Bob Langer
84 statements · 3 topics
Featured statements
one of the most challenging situations. That I've come up with is not the huge defects, but the smaller defects with everything out, the whole liver out, because those ones actually don't go back in when you're painting and waiting
quote ·
Abdominal Wall Defects
I think the advantage of that is that you leave their abdominal wall mus musculature intact and as the child grows, the patch becomes a smaller and smaller percentage of the, of the area of that abdominal wall.
quote ·
Abdominal Wall Defects
The problem is if you have a patient with pulmonary hyperplasia or a bad heart where you really can't safely increase the intraabdominal pressure, and those are the ones really that we're talking about.
quote ·
Giant Omphalocele
many of these on falseals, the defect goes right up to the costal margin. And I'm not sure how even with component separation, you can, you can close that hole right along the costal margin.
quote ·
Giant Omphalocele
it's almost like the liver's locked out. And in those cases you, you actually have to go and enlarge the fascial defect in order to get things to go back in.
quote ·
Pulmonary Hypoplasia
The most challenging situation is smaller defects with the whole liver out, where the liver doesn't go back in with painting and waiting because it's locked out, requiring enlargement of the fascial defect to reduce the contents.
clinical ·
Pulmonary Hypoplasia
Nothing matches these filters — clear the search or widen the filters.
Bob's statements about Abdominal Wall Defects 42 statements
Open the Abdominal Wall Defects collection →
Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...
Quotation
my first choice is to try and get coverage, uh, early on, uh, because I think it's just quicker and, and easier.
Open
Statement
In patients without pulmonary hypoplasia or bad heart problems, first choice is to try early coverage because it is quicker and easier.
Open
Statement
In patients without pulmonary hypoplasia or bad heart problems, first choice is to try early coverage because it is quicker and easier.
Open
Quotation
my first choice is to try and get coverage, uh, early on, uh, because I think it's just quicker and, and easier.
Open
Statement
For patients with pulmonary hypoplasia, bad hearts, prematurity, or where the omphalocele is too big and there isn't enough skin to get over, the escharotic technique is used.
Open
Statement
For patients with pulmonary hypoplasia, bad hearts, prematurity, or where the omphalocele is too big and there isn't enough skin to get over, the escharotic technique is used.
Open
Statement
Silver sulfadiazine (Flamazine in Canada) has been used for many years for omphalocele escharization, as taught by Sigy Ein.
Open
Statement
Silver sulfadiazine (Flamazine in Canada) has been used for many years for omphalocele escharization, as taught by Sigy Ein.
Open
Statement
Silver-impregnated sponges offer the same advantage as Silvadene but are less messy and don't require painting.
Open
Statement
Silver-impregnated sponges offer the same advantage as Silvadene but are less messy and don't require painting.
Open
Quotation
The problem is if you have a patient with pulmonary hyperplasia or a bad heart where you really can't safely increase the intraabdominal pressure, and those are the ones really that we're talking about.
Open
Statement
Component separation requires going up every day to adjust the compression, which is work-intensive.
Open
Quotation
I love that and, and, and I just, I, I mean it takes a lot of work, you got to go up every day and keep adjusting it
Open
Quotation
The problem is if you have a patient with pulmonary hyperplasia or a bad heart where you really can't safely increase the intraabdominal pressure, and those are the ones really that we're talking about.
Open
Statement
The most difficult cases are patients with pulmonary hypoplasia or bad hearts where intra-abdominal pressure cannot be safely increased.
Open
Statement
The most difficult cases are patients with pulmonary hypoplasia or bad hearts where intra-abdominal pressure cannot be safely increased.
Open
Quotation
I love that and, and, and I just, I, I mean it takes a lot of work, you got to go up every day and keep adjusting it
Open
Statement
Component separation requires going up every day to adjust the compression, which is work-intensive.
Open
Quotation
I'm, I'm impressed with the components that abdominal wall that is 20 years old? You know, are they gonna be able to function normally? Will they be able to do the things with their abdominal wall that that they should be able to do?
Open
Statement
Concern exists about whether abdominal wall musculature after component separation in a 1.3kg infant will function normally at 20 years of age.
Open
Quotation
I'm, I'm impressed with the components that abdominal wall that is 20 years old? You know, are they gonna be able to function normally? Will they be able to do the things with their abdominal wall that that they should be able to do?
Open
Statement
Concern exists about whether abdominal wall musculature after component separation in a 1.3kg infant will function normally at 20 years of age.
Open
Statement
Surgisis was used for a long time but had many recurrences; now Strattice is used with better results.
Open
Statement
Using an absorbable patch leaves the abdominal wall musculature intact, and as the child grows, the patch becomes a smaller percentage of the abdominal wall area.
Open
Statement
Using an absorbable patch leaves the abdominal wall musculature intact, and as the child grows, the patch becomes a smaller percentage of the abdominal wall area.
Open
Statement
Surgisis was used for a long time but had many recurrences; now Strattice is used with better results.
Open
Quotation
I think the advantage of that is that you leave their abdominal wall mus musculature intact and as the child grows, the patch becomes a smaller and smaller percentage of the, of the area of that abdominal wall.
Open
Quotation
I think the advantage of that is that you leave their abdominal wall mus musculature intact and as the child grows, the patch becomes a smaller and smaller percentage of the, of the area of that abdominal wall.
Open
Statement
Many omphaloceles have defects that go right up to the costal margin, making it difficult to close that area even with component separation.
Open
Statement
Many omphaloceles have defects that go right up to the costal margin, making it difficult to close that area even with component separation.
Open
Quotation
many of these on falseals, the defect goes right up to the costal margin. And I'm not sure how even with component separation, you can, you can close that hole right along the costal margin.
Open
Quotation
many of these on falseals, the defect goes right up to the costal margin. And I'm not sure how even with component separation, you can, you can close that hole right along the costal margin.
Open
Statement
Often the lower part of the defect is closed primarily, but a patch is needed along the costal margin.
Open
Statement
Often the lower part of the defect is closed primarily, but a patch is needed along the costal margin.
Open
Quotation
one of the most challenging situations. That I've come up with is not the huge defects, but the smaller defects with everything out, the whole liver out, because those ones actually don't go back in when you're painting and waiting
Open
Quotation
one of the most challenging situations. That I've come up with is not the huge defects, but the smaller defects with everything out, the whole liver out, because those ones actually don't go back in when you're painting and waiting
Open
Statement
The most challenging situation is smaller defects with the whole liver out, where the liver doesn't go back in with painting and waiting because it's locked out, requiring enlargement of the fascial defect to reduce the contents.
Open
Statement
The most challenging situation is smaller defects with the whole liver out, where the liver doesn't go back in with painting and waiting because it's locked out, requiring enlargement of the fascial defect to reduce the contents.
Open
Quotation
it's almost like the liver's locked out. And in those cases you, you actually have to go and enlarge the fascial defect in order to get things to go back in.
Open
Quotation
it's almost like the liver's locked out. And in those cases you, you actually have to go and enlarge the fascial defect in order to get things to go back in.
Open
Bob's statements about Giant Omphalocele 21 statements
Open the Giant Omphalocele collection →
Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...
Statement
In patients without pulmonary hypoplasia or bad heart problems, first choice is to try early coverage because it is quicker and easier.
Open
Quotation
my first choice is to try and get coverage, uh, early on, uh, because I think it's just quicker and, and easier.
Open
Statement
For patients with pulmonary hypoplasia, bad hearts, prematurity, or where the omphalocele is too big and there isn't enough skin to get over, the escharotic technique is used.
Open
Statement
Silver sulfadiazine (Flamazine in Canada) has been used for many years for omphalocele escharization, as taught by Sigy Ein.
Open
Statement
Silver-impregnated sponges offer the same advantage as Silvadene but are less messy and don't require painting.
Open
Statement
Component separation requires going up every day to adjust the compression, which is work-intensive.
Open
Statement
The most difficult cases are patients with pulmonary hypoplasia or bad hearts where intra-abdominal pressure cannot be safely increased.
Open
Quotation
I love that and, and, and I just, I, I mean it takes a lot of work, you got to go up every day and keep adjusting it
Open
Quotation
The problem is if you have a patient with pulmonary hyperplasia or a bad heart where you really can't safely increase the intraabdominal pressure, and those are the ones really that we're talking about.
Open
Quotation
I'm, I'm impressed with the components that abdominal wall that is 20 years old? You know, are they gonna be able to function normally? Will they be able to do the things with their abdominal wall that that they should be able to do?
Open
Statement
Concern exists about whether abdominal wall musculature after component separation in a 1.3kg infant will function normally at 20 years of age.
Open
Statement
Using an absorbable patch leaves the abdominal wall musculature intact, and as the child grows, the patch becomes a smaller percentage of the abdominal wall area.
Open
Statement
Surgisis was used for a long time but had many recurrences; now Strattice is used with better results.
Open
Quotation
I think the advantage of that is that you leave their abdominal wall mus musculature intact and as the child grows, the patch becomes a smaller and smaller percentage of the, of the area of that abdominal wall.
Open
Quotation
many of these on falseals, the defect goes right up to the costal margin. And I'm not sure how even with component separation, you can, you can close that hole right along the costal margin.
Open
Statement
Many omphaloceles have defects that go right up to the costal margin, making it difficult to close that area even with component separation.
Open
Statement
Often the lower part of the defect is closed primarily, but a patch is needed along the costal margin.
Open
Quotation
one of the most challenging situations. That I've come up with is not the huge defects, but the smaller defects with everything out, the whole liver out, because those ones actually don't go back in when you're painting and waiting
Open
Statement
The most challenging situation is smaller defects with the whole liver out, where the liver doesn't go back in with painting and waiting because it's locked out, requiring enlargement of the fascial defect to reduce the contents.
Open
Quotation
it's almost like the liver's locked out. And in those cases you, you actually have to go and enlarge the fascial defect in order to get things to go back in.
Open
Bob's statements about Pulmonary Hypoplasia 21 statements
Open the Pulmonary Hypoplasia collection →
Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...
Statement
In patients without pulmonary hypoplasia or bad heart problems, first choice is to try early coverage because it is quicker and easier.
Open
Quotation
my first choice is to try and get coverage, uh, early on, uh, because I think it's just quicker and, and easier.
Open
Statement
For patients with pulmonary hypoplasia, bad hearts, prematurity, or where the omphalocele is too big and there isn't enough skin to get over, the escharotic technique is used.
Open
Statement
Silver sulfadiazine (Flamazine in Canada) has been used for many years for omphalocele escharization, as taught by Sigy Ein.
Open
Statement
Silver-impregnated sponges offer the same advantage as Silvadene but are less messy and don't require painting.
Open
Quotation
The problem is if you have a patient with pulmonary hyperplasia or a bad heart where you really can't safely increase the intraabdominal pressure, and those are the ones really that we're talking about.
Open
Quotation
I love that and, and, and I just, I, I mean it takes a lot of work, you got to go up every day and keep adjusting it
Open
Statement
The most difficult cases are patients with pulmonary hypoplasia or bad hearts where intra-abdominal pressure cannot be safely increased.
Open
Statement
Component separation requires going up every day to adjust the compression, which is work-intensive.
Open
Statement
Concern exists about whether abdominal wall musculature after component separation in a 1.3kg infant will function normally at 20 years of age.
Open
Quotation
I'm, I'm impressed with the components that abdominal wall that is 20 years old? You know, are they gonna be able to function normally? Will they be able to do the things with their abdominal wall that that they should be able to do?
Open
Statement
Using an absorbable patch leaves the abdominal wall musculature intact, and as the child grows, the patch becomes a smaller percentage of the abdominal wall area.
Open
Statement
Surgisis was used for a long time but had many recurrences; now Strattice is used with better results.
Open
Quotation
I think the advantage of that is that you leave their abdominal wall mus musculature intact and as the child grows, the patch becomes a smaller and smaller percentage of the, of the area of that abdominal wall.
Open
Statement
Many omphaloceles have defects that go right up to the costal margin, making it difficult to close that area even with component separation.
Open
Quotation
many of these on falseals, the defect goes right up to the costal margin. And I'm not sure how even with component separation, you can, you can close that hole right along the costal margin.
Open
Statement
Often the lower part of the defect is closed primarily, but a patch is needed along the costal margin.
Open
Statement
The most challenging situation is smaller defects with the whole liver out, where the liver doesn't go back in with painting and waiting because it's locked out, requiring enlargement of the fascial defect to reduce the contents.
Open
Quotation
one of the most challenging situations. That I've come up with is not the huge defects, but the smaller defects with everything out, the whole liver out, because those ones actually don't go back in when you're painting and waiting
Open
Quotation
it's almost like the liver's locked out. And in those cases you, you actually have to go and enlarge the fascial defect in order to get things to go back in.
Open