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Stay Current in Pediatric Surgery
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Content provided by StayCurrent: Pediatric Surgery. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by StayCurrent: Pediatric Surgery or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
Through GlobalCastMD’s world-class network of physicians and technology, any health system can provide their doctors access to ongoing mentoring and education. Companies can leverage this same network to more effectively train physicians on products and use it to help train their own sales force. Our educational materials aim to provide entertaining, interactive education for anyone, regardless of geography. We truly are: Dedicated to the rapid advancement of care. Everywhere.
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386 episodes
Mark all (un)played …
Manage series 2973314
Content provided by StayCurrent: Pediatric Surgery. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by StayCurrent: Pediatric Surgery or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
Through GlobalCastMD’s world-class network of physicians and technology, any health system can provide their doctors access to ongoing mentoring and education. Companies can leverage this same network to more effectively train physicians on products and use it to help train their own sales force. Our educational materials aim to provide entertaining, interactive education for anyone, regardless of geography. We truly are: Dedicated to the rapid advancement of care. Everywhere.
…
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386 episodes
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×We’re back with seventeenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/37983822/ Zhang M, Huang J, Jin Z, Zhang X, Zhou Y, Chi S, Rong L, Zhang Y, Cao G, Li S, Tang ST. Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis. Int J Surg. 2024 Feb 1;110(2):891-901. doi: 10.1097/JS9.0000000000000889. PMID: 37983822; PMCID: PMC10871573. https://pubmed.ncbi.nlm.nih.gov/38677965/ Ullrich S, Austin K, Avansino JR, Badillo A, Calkins CM, Crady RC, Durham MM, Fuller MK, Rana A, Reeder RW, Rentea RM, Rollins MD, Saadai P, Speck KE, Wood RJ, van Leeuwen K, Frischer JS; Pediatric Colorectal and Pelvic Learning Consortium. Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium. J Pediatr Surg. 2024 Jul;59(7):1250-1255. doi: 10.1016/j.jpedsurg.2024.03.034. Epub 2024 Mar 18. PMID: 38677965. https://pubmed.ncbi.nlm.nih.gov/37978002/ Ameer A, Mirza MB, Talat N. The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial. J Pediatr Surg. 2024 Jun;59(6):1186-1189. doi: 10.1016/j.jpedsurg.2023.10.062. Epub 2023 Oct 30. PMID: 37978002.…
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1 Colorectal Quiz: Episode 44 - HD Frozen Section 18:29
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In this episode of the Colorectal Quiz, Drs. Marc Levitt, Jason Frischer, and Martin Lacher dive into the intricacies of frozen sections and reoperative strategies in Hirschsprung disease. Using a fascinating case of a late-diagnosed Hirschsprung patient, they explore critical decision-making in staged repairs and reoperative pull-through surgeries. Key Highlights: Frozen Section Techniques: Best practices for biopsy marking and pathology review to confirm ganglion cells. Staged Repairs: Why ileostomy followed by a laparoscopic-assisted Swenson pull-through was chosen for this case. Reoperative Strategies: Managing transition zone pull-throughs, early reoperations, and avoiding long-term complications. Surgical Pearls: Insights into laparoscopic port placement, anastomotic site preparation, and collaboration with pathologists for accurate diagnoses. Whether you're a seasoned colorectal surgeon or new to the field, this episode is packed with practical tips and lessons learned. Download the Stay Current app to view related images, X-rays, and resources discussed in the episode.…
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1 QUAD #25: Medical Management of Minor Laryngeal Clefts with Dr. Greg Burg 7:12
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In this episode, Dr. Greg Burg, a pulmonologist at Cincinnati Children’s, discusses the medical management of minor laryngeal clefts, highlighting a comprehensive approach that includes swallow assessments, pulmonary therapies, and long-term monitoring. Learn how a combination of safe swallowing strategies, dietary modifications, and reactive therapies can help manage aspiration risks in pediatric patients. Key Takeaways: Diagnostic Approach: Importance of bronchoscopy, swallow studies, and chest CT scans in identifying aspiration-related issues. Medical Management: Use of inhaled steroids, macrolide therapy, and saline treatments to reduce inflammation and improve airway clearance. Swallowing & Nutrition: Thickened feeds, pacing, and feeding tube strategies to prevent aspiration. Long-Term Monitoring: Vaccination recommendations, environmental risk reduction, and periodic reassessments to guide further intervention. This discussion provides valuable insights into how a multidisciplinary approach can improve outcomes for children with minor laryngeal clefts. Don’t forget to like, comment, and subscribe for more expert discussions!…
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1 Journal of Pediatric Surgery Article Review: 4th Quarter (Oct-Dec) 2024 18:56
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the fourth quarter of 2024, October, November and December issues. This time we're talking to editors Drs. Mauricio "Tony" Escobar, Mikko Pakarinen, and Pablo Laje joined by authors Drs. Aodhnait Fahy, Anne-Fleur van Hal, John M. Woodward and Ben Ham III. Host: Em Gootee Articles: Fahy AS, Klima DA, Gillam MM, Aprahamian CJ, Kim SS, Kokoska ER, Teeple EA, Weiss RG, Escobar MA Jr. Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association (APSA). J Pediatr Surg. 2024 Oct;59(10):161567. doi: 10.1016/j.jpedsurg.2024.04.021. Epub 2024 May 8. PMID: 38806318. https://pubmed.ncbi.nlm.nih.gov/38806318/ van Hal ARL, Aanen IP, Wijnen RMH, Pullens B, Vlot J. The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients. J Pediatr Surg. 2024 Nov;59(11):161620. doi: 10.1016/j.jpedsurg.2024.07.005. Epub 2024 Jul 14. PMID: 39089893. https://pubmed.ncbi.nlm.nih.gov/39089893/ Woodward JM, Chunco C, Brierley SF, Bittner K, Osei H, Harmon CM, Ham PB 3rd. Same-Day Discharge for Elective Pediatric Laparoscopic Gastrostomy Tube Insertion is Safe and Increasing in Frequency; A NSQIP Pediatric Retrospective Review 2017 to 2021. J Pediatr Surg. 2024 Dec;59(12):161665. doi: 10.1016/j.jpedsurg.2024.08.005. Epub 2024 Aug 6. PMID: 39261186. https://pubmed.ncbi.nlm.nih.gov/39261186/…
We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/36805142/ Brandt K, Dukleska K, McKeown M, Brancato J, Grossi V, Schoem S, Sacco T, D'Amato J, Bourque MD, Campbell BT. Utilizing a critical airway response team expedites esophageal button battery removal. J Pediatr Surg. 2023 May;58(5):810-813. doi: 10.1016/j.jpedsurg.2023.01.037. Epub 2023 Jan 19. PMID: 36805142. https://pubmed.ncbi.nlm.nih.gov/38413262/ Hodgson E, Briatico D, Klapman S, Skarsgard E, Beltempo M, Shah PS, Huisman E, Walton JM, Livingston MH; Canadian Association of Pediatric Surgeons Network (CAPSNet) and Canadian Neonatal Network (CNN) investigators. Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study. J Pediatr Surg. 2024 May;59(5):863-868. doi: 10.1016/j.jpedsurg.2024.01.045. Epub 2024 Feb 3. PMID: 38413262. https://pubmed.ncbi.nlm.nih.gov/36494205/ Lai K, Notrica DM, McMahon LE, Kang P, Molitor MS, Egan JC, Bae JO, Hunteman ZM, Ostlie DJ, Lee JH, Padilla BE. Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use. J Pediatr Surg. 2023 Aug;58(8):1435-1439. doi: 10.1016/j.jpedsurg.2022.10.051. Epub 2022 Nov 7. PMID: 36494205.…
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1 Update Course Rewind: Patient Education and Non-Surgical Management of Pilonidal Disease 2024 6:13
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In this episode from the 12th Annual Update Course in Pediatric Surgery, Dr. Nelson Rosen discusses non-surgical approaches to managing pilonidal disease, emphasizing the importance of patient education and hygiene. Learn how techniques like hair removal, meticulous hygiene, and lifestyle adjustments can significantly reduce the need for invasive procedures. Key Highlights: Non-Surgical Success Rates: Up to 60-70% of patients experience improvement with non-surgical interventions alone. Hair Removal Techniques: Options include weekly clipping, waxing, Nair-type agents, and even laser removal for long-term maintenance. Hygiene Best Practices: Showering regularly, using washlets, and debunking myths about bathing restrictions for faster healing. Setting Expectations: How to guide patients and families through treatment while balancing realistic outcomes. Join us to explore how non-surgical management can transform the care and recovery of patients with pilonidal disease. Don’t forget to like, comment, and subscribe for more pediatric surgery updates! Host: Em Gootee, MD…
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1 QUAD #24: CHARGE Syndrome, Pulmonary Considerations with Dr. Cherie Torres-Silva 9:05
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In this episode, pulmonologist Dr. Cherie Torres-Silva from Cincinnati Children's shares insights on managing pulmonary challenges in patients with CHARGE syndrome. Through a detailed case study, she explores strategies to address chronic aspiration, airway clearance limitations, and recurrent infections. Key Highlights: Challenges in CHARGE Syndrome: Understanding how aspiration, obstructive sleep apnea (OSA), and recurrent infections intersect in CHARGE patients. Management Strategies: Improving airway clearance with therapies like intrapulmonary percussion and thinning secretions using hypertonic saline. Infection Prevention: The role of dental hygiene, prophylactic antibiotics (e.g., inhaled tobramycin), and balancing the risks of antibiotic resistance. Individualized Care: Tailoring treatments based on respiratory cultures and underlying comorbidities such as hypotonia and restrictive lung disease. Learn how a multidisciplinary approach can improve outcomes for CHARGE patients with complex pulmonary issues. Don’t forget to like, comment, and subscribe for more insights! Host: Em Gootee, MD…
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1 Fatty Filum Terminale Tethered Cord Release by Dr. Robin Bowman - Lurie Children's 4:53
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In this educational video, Dr. Robin Bowman from Lurie Children’s Hospital in Chicago demonstrates the surgical release of a fatty filum terminale in a patient with tethered cord syndrome. Tethered cord syndrome is a stretch-induced condition that can cause progressive neurological deficits, including gait abnormalities, loss of bladder control, and chronic pain. Key Highlights: Understanding Tethered Cord Syndrome: How abnormal attachment of the filum terminale stretches the spinal cord and impacts function. Preoperative Imaging: The use of spinal MRI to identify the location of the conus, tethering lesions, and spina bifida occulta. Surgical Technique: A step-by-step overview of the untethering procedure, including laminotomy, nerve root stimulation, and filum transection. Postoperative Closure: Ensuring a watertight dura closure and layered wound repair to optimize healing and outcomes. Learn about this critical surgical procedure designed to relieve symptoms and prevent further neurological deterioration in children with tethered cord syndrome.…
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1 Colorectal Quiz: Episode 43 - Malone Problems 23:40
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In this episode of the Colorectal Quiz, Drs. Marc Levitt and Jason Frischer are joined by Drs. Jeffrey Avansino and Hira Ahmad to discuss the nuances of the Malone procedure, used for managing fecal incontinence and constipation in pediatric patients. From patient selection to managing complications, this in-depth conversation highlights the importance of collaboration between urology and surgery for optimal outcomes. Key Topics: Understanding the Malone Procedure: Creating a channel to administer enemas for patients with continence challenges. Technical Considerations: When to use a shared appendix, manage leakage, and troubleshoot complex cases. Complication Management: Addressing stenosis, leakage, and rare issues like appendiceal prolapse. Future Approaches: Exploring the importance of teamwork and innovative solutions in colorectal surgery. Whether you're a pediatric surgeon or someone interested in advancing your understanding of colorectal care, this episode is packed with practical tips and insights. Don't forget to download the Stay Current app for related images and resources, and subscribe for more episodes of the Colorectal Quiz!…
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1 Umbilical Disorders with Dr. Rebeccah Brown 11:28
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In this podcast, we explore the anatomy, conditions, and treatment strategies related to umbilical disorders in newborns and young children with Dr. Rebeccah Brown from Cincinnati Children's. From umbilical cord anatomy and infections like omphalitis to congenital abnormalities like gastroschisis and umbilical hernias, this comprehensive discussion covers key diagnostic and management approaches. We also highlight treatment guidelines for umbilical granulomas and practical tips for avoiding complications with silver nitrate applications. Host: Em Gootee, MD 0:00 Introduction 0:59 Omphalitis 2:00 Umbilical Hernia 6:55 Proboscoid Hernia 8:48 Umbilical Granuloma 10:18 Summary Zens TJ, Rogers A, Cartmill R, Ostlie D, Muldowney BL, Nichol P, Kohler JE. Age-dependent outcomes in asymptomatic umbilical hernia repair. Pediatr Surg Int. 2019 Apr;35(4):463-468. doi: 10.1007/s00383-018-4413-3. Epub 2018 Nov 14. PMID: 30430281. https://pubmed.ncbi.nlm.nih.gov/30430281/ Zens T, Nichol PF, Cartmill R, Kohler JE. Management of asymptomatic pediatric umbilical hernias: a systematic review. J Pediatr Surg. 2017 Nov;52(11):1723-1731. doi: 10.1016/j.jpedsurg.2017.07.016. Epub 2017 Jul 24. PMID: 28778691. https://pubmed.ncbi.nlm.nih.gov/28778691/ Halleran DR, Minneci PC, Cooper JN. Association between Age and Umbilical Hernia Repair Outcomes in Children: A Multistate Population-Based Cohort Study. J Pediatr. 2020 Feb;217:125-130.e4. doi: 10.1016/j.jpeds.2019.10.035. Epub 2019 Nov 8. PMID: 31711762. https://pubmed.ncbi.nlm.nih.gov/31711762/ He K, Graham DA, Vernacchio L, Hatoun J, Patane L, Cramm SL, Rangel SJ. Age and Probability of Spontaneous Umbilical Hernia Closure. JAMA Pediatr. 2024 May 1;178(5):497-498. doi: 10.1001/jamapediatrics.2024.0087. PMID: 38466296; PMCID: PMC10928535. https://pubmed.ncbi.nlm.nih.gov/38466296/…
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1 QUAD #23: CHARGE Syndrome, Airway Considerations with Dr. Catherine Hart 9:04
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In this video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, discusses the unique airway and aspiration challenges faced by children with CHARGE syndrome. From structural abnormalities like anteriorly positioned arytenoids to feeding difficulties due to cranial nerve impairments, Dr. Hart explores the multidisciplinary approaches required to provide optimal care. Key Highlights: CHARGE Larynx Features: Structural differences leading to upper airway obstruction, foreshortened vocal folds, and difficult intubation. Feeding Challenges: Aspiration risks due to absent cough reflex, high rates of reflux, and swallowing dysfunction in over 60% of CHARGE patients. Medical and Surgical Management: Options including Robinul, Botox, duct ligation, submandibular gland excision, and tympanic neurectomy to reduce aspiration risks. Tracheotomy and Beyond: When tracheotomy or laryngotracheal separation becomes necessary for severe cases with chronic lung impact. Learn how the team at Cincinnati Children’s combines innovative treatments and surgical expertise to improve the quality of life for children with CHARGE syndrome. Don’t forget to like, comment, and subscribe for more expert insights!…
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1 QUAD #22: What is CHARGE syndrome? with Dr. Catherine Hart 3:08
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In this educational video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, provides an overview of CHARGE syndrome, a rare genetic disorder that affects multiple organ systems. Learn about its diagnosis, clinical features, and the comprehensive care required for patients with this condition. Key Highlights: What is CHARGE Syndrome? The acronym stands for coloboma, heart defects, atresia of the choanae, retardation of growth and development, genital/urinary anomalies, and ear malformations. Causes and Diagnosis: CHARGE is typically caused by a CHD7 mutation on chromosome 8 but can also be diagnosed clinically with specific major and minor criteria. Multisystem Impact: The syndrome’s highly variable expression means it can affect almost every organ system, requiring coordinated care. Care through an Aerodigestive Center: The Aerodigestive Center at Cincinnati Children’s ensures comprehensive management of airway, feeding, and developmental challenges. Learn how Cincinnati Children’s provides expert care for patients with CHARGE syndrome, helping them overcome complex challenges and improve quality of life. Don’t forget to like, comment, and subscribe for more pediatric insights!…
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1 Total Pancreatectomy with Islet Autotransplantation (TPIAT) - Cincinnati Children's Pancreas Care Center 10:21
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In this video, we take you through a Total Pancreatectomy with Islet Autotransplantation (TPIAT)—one of the most complex abdominal surgeries performed in children. Learn about who qualifies for TPIAT, the surgical process, and the critical role of the lab team in isolating islet cells for infusion. From patient evaluation to the OR, lab preparation, and postoperative care, you’ll see how multiple specialists—surgeons, lab physicians, GI experts, and critical care teams—work together to ensure successful outcomes.Join Dr. Juan Gurria for a behind-the-scenes look at TPIAT, brought to you by the Pancreas Care Center at Cincinnati Children’s Hospital. Main Takeaways TPIAT is a complex procedure for patients with chronic or acute recurrent pancreatitis who have failed all medical and endoscopic therapies. It involves pancreas removal, islet cell processing, and infusion into the liver. A multidisciplinary approach is key to success, involving extensive preoperative planning, precision surgery, lab-based islet cell isolation, and meticulous postoperative care. 0:08 Introduction 0:49 What is Total Pancreatectomy with Islet Autotransplantation? 1:02 Who are the candidates for TPIAT? 1:23 Pre-op evaluation 2:13 Step-by-step overview of TPIAT surgery 7:42 Post-op Care 9:07 Summary Host: Cecilia Gigena, MD…
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1 Update Course Rewind: Lipiodol for Lung Metastases 2024 5:10
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In this session from the 12th Annual Pediatric Surgery Update Course, Dr. Gloria Gonzalez discusses the innovative use of lipiodol to mark pulmonary nodules for minimally invasive resection in children. Adapted from adult procedures, lipiodol is a promising alternative to traditional localization methods, offering precise marking with minimal complications. Key Points Covered: Challenges in Nodule Localization: High conversion rates during thoracoscopy due to failure to locate small or calcified nodules using CT, ultrasound, or hook wires. Lipiodol Technique: A CT-guided marking procedure where lipiodol dye remains stable for up to three months, allowing for flexible surgery scheduling. Clinical Outcomes: Dr. Gonzalez’s team achieved 100% sensitivity in 33 patients, resecting over 50 nodules with improved accuracy and efficiency. Learn how this novel approach is transforming lung metastasis management in pediatric surgery. Don’t forget to like, comment, and subscribe for more cutting-edge updates!…
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1 Colorectal Quiz: Episode 42 - HD Constipation 14:57
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In this episode of the Colorectal Quiz, Drs. Mark Levitt, Jason Frischer, and Chris Gayer discuss a complex case of persistent constipation in a patient with a history of Hirschsprung’s disease. Despite a successful pull-through surgery in infancy, the patient continued to experience significant symptoms into adulthood, highlighting the importance of long-term management. Key Points Covered: Challenges Post-Surgery: Why constipation persists in some Hirschsprung’s patients despite anatomically successful surgeries. Diagnostic Approach: The use of exams under anesthesia, rectal biopsies, contrast enemas, and motility testing to evaluate potential causes. Segmental Dysmotility Management: How a Malone procedure can provide a minimally invasive solution for improved colon emptying. Multidisciplinary Care: Collaboration between surgeons, gastroenterologists, and therapists to address motility disorders, pelvic floor dysfunction, and behavioral factors. This case highlights the importance of moving beyond the initial diagnosis and surgery to focus on the patient’s current symptoms for better quality of life. Don’t forget to like, comment, and subscribe for more insights into colorectal surgery!…
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