Umbilical Cord Defects

This podcast discusses the work up and management of umbilical cord defects. Dr. Todd A. Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital. Dr. Kenneth S. Azarow is surgeon-in-chief for Doernbecher Children’s Hospital and Helen B. Tracy professor of pediatric surgery at Oregan Health and Science University. Time Markers: 00:00:00 Introduction 00:02:04 Timing of surgery 00:05:18 Diagnosing an incarcerated umbilical hernia 00:07:23 Anesthesia 00:08:24 Suture preference 00:08:49 Antibiotic use 00:10:09 Umbilicoplasty 00:12:30 Management of Gastroschisis 00:14:37 Management of Omphalocele 00:16:39 Use of mesh for umbilical hernia repairs 00:17:00 Do asymptomatic umbilical hernias require operative repair? 00:18:33 Work-up and management of drainage from umbilicus 00:20:54 Management of a granuloma 00:22:01 Operative management of urachal remnant 00:23:57 Workup and management of urachal anomalies 00:26:11 Operative management of a patent omphalomesenteric duct 00:27:53 Management of an epigastric hernia Intro and outro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626 License: http://creativecommons.org/licenses/by/3.0/