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At Children's Hospital Colorado, we aim to improve outcomes throughout our hospital, across the country and beyond by sharing our expertise and promoting the highest quality care. That's why we've created a series of medical educational videos to support ongoing learning for pediatric providers.
In these short medical videos, our pediatric experts offer insights into the advanced treatments and specialized clinical care they provide at our hospital. You will find information on everything from approaches to diagnosis and multidisciplinary care to the latest research and pediatric considerations that can help you meet the unique needs of children.
Internationally renowned pediatric colorectal surgeon Dr. Peña explains why the first 24 hours of life for a newborn with an anorectal malformation are critical.
Diagnostic information and associated medical management decisions made during this period can have significant health consequences and may greatly impact the baby's prognosis. Learn what the associated defects of anorectal malformations are and how they can be identified.
To support the medical education of colorectal and urogenital providers, Dr. Peña describes the now universally accepted surgical method for treating anorectal malformations that he developed. The posterior sagittal anorectoplasty (PSARP), also known as the Peña pull-through procedure, transformed the surgical treatment of anorectal malformations.
Learn about the meticulous surgical steps Dr. Peña takes while doing the PSARP to preserve bowel function and avoid damage to pelvic structures.
Fecal incontinence is a devastating health problem that greatly impacts a patient's quality of life. Leading pediatric colorectal surgeon Dr. Bischoff describes the "A-B-C-D-Es" of effective fecal incontinence management used within the Bowel Management Program at the International Center for Colorectal and Urogenital Care at Children's Colorado.
Learn about the trial-and-error methods Dr. Bischoff uses over a one-week period to tailor bowel management programs to each child that have resulted in a 95% success rate.
Cloacal exstrophy represents a spectrum of rare anomalies that prevent normal development of a baby's lower abdominal wall. At Children's Colorado, we believe that taking a unified management plan since day one of life is necessary to achieve the best possible outcomes.
Learn about the team-based approach they take in the operating room after the baby is born and how important their initial surgical approach is to future reconstructions that the baby will need as they grow.
Prior to 1980, surgeons were performing colorectal malformation surgeries "blind," according to Dr. Peña. The limited surgical approach used at the time led to poor bowel and urinary functional outcomes and other serious complications.
In this video, Dr. Peña shares how he developed the now widely accepted posterior sagittal anorectoplasty (PSARP). Also known as the "Peña Pull-Through Procedure," Dr. Peña's technique would allow direct visualization of the malformation and greatly improved the functional prognosis for children born with colorectal malformations.
Cloaca is a condition in which the urethra, vagina and rectum are fused together as a common channel that opens as a single perineal orifice. Cloaca has a spectrum of anomalies, which are related to the length of the common channel.
In this medical education video, Dr. Bischoff describes the anatomic variations of cloaca and the different surgical maneuvers that are required for successful reconstruction of each type.
Severe obesity affects millions of adolescents today. Interventions such as diet, exercise and pharmacologic interventions have limited effectiveness for many, causing them to turn to bariatric surgery for treatment.
In this video, leading bariatric surgeon Dr. Inge discusses the research findings of The Patient-Centered Outcomes Research Network (PCORnet) Bariatric Study – the largest study of its kind. Most bariatric surgery research studies have been small and limited in follow-up – usually to about one year. For the first time, researchers have studied trends in specific bariatric surgeries performed in severely obese adolescents and weight loss outcomes of each type at 1, 3 and 5 years.
Approximately one in 3,000 pregnancies are affected by a congenital diaphragmatic hernia (CDH), a fetal abnormality where the fetus' abdominal contents herniate into the thorax, resulting in pulmonary hyperplasia and pulmonary hypertension.
In this video, Michael Zaretsky, MD, Medical Director of the Colorado Fetal Care Center at Children's Colorado, outlines the measures maternal fetal medicine specialists should take in evaluating and making a CDH diagnosis.
Early recovery after surgery (ERAS) protocols in children undergoing urologic reconstruction surgery have been shown to reduce length of hospital stay and decrease complication rates. Researchers in our Department of Urology conducted a pediatric urology surgery study to explore the factors associated with a shorter postoperative stay. This study acts as an initial step in developing a care pathway for children receiving radical nephrectomy for suspected renal tumor malignancy.
In this video, pediatric urologists Nicholas Cost, MD and Kyle Rove, MD discuss the results of the "Development of a postoperative care pathway for children with renal tumors" study. They talk about how ERAS protocols can help expedite the path to adjuvant therapy, strengthening the surgeon's role on the care team. Additionally, they review the application of ERAS protocols to other types of surgeries and how they can be implemented across institutions.
Read a summary of this research study.