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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...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "According to recommendations from the European Association of Urology and the American Urological Association, we decided to operate on children with VUR grade...

A 5-year-old child is undergoing umbilical hernia repair. Which of the following would you expect to be most successful in limiting perioperative opioid administration? A Transversus abdominus plane block prior to the incision B Rectus sheath block prior to the incision C Rectus sheath block...

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Catheter occlusions secondary to fibrin or blood clot can be managed with tissue plasminogen activator (TPA). Two milligrams of TPA reconstituted in 40 cc of normal...

another case of multiple Magnets ingestions (case of dr Abdullah Alsheri, associate professor and consultant pediatric surgeon king Saud university medical city, Riyadh, Saudi Arabia)

A 3-day-old, full-term boy is POD 2 from duodenoduodenostomy for annular pancreas and duodenal atresia. He has a history of truncus arteriosus on preoperative echocardiogram. He has worsening acidemia, requires epinephrine and dopamine, and a distended abdomen. Abdominal x-rays show free air...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "It is important to remember that if you use clips to close vessels, it is forbidden to use monopolar scissors or sealing devices to cut between clips, because...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "The main disadvantage of retroperitoneoscopy is that it is not possible to isolate the ureter arriving near the bladder as in laparoscopy. This is a problem...

Correct answer B Excision of the entire lesion This patient presents with a first branchial cleft lesion. First branchial cleft anomalies can occur anywhere along the course of the first branchial arch tract. This area extends from a cutaneous opening in the submandibular triangle...

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The assistant should grasp and laterally retract the posterior wall of the stomach near the greater curvature to ensure no wall of the stomach is folded on itself...

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The advantages of this technique are preservation of the pylorus, which prevents the dumping syndrome prevalent in bypass, reduced malabsorption (although nutritional...

A 1-year old girl presents with intermittent drainage near the angle of the mandible. She also has a history of intermittent otorrhea. On exam, there is a small opening near the angle of her mandible and mucus expressed with manual pressure. The rest of her exam is normal. What is the best next...

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A 4-month-old infant presents to clinic with a swollen, red left fourth toe (see images below). In addition to the swelling, the toe has an area of circumferential indentation (marked by arrow). His parents state that his toe was minimally swollen at birth, but it has continued to gradually...

Correct answer a Type I achalasia Achalasia has been classically defined by conventional manometry as the absence of esophageal peristalsis and incomplete LES relaxation with pressures greater than 10 mm Hg. Using findings from high resolution manometry and esophageal topography, the Chicago...

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "A technique to prevent distal obstructions where the distal catheter is passed through the falciform and positioned above the liver with the tip pointed at the...

An eleven year old girl presents with difficulty swallowing. An esophagram shows a distended esophagus and “beaking” at the gastroesophageal junction. Upper endoscopy demonstrates dilated esophageal body and puckering at the LES and retained saliva in the esophagus. The treating...

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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Numerous technical tricks have been advocated to reduce RP after laparoscopic-assisted anorectal pull-through (LAARP): colic washout of the distal loop to...

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Children presenting RP and older than 4 years usually have a predisposing condition. These older patients usually present recurrent or persistent RP and tend...