Steven Lee

52 statements · 4 topics

Colorectal / ARM & Hirschsprung · guest expert Pectus Excavatum · guest expert

Featured statements

Personally, um, unless there's an abscess, uh, but for the, for this, I don't use them because you're leaving the, the wounds open and they should drain. So there's no need for even perioperative antibiotics for this.
quote · Pilonidal Disease
Clearly improved outcomes with respect to healing times, recovery times, and most importantly, they've really decreased the, the need for additional operations and recurrence rates.
quote · Pilonidal Disease
The Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety.
clinical · Anorectal Malformation
These techniques aim to spare the perineal body and preserve long-term gynecologic function for female patients.
clinical · Anorectal Malformation
The Boston technique involves a slight posterior sagittal extension of the incision.
clinical · Colorectal / ARM & Hirschsprung

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Steven's statements about Anorectal Malformation 14 statements

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Update Course Rewind: Perineal Body Sparing PSARP 2023

Quotation So, this is a very relatively new thing. Open
Quotation So, this is a very relatively new thing. Open
Statement Two variations of perineal body sparing PSARP have been published in the last 6 months, one from Boston and one from Washington DC. Open
Statement Two variations of perineal body sparing PSARP have been published in the last 6 months, one from Boston and one from Washington DC. Open
Statement The Boston technique involves a slight posterior sagittal extension of the incision. Open
Statement The Boston technique involves a slight posterior sagittal extension of the incision. Open
Statement These techniques aim to spare the perineal body and preserve long-term gynecologic function for female patients. Open
Statement These techniques aim to spare the perineal body and preserve long-term gynecologic function for female patients. Open
Statement The perineal body is important for sexual function and obstetric outcomes in the future. Open
Statement The perineal body is important for sexual function and obstetric outcomes in the future. Open
Statement The Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety. Open
Statement The Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety. Open
Quotation Obviously you do which technique you're comfortable with, but it's important to think about for our patients as they age. Open
Quotation Obviously you do which technique you're comfortable with, but it's important to think about for our patients as they age. Open
Steven's statements about Colorectal / ARM & Hirschsprung 14 statements

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Update Course Rewind: Perineal Body Sparing PSARP 2023

Quotation So, this is a very relatively new thing. Open
Quotation So, this is a very relatively new thing. Open
Statement Two variations of perineal body sparing PSARP have been published in the last 6 months, one from Boston and one from Washington DC. Open
Statement Two variations of perineal body sparing PSARP have been published in the last 6 months, one from Boston and one from Washington DC. Open
Statement The Boston technique involves a slight posterior sagittal extension of the incision. Open
Statement The Boston technique involves a slight posterior sagittal extension of the incision. Open
Statement These techniques aim to spare the perineal body and preserve long-term gynecologic function for female patients. Open
Statement These techniques aim to spare the perineal body and preserve long-term gynecologic function for female patients. Open
Statement The perineal body is important for sexual function and obstetric outcomes in the future. Open
Statement The perineal body is important for sexual function and obstetric outcomes in the future. Open
Statement The Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety. Open
Statement The Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety. Open
Quotation Obviously you do which technique you're comfortable with, but it's important to think about for our patients as they age. Open
Quotation Obviously you do which technique you're comfortable with, but it's important to think about for our patients as they age. Open
Steven's statements about Pilonidal Disease 17 statements

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Update Course Rewind: Pilonidal Disease 2019

Statement Dr. Lee sometimes performs GIPS procedures in his office Open
Quotation You can often do them in the clinic or as an outpatient basis. Open
Statement The GIPS procedure can be performed in the clinic or on an outpatient basis Open
Statement GIPS procedure shows clearly improved outcomes with respect to healing times, recovery times, and decreased need for additional operations and recurrence rates compared to traditional open excisions Open
Quotation Clearly improved outcomes with respect to healing times, recovery times, and most importantly, they've really decreased the, the need for additional operations and recurrence rates. Open
Statement If disease is left behind, there will be recurrence, but most recurrences involve hair coming out and can be managed with repeat procedure or pit picking (plucking hairs) Open
Statement The key to successful pit excision is excising all pits to access the cavity and thoroughly cleaning it out Open
Statement Dr. Lee occasionally uses hydrogen peroxide to help clean out the tract but does not use sclerosing agents Open
Statement Aggressive scraping of tissue using Cottes and gauze is necessary to ensure no disease is left behind Open
Statement After hair removal with a clamp, all granulation tissue must be scraped out Open
Statement If incisions close too early, granulation can be managed in clinic by reopening and using silver nitrate around the sides to keep incisions open Open
Quotation I think the key aspect, um. Uh, for this is one is during the time this heals, is make sure that you continue to keep the area free of hair. Open
Statement During healing, the area must be kept free of hair with weekly shaving Open
Statement Traditional unroofing and marsupialization required 4 to 6 weeks for complete healing Open
Quotation Personally, um, unless there's an abscess, uh, but for the, for this, I don't use them because you're leaving the, the wounds open and they should drain. So there's no need for even perioperative antibiotics for this. Open
Statement Dr. Lee does not use perioperative antibiotics for GIPS unless there is an abscess, because wounds are left open to drain Open
Statement When draining a pilonidal abscess in the emergency department, drainage should be performed off midline so that when a tract forms, it will be off midline Open
Steven's statements about Recto-vestibular Fistula 7 statements

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Update Course Rewind: Perineal Body Sparing PSARP 2023

Quotation So, this is a very relatively new thing. Open
Statement Two variations of perineal body sparing PSARP have been published in the last 6 months, one from Boston and one from Washington DC. Open
Statement The Boston technique involves a slight posterior sagittal extension of the incision. Open
Statement These techniques aim to spare the perineal body and preserve long-term gynecologic function for female patients. Open
Statement The perineal body is important for sexual function and obstetric outcomes in the future. Open
Statement The Washington DC technique uses an incision just through the sphincter alone, preserving the perineal body skin in its entirety. Open
Quotation Obviously you do which technique you're comfortable with, but it's important to think about for our patients as they age. Open