# Duodenal Atresia — GCMD Library living collection

Everything in the library about duodenal atresia — built automatically from dossiers that name it.

Updated: n/a · 3 episodes · 46 cited statements

## Episodes
### Surgical Management
- [Technique: Laparoscopic Repair of Duodenal Atresia, Ladd's Procedure, and...](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761) — video · 15:01 · [machine version](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761.md)
- [Duodeno-duodenostomy for Duodenal Atresia](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139) — video · 7:04 · [machine version](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139.md)

### Evidence & Research
- [BOB in Ped Surg 2023 - CIPESUR Winner - Georgina Falcioni, MD](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320) — video · [machine version](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320.md)

## Chapters
- [0:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=0) Room Setup, Port Placement, and Initial Dissection (Ep 1)
- [3:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=180) Ladd's Procedure and Identification of Malrotation (Ep 1)
- [6:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=360) Duodenoduodenostomy (Ep 1)
- [12:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=720) Resection of Meckel's Diverticulum and Appendix (Ep 1)
- [0:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=0) Exposure and Initial Findings (Ep 2)
- [1:30](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=90) Duodenal Mobilization and Opening (Ep 2)
- [3:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=180) Anastomosis Construction (Ep 2)
- [5:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=300) Mesenteric Widening and Closure (Ep 2)
- [0:00](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=0) Introduction of CIPESUR presentations and audience voting (Ep 3)
- [1:51](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=111) Telesimulation study presentation: methods and results (Ep 3)
- [5:06](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=306) Discussion of telesimulation scope and limitations (Ep 3)
- [8:09](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=489) Panel reactions and advantages of remote teaching (Ep 3)
- [9:53](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=593) Author closing remarks on practical implementation (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- The patient is a 1 day old infant who had a prenatal diagnosis of duodenal atresia (clinical) [Ep 1 · 0:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=0)
- Port placements consist of a 4 millimeter scope in the umbilicus, a 3 millimeter port in the left mid quadrant, and a 3 millimeter stab wound in the right mid quadrant, triangulated towards the right upper quadrant (clinical) [Ep 1 · 0:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=30)
- The 3 millimeter sealer is an excellent dissecting device and can be used in safe energy in close approximation to both the gallbladder and the small bowel (opinion) [Ep 1 · 1:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=60)
- A transabdominal stitch using a 30 Prolene on an RB1 needle is placed through the anterior abdominal wall in the right upper quadrant to retract the gallbladder superiorly (clinical) [Ep 1 · 2:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=120)
- The child is malrotated with a complete duodenal atresia (clinical) [Ep 1 · 2:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=150)
- The bowel is run from proximal to distally to ensure that there are no further Ladd's bands and to completely de-rotate the bowel (clinical) [Ep 1 · 3:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=180)
- A Meckel's diverticulum is found in the distal ileum during the procedure (clinical) [Ep 1 · 3:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=210)
- All of the small bowel is placed on the patient's right and the large bowel on the patient's left (clinical) [Ep 1 · 4:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=240)
- Widening the mesenteric base should diminish the chance of volvulus in the future (clinical) [Ep 1 · 4:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=270)
- A transverse enterotomy is made at the most dependent portion of the dilated proximal segment (clinical) [Ep 1 · 5:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=300)
- The enterotomy in the distal segment is longitudinal (clinical) [Ep 1 · 5:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=330)
- There is increased smoke and debris from using electrocautery compared to the 3 millimeter sealer (clinical) [Ep 1 · 6:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=360)
- A transabdominal stitch aligns the two sides of the bowel to perform the side to side anastomosis (clinical) [Ep 1 · 6:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=390)
- A pre-cut Vicryl suture approximately 10 to 12 centimeters in length is used to run the back row of the anastomosis (clinical) [Ep 1 · 7:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=420)
- In some cases, the distal duodenal segment is more fixed to the retroperitoneum, making this part of the procedure more difficult, but the same technique is used with excellent result (clinical) [Ep 1 · 8:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=480)
- The surgeon prefers running suture over interrupted suture as it works extremely well and is more efficient (opinion) [Ep 1 · 9:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=540)
- The entire procedure took approximately 50 minutes (clinical) [Ep 1 · 9:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=570)
- Approximately 10% of patients undergoing laparoscopic repair of duodenal atresia have malrotation (epidemiological) [Ep 1 · 10:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=600)
- A nasogastric tube is left to suction for approximately 3 to 4 days, and in most cases feeds are started by the 5th day (clinical) [Ep 1 · 10:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=630)
- This child started eating on the 5th postoperative day and was on full feeds by the 8th postoperative day (clinical) [Ep 1 · 11:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=660)
- The base of the Meckel's diverticulum could adequately be divided without compromising the lumen of the bowel, so a decision was made to remove it using the 5 millimeter stapler (clinical) [Ep 1 · 12:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=720)
- The left quadrant 3 millimeter port was changed to a 5 millimeter port to allow insertion of the endoscopic stapler (clinical) [Ep 1 · 13:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=780)
- Because of the malrotation, the appendix was also removed (clinical) [Ep 1 · 13:30](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=810)
- The child was discharged to home on the 10th postoperative day (clinical) [Ep 1 · 14:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=840)
- The patient is a 2.8 kg child (clinical) [Ep 1 · 10:00](https://origin-library.globalcastmd.com/watch/technique-laparoscopic-repair-of-duodenal-atresia-ladd-s-procedure-and-761?t=600)
- In-person proctor-trainee simulation-based education has been the standard choice for MIS skills training programs development at Garrahan Children's Hospital since 2012. — Georgina Falcioni (clinical) [Ep 3 · 1:51](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=111)
- During the Covid-19 pandemic, the curricula was adapted to a telesimulation essential skills training model, which was reported at IPAC 2021. — Georgina Falcioni (clinical) [Ep 3 · 2:20](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=140)
- Both standard and telesimulation essential skills training models included academic lectures, tutorials for ergonomics, and seven performance tasks, with hands-on practice scheduled into two sessions of three hours. — Georgina Falcioni (clinical) [Ep 3 · 2:40](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=160)
- The study randomly selected 20 participant assessments from different institutions for each group (telesimulation and standard simulation). — Georgina Falcioni (clinical) [Ep 3 · 3:05](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=185)
- The telesimulation group accessed all content through an online campus and completed hands-on practice with a proctor through a virtual meeting platform. — Georgina Falcioni (clinical) [Ep 3 · 3:20](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=200)
- The standard simulation group attended conferences and hands-on practice at the simulation center with an onsite proctor. — Georgina Falcioni (clinical) [Ep 3 · 3:35](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=215)
- Both groups had the same educators giving summative feedback and debriefing. — Georgina Falcioni (clinical) [Ep 3 · 3:45](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=225)
- The three assessed tasks were circle cutting pattern, extracorporeal reder knot, and intracorporeal square knot. — Georgina Falcioni (clinical) [Ep 3 · 3:55](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=235)
- For precision circle cutting, there was significant improvement in score and significant decrease in time between initial and final assessments independently for both telesimulation and standard simulation groups. — Georgina Falcioni (clinical) [Ep 3 · 4:10](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=250)
- When comparing the achieved progress between both groups for circle cutting, there were no statistically significant differences between telesimulation and standard simulation groups. — Georgina Falcioni (clinical) [Ep 3 · 4:30](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=270)
- For the extracorporeal knot task, a similar pattern was observed showing considerable and almost parallel progress in initial and final assessments for both telesimulation and standard simulation groups. — Georgina Falcioni (clinical) [Ep 3 · 4:45](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=285)
- For the intracorporeal square knot task, results showed improvement in score and decrease in time, with comparative outcomes relatively symmetric for telesimulation and standard simulation groups after practice. — Georgina Falcioni (clinical) [Ep 3 · 5:00](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=300)
- Statistically significant improvements in scores and decrease in times were observed for all assessed tasks in both telesimulation and standard simulation groups. — Georgina Falcioni (clinical) [Ep 3 · 5:20](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=320)
- The comparative progression observed in telesimulation and standard simulation groups were effective and accounted almost parallel. — Georgina Falcioni (clinical) [Ep 3 · 5:40](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=340)
- Data analysis shows that close performance could be achieved with both telesimulation and standard simulation strategies. — Georgina Falcioni (clinical) [Ep 3 · 5:55](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=355)
- Telesimulation can provide educational benefit in MIS essential skills training to learners who don't have direct access to onsite simulation resources within a proctor training program. — Georgina Falcioni (opinion) [Ep 3 · 6:10](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=370)
- Telesimulation allows learners to learn from expert mentors who may not live in their city or country. — Todd Ponsky (opinion) [Ep 3 · 6:30](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=390)
- Telesimulation is very low cost because it uses trainers that can be sent like toys and doesn't need fancy equipment, using only tablets or phones. — Marcela (clinical) [Ep 3 · 10:20](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=620)
- The most difficult part of telesimulation is finding good educators and establishing effective communication. — Marcela (opinion) [Ep 3 · 10:45](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=645)
- Doing very good intracorporeal suturing in a very small space (low-fidelity skill) will translate to high-fidelity models of newborn procedures. — Marcela (opinion) [Ep 3 · 11:00](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=660)
- Essential low-fidelity skills training should be completed before arranging an advanced course. — Marcela (opinion) [Ep 3 · 11:20](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=680)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- The patient is a two-day-old boy with duodenal atresia. — The host summarizing a resource [Ep 2 · 0:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=0)
- A transverse right abdominal incision allows access to the duodenum and small intestine. — The host summarizing a resource [Ep 2 · 0:20](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=20)
- Malrotation is present in this case. — The host summarizing a resource [Ep 2 · 1:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=60)
- Duodenal atresia type III is present in this case. — The host summarizing a resource [Ep 2 · 1:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=60)
- The proximal duodenal opening is made at the most dependent part. — The host summarizing a resource [Ep 2 · 2:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=120)
- The distal limb is opened on the anterolateral surface to avoid injury to the opening of the common bile and pancreatic ducts. — The host summarizing a resource [Ep 2 · 2:30](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=150)
- Bile coming out on opening of the distal limb confirms patency to that point. — The host summarizing a resource [Ep 2 · 2:45](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=165)
- The diamond-shaped technique creates two openings with perpendicular axes. — The host summarizing a resource [Ep 2 · 2:55](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=175)
- Distal patency is checked by injecting saline and observing its filling to the whole bowel. — The host summarizing a resource [Ep 2 · 3:10](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=190)
- The anastomosis technique uses two opposing borders of the diamonds to make the posterior wall and the far-facing borders to make the anterior wall. — The host summarizing a resource [Ep 2 · 3:25](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=205)
- The posterior wall is sutured from the inside with full-thickness sutures. — The host summarizing a resource [Ep 2 · 3:50](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=230)
- The anterior wall is sutured from the outside. — The host summarizing a resource [Ep 2 · 4:00](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=240)
- 5-0 absorbable sutures are used for the anastomosis. — The host summarizing a resource [Ep 2 · 4:10](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=250)
- Suturing starts with the middle of the posterior wall and advances toward the angles with interrupted sutures. — The host summarizing a resource [Ep 2 · 4:10](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=250)
- The angle suture is placed from the outside in an extramucosal fashion. — The host summarizing a resource [Ep 2 · 4:35](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=275)
- The anterior wall sutures are placed in an extramucosal fashion starting from the angles and working towards the middle. — The host summarizing a resource [Ep 2 · 5:10](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=310)
- The proximal dilated pouch is brought downwards to meet the distal limb during anterior wall closure. — The host summarizing a resource [Ep 2 · 5:30](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=330)
- Widening of the root of the mesentery is performed after completing the anastomosis. — The host summarizing a resource [Ep 2 · 5:50](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=350)
- The superior mesenteric vessels should be visualized during mesenteric root widening. — The host summarizing a resource [Ep 2 · 6:05](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=365)
- The peritoneal covering is carefully dissected to allow adequate widening of the mesenteric root. — The host summarizing a resource [Ep 2 · 6:15](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=375)
- Appendectomy is performed as part of the procedure. — The host summarizing a resource [Ep 2 · 6:30](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=390)
- The bowel is returned to the abdomen with the colon in the left side and the duodenojejunal junction in a straight direction. — The host summarizing a resource [Ep 2 · 6:40](https://origin-library.globalcastmd.com/watch/duodeno-duodenostomy-for-duodenal-atresia-4139?t=400)
- High-fidelity simulation is more complicated to do via telesimulation because it sometimes requires equipment like pumps to make lungs breathe that cannot easily be sent to trainees' homes. — Cecilia summarizing the discussion [Ep 3 · 6:50](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=410)
- Low-fidelity simulation involves practicing skills of movement such as moving a peg from one place to another, cutting, and sewing. — Todd Ponsky summarizing the discussion [Ep 3 · 7:20](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=440)
- High-fidelity simulation involves replicas of actual tissue where surgeons try to simulate procedures like esophageal atresia or duodenal atresia repair. — Todd Ponsky summarizing the discussion [Ep 3 · 7:45](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=465)
- High-fidelity telesimulation is possible but not quite developed yet, with multiple places developing new approaches. — Cecilia summarizing the discussion [Ep 3 · 8:05](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=485)
- Virtual reality and artificial intelligence may help address missing elements like haptics in telesimulation. — Cecilia summarizing the discussion [Ep 3 · 8:30](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=510)
- Telesimulation allows trainees to take models home and practice during their free time outside of work or fellowship. — Cecilia summarizing the discussion [Ep 3 · 9:25](https://origin-library.globalcastmd.com/watch/bob-in-ped-surg-2023-cipesur-winner-georgina-falcioni-md-6320?t=565)

## Changelog
- Sep 25: 3 items added automatically

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