APSA PedSurgTV

Trauma Committee
• Exploring the Nexus of Social Determinants of Health and
Pediatric Trauma
• Examining the Risks and Models in Life Threatening Pediatric
Injury and Suicide

Poster and oral abstract presentations

Moderators:
P. Stephen Almond, MD, Driscoll Children's Hospital, Corpus Christi, TX, USA
Meghan A. Arnold, MD, University of Michigan, Ann Arbor, MI, USA
Jeffrey W. Gander, MD, University of Virginia Children’s Hospital, Charlottesville, VA, USA

 PROGRAM

Poster Abstract Presentations

• Laparoscopic Kasai Portoenterostomy: Trends in Morbidity and Redo Surgery From 10 Years’ Experience.
• Predictors of Anti-Reflux Procedure Failure in Esophageal Atresia Patients
• Frequency and Natural History of Recurrent Laryngeal Nerve Injury in Complex Pediatric Esophageal and Airway Surgical Interventions
• Human Umbilical Vein Endothelial Cells from CDH Patients Demonstrate Propensity for Endothelial-To-Mesenchymal-Transition

Oral Abstract Presentations

• Laparoscopic Versus Open Surgical Repair of Duodenal Atresia in Neonates: A NSQIP-Pediatric Analysis
• Outcomes for Ladd's Procedure: Does Approach Matter?
• Surgical Needs and Survival in Trisomy 13 And 18: A Thirty-Year Review
• Clinical Regression of Inguinal Hernias in Premature Infants Without Surgical Repair
• A Novel Toll-Like Receptor 4 Inhibitor Treats Established NEC In Newborn Mice
• Resection-Associated Liver Injury In Murine Model of Short Bowel Syndrome
• The importance of the ileocecal valve and colon in achieving intestinal independence in infants with short bowel syndrome
• Long-Term Assessment of Bilirubin And Transaminase Trends in Pediatric Intestinal Failure Patients During The Era of Hepatoprotective Parenteral Nutrition

 Presented by the APSA Research Committee
• Advances in the Treatment of Lung Hypoplasia and Inflammation
• Determinants of Pulmonary Function
• Outcome of Children with Neuroblastoma
Announcement of 2021 Jay Grosfeld, MD Scholar Grant Recipients

Moderators: 

Shaun M. Kunisaki, MD, MSc, Johns Hopkins Hospital, Baltimore, MD, USA

Agostino Pierro, MD, The Hospital for Sick Children, Toronto, ON, Canada

PROGRAM

Abstracts

• Human Amniotic Fluid Stem Cell Derived Extracellular Vesicles Restore Branching Morphogenesis and Epithelial Progenitor Cells in a Novel Model of Human Pulmonary Hypoplasia
• CNP-miR146a Reduces Lung Inflammation and Fibrosis Following Acute Injury
• What’s Wrong with Hypoplastic Lungs of Fetuses with Congenital Diaphragmatic Hernia? Transcriptomic Profiling of The Pulmonary Epithelium from Fetal Hypoplastic Lungs
• Congenital Diaphragmatic Hernia Associated Pulmonary Hypoxia and Inflammation are Initiated in Utero
• Heparin and Enoxaparin Impair Pulmonary Function After Murine Left Pneumonectomy
• High Ras Expression is Associated with Poor Neuroblastoma Patient Survival and Required for Tumor Formation in an Orthotopic Mouse Model
• Protein Phosphatase 2A Activation Decreases Tumorigenicity in Neuroblastoma Patient Derived Xenografts
• Chemokine Receptor CXCR4 Mediates the PIM3-Induced Metastatic Phenotype of Hepatoblastoma Cells
• Oncolytic Herpes Simplex Virus Effectively Targets and Kills Neural Crest Patient-Derived Xenografts
• Induction of SHMT2 Promotes Tumorigenesis in High-Risk Neuroblastoma

Presentations by Research Committee Members

BASIC AND TRANSLATIONAL RESEARCH IN CONGENITAL DIAPHRAGMATIC HERNIA

Shaun M. Kunisaki, MD, MSc, Johns Hopkins Hospital, Baltimore, MD, USA

HOW EMBRYONAL TUMOR BIOLOGY DRIVES RISK ASSIGNMENT

Harold N. Lovvorn, MD, Vanderbilt University Medical Center, Nashville, TN, USA

Poster and oral abstract presentations

Moderators: 

Erica Carlisle, MD, University of Iowa Hospitals and Clinics

Nicole Chandler, MD, Johns Hopkins All Children’s Hospital

Pam Choi, MD, Naval Medical Center San Diego

PROGRAM

Poster Abstract Presentations

• The Pediatric Surgery Match from the Applicant Perspective
• Is the Changing Landscape of Fellowship Recruitment During Covid-19 in Pediatric Surgery Fellowship Here to Stay?
• Awareness of Both Positive and Negative Aspects of Parental Mental Health in a Level IV NICU
• Improving Satisfaction, Comprehension, and Apprehension in Pediatric Surgical Populations: The Use of Comprehensive Children's Books
• The Evolving Effectiveness of Biologics in Avoiding Surgery in Children with Ulcerative Colitis
• Reduction of Surgical Site Infections in Pediatric Patients with Complicated Appendicitis: Utilization of Antibiotic Stewardship Principles and Quality Improvement Methodology

 Oral Abstract Presentations

• Does Access to Care Influence a Child's Presentation with Appendicitis?
• Good Wishes Aren’t Enough: Disparity in Surgical Outcomes Despite Institutional Mission
• Fecal Continence Disparities in Patients with Anorectal Malformations Treated at Referral Institutions for Pediatric Colorectal Surgery
• Management of Differences in Sexual Development: The Evolution of a Pragmatic Approach for a Resource-Limited Setting
• Utilization Trends and Disparities in Adolescent Bariatric Surgery in the US 2009-2016
• Conflicts in Sharing Current Procedural Terminology (CPT) Codes Between Adult and Pediatric Patients
• It's Time to Deconstruct Treatment-Failure: A Randomized Controlled Trial of Nonoperative Management of Uncomplicated Pediatric Appendicitis with Antibiotics Alone
• Frequency and Fiscal Implications of Potentially Avoidable Surgical Referrals for Asymptomatic Umbilical Hernias in Children

Presented by the Global Pediatric Surgery Committee
• Workforce Limitations in Low- and Middle-income Countries
• Different Models of Capacity-building Efforts with Known Success
Humanitarian Award Presentations

Moderators

Tamara Fitzgerald, MD, PhD, Duke University

Sanjay Krishniswami, MD, Oregon Health & Science University 

Oral Abstract Presentations

• Retrospective Review of Gastroschisis in a Low-Resource Setting: Can Improved Antibiotic Stewardship Reduce Late Inpatient Deaths?
• Childhood Morbidity and Mortality in Francophone Africa Due to Typhoid Intestinal Perforation
• Defining the Global Surgical Workforce to Meet Under-5 Child Mortality Rate Targets in the Age of The Sustainable Development Goals
• Global Surgical Collaboration in Croatia
• Estimated Number Of Preventable Deaths in the First 8000 Days of Life by Scaling Up Surgical Care at First-Level Hospitals Worldwide

Poster and oral abstract presentations

Moderators

Kasper Wang, MD, Children's Hospital Los Angeles

Peter Yu, MD, MPH, Children's Hospital of Orange County

Roxanne Massoumi, MD, UCLA David Geffen School of Medicine

Poster abstract presentations

• Cardiac Effects of Transamniotic Stem Cell Therapy in The Nitrofen Model of Congenital Diaphragmatic Hernia: Transcriptional Analysis of Multiple Remodeling Markers
• Maternal-To-Fetal Leukocyte Trafficking in Fetal Maldevelopment
• Developing Reboa Catheters for Use in Pediatric Patients: Understanding Variability
• Clinical Outcomes in Neurologically Intact Children with Small Intracranial Bleeds and Simple Skull Fractures
• Application of Machine Learning Models to The Prediction of Blunt Cerebrovascular Injury in Children
• Novel Tool (BIS) Heralds the Need for Blood Transfusion and/or Failure of Non-Operative Management in Pediatric Blunt Solid Organ Injuries
• An Evaluation of Thrombelastography and Transfusion Patterns in Pediatric Blunt Solid Organ Injury

Oral abstract presentations

• Passive Perinatal Immunotherapy via Transamniotic Antibody Delivery
• In Utero Base Editing Ameliorates Pathology in a Mouse Model of Mucopolysaccharidosis Type I
• Muse: A Novel Technique for Real-Time Intraoperative Imaging for Hirschsprung Disease
• Potential Glial Cell Effects After Repetitive Treatment with Opioid, Dexmedetomidine, and Benzodiazepine: A Novel Model of Pediatric Intensive Care Sedation in Early Childhood Approximate Rats
• A Pumpless Artificial Lung Without Anticoagulation: The Nitric Oxide Surface Anticoagulation System
• Intraoperative Electromagnetic Navigation Bronchoscopy (IENB): A New Technique to Improve Video Assisted Thoracoscopic Biopsies in Pediatric Oncology Patients
• Partial Hepatectomy and Liver Transplantation for the Management of Multifocal Hepatoblastoma Have Equivalent Outcomes
• Utilization of Indocyanine Green for Augmentation of Pulmonary Metastases Resection in Adolescent and Young Adult Sarcoma Patients

Presented by the APSA Health, Policy and Advocacy Committee

Moderators

Kathryn Bass, MD, Kaleida Health

Ken Gow, MD, Seattle Children's Hospital

Oral abstract presentations

• Neighborhood-Level Social Determinants of Health Associated with Pediatric Appendicitis Outcomes
• Urinary Continence Disparities in Patients with Anorectal Malformations
• In Healthy African American Children Lack of Health Insurance Predicts a Positive Coronavirus Diagnosis
• Impact of Covid Pandemic on Telemedicine Utilization – Toward Maintaining Access for Rural and Lower Socioeconomic Communities
• Adverse Childhood Experiences (ACEs) in the Pediatric Trauma Population: Evaluation of an At-Risk Population

Poster and oral abstract presentations

Moderators

Bethany Slater, MD, University of Chicago

Sohail Shah, MD, MSHA, Texas Children's Hospital

David Lazar, MD, University of California, San Diego

Poster abstract presentations

• Opportunities for Improvement in Pediatric Ovarian Tissue Cryopreservation: Evaluation of Tissue Fragments and Routine Punch Biopsies
• Does Routine Botulinum Toxin Given After a Primary Pull-Through Decrease the Incidence of Hirschsprung Associated Enterocolitis (HAEC)
• Sinusectomy – An Effective in-Office Treatment for Pilonidal Disease in Adolescent
• The Effect of Standardized Discharge Instructions After Gastrostomy Tube Placement on Postoperative Hospital Utilization
• Post-Gastrostomy Complications and Emergency Department Utilization are Tied to Community Level Social Determinants of Health
• Minimally-Invasive Sutured Open Reduction Internal Fixation of The Slipped Rib: A Novel Method of Alleviating Intercostal Neuralgia from Slipped Rib Syndrome In Pediatric Patients
• Hospital Volume-Outcome Relationship for Pectus Excavatum Repair

Oral abstract presentations

• Ovarian Preservation and Recurrent Torsion: Both Less Common Than We Thought
• PHELPS (Pediatric Hernia Extraperitoneal Ligation And Percutaneous Suturing) - Comparative Results of Using of New Method of Laparoscopic Treatment of Inguinal Hernia at Children
• The Impact of Routine Post-Anesthesia Care Unit Extubation for Pediatric Surgical Patients on Safety and Operating Room Efficiency
• Functional Side-To-Side Splenorenal Shunts to Treat Extrahepatic Portal Vein Thrombosis in Children
• Laser Hair Removal as Primary Treatment of Pilonidal Disease
• Trends, Outcomes, and Efficacy of Thymectomy for Pediatric Myasthenia Gravis in the United States, 2004-2020
• Multicenter Assessment of Cryoanalgesia Use in Minimally Invasive Repair of Pectus Excavatum

Presented by the DEI Committee

Moderators:
Erika Newman, MD, CS Mott Children's Hospital
Cynthia Reyes-Ferral, MD, St. Joseph Children's Hospital

Program and abstract presentations: 

• Presentation of the 2021 James F. Densler Award
• LGBTQ-Inclusive Health Assessment Forms in Pediatric Surgery
• Contribution of Differential Referrals to Female Surgeon Underemployment
• Impact of Race on Letters of Recommendation for the Pediatric Surgery Match
• Diversity and Representation Amongst Academic Pediatric Surgeons

Presented by the Informatics Subcommittee of the Education Committee

Moderator:
Francois Luks, MD, Brown Medical School/Hasbro Children's Hospital

Abstract presentations:

• Utilization of Telemedicine and ERAS in Adolescent Metabolic and Bariatric Surgery 
• Leveraging Collaboration in Pediatric Multidisciplinary Colorectal Care Using a Telehealth Platform
• Outcomes of a Telemedicine Bowel Management Program During COVID-19
• Pediatric Surgeon Perceptions of Surgical Telemedicine in the COVID-19 Pandemic Era

Program:

• Overview of the Use of Telemedicine in Pediatric Surgery
• Financial Implications of Telemedicine
• Avoiding Pitfalls in the Telemedicine Encounter

View the session!

Presented by the Resident and Student Subcommittee of the Education Committee

Medical Student Poster Moderator:
Jill Whitehouse, MD, Joe DiMaggio Children's Hospital, Hollywood, FL USA

Medical Student Poster Abstract Presentations:

• Core Needle Biopsy is Safe, Effective, Yet Underutilized in Diagnosis of Pediatric Solid Tumors
• Why do Ports Get Stuck? A Case-Control Study
• Injury Pattern and Outcomes Following All-Terrain Vehicle Accidents in Children
• Vomiting Babies and Gastric Antral Web - A Missed Opportunity for Surgical Intervention?
• Barriers to Same-Day Discharge After Appendectomy for Uncomplicated Appendicitis
• Analysis of Cost and Outcomes of Intercostal Nerve Cryoablation Versus Thoracic Epidural for Postoperative Analgesia Following the Nuss Procedure for Pectus Excavatum
• Laparoscopic Inguinal Hernia Repair– Feasible and Safe In Very Low Birth Weight Babies
• A Decade of Firearm Injuries: Children Caught In The Crossfire
• Maintaining Outcomes in Congenital Diaphragmatic Hernia Using Protocolized Care
• A Multidisciplinary Approach to Alcohol and Drug Use Screening & Prevention for Adolescent Inpatients

STUDENT AND RESIDENT SESSION WITH LIVE DISCUSSION!

Moderators:
Louis Le, MD, Texas Children's Hospital, The Woodlands, TX USA
Sydni Imel, DO, Mercy St. Vincent Hospital, Toledo, OH USA
Jill Whitehouse, MD, Joe DiMaggio Children's Hospital, Hollywood, FL USA

Panelists:
LIVE DISCUSSION!
Jill Whitehouse, MD, Joe DiMaggio Children's Hospital, Hollywood, FL USA
Aaron Garrison, MD, Cincinnati Children's Hospital Medical Center, Cincinnati, OH USA
Iljana Gaffar, MD, Northwell Health, New Hyde Park, NY USA
Pramod Puliganda, MD, MSc, Montreal Children's Hospital, Montreal, Quebec, Canada
Faidah Badru, MD, University of Florida, Gaines, FL USA
Grace Mak, MD, University of Chicago Comer Children's Hospital, Chicago, IL USA
David Notrica, MD, Phoenix Children's Hospital, Phoenix, AZ USA

DISCUSSION TOPICS:

• Recommendations to medical students interested in pediatric surgery
• Recommendations to Residents
• Do you have to do research and how much? All your questions about research are answered here
• Who should write your recommendation letters and how many do you really need
• Advantages and disadvantages to 1 or 2 fellow programs
• How difficult is it to match into fellowship from a non-traditional plan?

LIVE Q&A!
Presented by the APSA Surgical Critical Care Committee

Moderators:
Laura Boomer, MD, Children's Hospital of Richmond, VCU Health, Richmond, VA USA 
Alexander Feliz, MD, LeBonheur Children's Hospital, Memphis, TN, USA

Oral Abstract Presentations

• Early Prostacyclin Use for CDH-Associated Pulmonary Hypertension is Associated with Improved Survival to Discharge
• Trends in Use of Prostacyclin Analogs for Management of CDH-Associated Pulmonary Hypertension
• The Effect of Volume Status and Early Renal Replacement as a Predictor of Outcome on Pediatric ECMO
• Cerebral Oxygenation is Improved in Children Receiving Blood During ECMO Support

Debate:

•  Anticoagulation in ECMO debate
  Keith Thatch, MD, John Hopkins All Children’s Hospital, St. Petersburg, FL USA
  Sabina M. Siddiqui, MD, Medical College of Wisconsin, Milwaukee, WI USA

LIVE Q&A!
Presented by the APSA Cancer Committee

Moderators:
Peter Ehrlich, MD, MSc, CS Mott Children's Hospital 
David Rodeberg, MD, East Carolina University

Thyroid

• Molecular Genetics Augment Cytopathological Characterization of Pediatric Nodules

Anaplastic Wilms Tumor

• Long Term Outcomes for Patients with Anaplastic Bilateral Wilms Tumors on AREN0534

Neuroblastoma

• Expression of Programmed Death Ligand 1 in resistant Neuroblastoma

Presented by the APSA Education Committee

Moderators:
Eunice Y. Huang, MD, Vanderbilt University, Nashville, TN USA
Mary J. Edwards, MD, Albany Medical Center, Albany, NY USA

Abstract Presentations:

• Who Manages Burn Injuries in Children? A Program Director Survey Evaluating Burn Training During Pediatric Surgery Fellowship
• Virtual Curriculum Delivery in the Covid-19 Era - The Pediatric Surgery Boot Camp V2.0
• Percutaneous Peritoneal Drain Placement: A Pilot Study of Pediatric Surgery Simulation-Based Training for General Surgery Residents

LIVE Panel Discussions!

Presented by the APSA Fetal Diagnosis and Treatment Committee

Moderators:

Rony Marwan, MD, Greenwood Village, CO USA
Darrell L. Cass, MD, Cleveland Clinic, Cleveland, OH USA

 Abstract Presentations:

• Long-Term Safety of Placental Mesenchymal Stromal Cells for In Utero  Repair of Myelomeningocele in an Ovine Model
• Intraoperative Use of Patch for Myelomeningocele Closure and Its Effect on Postnatal VP Shunt Placement
• Long-Term Neurodevelopmental Outcomes After Fetal Transfusions for Hydrops Fetalis

Fetal Surgery: FETO in the Management of CDH, Is it the Future?

• Biology and Pathophysiology of Fetal Tracheal Occlusion
• How to Videos

Presented by the Fetal Diagnosis and Treatment Committee

FETO in the Management of CDH: Is it the Future? Trial Recap and Debate

Moderator: Rony Marwan, MD, Greenwood Village, CO USA

Presentation:
Recap of the TOTAL Trial: Results, Design, Pitfalls and Unintended Consequences
Presented by: Prof. Jan Deprest, University Hospital Leuven, Campus Gasohuisberg, Leuven Belgium

Debate: Pros and Cons of FETO

Panelists:
Prof. Jan Deprest, University Hospital Leuven, Campus Gasohuisberg, Leuven Belgium
Kevin P. Lally, MD, McGovern Medical School at UT Houston, Houston, TX USA
Francois I. Luks, MD, Brown Medical School/Hasbro Children's Hospital, Providence, RI USA
David W. Kays, MD, Johns Hopkins All Children's Hospital, St. Petersburg, FL USA Oluyinka O. Olutoye, MD, Nationwide Children’s Hospital, Columbus, OH USA
Darrell L. Cass, MD, Cleveland Clinic, Cleveland, OH USA
Sundeep G. Keswani, MD, Texas Children's Hospital, Houston, TX USA

Live Q&A

Presented by the Practice Committee

Moderators:

John C. Bleacher, MD, Children's Healthcare of Atlanta, Atlanta, GA USA
Mauricio A. Escobar, Jr., MD, Mary Bridge Children's Hospital, Tacoma, WA USA

Abstract Presentations:

• Employment Search Experience of Recent Pediatric Surgical Fellowship Graduates: An APSA Survey, Part of The Right Child/Right Surgeon Initiative
• Characteristics of Pediatric Surgical Practice In 2019: Survey of The America Pediatric Surgical Association (APSA) Membership for the Practice Committee

APSA-APSMA JOINT PRESENTATION

Presentation by Mariah Bowden, MA, APSMA Past President, Oregon Health and Science University, Portland, OR USA 

Panel discussion with:

o    Kevin Moriarty, MD, Baystate Children’s Hospital, Springfield, MA USA

o    Evan Kokoska, MD, Peyton Manning Children’s Hospital, Indianapolis, IN USA

o    Nick Fiore, MD, Pediatric Surgery Associates, Las Vegas, NV USA

o    Richard Weiss, MD, Connecticut Children’s Medical Center, Hartford, CT USA

Presented by the New Technology Committee

Moderators:
Nam Nguyen, MD, Children's Hospital of Los Angeles, Los Angeles, CA USA
Bethany Slater, MD, University of Chicago, Chicago, IL USA

Abstract Presentations:

• An experimental study on long-term outcomes after magnetic esophageal compression anastomosis in piglets 
• The A, B, Cs of Magnetic Esophageal Compression Anastomosis using specially designed, curved magnets for minimal invasive repair of esophageal atresia

Fluorescence Image-Guided Surgery for Pediatric Surgeons

Panel discussion with:

• Stefan Scholz, MD, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA USA
• Brian C. Gulack, MD, Rush University Medical Center, Chicago, IL USA
• Samir Pandya, MD, UT Southwestern Medical Center, Dallas, TX USA
• Bradley Segura, MD, University of Minnesota, Minneapolis, MN USA