UCSF Benioff Children's Hospitals’ Post

Our commitment to pediatric surgical innovation is eloquently discussed in a recent MedCity News article authored by Dr. Edward Chekan, MD, F.A.C.S., Asensus VP of Medical Affairs and Education. This piece discusses the evolution and benefits of smaller instrument sizes in robotic surgery, a feature available to the Senhance® Surgical System. These innovations are crucial for pediatric patients due to their less invasive nature and the ability to minimize recovery time and discomfort. The article also explores the unique anatomical challenges of pediatric surgery and how robotic platforms can offer surgeons enhanced precision and control, improving both patient outcomes and surgeon experience. For a deeper dive into how these advancements are transforming pediatric care, read the full article here: https://lnkd.in/euhazvA3 #Asensus #Pediatrics #Futureofsurgery

Unveiling the heart-healing magic! 🩺❤️ Dive into the world of pediatric cardiac surgery with this eye-opening article. Learn more about the skills of the doctors saving tiny hearts. #PediatricCardiacSurgery #HeartHealth https://lnkd.in/gEZrCWtm

🔍 Exciting Research Update in Pediatric Spine Surgery! 🌐👩⚕️ Thrilled to read new insights from a groundbreaking study conducted by Dr. Striano, et al at Boston Children's Hospital! 🏥🔬 👉 Title: Modeling Lifetime Cancer Risk in Adolescent Idiopathic Scoliosis (AIS) Patients Undergoing Surgery with CT-Based Navigation 📊 Abstract Summary: Adolescent Idiopathic Scoliosis (AIS) is a prevalent condition necessitating surgical intervention. The study, conducted on 245 adolescents aged 10-18 at a leading US pediatric hospital, delves into the use of intraoperative CT-based navigation for AIS surgery. 🔬 Key Findings: Increased Radiation Exposure: Patients treated with intraoperative CT based navigation received 8.18 mSv more radiation compared to conventional methods. Lifetime Cancer Risk: The study projects approximately 0.90 iatrogenic malignancies per 1,000 patients treated with intraoperative navigation. 🌐 Significance: Pioneering Work: This study defines cancer risk in the context of radiation exposure for intraoperative CT navigated AIS surgery. Call for Action: Given the commonality of spine surgery for AIS and its coexistence with various radiation sources, the research underscores the importance of radiation budgeting protocols and the ongoing development of low-dose technologies. 📈 Implications: Patient Safety: Understanding the cancer risk associated with intraoperative navigation is crucial for informed decision-making in AIS surgery. Technology Development: Advocates the need for continuous advancements in lower radiation dose technologies in pediatric spine surgery, such as the 7D FLASH Navigation system that operates off a low dose preoperative CT owning to 1mSv of radiation. 🚀 Future Directions: Radiation Budgeting Protocols: Urgent need for comprehensive protocols to manage and mitigate radiation exposure in pediatric spine surgeries. Technological Innovations: Encourages ongoing research and development to create safer and more efficient technologies for AIS surgical interventions, including low dose navigation options such as the 7D FLASH Navigation System. 🤝 Collaboration: Kudos to the dedicated team of Dr. Striano et al. for their invaluable contribution to pediatric spine surgery research! A very interesting read. Let's propel the conversation on pediatric spine surgery, radiation safety, and innovative technologies! 💬👨⚕️👩🔬 #PediatricSurgery #AIS #MedicalResearch #InnovationInHealthcare Publication Citation: Striano BM, Crawford AM, Verhofste BP, Hresko AM, Hedequist DJ, Schoenfeld AJ, Simpson AK. Intraoperative navigation increases the projected lifetime cancer risk in patients undergoing surgery for adolescent idiopathic scoliosis. Spine J. 2024 Jan 21:S1529-9430(24)00018-4. doi: 10.1016/j.spinee.2024.01.007. Epub ahead of print. PMID: 38262498.

The largest study to date of exposure to the phthalate DEHP during pediatric cardiac surgery hypothesized that, similar to infants in NICU, children who need cardiopulmonary bypass are exposed to significant levels that may affect their postoperative outcomes. Future research will focus on how processes, such as cell-washing and using fresh blood, may reduce the amount of DEHP and other phthalates that children are exposed to during life-saving cardiac surgery procedures.

The landscape of neonatal and infant surgery has undergone a metamorphosis, with pioneering techniques like minimally invasive, fetal, EXIT procedures, and robotic-assisted interventions leading the charge. These advancements are not mere buzzwords; they translate to 𝗲𝗻𝗵𝗮𝗻𝗰𝗲𝗱 𝗽𝗿𝗲𝗰𝗶𝘀𝗶𝗼𝗻, 𝘀𝘄𝗶𝗳𝘁𝗲𝗿 𝗿𝗲𝗰𝗼𝘃𝗲𝗿𝗶𝗲𝘀, 𝗮𝗻𝗱 𝗮 𝘀𝘂𝗿𝗴𝗲 𝗶𝗻 𝘀𝘂𝗿𝘃𝗶𝘃𝗮𝗹 𝗿𝗮𝘁𝗲𝘀 for our most vulnerable patients. This article delves into the paradigm shift within this intricate medical realm, exploring: ➡𝗧𝗵𝗲 𝗘𝘃𝗼𝗹𝘂𝘁𝗶𝗼𝗻 𝗼𝗳 𝗡𝗲𝗼𝗻𝗮𝘁𝗮𝗹 𝗮𝗻𝗱 𝗜𝗻𝗳𝗮𝗻𝘁 𝗦𝘂𝗿𝗴𝗲𝗿𝘆 ➡𝗞𝗲𝘆 𝗣𝗶𝗼𝗻𝗲𝗲𝗿𝗶𝗻𝗴 𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲𝘀 ➡𝗖𝗵𝗮𝗹𝗹𝗲𝗻𝗴𝗲𝘀 𝗮𝗻𝗱 𝗖𝗼𝗻𝘀𝗶𝗱𝗲𝗿𝗮𝘁𝗶𝗼𝗻𝘀 ➡𝗙𝘂𝘁𝘂𝗿𝗲 𝗗𝗶𝗿𝗲𝗰𝘁𝗶𝗼𝗻𝘀 Learn More: https://lnkd.in/gNRsrPPc #neonatal #infantsurgery #medicalinnovation #pediatrichealthcare #medicalbreakthroughs #futureofmedicine #surgicaltechniques #healthcaretechnology #healthcareadvancement #americanhhm #AmHHM

The repair of indirect inguinal hernia in pediatric patients has been a medical concern for centuries. Although specific historical records on this topic are limited, some important milestones in its treatment can be traced over time: Antiquity: It is believed that inguinal hernias have been recognized and treated since ancient times. However, treatment methods were primitive, mostly involving manual reduction techniques or applying bandages. Medieval and Renaissance Periods: During this period, there were some attempts at surgical repair of inguinal hernias, but these procedures were extremely risky and had high mortality rates due to lack of asepsis and anatomical knowledge. 19th Century: With the advancement of surgery and understanding of anatomy, safer surgical techniques for inguinal hernia repair were developed. However, in pediatric patients, surgery remained a risky and uncommon procedure due to high rates of complications and recurrences. 20th Century: With the advent of modern anesthesia, asepsis, and advances in surgical techniques, inguinal hernia repair in children became more common and safer. Specific techniques were developed for pediatric inguinal hernia repair, such as open herniorrhaphy and later laparoscopic repair technique. Recent Advances: In recent decades, significant improvements have been made in surgical techniques and understanding the pathophysiology of pediatric inguinal hernia. Laparoscopic surgery has gained popularity due to its advantages in terms of less postoperative pain, faster recovery, and better cosmetic outcomes. Overall, the repair of inguinal hernia in pediatric patients has undergone an evolution from primitive and risky methods to modern, safer, and more effective techniques. Nowadays, laparoscopic and open surgery are the standard options for treating this condition in children, with quite high success rates and lower complication rates compared to the past.

New Study on Pediatric Dysphagia Post-Cardiac Surgery My latest research focused on the effectiveness of injection laryngoplasty (IL) in resolving thin liquid aspiration in children with unilateral vocal cord paralysis after cardiac surgery. Published in OTO Open, 2024, this retrospective case-control study involved 32 children at a tertiary children's hospital. Key Findings: IL showed an 82% resolution rate of aspiration, compared to 60% in children who were only observed. However, the time to resolution was significantly longer in the IL group, taking approximately 47.4 months versus 9.6 months for the observation group. Conclusion: While IL can help manage aspiration, its benefits over observation alone remain unclear, highlighting the need for further research in this area. For more details on this study, visit  https://lnkd.in/gTy9UdQS

https://lnkd.in/gsyvxTZX Great to see this from the Journal of Pediatric Surgery : "APSA therefore recognizes the practice of locum tenens in pediatric surgery as an essential component of the surgical care of the child... Locum tenens practice has become an integral part of pediatric surgery. APSA celebrates the delivery of pediatric surgical care closer to home. An intentional approach between the pediatric surgeon, hiring organizations and locum tenens placement agencies is critical to optimize patient outcomes. Continued focus on the best interests of the patient by all parties will reaffirm locum tenens as a reasonable option that provides the safe and effective care that is expected..." https://lnkd.in/gb8TmEnU

Monitoring Cerebral Blood Flow With Ultrasound in Newborns Undergoing Surgery Prevents Brain Damage

Questions & Answers About Pediatric Surgery For Students  Mastering pediatric surgery? This book offers 100 key questions and answers to help you succeed. #PediatricSurgery #Surgery #MedicalSchool #StudyGuide #Children #DoctorLife  https://lnkd.in/dqTyshYB