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Dr. Todd Ponsky
Immediate vs Silo Closure for Gastroschisis
Timestops (5)
00:00:01
Greeting and Introduction to Pediatric Surgery Update
00:00:09
Introduction to the Main Topic: Silo vs. Immediate Closure in Gastroschisis
00:00:17
Key Finding: Hawkins et al. Study - No Difference Between Silo and Immediate Closure
00:00:25
Specific Outcomes Analyzed: Mortality, Sepsis, Readmission, Time to Full Feeds
00:00:34
Conclusion: Dealer's Choice - Either Method is Acceptable
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Topic Overview
Dr. Ponsky reviews his takeaways from the JPS article, “Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study.”
Link to full article: https://gcmd.co/2PItKT3
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Transcript
Hey, all you pediatric surgeons out there. Here's your daily update on what's new and important in pediatric surgery. Finally, somebody did a large multi-center study looking at silo versus immediate closure in gastroschisis. Hawkins at all in the August issue of JPS showed no difference. Silo or immediate closure. They looked at mortality, sepsis, readmission rate, and time to full feeds, no difference. So there you have it, dealer's choice.
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