/ev/AlUwY1DWTTJ1jDdIasVZRyn80AsFuDmFk7Pb9RwYSpTyTGzp5NOO~AuIxK8wf6v6nNqzo66LaXZfzE1D3MAYY9zk2FZCVNjQNlkR83Sw5PvbYZA?fbclid=IwZXh0bgNhZW0CMTEAAR5RVvD2zgOTU67RnMeRJqpfi65L1nqxeXnlslhWMW6Cg_qTDwGf6oqJrjIClw_aem_iySXLH8tJXUfHUKGywEp2Quntil
On Wednesday 24/9, Surgery - Radiology - Pathology Rounds with The Montreal Children's Hospital sponsored by The Henderen Project. Starting at 12 pm GMT , 3 pm Cairo time Register through the link: https://us02web.zoom.us/webinar/register/WN_NbRmPi8sRnq0dJj-wF192g#/registrationuntil
On Thursday 25/9, The monthly international colorectal web meeting by Colorado children’s hospital sponsored by The Henderen Project Starting at 2 pm GMT , 5 pm Cairo time Register through the link; https://www.hendrenproject.org/case/about-international-colorectal-web-meetingsQuote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "These are usually found in the retrorectal space and do not communicate with the urinary tract. Cystic rectal duplications must be distinguished from cystic sacrococcygeal teratoma, tailgut cyst, and an anterior meningocele. When associated with an anorectal malformation and sacral anomalies, the cyst may be part of the Currarino syndrome. Rarely, a rectal duplication cyst presents as rectal prolapse in an infant.Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Imaging is a critical aspect of preoperative preparation. The choice of imaging is dictated by the site of the duplication, clinical urgency, and the potential for associated anomalies. Isolated small bowel duplications often require no preoperative investigations other than abdominal sonography, a plain abdominal radiograph and routine blood tests. Occasionally, a technetium-99m pertechnetate radionuclide scan is helpful in detecting heterotopic gastric mucosa. In contrast, thoracoabdominal lesions demand detailed radiologic imaging of mediastinal, abdominal, and spinal components. MRI and/or CT scans enable evaluation of the cranial and caudal extent of the cyst. Upper gastrointestinal contrast studies and endoscopy may be necessary in selected cases. The possibility of an additional intestinal duplication must be considered with foregut duplications. Magnetic resonance cholangiography or, in older children, endoscopic retrograde cholangiopancreatography (ERCP) are valuable in the assessment of pancreatic and selected duodenal duplications. Magnetic resonance angiography may assist in planning surgery for large retroperitoneal lesions. Pelvic duplications are best imaged by CT or MRI in conjunction with a contrast enema, fistulogram, endoscopy, and urinary tract sonography."“The Hungarian J. Veress developed the spring-loaded needle for performance of therapeutic pneumothorax to treat pulmonary tuberculosis in 1938; he then applied this technique to cases of pneumoperitoneum” — Endoscopic Surgery in Infants and Children by Klaas N.M.A. Bax, K.E. Georgeson, et al.
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