Jamie Harris
50 statements · 4 topics · summaries given as host listed separately
Featured statements
If you are lost in the anatomy and you need to make a bigger incision and convert, it's super easy to do that. And if you're not sure where that anterior wall is and where the vagina is, just convert to a standard PAP and go from there, um, which would make you do it safely.
quote ·
Anorectal Malformation
I tend to do it a little bit more delayed, and it's because I like the families to demonstrate that they can do irrigations at home. I think that's such an important skill for them to have.
quote ·
Anorectal Malformation
Doing dilations alone is probably not the correct management of this for a number of different reasons, but certainly dilations initially will allow for decompression.
quote ·
Colorectal / ARM & Hirschsprung
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future Parps.
quote ·
Colorectal / ARM & Hirschsprung
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future PAPs.
quote ·
Hirschsprung disease
Family competence with rectal irrigations is critical for managing post-pull-through enterocolitis; families skilled at irrigations can initiate treatment before contacting the surgeon, potentially saving the baby's life.
opinion ·
Hirschsprung disease
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Jamie's statements about Anorectal Malformation 6 statements
Open the Anorectal Malformation collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Statement
When dilating a vestibular fistula preoperatively, dilation should be limited to 7 Hegar to maintain patency for soft stool passage while minimizing scarring of the fistula tract that could complicate subsequent PSARP.
Open
Quotation
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future PAPs.
Open
Statement
If visualization is inadequate during perineal body-preserving PSARP, the incision can be extended to convert to a standard PSARP approach.
Open
Quotation
If you are lost in the anatomy and you need to make a bigger incision and convert, it's super easy to do that. And if you're not sure where that anterior wall is and where the vagina is, just convert to a standard PAP and go from there, um, which would make you do it safely.
Open
Quotation
I tend to do it a little bit more delayed, and it's because I like the families to demonstrate that they can do irrigations at home. I think that's such an important skill for them to have.
Open
Statement
Family competence with rectal irrigations is critical for managing post-pull-through enterocolitis; families skilled at irrigations can initiate treatment before contacting the surgeon, potentially saving the baby's life.
Open
Jamie's statements about Colorectal / ARM & Hirschsprung 26 statements
Open the Colorectal / ARM & Hirschsprung collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Statement
When dilating a vestibular fistula preoperatively, dilation should be limited to 7 Hegar to maintain patency for soft stool passage while minimizing scarring of the fistula tract that could complicate subsequent PSARP.
Open
Statement
When dilating a vestibular fistula preoperatively, dilation should be limited to 7 Hegar to maintain patency for soft stool passage while minimizing scarring of the fistula tract that could complicate subsequent PSARP.
Open
Quotation
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future PAPs.
Open
Quotation
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future PAPs.
Open
Statement
If visualization is inadequate during perineal body-preserving PSARP, the incision can be extended to convert to a standard PSARP approach.
Open
Statement
If visualization is inadequate during perineal body-preserving PSARP, the incision can be extended to convert to a standard PSARP approach.
Open
Quotation
If you are lost in the anatomy and you need to make a bigger incision and convert, it's super easy to do that. And if you're not sure where that anterior wall is and where the vagina is, just convert to a standard PAP and go from there, um, which would make you do it safely.
Open
Quotation
If you are lost in the anatomy and you need to make a bigger incision and convert, it's super easy to do that. And if you're not sure where that anterior wall is and where the vagina is, just convert to a standard PAP and go from there, um, which would make you do it safely.
Open
Statement
Family competence with rectal irrigations is critical for managing post-pull-through enterocolitis; families skilled at irrigations can initiate treatment before contacting the surgeon, potentially saving the baby's life.
Open
Statement
Family competence with rectal irrigations is critical for managing post-pull-through enterocolitis; families skilled at irrigations can initiate treatment before contacting the surgeon, potentially saving the baby's life.
Open
Quotation
I tend to do it a little bit more delayed, and it's because I like the families to demonstrate that they can do irrigations at home. I think that's such an important skill for them to have.
Open
Quotation
I tend to do it a little bit more delayed, and it's because I like the families to demonstrate that they can do irrigations at home. I think that's such an important skill for them to have.
Open
Update Course Rewind 2025: Timing of PSARP: Early vs. Delayed—Does It Really Matter?
Statement
Doing dilations alone is probably not the correct management for rectal vestibular fistula for a number of different reasons.
Open
Quotation
Doing dilations alone is probably not the correct management of this for a number of different reasons, but certainly dilations initially will allow for decompression.
Open
Quotation
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future Parps.
Open
Statement
It is recommended to dilate only to a 7 Hegar to decrease the potential scarring along the track for future PARPs.
Open
Statement
Another 2021 study looked at 30-day outcomes comparing neonatal versus delayed anoplasty in a multi-institutional retrospective study through the PCPLC.
Open
Statement
The PCPLC study concluded the same thing as the NSQIP study regarding safety of early versus delayed repair.
Open
Statement
There is discrepancy in the literature regarding the definition of delayed repair, ranging from a couple of months to multiple months of age, with no right timing of delayed repair established.
Open
Statement
One drawback to delayed repair is theoretical fibrosis of the fistula tract, making dissection a little bit more difficult on the PSARP.
Open
Statement
If the fistula is not completely decompressed, the rectum can get distended and make it technically more difficult to perform the PSARP.
Open
Statement
With social determinants of health, it's not always easy for families to make multiple trips for care, as it can be a long distance and expensive.
Open
Jamie's statements about Hirschsprung disease 12 statements
Open the Hirschsprung disease collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Quotation
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future PAPs.
Open
Statement
When dilating a vestibular fistula preoperatively, dilation should be limited to 7 Hegar to maintain patency for soft stool passage while minimizing scarring of the fistula tract that could complicate subsequent PSARP.
Open
Quotation
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future PAPs.
Open
Statement
When dilating a vestibular fistula preoperatively, dilation should be limited to 7 Hegar to maintain patency for soft stool passage while minimizing scarring of the fistula tract that could complicate subsequent PSARP.
Open
Statement
If visualization is inadequate during perineal body-preserving PSARP, the incision can be extended to convert to a standard PSARP approach.
Open
Statement
If visualization is inadequate during perineal body-preserving PSARP, the incision can be extended to convert to a standard PSARP approach.
Open
Quotation
If you are lost in the anatomy and you need to make a bigger incision and convert, it's super easy to do that. And if you're not sure where that anterior wall is and where the vagina is, just convert to a standard PAP and go from there, um, which would make you do it safely.
Open
Quotation
If you are lost in the anatomy and you need to make a bigger incision and convert, it's super easy to do that. And if you're not sure where that anterior wall is and where the vagina is, just convert to a standard PAP and go from there, um, which would make you do it safely.
Open
Quotation
I tend to do it a little bit more delayed, and it's because I like the families to demonstrate that they can do irrigations at home. I think that's such an important skill for them to have.
Open
Statement
Family competence with rectal irrigations is critical for managing post-pull-through enterocolitis; families skilled at irrigations can initiate treatment before contacting the surgeon, potentially saving the baby's life.
Open
Statement
Family competence with rectal irrigations is critical for managing post-pull-through enterocolitis; families skilled at irrigations can initiate treatment before contacting the surgeon, potentially saving the baby's life.
Open
Quotation
I tend to do it a little bit more delayed, and it's because I like the families to demonstrate that they can do irrigations at home. I think that's such an important skill for them to have.
Open
Jamie's statements about Recto-vestibular Fistula 6 statements
Open the Recto-vestibular Fistula collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Statement
When dilating a vestibular fistula preoperatively, dilation should be limited to 7 Hegar to maintain patency for soft stool passage while minimizing scarring of the fistula tract that could complicate subsequent PSARP.
Open
Quotation
I would recommend only dilating to a 7 Hagar to decrease the potential scarring along the track for future PAPs.
Open
Statement
If visualization is inadequate during perineal body-preserving PSARP, the incision can be extended to convert to a standard PSARP approach.
Open
Quotation
If you are lost in the anatomy and you need to make a bigger incision and convert, it's super easy to do that. And if you're not sure where that anterior wall is and where the vagina is, just convert to a standard PAP and go from there, um, which would make you do it safely.
Open
Quotation
I tend to do it a little bit more delayed, and it's because I like the families to demonstrate that they can do irrigations at home. I think that's such an important skill for them to have.
Open
Statement
Family competence with rectal irrigations is critical for managing post-pull-through enterocolitis; families skilled at irrigations can initiate treatment before contacting the surgeon, potentially saving the baby's life.
Open
Summaries Jamie gave as host · 12 summaries
Recaps of other experts' statements, not Jamie's own clinical position.
Summaries Jamie gave as host · Anorectal Malformation 2 summaries
Open the Anorectal Malformation collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Host summary
Jamie Harris summarizing the discussion: Two 2021 studies (one NISQIP, one PCPLC multi-institutional) found no significant difference in wound complications, re-operations, or readmissions between neonatal PSARP (performed within 7-14 days) and delayed PSARP (performed at 6 weeks to 8 months) for female perineal or recto-vestibular fistulas.
Open
Host summary
Jamie Harris summarizing the discussion: Perineal body-preserving PSARP does not add operative time compared to standard PSARP based on small case series data.
Open
Summaries Jamie gave as host · Colorectal / ARM & Hirschsprung 4 summaries
Open the Colorectal / ARM & Hirschsprung collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Host summary
Jamie Harris summarizing the discussion: Two 2021 studies (one NISQIP, one PCPLC multi-institutional) found no significant difference in wound complications, re-operations, or readmissions between neonatal PSARP (performed within 7-14 days) and delayed PSARP (performed at 6 weeks to 8 months) for female perineal or recto-vestibular fistulas.
Open
Host summary
Jamie Harris summarizing the discussion: Two 2021 studies (one NISQIP, one PCPLC multi-institutional) found no significant difference in wound complications, re-operations, or readmissions between neonatal PSARP (performed within 7-14 days) and delayed PSARP (performed at 6 weeks to 8 months) for female perineal or recto-vestibular fistulas.
Open
Host summary
Jamie Harris summarizing the discussion: Perineal body-preserving PSARP does not add operative time compared to standard PSARP based on small case series data.
Open
Host summary
Jamie Harris summarizing the discussion: Perineal body-preserving PSARP does not add operative time compared to standard PSARP based on small case series data.
Open
Summaries Jamie gave as host · Hirschsprung disease 4 summaries
Open the Hirschsprung disease collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Host summary
Jamie Harris summarizing the discussion: Two 2021 studies (one NISQIP, one PCPLC multi-institutional) found no significant difference in wound complications, re-operations, or readmissions between neonatal PSARP (performed within 7-14 days) and delayed PSARP (performed at 6 weeks to 8 months) for female perineal or recto-vestibular fistulas.
Open
Host summary
Jamie Harris summarizing the discussion: Two 2021 studies (one NISQIP, one PCPLC multi-institutional) found no significant difference in wound complications, re-operations, or readmissions between neonatal PSARP (performed within 7-14 days) and delayed PSARP (performed at 6 weeks to 8 months) for female perineal or recto-vestibular fistulas.
Open
Host summary
Jamie Harris summarizing the discussion: Perineal body-preserving PSARP does not add operative time compared to standard PSARP based on small case series data.
Open
Host summary
Jamie Harris summarizing the discussion: Perineal body-preserving PSARP does not add operative time compared to standard PSARP based on small case series data.
Open
Summaries Jamie gave as host · Recto-vestibular Fistula 2 summaries
Open the Recto-vestibular Fistula collection →
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
Host summary
Jamie Harris summarizing the discussion: Two 2021 studies (one NISQIP, one PCPLC multi-institutional) found no significant difference in wound complications, re-operations, or readmissions between neonatal PSARP (performed within 7-14 days) and delayed PSARP (performed at 6 weeks to 8 months) for female perineal or recto-vestibular fistulas.
Open
Host summary
Jamie Harris summarizing the discussion: Perineal body-preserving PSARP does not add operative time compared to standard PSARP based on small case series data.
Open