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)