Rebecca Rentea’s Post

I'm proud to share our latest systematic review published in the Journal of Pediatric Surgery on the management and outcomes of pediatric lymphatic malformations (LMs)! Title: Management and Outcomes of Pediatric Lymphatic Malformations: A Systematic Review From the APSA Outcomes and Evidence-Based Practice Committee 🔍 Highlights: • This comprehensive review addresses the significant variation in management strategies for lymphatic malformations (LMs) in children. • We reviewed 9326 abstracts, with 600 selected for full review and 202 utilized for data extraction. • Key findings show that medical therapy, such as sirolimus, can be used alongside percutaneous treatments or surgery for extensive LMs. • Sclerotherapy achieves partial or complete response in over 90% of patients, particularly effective for macrocystic lesions. • Surgery remains a viable option depending on the size, extent, and location of the malformation. • A multidisciplinary approach is recommended for determining the optimal individualized treatment for each patient. 📈 Conclusion: Evidence supporting best practices for LM management is of moderate quality. Many patients benefit from multi-modal treatment tailored to the extent and type of their LM, emphasizing the need for a multidisciplinary approach. For more details, check out the full article: https://lnkd.in/gENWkhmi #PediatricSurgery #LymphaticMalformations #SystematicReview #EvidenceBasedPractice #APSA #MedicalResearch #Sclerotherapy #Surgery #VascularAnomalies

I am proud to share that as a member of the APSA Outcomes and Evidence-based Practice Committee, we have published a significant systematic review and evidence-based guideline in the Journal of Pediatric Surgery! Title: Classification and Surgical Management of Anorectal Malformations: A Systematic Review and Evidence-based Guideline from the APSA Outcomes and Evidence-based Practice Committee 🔍 Highlights: • Treatment of neonates with anorectal malformations (ARMs) is challenging due to variability in definitions, surgical approaches, and outcomes. • Our review summarizes existing evidence, identifies treatment controversies, and provides guidelines for perioperative care. • We reviewed 10,843 publications, with 90 included in our final recommendations. • Both loop and divided colostomies are viable options, though loop colostomies have higher prolapse rates. • No significant differences in outcomes between early and late repair groups. • Clear and uniform definitions are essential for future comparisons and recommendations. 📈 Conclusion: Evidence-based best practices for ARMs are still lacking in many areas. Multi-institutional registries and further prospective studies are crucial to improve care and develop consensus guidelines for this complex patient population. For more details, check out the full article: https://lnkd.in/g4i9iiVy #PediatricSurgery #ARMs #SystematicReview #EvidenceBasedPractice #APSA #SurgicalManagement #AnorectalMalformations #MedicalResearch #HealthcareInnovation

#CBCLIPS Episode 48 Case Based Clinical Learning In Pediatric Surgery A 9-month old girl with Trisomy 21 presents with acute non-bilious emesis, worsening over 5 days. She has a history of intermittent vomiting and poor weight gain since birth, diagnosed and treated as gastro-esophageal reflux disease. Exam shows a deyhdrated, but non-toxic baby weighing 5.4 kg (15th percentile). Her abdomen is soft and non-tender. Laboratory tests show a severe hypokalemic hypochloremic metabolic alkalosis and hemoconcentration. A films is shown below. How would you proceed with this patient? If you use #CBCLIPS, please take 5 minutes to participate in this research survey at the link below. The deadline for submitting your feedback is APRIL 30. Thank you. https://lnkd.in/e_iCe3_J

Ophthopedia Update:Congenital Cataracts with Thin Lenses (Leptophakia) in Children: Morphology and Surgical Outcomes: To describe the morphology and postoperative outcomes of pediatric cataracts with thin (leptophakic) lenses. #Ophthalmology #Ophthotwitter #Scicomm

A groundbreaking, first-of-its-kind surgery is helping one baby defy the odds. Learn about the world's first partial heart #transplant and the impact this success can make on #organdonation 👇 https://lnkd.in/g8QJUtZ7 #donatelife #transplantresearch

https://lnkd.in/gJhRwDks Article title: Blood conservation protocol based on modified ultrafiltration towards bloodless pediatric surgery   Author(s): Mohammad Saleh*   Journal: Archives of Clinical Hypertension   Journal ISSN: 2640-771X Abstract: Background: Cardiopulmonary Bypass (CPB) application may cause severe hemodilution and an acute systemic inflammatory response syndrome, especially with blood components transfusion. Multi-function circuit of cardioplegia delivery, conventional ultrafiltration, and modified ultrafiltration was advocated to reverse the CPB hemodilution and conserve patient’s blood through a blood conservation protocol. Methods: Retrospectively, 600 pediatric were randomly and equally distributed into six studied (S) and control (C) groups. Groups had been classified according to weights as following; 30 kg≥ groups IS and IC >20 kg≥ groups IIS and IIC >10 kg≥ groups IIIS and IIIC ≥3kg, only studied groups were treated with the blood conservation protocol. The fluid management, blood components conservation, and pediatrics clinical outcome characteristics will be investigated in this study. #Ultrafiltration #Bloodless #BloodConservation #Pediatric #CardiacSurgery #CardiopulmonaryBypass #ArterialBloodPressure #ArterialHypertension #BloodPressureMonitoring #BloodPressureVariability #CardiovascularRisks #CentralBloodPressure #HighBloodPressure #HypertensionDuringPregnancy #HypertensionInChildren #HypertensionInNewborn #HypertensionManagement #HypertensionNeonate #HypertensionNursing #HypertensionNutrition #HypertensionRiskFactors #HypertensionTreatment #Peertechz #PeertechzPublications #HypertensiveCrisis #HypertensiveEmergency #IdiopathicIntracranialHypertension #InducedHypertension #IntracranialHypertension #LowBloodPressure #PersistentPulmonaryHypertension #PortalHypertension #ProtopulmonaryHypertension #PulmonaryHypertension #RenalDisorders #TraumaticIntracranialHypertension

Charting the course for pediatric heart surgery recovery. Diaphragmatic paralysis insights for better outcomes. https://bit.ly/47mMv3W #PediatricCardiology #HeartSurgery #MedicalResearch #CongenitalHeartDisease #HealthManagement

Now LIVE - S04E76 A Tapestry of Care: The Human Side of Pediatric Surgery Leadership with Dr. Kathleen Van Leeuwen Navigating the high seas of pediatric surgery and healthcare leadership, guest Dr. Kathleen Van Leeuwen, a pediatric surgeon shares a wealth of experience and contributions to the field of surgery. The discussion spans Dr. Van Leeuwen's career trajectory, starting from her medical training alongside the host Dr. Sam Rhee, through her notable achievements in pediatric surgery and her leadership roles at Phoenix Children's Hospital. From the operating room's bright lights to the boardroom's strategic discussions, Dr. Van Leeuwen shares the delicate balance of managing hospital finances without losing the essence of patient-centered care. As a pediatric surgeon, she's not only skillful with a scalpel but also adept at crafting sustainable healthcare programs and touching the hearts of donors with compelling narratives. Her journey is a masterclass in cultivating a team's potential, making executive-level decisions, and advocating for patients with the same passion one reserves for family. Dr. Van Leeuwen's candid stories illuminate the landscape of healthcare, offering a rare glimpse into the tenacity required to lead and transform a male-dominated field. Our reflections turn to the deep bonds formed during our surgical training, the resilience it takes to navigate a demanding profession, and the immeasurable satisfaction of mentorship. The dedication to her work and her family resonates profoundly, reminding us that success is not just about professional achievements but also the richness of personal fulfillment. #PediatricSurgery #WomenInSurgery #HealthcareInnovation #MedicalMentorship #SurgeryEducation #botoxandburpeespodcast #GenderEqualityInMedicine #PatientCare #MedicalLeadership #SurgicalInnovation #CommunityHealth #podcast #plasticsurgery

NOW LIVE - S04E76 A Tapestry of Care: The Human Side of Pediatric Surgery Leadership with Dr. Kathleen Van Leeuwen Navigating the high seas of pediatric surgery and healthcare leadership, guest Dr. Kathleen Van Leeuwen, a pediatric surgeon shares a wealth of experience and contributions to the field of surgery. The discussion spans Dr. Van Leeuwen's career trajectory, starting from her medical training alongside the host Dr. Sam Rhee, through her notable achievements in pediatric surgery and her leadership roles at Phoenix Children's Hospital. From the operating room's bright lights to the boardroom's strategic discussions, Dr. Van Leeuwen shares the delicate balance of managing hospital finances without losing the essence of patient-centered care. As a pediatric surgeon, she's not only skillful with a scalpel but also adept at crafting sustainable healthcare programs and touching the hearts of donors with compelling narratives. Her journey is a masterclass in cultivating a team's potential, making executive-level decisions, and advocating for patients with the same passion one reserves for family. Dr. Van Leeuwen's candid stories illuminate the landscape of healthcare, offering a rare glimpse into the tenacity required to lead and transform a male-dominated field. Our reflections turn to the deep bonds formed during our surgical training, the resilience it takes to navigate a demanding profession, and the immeasurable satisfaction of mentorship. The dedication to her work and her family resonates profoundly, reminding us that success is not just about professional achievements but also the richness of personal fulfillment. #PediatricSurgery #WomenInSurgery #HealthcareInnovation #MedicalMentorship #SurgeryEducation #botoxandburpeespodcast #GenderEqualityInMedicine #PatientCare #MedicalLeadership #SurgicalInnovation #CommunityHealth #podcast #plasticsurgery

Clinical Challenges in Pediatric Surgery: Common Pediatric Surgery Scenarios