We've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.
We've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.
We've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.
I, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.
I, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.
I, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 9 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 9 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 9 · 4:40
host_summaryA multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 9 · 5:30
host_summaryIntra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 9 · 5:50
host_summaryThe number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 9 · 10:30
host_summaryNecrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 9 · 10:50
host_summaryTwo previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 9 · 11:05
host_summaryA 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 9 · 11:25
host_summaryAt 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 9 · 11:40
host_summaryBayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 9 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
▶Ep 9 · 18:20
host_summaryA systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 9 · 18:50
host_summaryTwelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 9 · 19:20
host_summaryThe number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 9 · 25:49
host_summaryA database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 3 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 3 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 3 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 3 · 7:11
host_summaryThe machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 3 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 3 · 11:56
host_summaryThe laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 3 · 12:15
host_summaryOf patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 3 · 12:30
host_summaryIn the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
▶Ep 3 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 3 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 3 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 3 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 3 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
quoteI was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 27 · 1:51
quoteI was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 27 · 3:13
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 27 · 3:13
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 27 · 3:32
host_summaryRetrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 27 · 3:32
epidemiologicalRetrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 27 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 27 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 27 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 27 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 27 · 5:49
epidemiologicalThe International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 27 · 5:49
host_summaryThe International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 27 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 27 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 27 · 8:17
clinicalAfter infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
▶Ep 27 · 8:17
host_summaryAfter infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
▶Ep 27 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 27 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 27 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 27 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 27 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 27 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
▶Ep 27 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 27 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
quoteI was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 20 · 3:13
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 20 · 3:32
host_summaryRetrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 20 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 20 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 20 · 5:49
host_summaryThe International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 20 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 20 · 8:17
host_summaryAfter infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
▶Ep 20 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 20 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 20 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 20 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 9 · 3:25
host_summaryThe azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 9 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 9 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 9 · 7:32
host_summaryThe Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
▶Ep 9 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 9 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 9 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 9 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 9 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 9 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 44 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 44 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 44 · 4:40
host_summaryA multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 44 · 5:30
host_summaryIntra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 44 · 5:50
host_summaryThe number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 44 · 10:30
host_summaryNecrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 44 · 10:50
host_summaryTwo previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 44 · 11:05
host_summaryA 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 44 · 11:25
host_summaryAt 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 44 · 11:40
host_summaryBayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 44 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
▶Ep 44 · 18:20
host_summaryA systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 44 · 18:50
host_summaryTwelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 44 · 19:20
host_summaryThe number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 44 · 25:49
host_summaryA database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 3 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 3 · 1:07
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 3 · 1:07
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 3 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 3 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 3 · 7:11
clinicalThe machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 3 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 3 · 7:11
host_summaryThe machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 3 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 3 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 3 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 3 · 11:56
host_summaryThe laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 3 · 11:56
clinicalThe laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 3 · 12:15
clinicalOf patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 3 · 12:15
host_summaryOf patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 3 · 12:30
clinicalIn the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
▶Ep 3 · 12:30
host_summaryIn the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
▶Ep 3 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 3 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 3 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 3 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 3 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 3 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 3 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 3 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 3 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
▶Ep 3 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
clinicalThe younger the baby, the higher the risk of incarceration in inguinal hernia↗
▶Ep 17 · 1:43
quoteI learned to do the repair before discharge just because what I've learned is that the younger the baby, the higher the risk of incarceration.↗
▶Ep 17 · 3:49
quoteI read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%.↗
▶Ep 17 · 4:20
host_summaryIn the early repair group, 4% of hernias resolved spontaneously; in the late repair group, 11% resolved spontaneously↗
▶Ep 17 · 11:35
host_summaryThere was no diagnostic uncertainty in the one-stop surgery program↗
▶Ep 17 · 12:26
host_summaryA recent Surgery journal article found that routine post-operative visits alter management in less than 1% of cases for routine pediatric surgical conditions including circumcision, orchiopexy, and inguinal hernia↗
▶Ep 17 · 13:28
quoteWhen you were facing medical problems with a low risk of complications, then family satisfaction becomes a surrogate for quality.↗
▶Ep 17 · 13:28
host_summaryWhen facing medical problems with low risk of complications, family satisfaction becomes a surrogate for quality↗
▶Ep 17 · 18:28
quoteWe've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.↗
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 60 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 60 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 60 · 4:40
host_summaryA multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 60 · 5:30
host_summaryIntra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 60 · 5:50
host_summaryThe number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 60 · 10:30
host_summaryNecrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 60 · 10:50
host_summaryTwo previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 60 · 11:05
host_summaryA 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 60 · 11:25
host_summaryAt 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 60 · 11:40
host_summaryBayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 60 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
▶Ep 60 · 18:20
host_summaryA systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 60 · 18:50
host_summaryTwelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 60 · 19:20
host_summaryThe number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 60 · 25:49
host_summaryA database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 18 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 18 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 18 · 1:07
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 18 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 18 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 18 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 18 · 7:11
clinicalThe machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 18 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 18 · 7:11
host_summaryThe machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 18 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 18 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 18 · 11:56
clinicalThe laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 18 · 11:56
host_summaryThe laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 18 · 12:15
host_summaryOf patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 18 · 12:15
clinicalOf patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 18 · 12:30
clinicalIn the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
▶Ep 18 · 12:30
host_summaryIn the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
▶Ep 18 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 18 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 18 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 18 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 18 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 18 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 18 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 18 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 18 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
▶Ep 18 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
quoteI learned to do the repair before discharge just because what I've learned is that the younger the baby, the higher the risk of incarceration.↗
▶Ep 4 · 1:43
clinicalThe younger the baby, the higher the risk of incarceration in inguinal hernia↗
▶Ep 4 · 3:49
quoteI read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%.↗
▶Ep 4 · 4:20
host_summaryIn the early repair group, 4% of hernias resolved spontaneously; in the late repair group, 11% resolved spontaneously↗
▶Ep 4 · 11:35
host_summaryThere was no diagnostic uncertainty in the one-stop surgery program↗
▶Ep 4 · 12:26
host_summaryA recent Surgery journal article found that routine post-operative visits alter management in less than 1% of cases for routine pediatric surgical conditions including circumcision, orchiopexy, and inguinal hernia↗
▶Ep 4 · 13:28
host_summaryWhen facing medical problems with low risk of complications, family satisfaction becomes a surrogate for quality↗
▶Ep 4 · 13:28
quoteWhen you were facing medical problems with a low risk of complications, then family satisfaction becomes a surrogate for quality.↗
▶Ep 4 · 18:28
quoteWe've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.↗
quoteI was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 15 · 1:51
quoteI was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 15 · 3:13
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 15 · 3:13
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 15 · 3:32
epidemiologicalRetrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 15 · 3:32
host_summaryRetrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 15 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 15 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 15 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 15 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 15 · 5:49
host_summaryThe International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 15 · 5:49
epidemiologicalThe International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 15 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 15 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 15 · 8:17
clinicalAfter infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
▶Ep 15 · 8:17
host_summaryAfter infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
▶Ep 15 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 15 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 15 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 15 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 15 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 15 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 15 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
▶Ep 15 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 17 · 3:25
host_summaryThe azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 17 · 3:25
clinicalThe azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 17 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 17 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 17 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 17 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 17 · 7:32
epidemiologicalThe Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
▶Ep 17 · 7:32
host_summaryThe Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
▶Ep 17 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 17 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 17 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 17 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 17 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 17 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 17 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 17 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 17 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 17 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 17 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
▶Ep 17 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
Case-Based Journal Review: Inguinal Hernia 2025
▶Ep 28 · 1:43
clinicalThe younger the baby, the higher the risk of incarceration in inguinal hernia↗
▶Ep 28 · 1:43
quoteI learned to do the repair before discharge just because what I've learned is that the younger the baby, the higher the risk of incarceration.↗
▶Ep 28 · 3:49
quoteI read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%.↗
▶Ep 28 · 4:20
host_summaryIn the early repair group, 4% of hernias resolved spontaneously; in the late repair group, 11% resolved spontaneously↗
▶Ep 28 · 11:35
host_summaryThere was no diagnostic uncertainty in the one-stop surgery program↗
▶Ep 28 · 12:26
host_summaryA recent Surgery journal article found that routine post-operative visits alter management in less than 1% of cases for routine pediatric surgical conditions including circumcision, orchiopexy, and inguinal hernia↗
▶Ep 28 · 13:28
quoteWhen you were facing medical problems with a low risk of complications, then family satisfaction becomes a surrogate for quality.↗
▶Ep 28 · 13:28
host_summaryWhen facing medical problems with low risk of complications, family satisfaction becomes a surrogate for quality↗
▶Ep 28 · 18:28
quoteWe've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.↗
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 8 · 3:25
host_summaryThe azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 8 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 8 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 8 · 7:32
host_summaryThe Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
▶Ep 8 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 8 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 8 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 8 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 8 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 8 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
