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Quotes from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Preoperative radiological evaluation was not recommended in the guidelines on NPT [4, 5]." "USG is an easy to perform noninvasive tool with no risk of...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "For preoperative evaluation and diagnosis of unilateral NPT, physical examination is all needed, and no laboratory investigation is necessary. In unilateral...

A 14-year old girl presents with mild epigastric pain. Laboratory studies include an AST 125 IU/L, ALT 180 IU/L, total bilirubin 1.8 mg/dL, direct bilirubin 1.2 mg/dL, amylase of 400 u/L, lipase of 500 u/L. Right upper quadrant ultrasound shows small stones in the gallbladder with a 7-mm...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "The main indications for surgical treatment in the pediatric population are: (1) testicular asymmetry (involved testicle with a lower volume difference of more...

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see video link in second post tip: do not forget to count number of pieces on abdominal x-ray before OR !

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri. , Philipp Szavay - "To choose the correct approach, we follow the International Pediatric Endosurgery Group guidelines, which state that only lesions without vascular encasement and...

A 17 year old boy with Marfan syndrome and a pectus excavatum desires repair. He undergoes a CT of the chest for preop planning with the following findings: his calculated Haller Index is 4 and his aortic root is 5.0 cm. He is without symptoms. The next step in management should be: A...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "To improve the efficacy of the antireflux mechanism, we suggest the following parameters: (a) suture the anastomotic line not only to the mucosa but also to...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Consecutive SIOP protocols and trials have consistently considered open radical nephroureterectomy as the gold standard approach for treating WT. According to...

Correct answer B Rectus sheath block prior to the incision A rectus sheath block is the most appropriate regional anesthesia technique for an umbilical hernia repair given the single-site incision. In comparison to local wound infiltration, a rectus sheath block provides superior analgesia and...