Difficult Decisions in Pediatric Surgery

I. Decision-making and Implementation Science.- Evidence Based Medicine and Decision Making in Pediatric Surgery.- Implementation science - Best methods for significant, sustainable change, and optimal metrics to evaluate progress in pediatric surgery?.- Pediatric Acute Appendicitis as a Model for Shared Decision-Making.- II. Trauma and Critical Care.- Non-operative Management of Blunt Solid Organ Injuries in Pediatric Trauma.- Optimal management of children with concern for possible traumatic brain injury.- Utility of Hemicraniectomy for Medically Refractory Elevated Intracranial Pressure Following Pediatric Traumatic Brain Injury.- Where Should Children be Treated After Sustaining a Traumatic Injury?.- Which surgeons should care for traumatically injured children in rural areas?.- What scoring system should we use to evaluate for hemorrhage-related interventions in pediatric trauma patients?.- Choice of Injury Severity Scoring System in the Evaluation of Pediatric Trauma Patients.- Utilization of ECMO as a Bridge to Decision in Neonatal and Pediatric Patients with an Uncertain Diagnosis.- Meaningful Survival After Neonatal ECMO: A Systematic Review of Long-Term.- III. Pediatric Oncology.- Wilms tumor - NWTSG/COG versus SIOP approach now and in the future.- Rhabdomyosarcoma - Biopsy approach.- Which pediatric breast lesions are best managed by pediatric surgeons?.- Pediatric HIPEC.- IV. Thoracic.- What is the optimal timing of congenital diaphragmatic hernia repair in a neonate requiring ECMO?.- Pectus excavatum - Evidence based indications for surgical correction.- What is the best approach to evaluation and treatment of children with diaphragmatic eventration?.- Spontaneous pneumothorax: Watchful Waiting or Surgical Intervention?.- Pleural empyema - VATS vs chest tube and tPA.- V. Foregut.- Management of Long-gap Esophageal atresia.- What is the best approach to medical and surgical management of GERD after esophageal atresia repair.- Esophageal replacement in Children- Optimal approach.- Thoracoscopic Repair of Esophageal Atresia/Tracheoesophageal Fistula: Selection Criteria and Learning Curve.- VI. Abdomen and Hepatobiliary.- Kasai vs Primary Liver Transplantation: Optimizing the Surgical Approach for Patients Diagnosed with Biliary Atresia.- Appendicitis - Medical management of early appendicitis.- Appendicitis - Indications for interval appendectomy after medical management of uncomplicated or complicated appendicitis with appendix mass?.- Do consensus-based care pathways improve patient outcomes in the management of gastroschisis?.- Necrotizing Enterocolitis - Indications to operate.- What is the optimal interval between ostomy formation and ostomy takedown in a newborn after NEC?.- Intussusception Management: Can We Do Better?.- Ladd's Procedure in an Asymptomatic Child with Congenital Heart Disease and Heterotaxy.- VII. Colorectal and Genitourinary.- IBD - Staging operations for children undergoing total colectomy for ulcerative coliits - Do they all need a 3-stage approach?.- IBD - Decision-making in the management of the ileal pouch, pouchitis, and pouch dysfunction.- Anorectal Malformations- Who should perform the repair?.- Pull-through in the Setting of Cloacal Exstrophy.- Undescended testes: Timing of Orchidopexy.- VIII. Pediatric Surgery in Resource-Constrained Settings.- Management of anorectal malformations and Hirschsprung's disease in resource challenged settings.- Diagnosis and management of Wilms Tumors in Resource-Constrained Settings: Evidence and outcomes based approach to Care.- Ethical Dilemmas in Global Pediatric Surgery.- IX. Special Areas.- Selection of the Next Generation of Pediatric Surgery Trainees: Best Practices and Best Outcomes.- Ethical Considerations in the Surgical Care of Children: Balancing the Interests of the Child, the Family, and the Surgeon.- Is it ethically permissible to prioritize pediatric patients for scarce surgical resources?.- Changing Postoperative Opioid Prescribing Practices.

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• Cirurgia
• Medicina pediátrica

Pediatric Surgery;Surgery;Neonatal surgery;Pediatric tumors;Pediatric Critical Care and Trauma;Surgical Ethics;Pediatric General Surgery;Pediatric Thoracic Surgery;Pediatric Surgical Oncology;Pediatric Genitourinary Surgery;Pediatric Surgery in Low and Middle-Income Countries;Ethics in Pediatric Surgery