Mark Wulkan

90 timestamped statements across 5 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Abdominal Wall Defects · guest expert Choledochal Cyst / Biliary · guest expert Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · guest expert Intestinal Rehab · guest expert Pectus Excavatum · guest expert

Featured diaries

Ep 22 · 15:24
It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 22 · 15:24
It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 17 · 15:24
It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 2 · 15:24
It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 17 · 8:09
We're not gonna change this. We're not gonna change this. Keep going.
Ep 2 · 8:09
We're not gonna change this. We're not gonna change this. Keep going.

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Journal of pediatric surgery Article Review: April 2023, IPEG issue

Ep 4 · 6:33
host_summary The risk score for button battery ingestion can help determine whether transfer to a specialized facility is needed.
Ep 4 · 6:33
clinical The risk score for button battery ingestion can help determine whether transfer to a specialized facility is needed.
Ep 4 · 10:32
clinical There was no significant difference in post-operative cholangitis or mortality between laparoscopic and open choledochal cyst resection despite different anastomosis types.
Ep 4 · 10:32
host_summary There was no significant difference in post-operative cholangitis or mortality between laparoscopic and open choledochal cyst resection despite different anastomosis types.

Complications and Beyond

Ep 22 · 6:52
clinical If chest X-ray is negative for prenatally diagnosed lung lesion, some practitioners still obtain CT scan at 3 months while others follow with serial chest X-rays
Ep 22 · 6:52
clinical If chest X-ray is negative for prenatally diagnosed lung lesion, some practitioners still obtain CT scan at 3 months while others follow with serial chest X-rays
Ep 22 · 8:09
quote We're not gonna change this. We're not gonna change this. Keep going.
Ep 22 · 8:09
quote We're not gonna change this. We're not gonna change this. Keep going.
Ep 22 · 8:26
clinical Three months is considered the optimal timing for congenital lung lesion resection; operating later results in more inflammation and increased difficulty
Ep 22 · 8:26
clinical Three months is considered the optimal timing for congenital lung lesion resection; operating later results in more inflammation and increased difficulty
Ep 22 · 10:08
quote I think you ought to get a CT at 3 months and act on it accordingly.
Ep 22 · 10:08
quote I think you ought to get a CT at 3 months and act on it accordingly.
Ep 22 · 13:17
clinical For thoracoscopic lobectomy, surgeons should be proficient with all vessel control methods: clips, ties, energy devices, and staplers
Ep 22 · 13:17
clinical For thoracoscopic lobectomy, surgeons should be proficient with all vessel control methods: clips, ties, energy devices, and staplers
Ep 22 · 13:22
clinical Energy devices work well for vessel control in small babies and can be used in bigger children with larger energy devices
Ep 22 · 13:22
clinical Energy devices work well for vessel control in small babies and can be used in bigger children with larger energy devices
Ep 22 · 14:06
clinical Staplers can fail during lobectomy and are not perfect; surgeons must be prepared for this complication
Ep 22 · 14:06
clinical Staplers can fail during lobectomy and are not perfect; surgeons must be prepared for this complication
Ep 22 · 15:24
quote It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 22 · 15:24
quote It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 22 · 18:14
clinical Before firing any vessel control device, think through the next two steps if the device fails
Ep 22 · 18:14
clinical Before firing any vessel control device, think through the next two steps if the device fails
Ep 22 · 24:38
clinical Paraesophageal hernia repair after prior fundoplication requires maximal esophageal mobilization
Ep 22 · 24:38
clinical Paraesophageal hernia repair after prior fundoplication requires maximal esophageal mobilization
Ep 22 · 26:52
clinical Biologic mesh is preferred over non-absorbable mesh in pediatric hiatal hernia repair because non-absorbable mesh erodes into esophageal lumen
Ep 22 · 26:52
clinical Biologic mesh is preferred over non-absorbable mesh in pediatric hiatal hernia repair because non-absorbable mesh erodes into esophageal lumen
Ep 22 · 29:41
clinical Horseshoe mesh configuration from underneath, wide on good tissue on either side below, addresses the posterior recurrence site
Ep 22 · 29:41
clinical Horseshoe mesh configuration from underneath, wide on good tissue on either side below, addresses the posterior recurrence site
Ep 22 · 33:00
clinical If temporizing with feeding tube for post-fundoplication dysphagia, wait 4-6 weeks for swelling to resolve, as this is when inflammation truly decreases
Ep 22 · 33:00
clinical If temporizing with feeding tube for post-fundoplication dysphagia, wait 4-6 weeks for swelling to resolve, as this is when inflammation truly decreases
Ep 22 · 33:10
clinical Dilation within two weeks of fundoplication risks disrupting the wrap and causing recurrent reflux
Ep 22 · 33:10
clinical Dilation within two weeks of fundoplication risks disrupting the wrap and causing recurrent reflux
Ep 22 · 33:54
clinical After Nissen fundoplication, swelling typically resolves and swallowing normalizes around day 18 based on personal experience
Ep 22 · 33:54
clinical After Nissen fundoplication, swelling typically resolves and swallowing normalizes around day 18 based on personal experience
Ep 22 · 39:33
clinical If operating soon after initial fundoplication, may be able to release obstructing structure without taking down entire wrap; if a year or more out, likely scarred and requires complete redo
Ep 22 · 39:33
clinical If operating soon after initial fundoplication, may be able to release obstructing structure without taking down entire wrap; if a year or more out, likely scarred and requires complete redo
Ep 22 · 41:07
clinical Bougie size for fundoplication should be based on patient age and weight using published charts; anesthesiologist must pass bougie carefully watching for hang-up at GE junction
Ep 22 · 41:07
clinical Bougie size for fundoplication should be based on patient age and weight using published charts; anesthesiologist must pass bougie carefully watching for hang-up at GE junction
Ep 22 · 46:01
clinical Gastric disconnect performed as initial operation or after one failed fundo results in smooth recovery; after multiple fundos, recovery is prolonged
Ep 22 · 46:01
clinical Gastric disconnect performed as initial operation or after one failed fundo results in smooth recovery; after multiple fundos, recovery is prolonged
Ep 22 · 46:14
clinical Gastric disconnect can be performed thoracoscopically
Ep 22 · 46:14
clinical Gastric disconnect can be performed thoracoscopically
Ep 22 · 46:43
quote I think that's level 5 evidence, Todd.
Ep 22 · 46:43
quote I think that's level 5 evidence, Todd.
Ep 22 · 57:24
clinical In esophageal lung, right lung is aerated through esophageal fistula rather than tracheal connection
Ep 22 · 57:24
clinical In esophageal lung, right lung is aerated through esophageal fistula rather than tracheal connection

Complications and Beyond

Ep 17 · 6:52
clinical If chest X-ray is negative for prenatally diagnosed lung lesion, some practitioners still obtain CT scan at 3 months while others follow with serial chest X-rays
Ep 17 · 8:09
quote We're not gonna change this. We're not gonna change this. Keep going.
Ep 17 · 8:26
clinical Three months is considered the optimal timing for congenital lung lesion resection; operating later results in more inflammation and increased difficulty
Ep 17 · 10:08
quote I think you ought to get a CT at 3 months and act on it accordingly.
Ep 17 · 13:17
clinical For thoracoscopic lobectomy, surgeons should be proficient with all vessel control methods: clips, ties, energy devices, and staplers
Ep 17 · 13:22
clinical Energy devices work well for vessel control in small babies and can be used in bigger children with larger energy devices
Ep 17 · 14:06
clinical Staplers can fail during lobectomy and are not perfect; surgeons must be prepared for this complication
Ep 17 · 15:24
quote It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 17 · 18:14
clinical Before firing any vessel control device, think through the next two steps if the device fails
Ep 17 · 24:38
clinical Paraesophageal hernia repair after prior fundoplication requires maximal esophageal mobilization
Ep 17 · 26:52
clinical Biologic mesh is preferred over non-absorbable mesh in pediatric hiatal hernia repair because non-absorbable mesh erodes into esophageal lumen
Ep 17 · 29:41
clinical Horseshoe mesh configuration from underneath, wide on good tissue on either side below, addresses the posterior recurrence site
Ep 17 · 33:00
clinical If temporizing with feeding tube for post-fundoplication dysphagia, wait 4-6 weeks for swelling to resolve, as this is when inflammation truly decreases
Ep 17 · 33:10
clinical Dilation within two weeks of fundoplication risks disrupting the wrap and causing recurrent reflux
Ep 17 · 33:54
clinical After Nissen fundoplication, swelling typically resolves and swallowing normalizes around day 18 based on personal experience
Ep 17 · 39:33
clinical If operating soon after initial fundoplication, may be able to release obstructing structure without taking down entire wrap; if a year or more out, likely scarred and requires complete redo
Ep 17 · 41:07
clinical Bougie size for fundoplication should be based on patient age and weight using published charts; anesthesiologist must pass bougie carefully watching for hang-up at GE junction
Ep 17 · 46:01
clinical Gastric disconnect performed as initial operation or after one failed fundo results in smooth recovery; after multiple fundos, recovery is prolonged
Ep 17 · 46:14
clinical Gastric disconnect can be performed thoracoscopically
Ep 17 · 46:43
quote I think that's level 5 evidence, Todd.
Ep 17 · 57:24
clinical In esophageal lung, right lung is aerated through esophageal fistula rather than tracheal connection
Esophageal Atresia 21 entries

Complications and Beyond

Ep 2 · 6:52
clinical If chest X-ray is negative for prenatally diagnosed lung lesion, some practitioners still obtain CT scan at 3 months while others follow with serial chest X-rays
Ep 2 · 8:09
quote We're not gonna change this. We're not gonna change this. Keep going.
Ep 2 · 8:26
clinical Three months is considered the optimal timing for congenital lung lesion resection; operating later results in more inflammation and increased difficulty
Ep 2 · 10:08
quote I think you ought to get a CT at 3 months and act on it accordingly.
Ep 2 · 13:17
clinical For thoracoscopic lobectomy, surgeons should be proficient with all vessel control methods: clips, ties, energy devices, and staplers
Ep 2 · 13:22
clinical Energy devices work well for vessel control in small babies and can be used in bigger children with larger energy devices
Ep 2 · 14:06
clinical Staplers can fail during lobectomy and are not perfect; surgeons must be prepared for this complication
Ep 2 · 15:24
quote It's always good to have that ready, you know, unfortunately, I'm, uh, I, I, my knowledge is all from experience.
Ep 2 · 18:14
clinical Before firing any vessel control device, think through the next two steps if the device fails
Ep 2 · 24:38
clinical Paraesophageal hernia repair after prior fundoplication requires maximal esophageal mobilization
Ep 2 · 26:52
clinical Biologic mesh is preferred over non-absorbable mesh in pediatric hiatal hernia repair because non-absorbable mesh erodes into esophageal lumen
Ep 2 · 29:41
clinical Horseshoe mesh configuration from underneath, wide on good tissue on either side below, addresses the posterior recurrence site
Ep 2 · 33:00
clinical If temporizing with feeding tube for post-fundoplication dysphagia, wait 4-6 weeks for swelling to resolve, as this is when inflammation truly decreases
Ep 2 · 33:10
clinical Dilation within two weeks of fundoplication risks disrupting the wrap and causing recurrent reflux
Ep 2 · 33:54
clinical After Nissen fundoplication, swelling typically resolves and swallowing normalizes around day 18 based on personal experience
Ep 2 · 39:33
clinical If operating soon after initial fundoplication, may be able to release obstructing structure without taking down entire wrap; if a year or more out, likely scarred and requires complete redo
Ep 2 · 41:07
clinical Bougie size for fundoplication should be based on patient age and weight using published charts; anesthesiologist must pass bougie carefully watching for hang-up at GE junction
Ep 2 · 46:01
clinical Gastric disconnect performed as initial operation or after one failed fundo results in smooth recovery; after multiple fundos, recovery is prolonged
Ep 2 · 46:14
clinical Gastric disconnect can be performed thoracoscopically
Ep 2 · 46:43
quote I think that's level 5 evidence, Todd.
Ep 2 · 57:24
clinical In esophageal lung, right lung is aerated through esophageal fistula rather than tracheal connection
Pectus Excavatum 2 entries

Journal of pediatric surgery Article Review: April 2023, IPEG issue

Ep 31 · 6:33
clinical The risk score for button battery ingestion can help determine whether transfer to a specialized facility is needed.
Ep 31 · 10:32
clinical There was no significant difference in post-operative cholangitis or mortality between laparoscopic and open choledochal cyst resection despite different anastomosis types.