From
StayCurrentMD
Pediatric Surgery Updates for the PCP - Full Show
With Dr. Greg Tal & Dr. Dan Chuu & Dr. Georgie Bezarra & Dr. Becky Brown · hosted by Dr. Steve Warwick
Part of
Pectus Carinatum 14 items
Chapter 1 of 6 · Fundamentals
Introduction
Introduction and Division Overview
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Podcast
Chest Wall Deformities with Dr. Robert Kelly
46 min · Published Jan 2017
Video
An Update on Chest Wall Anomalies and Their Treatment: Advanced Practice...
Dr. Todd Ponsky · 46 min · Published Jul 2017
Video
Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
Dr. Todd Ponsky · 44 min · Published Nov 2018
Video
Pectus - Preoperative Assessment - Genetics
9 min · Published Nov 2018
Video
Genetics: Pectus Innovations
9 min · Published Oct 2015
Video
Radiology: Pectus Innovations
38 min · Published Oct 2015
Video
Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
56 s · Published May 2026
Video
Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
Video
Pooling Patients to Study Rare Pediatric Tumors: An Introduction to PSORC
56 s · Published May 2026
Video
The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
44 s · Published May 2026
Video
Indocyanine green assists with sentinel lymph node mapping in pediatric and adolescent patients
1 min · Published May 2026
Video
Tricuspid valve surgery in transposition of the great arteries with a systemic right ventricle
46 s · Published May 2026
What the experts said
Pectus excavatum occurs in approximately 1 in 300 to 400 people
Pectus excavatum occurs more commonly in males than females at a ratio of approximately 80% to 20%
Pectus excavatum is familial in about 40% of patients
Pectus excavatum is associated with connective tissue diseases like Ehlers-Danlos, Marfan's disease, and hypermobility syndrome in about 10 to 20% of patients
Pectus excavatum is associated with scoliosis in about 30% of patients
Symptoms occur in about 75% of pectus excavatum patients and may include exercise intolerance, shortness of breath, fatigue, and psychosocial issues
Vacuum bell therapy can completely correct pectus in about 25-40% of patients aged 6-10 years with milder defects and flexible chest walls
Using erector spinal catheters for pain management after Nuss procedure has minimized opioid use by 13-fold and reduced hospital stays to 2 days
A normal Haller index (ratio of chest width to depth) is about 2.5 to 2.7; greater than 3.25 may warrant surgical correction
In a study of 345 pectus patients, 16 to 22% had abnormal cardiac function at rest with right ventricular ejection fractions less than 50% and left ventricular ejection fractions less than 55%
33% of pectus patients had abnormal cardiopulmonary exercise tests
Button batteries can cause fatalities within 2 hours of ingestion
Rare earth magnets can attract each other across bowel wall and cause perforation and fistulas if ingested at separate times
Objects greater than 25 millimeters may be difficult to pass through the pylorus and typically require removal
Sharp objects that reach the intestine beyond the stomach tend to pass without difficulty and can be observed
Real pilonidal disease always presents in patients who have started puberty; cases in much younger patients are exceedingly rare exceptions
Crohn's disease and pilonidal disease can occur together and may be difficult to distinguish
For acute pilonidal infections, a 5 to 7 day course of broad spectrum antibiotics like Augmentin, Clindamycin, or Cipro and Flagyl is usually sufficient
The GIPS procedure for pilonidal disease has about a 75% cure rate
GIPS procedure can be done under local anesthesia, requires only Tylenol or ibuprofen for pain, and most wounds heal within a couple weeks without packing or activity restriction
Cleft lift procedure requires general anesthesia for about 90 minutes, patients need Percocet for pain management, and have a drain for about 5 days
The cleft lift procedure for pilonidal disease has an over 95% success rate
Ovarian torsion may present with sharp onset of pain and a palpable or tender pelvic mass on exam
Ultrasound does not always definitively diagnose ovarian torsion; laparoscopy may be needed for diagnosis
Cholecystitis is the most common gallstone-related complication in pediatric patients
Single incision laparoscopic appendectomy is performed through an incision at or below the umbilicus, with the appendix removed through the belly button
Button batteries that have passed beyond the stomach into the intestine can generally be observed in asymptomatic patients as they are past the danger point
Honey given as 2 teaspoons every 10 minutes up to 6 doses may reduce damage from button battery ingestion when given en route to emergency room
Carafate used in the emergency room setting appears to reduce damage from button batteries based on available evidence
In the Midwest Pediatric Consortium study, about 67% of children with appendicitis treated non-operatively with antibiotics did not require appendectomy within the next year
In the CODA study, 40% of patients with an appendicolith who were managed non-operatively went on to require surgery within the first 90 days