Anatomy: there are 2 bladder halves laterally; at the center, there is a cecal plate; the elephant trunk is intussuscepted ileum attached to the cecal plate. Omphalocele is on top. … Read more
Dr. Basking went over a series of clinical cases. These are some points I thought were interesting from the lecture: Newborns with cloacal exstrophy go home after a workup … Read more
Low amniotic fluid secondary to LUTO is first detected at around 16 weeks of gestation when urine becomes the major source of amniotic fluid. Variables most predictive of LUTO: increased … Read more
After watching Luis Braga’s lecture on UTI’s, I found the following points interesting or of clinical use to my practice: Before 1 year of life, UTIs are more common in … Read more
Governments and health care systems across the world have recommended/mandated that elective surgery be postponed — as long as the delay does not cause harm to the patient. To better … Read more
Background Hidden Incision Endoscopic Surgery (HIDES) consists of port placement (PP) inside the umbilicus and at the bikini line, thus hiding incisions. Although the cosmetic advantages are clear, the … Read more
The case for clinic circumcisions In my practice, the majority of cases done in the operating room (OR) under general anesthesia are circumcisions. Doing all these circumcisions in the clinic … Read more
After a few years of practice, I have developed explicit or implicit algorithms to deal with the most common problems I treat. I have written about my vesicoureteral reflux algorithm … Read more
Incidence Labial adhesions occur in up to 2% of girls usually in the first 2 years of life: Cause The cause has not been clearly identified. Some have postulated … Read more
Recently, I got involved in the care of a newborn patient with a fusiform megalourethra. On examination, I was not able to palpate any corporal tissues. The penile skin … Read more