Operating room (OR) costs account for 40% of hospital costs. Disposable supplies make up a portion of OR costs and are the only cost that is under control of the surgeon. There are little data to explain how surgeons select surgical supplies and what factors predict supply selection. Our goal with the current work was to assess variation in cost of disposable OR supplies at the surgeon level, hypothesizing high variability would be observed.

In the United States, approximately 1 in 3600 infants are born with a congenital diaphragmatic hernia (CDH), in which incomplete development of one or both hemidiaphragm allows herniation of abdominal viscera into the chest [1]. Infants with CDH can be critically ill, with hypoxemia, hypercarbia, and/or cardiorespiratory failure resulting from underlying pulmonary hypertension (PH) and lung hypoplasia. Some patients may require advanced support modalities including extracorporeal membrane oxygenation (ECMO).

In the United States, approximately 1 in 3600 infants are born with a congenital diaphragmatic hernia (CDH), in which incomplete development of one or both hemidiaphragm allows herniation of abdominal viscera into the chest [1]. Infants with CDH can be critically ill, with hypoxemia, hypercarbia, and/or cardiorespiratory failure resulting from underlying pulmonary hypertension (PH) and lung hypoplasia. Some patients may require advanced support modalities including extracorporeal membrane oxygenation (ECMO).

EA is the most frequent congenital esophageal malformation. Long gap EA remains a therapeutic challenge for pediatric surgeons. A case case-control prospective study from a multi-institutional national French data base was performed to assess the outcome, at age of 1 and 6 years, of long gap esophageal atresia (EA) compared with non-long gap EA/tracheo-esophageal fistula (TEF). The secondary aim was to assess whether initial treatment (delayed primary anastomosis of native esophagus vs. esophageal replacement) influenced mortality and morbidity at ages 1 and 6 years.