This is a pediatric focused summary of the AUA white paper: Optimizing outcomes in urologic surgery — Intraoperative considerations. Surgical “Time-Out” The first section of the White paper talks about … Read more
These are the surgical options to repair a failed pyeloplasty: Endoscopic treatment (dilation, endopyelotomy) Redo dismembered pyeloplasty Flap pyeloplasty Ureterocalycostomy Fortunately, I have not had to deal with failed pyeloplasties … Read more
This is a pediatric focused summary of the AUA white paper on optimizing pre-operative care. I also reviewed this UpToDate article to include information more pertinent to paediatrics. Upper … Read more
I recently became aware of the existence of the Modified O’Reagan Protocol (MOP) via a parent email that included an attachment titled “The Physician’s guide to MOP”. MOP is based … Read more
Traditional inguinal hernia repairs are performed through a 1-4 cm inguinal incision. A few years after surgery the scar looks like this: Below, I will discuss two ways … Read more
Urachal Remnants: Sleeping lions or another downside of too much medical care? On one hand, some doctors advocate removing all urachal remnants due to their potential to cause infections or … Read more
All hernias that I have seen in the last few years have been indirect: the defect is lateral to the epigastrics. Indirect hernias are caused by a failure of the … Read more
The video demonstrates 4 minor technical mishaps during robotic pediatric urologic surgery. These caused no harm to the patient but did prolong the time it took to complete the operation. … Read more
Recently I started recommending a saline enema the night before and the day of robotic surgery. I have not done that for the past several years and I don’t consider … Read more
Clinicians need a basic understanding of biostatistical variables and the tests used to compare them. Following are the 20% of statistical terms mentioned in 80% of the journal articles. … Read more