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  1. Admin

    a clinical pearl Regarding intestinal adaptation

    Quotes from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Resection of the jejunum is well tolerated owing to the enormous adaptive capacity of the ileum, the intact enterohepatic circulation of bile salts, and the preserved absorption of fat-soluble...
  2. Admin

    history Short bowel original description

    Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The term “short bowel” was defined by Rickham in 1967 as a small intestinal remnant of 75 cm or less in the newborn, which equals 30% of normal small bowel length in that age group. A more functional...
  3. Admin

    weekly question 7/9/2025

    A 14-year-old girl with biliary colic comes into your clinic. Upon review of her record, her BMI is 30, but this is her only complication to date from obesity. Her mother and father both have undergone bariatric surgery and suffered significant complications. She is currently on a diet and...
  4. Admin

    video LEFT LUNG UPPER LOBECTOMY FOR CONGENITAL LOBAR EMPHYSEMA

    https://www.dropbox.com/scl/fi/mf49qrpyz3wtgfxdxvi4z/LEFT-LUNG-UPPER-LOBECTOMY-FOR-CONGENITAL-LOBAR-EMPHYSEMA.mp4?rlkey=xxqaetwamt9t98mfbbw6yqx5y&dl=0
  5. Admin

    video LEFT LUNG UPPER LOBECTOMY FOR CONGENITAL LOBAR EMPHYSEMA

    see video link in second post
  6. Admin

    a clinical pearl Regarding rectal duplications

    Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "These are usually found in the retrorectal space and do not communicate with the urinary tract. Cystic rectal duplications must be distinguished from cystic sacrococcygeal teratoma, tailgut cyst, and...
  7. Admin

    weekly question 31/8/2025

    correct answer c Tissue Repair alone This patient has a direct inguinal hernia. This is characterized by a hernia defect medial to the epigastric vessels. Short arrow - epigastric vessels Long arrow - testicular vessels and vas deferens entering internal ring Circle - direct hernia defect...
  8. Admin

    weekly question 31/8/2025

    A 3-month-old ex-25 week infant has failure to thrive and bilateral groin bulges. He is scheduled for laparoscopic gastrostomy tube placement and inguinal hernia repair. Following placement of the gastrostomy tube the inguinal region is assessed. Below is the laparoscopic image of the left...
  9. Admin

    a clinical pearl Role of investigations in GI duplications

    Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Imaging is a critical aspect of preoperative preparation. The choice of imaging is dictated by the site of the duplication, clinical urgency, and the potential for associated anomalies. Isolated small...
  10. Admin

    weekly question 24/8/2025

    A 5-year-old is an unrestrained passenger in an MVC. The patient was found outside of the vehicle with an obvious depressed skull fracture. EMS was unable to secure an airway in the field. On arrival to the trauma bay the patient is found to be hypoxic with hypertension and bradycardia. The...
  11. Admin

    history Veress Needle original use

    “The Hungarian J. Veress developed the spring-loaded needle for performance of therapeutic pneumothorax to treat pulmonary tuberculosis in 1938; he then applied this technique to cases of pneumoperitoneum” — Endoscopic Surgery in Infants and Children by Klaas N.M.A. Bax, K.E. Georgeson, et al.
  12. Admin

    weekly question 17/8/2025

    A 6-year-old boy presents with a groin bulge. You cannot appreciate the bulge in the clinic, but it is a reliable story from mom and the pediatrician. You decide to approach this laparoscopically. When inserting the camera you identify what you think is a femoral hernia. What is the best next...
  13. Admin

    weekly question 10/8/2025

    A fourteen year old girl presents to the emergency department with a six month history of chronic, cyclic abdominal pain. She has not yet begun menstruating. She is Tanner Stage 4 with a palpable nontender lower abdominal mass and a bluish-tinged bulge at the introitus. An ultrasound (US)...
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