Pediatric Surgery
Necrotizing Enterocolitis with Dr. Gail Besner
Discussion between Dr. Todd Ponsky and Dr. Gail Besner about necrotizing enterocolitis
Sections
- Introduction (00:00)
- Work-up of NEC (02:41)
- Medications associated with NEC (04:02)
- Physical Examination (05:24)
- Laboratory Work (07:04)
- Imaging studies (08:44)
- When to Operate on NEC (09:15)
- Medical Management of NEC (10:45)
- Antibiotic regimen (12:23)
- Frequency of imaging studies (13:19)
- Length to continue medical management (13:55)
- Stricture after NEC (14:39)
- When to operate after medical management without absolute indication (15:43)
- Peritoneal drain versus laparotomy (17:11)
- Randomized control trials comparing peritoneal drain and laparotomy (19:42)
- How to choose between peritoneal drain and laparotomy (22:51)
- Peritoneal drain placement technique (26:03)
- Operating after placement of a peritoneal drain (28:12)
- Management of patient after peritoneal drain placement (29:34)
- Laparotomy technique (30:59)
- Operative management of focal necrotic area (33:39)
- Creating a stoma (34:41)
- Management of Diffuse NEC (36:50)
- Management of skip lesions (37:58)
- When to reverse the stoma (39:21)
- Refeeding mucous fistula (40:34)
- Management of NEC totalis (42:04)
- Management of tension pneumoperitoneum (44:05)