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Quick Literature Updates Episode 20

Video Published 2025-06-12 Updated 2025-06-12

Timestops (7)

Introduction to the first paper

Introduction to the first paper: Congenital Diaphragmatic Hernia repair Meta-Analysis

Key findings of the CDH meta-analysis

Key findings of the CDH meta-analysis: Thoracoscopic vs. Open repair outcomes.

Introduction to the second paper

Introduction to the second paper: Vertical Traction Device for Abdominal Wall Defects

Key findings for abdominal wall defect closure using Fascia …

Key findings for abdominal wall defect closure using Fascia Tends Pediatric.

Introduction to the third paper

Introduction to the third paper: ICG Fluorescent Cholangiography during Laparoscopic Cholecystectomy.

Key findings: Laparoscopic cholecystectomy with ICG reduces complications and improves visualization.

Call to action: check out the link in description to read each paper and follow stay current on social media

Topic Overview

Cincinnati Children's team reviews three key pediatric surgery studies: thoracoscopic CDH repair shows higher recurrence but less bowel obstruction than open; a traction device achieves early fascial closure in omphalocele/gastroschisis; and ICG fluorescence during laparoscopic cholecystectomy reduces complications and operative time.

Key Takeaways

Thoracoscopic CDH repair has higher recurrence rates and longer OR times than open repair, but lower postoperative bowel obstruction rates.
Fascia Tends Pediatric device achieved complete fascial closure in giant omphalocele (median 7 days) and gastroschisis (5 days) without compartment syndrome.
ICG fluorescent cholangiography during pediatric laparoscopic cholecystectomy reduced complications to 0% vs 12% and improved biliary tree visualization.
Meta-analysis of 709 CDH patients from 15 studies confirms technique-specific trade-offs between minimally invasive and open approaches.
Traction-assisted closure for abdominal wall defects showed no ventral hernias at 12-month median follow-up in prospective 16-patient series.

Keywords

Pediatric surgery literature update congenital diaphragmatic hernia thoracoscopic repair congenital abdominal wall defects fascia tends pediatric laparoscopic cholecystectomy indocyanine green ICG pediatric Giant Omphalocele Gastroschisis Icg Fluorescent Cholangiography

Hashtags

#pediatricsurgery #surgicalupdates #literatureupdate #congenitaldiaphragmatichernia #abdominalwalldefects #laparoscopiccholecystectomy #ICG #CDH #MinimallyInvasive

Transcript

Hello Pediatric surgery family! I'm M. Gody 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, thoracoscopic versus open repair by Shibuya at all. This paper is summarized by Lizzie 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 postoperative 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 at all. And this paper is summarized by Alex Halpern. He's a research fellow at Children's National and collaborates with us to produce these article reviews. Ziegler at all performed a prospective study in 10 patients with giant omphalocele and six with complicated gastroschisis trying to answer this question. They utilized fascia tends 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 tends pediatric helps facilitate early fascial closure in these patients. Let's move to the last paper of the day. Indocyanine green, fluorescent cholangiography during laparoscopic cholecystectomy using rubina technology. Preliminary experience in two pediatric surgery centers by Esposito at all. This paper is summarized by Cecilia Higena. 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. They had 83 patients in group one that was laparoscopic cholecystectomy without ICG. And 90 patients in group two, that was laparoscopic cholecystectomy with ICG. And what they found is that group two, meaning with ICG, had no complications compared to 12% in group one, had shorter surgery time, and a better visualization of the biliary tree. So, it seems that laparoscopic cholecystectomy 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. We hope you like this episode. Please follow Stay Current and be on social media, give us a rating, and subscribe to our YouTube channel. And don't forget to download the Stay Current app on the App Store or Play Store for tons of content.

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