In part 2 of this podcast learn how to deal with emergency presentations of inguinal hernia in children, top tips on how to reduce an inguinal hernia in children, indications and timing of surgery and what to tell parents. Operative approach and special considerations for females with inguinal hernia are also discussed. Essential listening for trainees in paediatric surgery and emergency department doctors.

David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinder Singh is a consultant paediatric surgeon and FRCS(Paed) examiner working at University Hospitals Nottingham, UK

Paediatric Inguinal Hernia - Part 2

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In part 1 @CleoKenington, ASGBI lead for Sustainability, told us about the huge problem healthcare has with greenhouse emissions and what to do about improving pathways to minimise healthcare impact, In this eposode Cleo tell us what each of us can do once the patient gets to theatre. Practical solutions for all surgeons to embrace. Be part of the solution!
Useful links: 
Resources for how to offer lifestyle advice to prevent disease:
http://makingeverycontactcount.co.uk/training/healthy-lifestyle-information/
https://www.e-lfh.org.uk/programmes/making-every-contact-count/


To promote Shared decision making and improved perioperative see Centre for Perioperative care:
https://cpoc.org.uk/about-cpoc

Lean Healthcare pathways
https://sustainablehealthcare.org.uk/what-we-do/green-surgery-challenge

Companies that produce reusable kit:
Hybrid Laparoscopic Ports, scissors & Clip applicators
https://www.surginno.com/resposable-8-2/
Reprocessed Harmonic scalpels
https://www.vanguard-medical.com/harmonic-scalpel/

The zero waste operating theatre:
https://www.ecoquip.eu/procurement-projects/towards-zero-waste-operating-theatres.html

Episode 168: How to be Greener in Surgery, Part 2

In the UK, the National Health Service accounts for 5.4% of the carbon emissions for the whole country! Surgery accounts for 5-10% of this total. The target is an 80% reduction in greenhouse emissions by 2028. Find out what's going on and what you and your unit can do to save slow global warming in this podcast by @CleoKenington, Emergency Surgeon and ASGBI lead for sustainability. 
This is everyone's problem - be part of the solution!
Links to helpful sites below:
Resources for how to offer lifestyle advice to prevent disease:
http://makingeverycontactcount.co.uk/training/healthy-lifestyle-information/
https://www.e-lfh.org.uk/programmes/making-every-contact-count/


To promote Shared decision making and improved perioperative see Centre for Perioperative care:
https://cpoc.org.uk/about-cpoc

Lean Healthcare pathways
https://sustainablehealthcare.org.uk/what-we-do/green-surgery-challenge

Companies that produce reusable kit:
Hybrid Laparoscopic Ports, scissors & Clip applicators
https://www.surginno.com/resposable-8-2/
Reprocessed Harmonic scalpels
https://www.vanguard-medical.com/harmonic-scalpel/

The zero waste operating theatre:
https://www.ecoquip.eu/procurement-projects/towards-zero-waste-operating-theatres.html

Episode 168: How to be Greener in Surgery part 1

All you need to know about investigation and treatment of this common and serious condition. Indications for pneumatic or hydrostatic reduction, plus operative intervention and complications are all covered.
There are fantastic, beautifully handwritten notes to accompany both podcasts that you can download here: https://drive.google.com/file/d/1BTNoeYe-csn0X2mTsb3rGJ38o5KKyQdy/view?usp=sharing
Shalinder Singh is a consultant in Paediatric Surgery in Nottingham, UK, and David Kiely is a trainee in Paediatric Surgery in the East Midlands of the UK

Episode 167: Intussusception part 2 - investigation and treatment

David Kiely asks Shalinder Singh about intussusception, a common and serious cause of abdominal pain in children aged 3 months to 3 years.
This podcast covers all you need to know about the incidence, history and examination of intussusception. Part 2 covers investigation and treatment.
Accompanying notes can be downloaded from here https://drive.google.com/file/d/1BTNoeYe-csn0X2mTsb3rGJ38o5KKyQdy/view?usp=sharing

Episode 167: Intussusception part 1 - Incidence, history and examination

You'll need to operate on about 1/3 patients with SBO. Matt Lee tells you what approach is best and when, and how to look after your patients after the operation
Matt Lee is Clinical Lecturer in Surgery at the University of Sheffield and a recognised leader in the management of SBO

Paediatric Inguinal Hernia - Part 2

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