Surgery – Page 23 – Texas Children's News

March 1, 2016

Three faculty members in the Texas Children’s Hospital Department of Surgery have been awarded a Fulbright & Jaworski LLP Faculty Excellence Award from Baylor College of Medicine. Drs. Timothy Lee, Monica Lopez and Scott Rosenfeld were recognized in the Teaching and Evaluation category.

To be considered for an award in Teaching and Evaluation, a member of the Baylor faculty must show evidence of quality of teaching, number of teaching hours and diversity in content of material and variety of teaching formats among medical students, residents and fellows.

“Congratulations to Dr. Lopez, Dr. Lee and Dr. Rosenfeld on their accomplishments. All three are very deserving of this award,” said Dr. Charles D. Fraser, Jr., surgeon-in-chief.

Lee, Lopez and Rosenfeld note in their submission portfolios that teaching benefits them as well as their students. All three surgeons find they are successful instructors because they adapt their material to students at their particular stage of training, whether that is medical school, residency or fellowship. They teach at the bedside, in the classroom and in the clinic. Reviewing course evaluation comments, attending educational workshops and experiencing peer review are ways they are able to improve as teachers.

“In my role as chair of Texas Children’s Faculty Appointments and Promotions Committee, I encourage faculty to pursue a Fulbright & Jaworski award as they take steps to advance their careers,” said Dr. David Wesson, associate surgeon-in-chief.

The Fulbright & Jaworski LLP Faculty Excellence Award recognizes Baylor College of Medicine faculty who meet designated standards of quality, quantity and breadth for their sustained exemplary educational contributions to Baylor.

Surgeons interested in pursuing a Fulbright & Jaworski award are encouraged to contact Lisa Thomas, assistant director, Office of Faculty Affairs. Thomas will use her expertise to assist surgeons through the application process. She can be reached at Ext. 6-5768, by email or in her office located in the Department of Surgery Academic Office.

February 16, 2016

A year ago, Knatalye and Adeline Mata lay on an operating table at Texas Children’s Hospital conjoined from the chest to the pelvis. For the next 26 hours, a team of surgeons and support staff separated the girls in an historic and intricate procedure meticulously choreographed to ensure that each step of the process would lead to and support the steps to come. Throughout the procedure, the Mata family stood by, waiting and praying for good news.

Just before 10 a.m. on February 18, 2015 the family counted their prayers as answered when they saw their girls, apart for the first time in adjacent rooms in the Pediatric Intensive Care Unit, where they were cared for by a team of specialized nurses. Since then, the almost 2-year-old twins have been discharged from the hospital and are living relatively normal lives in Littlefield, Texas with their parents Elysse and John Eric, 6-year-old brother Azariah and 5-month-old sister, Mia.

“The girls are both doing awesome,” said Dr. Darrell Cass, one of the lead surgeons in the separation case. “Neither have experienced any complications and both are making steady progress.”

Knatalye is beginning to walk, talk and eat by mouth. Adeline is meeting milestones as well. Her lungs are continuing to improve and she is slowly being weaned from ventilator support. Both girls are still undergoing physical and occupational therapy.

Several members of the medical staff involved in the girl’s care got to see how much Adeline and Knatalye have grown and how far they’ve come during a recent visit the Mata family made to Texas Children’s for follow-up appointments with pediatric subspecialists monitoring the twins’ health and development.

Aimee Renaudin, one of Adeline and Knatalye’s primary nurses in the Neonatal Intensive Care Unit, said she is amazed that the girls are doing so well.

“You would never know how they started off their lives together,” she said. “Elysee and Eric have taken such good care of them.”

Dr. Oluyinka Olutoye, the other lead surgeon in the separation case, said it’s a blessing to see how far Adeline and Knatalye have come.

“It’s always a joy to see the changes that have gone on,” he said. “They’ve gone from just being little babies to now trying to walk and talk and interact with you.”

John Eric said his daughters have far exceeded his expectations and that he and Elysee are enjoying being able to care for the girls at home.

“It’s nice to be able to have all of us together and to be able to wake up and know that they’re there,” Elysee said. “It’s fun to be able to be mom and dad, which we didn’t get to do for the first 10 months of their lives.”

The Mata family will return to Texas Children’s this summer for a checkup. During that visit, surgeons will operate on Knatalye, removing the metal struts used to stabilize her rib cage and to close her chest wall.

To read more about their journey click here. See photos from the Mata family’s latest visit to Texas Children’s below.

February 8, 2016

Bench and Bedside is a digest of the previous month’s stories about the clinical and academic activities of our physicians and scientists. We welcome your submissions and feedback.

January 5

Zoghbi to receive Vanderbilt prize in Biomedical Science

Dr. Huda Zoghbi, professor of molecular and human genetics at Baylor College of Medicine, and director of the Jan and Dan Duncan Neurological Research Institute at Texas Children’s, will be honored with the 2015 Vanderbilt Prize in Biomedical Science. This award is given by the Vanderbilt University School of Medicine to recognize women scientists with a stellar record of research accomplishment who have also mentored other women in science. More

January 5

Second location of The Center for Children and Women celebrates milestone

Texas Children’s Health Plan recently celebrated the first anniversary of The Center for Children and Women in Southwest Houston. During the past 12 months, the Center has provided care to more than 5,800 patients, including 356 births, demonstrating The Center’s remarkable footprint in the community. More

January 12

Dr. Sanjeev Vasudevan selected for Baylor Young Alumni Award

Dr. Sanjeev Vasudevan will receive the 2016 Young Alumnus Award from the Baylor College of Medicine Alumni Association. Vasudevan is a pediatric surgeon and researcher specializing in pediatric cancers such as neuroblastoma, liver cancer, renal tumors and sarcomas. More

January 12

Harpavat receives ASSLD award for study on newborn screening tool to detect biliary atresia earlier

Dr. Sanjiv Harpavat, a pediatric gastroenterologist at Texas Children’s and Baylor College of Medicine, received the 2015 Jan Albrecht Clinical and Translational Research Award in Liver Diseases from the American Association for the Study of Liver Diseases (AASLD) Foundation. His study titled, “Assessment of a Novel Newborn Screening Tool for Biliary Atresia,” explores a new strategy to detect infants with biliary atresia earlier. More

January 12

Pediatric Surgeon Dr. Sundeep Keswani awarded visiting professorship

Dr. Sundeep Keswani, pediatric surgeon, was chosen by the Association for Academic Surgery to receive the 2016 International Visiting Professorship Award to attend the Columbia Surgical Association Congress in Bogota, Colombia, in August 2016. Keswani is the principal investigator for the Texas Children’s Laboratory for Regenerative Tissue Repair. More

January 12

Family Fertility Center advances innovative research to improve IVF process

From exploring the metabolic factors impacting egg quality to the genetics of embryo implantation, Family Fertility Center researchers at Texas Children’s Pavilion for Women are engaged in several fascinating studies to help infertile couples achieve successful pregnancy outcomes. Read about the various studies in progress. More

January 19

Three Texas Children’s Cancer Center researchers receive prestigious ASH awards

The American Society of Hematology (ASH) recognized three researchers from Texas Children’s Cancer Center and Baylor College of Medicine for their work in advancing our understanding of disease pathogenesis and exploring novel innovative approaches for the treatment of pediatric cancers. More

January 19

Texas Children’s uses advanced orthopedic imaging, less radiation exposure

Texas Children’s is the first pediatric hospital in the southwest to offer advanced orthopedic imaging that provides full body, 3-D views of a patient’s bone structure using less radiation. Because of the low radiation dose, EOS imaging is beneficial for orthopedic patients with scoliosis and other spinal deformities who require frequent imaging to monitor disease progression. More

January 26

Texas Children’s Hospital welcomes expert pediatric hand surgeon

Texas Children’s Hospital is excited to welcome Dr. William Pederson, a highly-regarded pediatric hand surgeon, to the Department of Surgery. Pederson, whose appointment was effective in January, also is a professor of surgery and pediatrics at Baylor College of Medicine. More

January 26

Texas Children’s Heart Center welcomes trio of cardiologists

Texas Children’s Heart Center has welcomed three new pediatric cardiologists to the team. Drs. Tobias Schlingmann, Betul Yilmaz and Justin Zachariah joined Texas Children’s in July. More

January 26, 2016

Texas Children’s Hospital is excited to welcome Dr. William Pederson, a highly-regarded pediatric hand surgeon, to the Department of Surgery. Pederson, whose appointment was effective in January, is also a professor of surgery and pediatrics at Baylor College of Medicine.

“With the addition of Dr. Pederson to our internationally renowned team of experts, we will further expand the highly-specialized, multidisciplinary care offered to children, adolescents and families who seek treatment at Texas Children’s,” said Dr. Larry Hollier, chief of plastic surgery at Texas Children’s and Baylor.

Pederson’s clinical interests include the management of vascular problems in the upper extremity, nerve injury and repair including brachial plexus, Volkmann’s ischemic contracture, facial paralysis and microsurgical reconstruction of complex extremity defects.

A native Texan, he is an honors graduate of The University of Texas at Austin and received his medical degree from The University of Texas Southwestern Medical School in Dallas, Texas. He completed an internship and residency in surgery at The University of Texas Health Science Center in San Antonio, Texas. Pederson continued his medical education with training in plastic and reconstructive surgery at Duke University Medical Center in Durham, North Carolina and was a Christine Kleinert Fellow in hand surgery in Louisville, Kentucky. Following this, he completed a one-year fellowship in microsurgery at St. Vincent’s Hospital in Melbourne, Australia.

Pederson was previously on the faculty at Duke and subsequently served as chief of plastic surgery at the U.T. Health Science Center in San Antonio. He later joined Dr. David Green at The Hand Center of San Antonio. He was the Hand Surgery Fellowship Director at this center for the past 10 years and has helped train more than 80 hand surgeons in the past 25 years.

A member of numerous professional organizations, and in recognition of his many contributions to the field, Pederson was elected president of the American Society for Reconstructive Microsurgery in 2005. He also has served on the executive council of the American Society for Surgery of the Hand and is currently vice president of the American Association for Hand Surgery. Pederson was named a director of the American Board of Plastic Surgery in 2013, and serves on the Combined Committee on Surgery of the Hand with members of the American Board of Orthopaedic Surgery. He is also on the executive council of the World Society for Reconstructive Microsurgery.

Pederson has authored more than 60 papers in peer-reviewed literature and 40 textbook chapters. He is an editor of the textbook “Green’s Operative Hand Surgery,” and serves on the editorial boards of the “Journal of Hand Surgery” and the “Journal of Reconstructive Microsurgery.” Pederson serves on the dean’s advisory council of the College of Natural Sciences at U.T. Austin and is a consultant to the Texas Medical Board. He was recently appointed by the state to the Texas Medical Disclosure Panel. In 2011, Pederson was selected as a visiting professor for the American Society for Surgery of the Hand and was selected in 2012 as a visiting professor for the American Society of Plastic Surgeons.

January 19, 2016

Texas Children’s is the first pediatric hospital in the southwest United States to offer the EOS Imaging System, a state-of-the-art X-ray machine that provides three-dimensional, full body views of a patient’s bone structure while significantly reducing their exposure to radiation.

Unlike a traditional X-ray that captures one small area of the body, EOS provides a life-size picture of the child’s full skeleton in a weight-bearing standing or sitting position to capture natural posture and joint orientation, which is critical for physicians to diagnose orthopedic conditions precisely.

“In the past, if we were taking an X-ray of a child undergoing spine surgery, we had to take several images and piece them together,” said Texas Children’s Associate Radiologist-in-Chief Dr. Lane Donnelly. “This EOS technology allows us to observe every detail of the spine and the interaction between the joints and the rest of the musculoskeletal system in a 3-D view, enabling our orthopedic surgeons to make more accurate diagnoses and more informed treatment and surgical decisions.”

The EOS is used primarily to assess pediatric patients with spine, hip and leg disorders including scoliosis and leg length deformities. Unlike a conventional radiograph, this new technology is equipped with faster imaging capabilities. Clinic through put is enhanced by the EOS as the total exam cycle with EOS is under four minutes for the most complex spine exams compared to 15 to 20 minutes with conventional radiographs.

One of the machine’s enhanced safety features includes low radiation doses. The EOS uses nine times less radiation than a conventional radiography X-ray and up to 20 times less than a computed tomography (CT) scan. Because of the low radiation dose, EOS imaging is beneficial for orthopedic patients with scoliosis and other spinal deformities who require frequent imaging to monitor disease progression.

“EOS promotes a safer and more precise approach to pediatric care,” said Texas Children’s Division Chief of Orthopedic Surgery Dr. John Dormans. “We are always keeping our finger on the pulse to ensure we deliver the safest and most advanced care to our patients. This technology is certainly a big step in that direction.”

To learn more about this Nobel Prize-winning technology, watch this video of Drs. Dormans and Donnelly showcasing the high-tech features of the EOS Imaging System.

January 12, 2016

If you ask Nakeisha Archer, president-elect of the Greater Houston Chapter of the Association of periOperative Registered Nurses (AORN), who inspired her to pursue nursing, there’s one person who comes to mind – her grandmother.

“When I was a little girl, my grandmother shared stories about how she loved taking care of patients in their homes,” Archer said. “She was a private duty nurse and the joy she derived from helping others motivated me to become a nurse.”

After graduating from nursing school with several clinical rotations under her belt, Archer spent six years as a labor and delivery nurse, which included a few years as a travel nurse. Before obtaining her MBA in health care management, she realized her niche was in the operating room (OR).

“I spent a lot of time in the OR as a labor and delivery nurse but I knew there was more to learn,” Archer said. “After completing a perioperative internship program, that’s when my passion for periop began.”

As assistant director of Perioperative Services at Texas Children’s Pavilion for Women, Archer leads a dynamic team of more than 40 nurses who assist with the planning, implementation and evaluation of patient care before, during and after surgery. These activities include patient assessment, creating and maintaining a sterile and safe surgical environment, providing pre- and post-operative patient education, monitoring the patient’s physical and emotional well-being and working closely with the surgical team to provide safe patient care during each phase of the surgical care process. Archer also collaborates with her non-nursing team whose roles are critical to the perioperative process. These include secretaries who schedule new cases, surgical technologists who scrub the cases, and perioperative care technicians and anesthesia technicians who provide specialized team support.

“Perioperative includes the entire surgical experience,” Archer said. “We see between 175 to 210 cases per month which include open, robotic and laparoscopic surgeries to treat a number of gynecological conditions including cancers, urological issues, as well as general surgery, fetal interventions, caesarean deliveries and in vitro fertilization procedures.”

The Pavilion for Women has four Main OR’s, two OR’s in labor and delivery, one procedure suite in the Main OR, and two procedure rooms in the Reproductive Endocrinology and Infertility Clinic. Two more Pavilion for Women Main OR surgical suites will open in May 2016 bringing the total to six OR’s to meet the increasing demand for perioperative services.

Archer says the need to hire and retain experienced perioperative nurses to fill these new positions is one of her top priorities. She says the best way to home “grow” our nursing staff is by providing consistent educational tools and internship programs to cultivate their skills so they can easily adapt to this fast-growing nursing specialty.

“We have a lot of openings right now in periop on the Pavilion side because we’re growing,” Archer said. “Most hospitals that do not have a shortage of experienced OR nurses offer a consistent internship and residency program every six months. When you keep that pipeline going and keep those nurses coming in and consistently train them, they will be ready to be placed in their new roles.”

Since joining the Pavilion for Women two years ago, Archer is thrilled to offer the second perioperative internship program for nurses later this month. This endeavor, which will continue every six months, is part of a joint partnership with Texas Children’s Pediatric Perioperative Services.

When Archer assumes her position as AORN president in May, her passion to advance educational opportunities for nurses will be one of her primary goals.

“One of the things that I think we as leaders don’t always do is have a really good succession plan for our nurse leaders as well as our nurses who are leading at the bedside,” Archer said. “We need to provide them with opportunities to grow and re-energize their periop voices by engaging members around issues that impact them.”

Leading a multi-generational nursing workforce has become a tremendous challenge too. Archer plans to collaborate with nursing leaders to help reframe perceptions about generational differences and to view these attitudinal and behavioral differences as potential strengths.

While much of Archer’s day is spent attending meetings, rounding with nursing and physician staff and staying abreast of all the cases scheduled for each day, she says at the end of the day, her greatest joy is taking care of her patients – just like her grandmother did.

“On a really good day, I can go to our waiting area and have conversations with some of the patients and families, and make sure that things are going well,” Archer said. “That’s really the fun parts of the job. If we could do that all day, it would be really good.”

The Baylor Young Alumnus Award is presented to former students under the age of 46 who make outstanding contributions to biomedical or medical science through clinical service, research, education or administrative leadership. Vasudevan completed his residency in general surgery and fellowship in pediatric surgery at Baylor and Texas Children’s.

Vasudevan, who is also an assistant professor of surgery at Baylor College of Medicine, leads a robust clinical and molecular biology research program at Texas Children’s focusing on pediatric solid tumors, in particular neuroblastoma and liver cancer. Through his research, Vasudevan aims to find novel and less toxic therapeutic agents to improve outcomes for children with solid tumors.

“We are proud to be able support Dr. Vasudevan as pediatric surgeon scientist at Texas Children’s,” said Dr. Charles D. Fraser, Jr., Texas Children’s surgeon-in-chief. “I am confident his innovative research program will continue to provide many important contributions in the treatment of pediatric cancer.”

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