Behind The Knife: The Surgery Podcast
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Clinical Challenges in Colorectal Surgery: Management of Advanced and Malignant Polyps
8 april 2024 · 35 min
Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon as they discuss Management of Advanced and Malignant Polyps. Come with us as we navigate through sessile serrated lesions, pathology reports, and rectal polyp nuances. Lees meer
Hosts:
- Susan Galandiuk, University of Louisville, Louisville, Kentucky, @DCREdInChief
- Vladimir Bolshinsky, Peninsula Health, Victoria, Australia, @bolshinskyv
- Sandy Kavalukas, University of Louisville, Louisville, Kentucky, @sandykava
- Hillary Simon, University of Louisville, Louisville, Kentucky, @HillaryLSimonProducer:
- Manasa Sunkara MS3, University of Louisville, Louisville, Kentucky, @manasasunkara12Learning objectives:
- Review colorectal cancer screening for the average risk patient.
- Understand what a malignant polyp is defined as and management strategies.
- Discuss the pathology review and re-review processes.References:
- Church J, et al. Keeping the Cecum Clean: A Randomized, Prospective, Placebo-Controlled Trial of Loperamide as Part of Preparation for Colonoscopy. Diseases of the Colon & Rectum 56(1):p 120-125, January 2013.
https://pubmed.ncbi.nlm.nih.gov/23222289/
- Fan C, et al. Management of Serrated Polyps of the Colon. Curr Treat Options Gastroenterol 16(1):182-202, March 2018.
https://pubmed.ncbi.nlm.nih.gov/29445907/
- Gupta S, et al. Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. The American Journal of Gastroenterology 115(3): 415-434, March 2020.
https://pubmed.ncbi.nlm.nih.gov/32039982/
- Hyman N, Waye JD. Endoscopic four quadrant tattoo for the identification of colonic lesions at surgery. Gastrointest Endosc 37:56–58, 1991.
https://pubmed.ncbi.nlm.nih.gov/1706283/
- Kaltenbach T, et al. Endoscopic Removal of Colorectal Lesions—Recommendations by the US Multi-Society Task Force on Colorectal Cancer. Gastrointestinal Endoscopy 91(3): 486-519, March 2020.
https://pubmed.ncbi.nlm.nih.gov/32067745/
- Keswani R, et al… -
Association of Out Surgeons & Allies (AOSA) - Episode 3: LGBTQ+ Healthcare
4 april 2024 · 49 min
Join for the third episodes in the Association of Out Surgeons & Allies (AOSA) series for a discussion on LGBTQIA+ healthcare providers and their patients. Lees meer
Host:
Nina Clark, MDGuests:
- Andrew Schlussel, DO, Colorectal and General Surgeon, Charlie Norwood VA Medical Center
- Dr. James Taylor, Assistant Professor of Colorectal Surgery at Montefiore Medical Center
- Dr. Alex Bonte, General Surgery PGY4 at Hackensack University Medical Center in Hackensack NJ.
- Dr. Paige Tannhauser, General Surgery PGY3 (completed) at Allegheny General Hospital in Pittsburgh PA, and currently finishing up a post-doctoral research fellowship at the University of Virginia.Learn more and get involved with AOSA: https://www.outsurgeons.org
Twitter/X: @OutSurgeonsResources Mentioned This Episode:
"Gender Unicorn" schema for terminology: https://transstudent.org/gender/
LGBTQ Healthcare Directory: https://lgbtqhealthcaredirectory.org/
CDC Recommendations in LGBTQ Health: https://www.cdc.gov/lgbthealth/index.htm
WPATH Resources: https://www.wpath.org/
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen/
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Clinical Challenges in Hernia Surgery: Open Preperitoneal Ventral Hernia Repair
1 april 2024 · 21 min
Listen to another episode by the Hernia Team from Carolinas Medical Center as they discuss their approach to open preperitoneal ventral hernia repair. Although uncommonly performed, a preperitoneal approach offers several advantages including the ability to achieve large mesh overlap without the need for myofascial release. The team discusses their tips and tricks for utilizing the preperitoneal space in even the most challenging hernia cases. Lees meer
Hosts:
- Dr. Sullivan “Sully” Ayuso, Chief Resident, Carolinas Medical Center, @SAyusoMD (Twitter)
- Dr. Todd Heniford, Chief of GI & MIS, Carolinas Medical Center, @THeniford (Twitter)
- Dr. Vedra Augenstein, Professor of Surgery, Carolinas Medical Center, @VedraAugenstein (Twitter)
- Dr. Monica Polcz, Attending Surgeon, Baptist Health (Miami, FL)Learning Objectives:
- Review standard methods of herniorraphy in open abdominal wall reconstruction
- Introduce the concept of open preperitoneal ventral hernia repair
- Discuss the advantages as well as the standard tips and tricks for performing an open preperitoneal repair
- Review outcomes for preperitoneal hernia repair over timePodcast Video Clip: https://www.youtube.com/watch?v=3pMvB0rnokQ
References:
- Novitsky et al, Open Preperitoneal Retrofascial Mesh Repair for Multiply Recurrent Ventral Incisional Hernias, JACS, 2006
https://pubmed.ncbi.nlm.nih.gov/36280505/- Heniford et al, Preperitoneal Ventral Hernia Repair: A Decade Long Prospective Observational Study with Analysis of 1023 Patient Outcomes, Annals of Surgery, 2020
https://pubmed.ncbi.nlm.nih.gov/30080725/- Katzen et al, Open Preperitoneal Ventral Hernia Repair: Prospective Observational Outcomes of Quality Improvement Outcomes Over 18 Years and 1,842 Patients, Surgery, 2023
https://pubmed.ncbi.nlm.nih.gov/36280505/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out other recent episodes here:
https://app.… -
Clinical Challenges in Trauma Surgery: Approach to Pancreatic Injury
28 maart 2024 · 26 min
Eat when you can, sleep when you can, and don’t F with the pancreas! What happens when that third rule goes wrong, and why do people say pancreas injuries are like eating crawfish? Whether you love the pancreas or just the mention of the P-word strikes fear in your heart, or if you just want the answer to the aforementioned questions, join Drs. Cobler-Lichter, Kwon, and Meizoso, as they guide you through all this and more! Lees meer
Hosts:
- Michael Cobler-Lichter, MD, PGY3, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center, @mdcobler (twitter)
- Eugenia Kwon, MD, Trauma/Surgical Critical Care Fellow, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center
-Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery, 4 years in practice, University of Miami/Jackson Memorial Hospital/Ryder Trauma Center, @jpmeizoso (twitter)Learning Objectives:
- Describe the AAST grading system for pancreatic injuries
- Come up with a treatment plan for each grade of pancreatic injury
- Identify commonly associated injuries with pancreatic trauma
- List potential complications of pancreatic trauma and/or surgeryQuick Hits:
1. Pancreas injuries do not all require a trip to the operating room. Low grade injuries should be managed with a trial of nonoperative management if there are no other operative indications
2. CT is the best initial imaging modality, although it has low sensitivity. If there is high concern for a pancreas injury based on mechanism or associated injuries, further investigation is required.
3. Pancreas injuries are like crawfish: suck the head and eat the tail.
4. Injuries to the left of the SMV can generally be treated with distal pancreatectomy and splenectomy, whereas injuries to the right of the SMV are usually drained.
5. Its important to identify and address any concomitant injuries, with duodenal injuries being the most common in higher grade injuries.
6. In the case of the dreaded grade 5 injury, the safe answer is to come back and do yo… -
Global Surgery Episode 2: Trauma Care in Resource-Limited Settings
25 maart 2024 · 35 min
Join us for another episode of our Global Surgery series, where we have a special focus on trauma care in resource-limited settings. Lees meer
Traumatic injury remains one of the largest burdens of disease and causes of mortality internationally. The WHO estimates that 4.4 million lives are lost to traumatic injuries per year, accounting for approximately 8% of all deaths. Notably, traumatic injuries are the top killer of children, adolescents, and young adults, compounding the patient-years lost. Trauma is ubiquitous–accidents and injuries happen all over the globe, and thus differences in trauma incidence and mortality is often a function of health systems and infrastructure.
Jon Williams is joined by Dr. Anthony Charles. Dr. Charles is a trauma surgeon at University of North Carolina, Chapel Hill. Additionally, he holds professorships in the medical school and school of public health at UNC, as well as serving as the director of the adult ECMO program and the director of global surgery at the UNC Institute of Global Health and Infectious Diseases. He leads the Malawian Surgical Initiative, designed to train and support local surgeons in the country of Malawi where he has established a longstanding partnership with UNC. Having been raised in Nigeria, Dr. Charles completed medical school at the University of Lagos, and subsequently underwent general surgery residency training in London at North Middlesex University Hospital and subsequently at Charles Drew University in Los Angeles. Upon completion of trauma and critical care fellowship at University of Michigan, he took a faculty position at UNC where he has remained since and grown the global surgery presence to what it is today.
Key Points:
Often, the pivotal first step in developing global surgery trauma initiatives is increasing trained personnel, and so training initiatives are very meaningful and provide sustainability to the effort.
Growing a health system’s ability to provide trauma care helps develop improved…
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Global Surgery Episode 1: How Health Infrastructure Interacts with Global Surgical Care
21 maart 2024 · 42 min
Join us for a new edition of our global surgery series! On this episode, Dr. Jon Williams is joined by Dr. Sudha Jayaraman and Dr. Justina Seyi-Olajide to discuss how we define global surgery today and how health infrastructure interacts with global surgical care. Lees meer
Dr. Jayaraman is a trauma and acute care surgeon at University of Utah, and the director of the Center for Global Surgery. After attending UC Davis for medical school, Dr. Jayaraman completed general surgery residency at UCSF, during which time she obtained a masters in public health in developing countries from the London School of Hygiene and Tropical Medicine. During this time, her efforts were dedicated to researching and implementing trauma systems development in Uganda. After residency she then completed a trauma and critical care fellowship at Brigham and Women’s, during which she received the Harvard Medical School Health Disparities Fellowship to continue her trauma systems work in Rwanda. Her ongoing work investigating injury burden and trauma systems in low and middle income countries has been well funded by the NIH, DOD, and others and published in numerous forums, as she is a well-renowned expert in this field.
Dr. Justina Seyi-Olajide is a pediatric surgeon at the Lagos University Teaching Hospital in Lagos, Nigeria. She completed her medical school training at the Ahmadu Bello University in Zaria, Nigeria and subsequently her general surgical and pediatric surgical training at the Lagos University Teaching Hospital, earning the Fellowship of West African College of Surgeons in Pediatric Surgery and the Alinta Nwako prize for best graduating pediatric surgical trainee. Dr. Seyi-Olajide’s vision is to provide equitable pediatric surgical care in resource-limited settings, and has been highly influential for developing initiatives such as the National Surgical, Obstetric, Anesthesia and Nursing Plan for Nigeria. Additionally, she is a member of the Global Initiative for Children’s Surgery an…
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Journal Review in Surgical Education: Artificial Intelligence
18 maart 2024 · 32 min
With the increasing popularity of artificial intelligence, its uses are quickly becoming not only a part of everyday life, but also training in surgery. Those of us without much understanding of the technology might be intimidated by this nebulous topic, or worry that we won’t be able to comprehend the advancements to come to the field. Luckily, we’re joined by a leading expert in the use of AI in surgery, Dr. Dan Hashimoto. He breaks down some examples of how AI is being used in surgical education, the role surgeons should play in these advancements, and some tips for how we can critically appraise work in the field of AI if we don’t understand the technology ourselves. Join hosts Nicole Brooks, MD, Judith French, PhD and Jeremy Lipman, MD, MHPE for this exciting conversation. Lees meer
Learning Objectives
1. Listeners will describe how AI is being applied to surgical education.
2. Listeners will identify the roles surgeons without training in AI can play in developing the use of AI in surgery.
3. Listeners will explain the regulatory and ethical considerations that must be addressed with the implementation of AI in surgical education.
4. Listeners will consider principles for critically evaluating research or technology in AI for application or use in their own educational or surgical practice.References
Laplante S, Namazi B, Kiani P, Hashimoto DA, Alseidi A, Pasten M, Brunt LM, Gill S, Davis B, Bloom M, Pernar L, Okrainec A, Madani A. Validation of an artificial intelligence platform for the guidance of safe laparoscopic cholecystectomy. Surg Endosc. 2023 Mar;37(3):2260-2268. doi: 10.1007/s00464-022-09439-9. Epub 2022 Aug 2. PMID: 35918549.
https://pubmed.ncbi.nlm.nih.gov/35918549/Hashimoto DA, Varas J, Schwartz TA. Practical Guide to Machine Learning and Artificial Intelligence in Surgical Education Research. JAMA Surg. 2024 Jan 3. doi: 10.1001/jamasurg.2023.6687. Epub ahead of print. PMID: 38170510.
https://pubmed.ncbi.nlm.nih.gov/38170510/We now have over 725 ep…
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Hot Topics in Trauma: Western Trauma Association 2024
14 maart 2024 · 53 min
The Fellowship of the Snow kept it interesting this year…both on and off the slopes! On this episode, Patrick Georgoff discusses the Western Trauma Association’s updated resuscitative thoracotomy algorithm with Ron Tesoriero, the results of a WTA multicenter trial exploring chest tube irrigation for the prevention of retained hemothorax with Thomas Carver, and prehospital blood administration with Juan Duchesne. Lees meer
** Algorithms and papers are pending final review and are therefore not available to link to this episode.
Ron Tesoriero, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Co-Director of the SICU at UCSF.
Thomas Carver, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Senior Medical Director of Critical Care Services at the Medical College of Wisconsin.
Juan Duchesne, MD: Professor of Surgery and Chief of Trauma and Acute Care Surgery at Tulane university.
Resuscitative Thoracotomy: The Who (Episode 475): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-14-ed-thoracotomy-the-who
Resuscitative Thoracotomy: The How (Episode 476): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-15-ed-thoracotomy-the-how
Innovation Lifeflow (Episode 642): https://app.behindtheknife.org/podcast/innovations-in-surgery-lifeflow
We now have over 725 episodes! The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app. You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players.
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Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts.Premium Bundle Includes:
General Surgery Oral Board Audio Review
Trauma Surge… -
Clinical Challenges in Vascular Surgery: Dialysis Associated Steal Syndrome
11 maart 2024 · 37 min
In this episode of Behind the Knife the vascular surgery subspecialty team discusses a few case scenarios of patients with dialysis associated hand ischemia (or steal syndrome). Although a rare, steal syndrome can be detrimental to patients with end stage renal disease and result in not only risk of losing dialysis access but even their limb. What options do you have to fix this problem? In this episode, we will cover the who is at risk of this, and what options you have to fix it. Lees meer
Hosts:
Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan.
Dr. David Schectman is a Vascular Surgery Fellow at the University of Michigan
Dr. Drew Braet is a PGY-4 Integrated Vascular Surgery Resident at the University of MichiganLearning Objectives
- Review high-yield topics regarding hemodialysis access
- Understand the incidence of and the relevant risk factors for dialysis associated steal syndrome
- Review the spectrum of presenting symptoms and relevant workup for dialysis associated steal syndrome
- Understand surgical treatment options for dialysis associated steal syndromeReferences
Please review the journal article below for helpful pictures and depictions of the operations we describe in this episode.
- Al Shakarchi J, et al. Surgical techniques for haemodialysis access-induced distal ischaemia. J Vasc Access. 2016 Jan-Feb;17(1):40-6.
https://pubmed.ncbi.nlm.nih.gov/26349875/Other helpful references
- Kordzadeh A, Parsa AD. A Systematic review of distal revascularization and interval ligation for the treatment of vascular access-induced ischemia. J Vasc Surg 2019; 70:1364.
https://pubmed.ncbi.nlm.nih.gov/31153703/
- Huber TS, Larive B, Imprey PB, et al. Access-related hand ischemia and the Hemodialysis Fistula Maturation Study. J Vasc Surg 2016;64:1050.
https://pubmed.nc… -
Circulation-First Approach to Trauma Resuscitation
7 maart 2024 · 48 min
Join BTK eduction fellows, Drs. Nina Clark and Jon Williams along with guests Drs. Sharmila Dissanaike and Paula Ferrada for a discussion on whether it’s time for a paradigm shift toward a circulation-first approach to trauma resuscitation. Lees meer
Hosts:
Nina Clark, MD and Jon Williams, MDGuests:
Sharmila Dissanaike, MD - Texas Tech University Health Sciences Center, Lubbock, TX
Paula Ferrada, MD - Inova, Fairfax, VAReferences:
Ferrada P, Dissanaike S. Circulation First for the Rapidly Bleeding Trauma Patient-It Is Time to Reconsider the ABCs ofTrauma Care. JAMA Surg. 2023 Aug 1;158(8):884-885. doi: 10.1001/jamasurg.2022.8436. PMID: 37195675.
https://pubmed.ncbi.nlm.nih.gov/37195675/Ferrada P, Ferrada R, Jacobs L, Duchesne J, Ghio M, Joseph B, Taghavi S, Qasim ZA, Zakrison T, Brenner M,Dissanaike S, Feliciano D. Prioritizing Circulation to Improve Outcomes for Patients with Exsanguinating Injury: ALiterature Review and Techniques to Help Clinicians Achieve Bleeding Control. J Am Coll Surg. 2024 Jan 1;238(1):129-136. doi: 10.1097/XCS.0000000000000889. Epub 2023 Nov 28. PMID: 38014850; PMCID: PMC10718219.
https://pubmed.ncbi.nlm.nih.gov/38014850/***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
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Journal Review in Surgical Oncology: Gastrointestinal Stromal Tumors (GISTs)
4 maart 2024 · 26 min
Join the Behind the Knife Surgical Oncology Team as we discuss “One versus Three Years of Adjuvant Imatinib for Operable Gastrointestinal Stromal Tumor: A Randomized Trial,” the randomized trial guiding duration of imatinib treatment for gastrointestinal stromal tumors (GIST). Lees meer
Hosts:
- Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center.
- Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist and current HPB fellow at MD Anderson.
- Connor Chick, MD (@connor_chick) is a Surgical Oncology fellow at Ohio State University.
- Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-6 General Surgery resident at Brooke Army Medical Center.
- Beth (Elizabeth) Carpenter, MD (@elizcarpenter16) is a PGY-5 General Surgery resident at Brooke Army Medical Center.Learning Objectives:
In this episode, we discuss the article “One versus Three Years of Adjuvant Imatinib for Operable Gastrointestinal Stromal Tumor: A Randomized Trial” published in JAMA in 2012. This study demonstrated that 3 years of imatinib led to improved recurrence-free and overall survival compared to 1 year.
Links to Paper Referenced in this Episode
https://jamanetwork.com/journals/jama/fullarticle/1105116***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Please visit https://app.behindtheknife.org/home to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out our recent episodes here https://app.behindtheknife.org/listen
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Clinical Challenges in Hernia Surgery: Lateral Abdominal Wall Hernias
29 februari 2024 · 33 min
Though relatively rare, lateral abdominal wall hernias present a unique challenge to surgeons. Join Drs. Ajita Prabhu, Lucas Beffa, Sara Maskal and Ryan Ellis as they talk through their approach to these difficult cases. Lees meer
Hosts:
· Ajita Prabhu, MD, Cleveland Clinic, @aprabhumd1
· Lucas Beffa, MD, Cleveland Clinic, @BeffaLukeMD
· Ryan Ellis, MD, Cleveland Clinic, @EllisMD2020
· Sara Maskal, MD, Cleveland ClinicLearning Objectives:
· Review anatomy of lateral abdominal wall hernias
· Review pitfalls of operating in the retroperitoneum
· Review surgical approaches to repair defects based on algorithmic assessmentReferences:
· Montelione KC, Petro CC, Krpata DM, Lau B, Shukla P, Olson MA, Tamer R, Rosenblatt S, Rosen MJ, Prabhu AS. Open Retromuscular Lateral Abdominal Wall Hernia Repair: Algorithmic Approach and Long-Term Outcomes at a Single Center. J Am Coll Surg. 2023 Jan 1;236(1):220-234. doi: 10.1097/XCS.0000000000000419. Epub 2022 Dec 15. PMID: 36106747.
https://pubmed.ncbi.nlm.nih.gov/36106747/· Beffa LR, Margiotta AL, Carbonell AM. Flank and Lumbar Hernia Repair. Surg Clin North Am. 2018 Jun;98(3):593-605. doi: 10.1016/j.suc.2018.01.009. Epub 2018 Mar 12. PMID: 29754624.
https://pubmed.ncbi.nlm.nih.gov/29754624/***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
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In-Flight Emergencies
26 februari 2024 · 33 min
Do the words “Is there a doctor on board” fill you with anxiety? For Dr. Thomas Doyle, responding to in flight medical events is just another day at the office. As the medical director for STAT-MD, him and his team provide on the ground consultation for passengers experiencing medical events at 35,000 feet. In this episode we talk about what events are most common, what equipment is on board, what are the rules/regulations around providing medical assistance, and what ground consultation services like STAT-MD can help offer to you so you’re never alone if you hear that phrase “Is there a doctor on board?” Lees meer
Guests:
Thomas J. Doyle, MD, MPH- Clinical Associate Professor of Emergency Medicine- University of Pittsburgh Medical Center; Medical Director, STAT-MD
Jessica Millar, MD- General Surgery Resident- University of Michigan; Education Fellow- Behind the Knife
Major John McClellan, MD- Acute Care and Trauma Surgeon- University of North Carolina Chapel HillWant to learn more from Dr. Doyle about in-flight medical events- you can check out one of his previous lectures here: https://www.upmcphysicianresources.com/cme-courses/emergencies-at-35000-feet-is-there-a-medical-provider-on-board
**Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content
The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios.***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out more recent episodes here: https://app.behindtheknife.org/listen
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Journal Review in Colorectal Surgery: Anal Dysplasia and Anal Squamous Cell Carcinoma
22 februari 2024 · 35 min
You have a patient referred to you for a history of anal dysplasia and found to have an anal lesion on colonoscopy. How do you evaluate this? What are the risk factors? How will you perform surveillance afterwards? Does everyone need HRA? Tune in to find out! Lees meer
Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Lisa Breen as they discuss high yield papers discussing Anal Dysplasia.
Learning Objectives
1. Describe the different types of anal dysplasia and pathologic categorization
2. Describe high risk populations for development of anal squamous cell cancer
3. Discuss the different options and recommendations for surveillance and treatment of anal dysplasiaVideo Link: https://www.youtube.com/watch?v=YdOjV1Gcqvk
**Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content
The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios.***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out more recent episodes here: https://app.behindtheknife.org/listen
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Clinical Challenges in Bariatric Surgery: Internal Hernia
19 februari 2024 · 37 min
You get called to see a consult in the middle of the night. It is a middle-aged woman with a bariatric history, and she says her stomach is smaller but doesn’t know the name of the operation. She developed worsening abdominal pain after dinner and it’s been getting worse. She’s not peritonitic, but she’s clearly in discomfort. Is it cholecystitis, diverticulitis, pancreatitis, marginal ulcer, or an internal hernia? What do you do? Join Drs. Matthew Martin, Adrian Dan, and Paul Wisniowski on a discussion about initial evaluation and management of bariatric patients with internal hernias. Lees meer
Show Hosts:
Matthew Martin
Adrian Dan
Paul WisniowskiVideo companion: https://app.behindtheknife.org/video/clinical-challenges-in-bariatric-surgery-internal-hernia
Show Notes
1. Initial Evaluation
a. Focused history and physical, labs, and imaging
i. Presenting symptoms may vary and include: nausea, emesis, and abdominal pain ranging from vague to severe.
ii. A basic lab panel can aid in developing the diagnosis and guide resuscitation.
iii. CT of the abdomen and pelvis with IV and oral contrast can assist in identifying intra-abdominal pathology
iv. Reviewing the previous operative report is beneficial to have a framework of the anatomy, i.e. type of bariatric surgery, and configuration of small bowel limbs (ante- vs retro-gastric and ante- vs retro-colic).
1. According to a 2019 study, 40-60% of closed defects had reopened at time of re-exploration
v. If the patient is peritonitic with abdominal pain, they should be treated similarly to any patient with an acute abdomen with emergent exploration.
b. CT Imaging
i. A mesenteric swirl sign with twisting of the soft tissue and mesenteric vessels with surrounding fat attenuation has been shown to have a sensitivity of 78-100% and specificity of 80-90%. Other findings include: a Bird’s beak, dilation of roux or biliopancreatic limbs, SMV narrowing, and displacement of JJ limb to the RUQ and can be used to support the diagnosis of in… -
Clinical Challenges in Cardiac Surgery: Mitral Valve Disease
15 februari 2024 · 25 min
We know cardiac surgery can seem a bit daunting on the surface. However, most surgeons will come across cardiac surgery patients at some point whether in the OR, ICU, ED, etc. As the FIRST cardiac surgery specialty team for Behind the Knife, we are excited to bring you episodes focused on high-yield topics to help you navigate common cardiac surgery challenges, discuss relevant literature to help you in practice, and help our listeners feel more comfortable around cardiac surgery patients. Lees meer
In this episode we’ll discuss mitral valve disease. We’ll review important physiologic differences in patients with mitral valve disease, the most common surgical approaches to address mitral valve disease, and how to work up and address acute mitral regurgitation due to acute papillary muscle rupture.
Hosts:
- Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15
- Aaron William, MD- Cardiothoracic Surgery Fellow, Duke University, @AMWilliamsMD
- Nick Teman, MD- Assistant Professor of Thoracic and Cardiovascular Surgery, University of Virginia, @nicktemanLearning objectives:
- Understand the physiologic differences that occur with mitral valve stenosis and regurgitation.
- Understand the basic principles of mitral valve repair and replacement strategies.
- Understand the presentation, work-up, and acute management of acute mitral valve regurgitations due to acute papillary muscle rupture/MI.For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu
**Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content
The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios. -
Behind the Knife Cardiothoracic Oral Board Review - Sample Episode 2 - Patent Ductus Arteriosus
12 februari 2024 · 24 min
Our Cardiothoracic Oral Board Audio Review includes 43 high-yield scenarios designed for Cardiothoracic Surgeons by Cardiothoracic Surgeons. Lees meer
Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as cardiothoracic surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test.
Learn more about the course and see all the episode topics here: https://app.behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife Cardiothoracic Oral Board Review - Sample Episode 1 - Hemoptysis and Infectious Lung Disease
8 februari 2024 · 23 min
Our Cardiothoracic Oral Board Audio Review includes 43 high-yield scenarios designed for Cardiothoracic Surgeons by Cardiothoracic Surgeons. Lees meer
Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as cardiothoracic surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test.
Learn more about the course and see all the episode topics here: https://app.behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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UK-REBOA Trial with Dr. Karim Brohi
5 februari 2024 · 35 min
REBOA is one spicy meatball! On this episode, Drs. Nina Clark and Patrick Georgoff discuss the landmark UK-REBOA trial with Dr. Karim Brohi. This is the first randomized controlled trial studying REBOA and provides invaluable information about its potential indications. Lees meer
Dr. Karim Brohi is a trauma and vascular surgeon at the Royal London Major Trauma Centre and director of the London Major Trauma System, which is the largest integrated urban trauma system in the world and manages over 33,000 injuries a year. He studied at University College of London where he obtained degrees in both computer science and medicine. Dr. Brohi went on to train in general surgery, vascular surgery, and anesthesia/critical care in the UK and trauma surgery in Cape Town and San Francisco. He is a prolific researcher and has led multiple large clinical trials.
Link to UK-REBOA paper: https://jamanetwork.com/journals/jama/article-abstract/2810757
BIG T Trauma episode 290 covers potential indications, placement, and complications of REBOA: https://behindtheknife.org/podcast/big-t-trauma-series-ep-2-reboa/
***TRAUMA SURGERY VIDEO ATLAS: https://app.behindtheknife.org/premium/trauma-surgery-video-atlas
***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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Clinical Challenges in Hepatobiliary Surgery: Bilateral Colorectal Liver Metastasis
1 februari 2024 · 34 min
Surgical resection of bilateral colorectal liver metastasis (CLM) can pose a significant challenge to even the most experienced HPB surgeon. Is surgical resection justified, if so, in which patients? What’s the best surgical approach for curative intent resection of all lesions, and does ablation play a role? In this episode from the HPB team at Behind the Knife, listen in on the discussion about the surgical management of patients with bilateral colorectal liver metastasis. Lees meer
Hosts
Anish J. Jain MD (@anishjayjain) is a T32 Research Fellow at the University of Texas MD Anderson Cancer Center within the Department of Surgical Oncology.Timothy E. Newhook MD, FACS (@timnewhook19) is an Assistant Professor within the Department of Surgical Oncology. He is also the associate program director of the HPB fellowship at the University of Texas MD Anderson Cancer Center.
Jean-Nicolas Vauthey MD, FACS (@VautheyMD) is Professor of Surgery and Chief of the HPB Section, as well as the Dallas/Fort Worth Living Legend Chair of Cancer Research in the Department of Surgical Oncology at The University of Texas MD Anderson Cancer Center
Learning Objectives:
· Develop an understanding of patient selection for surgical resection of bilateral colorectal liver metastasis (CLM).
· Develop an understanding of the use of Two Stage Hepatectomy (TSH) versus Parenchymal Sparing Hepatectomy (PSH) in the treatment of bilateral CLM.
· Develop an understanding of if and when to use ablative procedures for resection of bilateral CLM.
· Develop an understanding of selection and management of patients who suffer recurrence after resection of bilateral CLM.Suggested Readings
· Omichi K, Shindoh J, Cloyd JM, Mizuno T, Chun YS, Conrad C, Aloia TA, Tzeng CD, Vauthey JN. Liver resection is justified for patients with bilateral multiple colorectal liver metastases: A propensity-score-matched analysis. Eur J Surg Oncol. 2018 Jan;44(1):122-129. doi: 10.1016/j.ejso.2017.11.006. Epub 2017 Nov 24. PMID: 292… -
Journal Review in Surgical Palliative Care: RCTs in Surgical Palliative Care
29 januari 2024 · 23 min
2023 was an exciting year for Surgical Palliative Care research! Join Drs. Katie O’Connell, Ali Haruta, Lindsay Dickerson, and Virginia Wang from the University of Washington to discuss two seminal randomized controlled trials in the Surgical Palliative Care space. Lees meer
Hosts:
· Dr. Katie O’Connell (@katmo15) is an Assistant Professor of Surgery at the University of Washington. She is a trauma surgeon, palliative care physician, Director of Surgical Palliative Care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA.
· Dr. Ali Haruta is a PGY7 Hospice & Palliative Care fellow at the University of Washington, formerly a UW General Surgery resident and Parkland Trauma/Critical Care fellow.
· Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY5 General Surgery resident and current Surgical Oncology fellow at the University of Washington.
· Dr. Virginia Wang is a PGY2 General Surgery resident at the University of Washington.Learning Objectives:
· Discuss the current state of the RCT literature in Palliative Care & Surgical Palliative Care
· Understand the primary outcomes of the Shinall and Aslakson trials as related to perioperative specialty palliative care intervention
· Identify limitations in existing surgical palliative care RCTs & further opportunities for study
· Identify underlying differences between medical oncology and surgical oncology patient populationsReferences:
1. Shinall MC, Martin SF, Karlekar M, et al. Effects of Specialist Palliative Care for Patients Undergoing Major Abdominal Surgery for Cancer: A Randomized Clinical Trial. JAMA Surg. 2023;158(7):747–755. doi:10.1001/jamasurg.2023.1396
https://pubmed.ncbi.nlm.nih.gov/37163249/2. Aslakson RA, Rickerson E, Fahy B, et al. Effect of Perioperative Palliative Care on Health-Related Quality of Life Among Patients Undergoing Surgery for Cancer: A Randomized Clinical Trial. JAMA Netw Open. 2023;6(5):e2314660. doi:10.1001/jamanetworkopen.2023.14660
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Pelvic Exenteration Surgery Series Episode 4: Reconstruction and Recovery
25 januari 2024 · 35 min
Join Professor Michael Solomon, Dr Kilian Brown and Dr Jacob Waller from Royal Prince Alfred Hospital in Sydney, Australia, for this special four part series on pelvic exenteration surgery for locally advanced and recurrent rectal cancer. Learn about these ultra-radical procedures which go beyond the traditional TME planes that we learn during surgical training, and into all compartments of the pelvis. Lees meer
Episode 4 outlines the complex perineal and soft tissue, urological, bone and vascular reconstructions that may be required as part of these multi-visceral resections, as well as how to approach challenging postoperative complications.
Each episode in this series features a different international guest surgeon. In episode 4, the RPA team are joined by A/Prof Gabrielle van Ramshorst from the Ghent University Hospital, Belgium.
Technical descriptions:
Ho K, Warrier S, Solomon MJ, Lee K. A prepelvic tunnel for the rectus abdominis myocutaneous flap in perineal reconstruction. J Plast Reconstr Aesthet Surg. 2006;59(12):1415-9. doi: 10.1016/j.bjps.2006.01.050. Epub 2006 Jun 22. PMID: 17113532.
https://pubmed.ncbi.nlm.nih.gov/17113532/Jacombs AS, Rome P, Harrison JD, Solomon MJ. Assessment of the selection process for myocutaneous flap repair and surgical complications in pelvic exenteration surgery. Br J Surg. 2013 Mar;100(4):561-7. doi: 10.1002/bjs.9002. Epub 2012 Nov 27. PMID: 23188415.
https://pubmed.ncbi.nlm.nih.gov/23188415/References:
Witte DYS, van Ramshorst GH, Lapid O, Bouman MB, Tuynman JB. Flap Reconstruction of Perineal Defects after Pelvic Exenteration: A Systematic Description of Four Choices of Surgical Reconstruction Methods. Plast Reconstr Surg. 2021 Jun 1;147(6):1420-1435. doi: 10.1097/PRS.0000000000007976. PMID: 33973948.
https://pubmed.ncbi.nlm.nih.gov/33973948/van Ramshorst GH, Young JM, Solomon MJ. Complications and Impact on Quality of Life of Vertical Rectus Abdominis Myocutaneous Flaps for Reconstruction in Pelvic Exenteration Surgery.…
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Pelvic Exenteration Surgery Series Episode 3: Posterior and Lateral Compartment Tumours
22 januari 2024 · 38 min
Join Professor Michael Solomon, Dr Kilian Brown and Dr Jacob Waller from Royal Prince Alfred Hospital in Sydney, Australia, for this special four part series on pelvic exenteration surgery for locally advanced and recurrent rectal cancer. Learn about these ultra-radical procedures which go beyond the traditional TME planes that we learn during surgical training, and into all compartments of the pelvis. Lees meer
Episode 3 outlines the radical technical approaches to posterior and laterally invasive tumours, including en bloc iliac vascular resection and reconstruction, as well as radical sacrectomy techniques.
Each episode in this series features a different international guest surgeon. In episode 3, the RPA team are joined by Dr Oliver Peacock from the University of Texas MD Anderson Cancer Centre, USA.
Episode Video Link: https://www.youtube.com/watch?v=y25IYUiARgQ
Technical descriptions and videos:
Shaikh I, Holloway I, Aston W, Littler S, Burling D, Antoniou A, Jenkins JT; Complex Cancer Clinic St Mark's Hospital London. High subcortical sacrectomy: a novel approach to facilitate complete resection of locally advanced and recurrent rectal cancer with high (S1-S2) sacral extension. Colorectal Dis. 2016 Apr;18(4):386-92. doi: 10.1111/codi.13226. PMID: 26638828.
https://pubmed.ncbi.nlm.nih.gov/26638828/Brown KGM, Solomon MJ, Austin KKS, Lee PJ, Stalley P. Posterior high sacral segmental disconnection prior to anterior en bloc exenteration for recurrent rectal cancer. Tech Coloproctol. 2016 Jun;20(6):401-404. doi: 10.1007/s10151-016-1456-0. Epub 2016 Mar 21. PMID: 27000857.
https://pubmed.ncbi.nlm.nih.gov/27000857/Sutton PA, Solomon M, Sasidharan P, Lee P, Austin K. Abdominolithotomy sacrectomy for the management of locally recurrent rectal cancer: video vignette. Br J Surg. 2021 Aug 19;108(8):e257. doi: 10.1093/bjs/znab105. PMID: 34089593.
https://pubmed.ncbi.nlm.nih.gov/34089593/Drami I, Fletcher JA, Corr A, West MA, Aston W, Hellawell G, Burns EM, Jenkins JT. T…
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Behind the Knife ABSITE 2024 - Quick Hits 4
16 januari 2024 · 29 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Quick Hits 3
15 januari 2024 · 17 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Quick Hits 2
12 januari 2024 · 21 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Journal Review in Surgical Education: The Salary of Resident Physicians
11 januari 2024 · 46 min
As the cost of living continues to rise, the salary and housing stipends of resident physicians are not keeping pace. Dr. Melissa Drezdzon and Dr. Jed Calata from the Medical College of Wisconsin have explored these issues in depth and share their insights. Join hosts Dr. Ananya Anand, Dr. Joe L’Huillier, and Dr. Rebecca Moreci and their special guests as they discuss the salary of resident physicians. Lees meer
Hosts:
–Dr. Ananya Anand, Stanford University, @AnanyaAnandMD, ananya_anand@stanford.edu
–Dr. Joseph L’Huillier, University at Buffalo, @JoeLHuillier101, josephlh@buffalo.edu
–Dr. Rebecca Moreci, Louisiana State University, @md_moreci, morecir@med.umich.edu
–COSEF: @surgedfellowsSpecial guests:
-Dr. Melissa Drezdzon, Medical College of Wisconsin, @mdrezdzonmd, mdrezdzon@mcw.edu
-Dr. Jed Calata, Medical College of Wisconsin, jcalata@mcw.eduLearning Objectives:
Listeners will:
– Appreciate the discrepancy between cost of living increases and stagnant resident salaries
– Describe how residency salaries are funded
– Recall the regional variation in resident stipends and access to affordable housing across the united states
– List possible solutions for addressing this issueReferences:
Drezdzon MK, Cowley NJ, Sweeney DP, Peterson CY, Ridolfi TJ, Ludwig KA, Evans DB, Calata JF. Going for Broke: The Impact of Cost of Living on Surgery Resident Stipend Value. Ann Surg. 2023 Dec 1;278(6):1053-1059. doi: 10.1097/SLA.0000000000005923. Epub 2023 May 25. PMID: 37226808.
https://pubmed.ncbi.nlm.nih.gov/37226808/Drezdzon, M.K., Cowley, N.J., Sweeney, D.P., Peterson CY, Ridolfi TJ, Ludwig KA, Calata JF. A costly threat to GME: the housing crisis and residency training. Global Surg Educ 2, 85 (2023).
https://doi.org/10.1007/s44186-023-00157-x***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Video Link: https://www.youtube.com/watch?v=4DYJIxCrsDE
Please visit https://app.behindtheknife.org/home to access other high-yield surgical education podcasts, vide…
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Behind the Knife ABSITE 2024 - Quick Hits 1
10 januari 2024 · 30 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9***
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Obstetrics & Gynecology
9 januari 2024 · 17 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Urology
8 januari 2024 · 27 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Pediatric Surgery
5 januari 2024 · 1 uur 11 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Clinical Challenges in Burn Surgery: Global Burn Surgery
4 januari 2024 · 31 min
The percent surface area burn for which half of patients survive, known as lethal area 50, or LA50 depends on where in the world the injury occurs. Calling all surgeons and trainees with an interest in providing more equitable delivery of global injury care - Join our Burn Surgery team as we welcome Dr. Manish Yadav, Plastic and Burn Surgeon at Kirtipur Hospital in Kathmandu, Nepal to discuss several recent challenging cases. We’ll discuss the global burden of burn injuries, how emergency burn care systems reduce preventable morbidity and mortality, innovations in resuscitation of burn shock, use of checklists for critical care and safe early excision, and application of palliative care in different cultural contexts. (Co-hosts: Dr. Barclay Stewart, Burn and Trauma Surgeon at Harborview Medical Center and Paul Herman, UWMC/HMC Surgery Resident) Lees meer
Hosts: (affiliation and SM handles)
1. Manish Yadav, Kirtipur Hospital, Nepal
2. Barclay Stewart, Harborview Medical Center
3. Paul Herman, UW/Harborview General Surgery Resident, @paul_herm
4. Tam Pham, Harborview Medical Center (Editor)Learning Objectives
1. Describe the global epidemiology of burn injury, disparities in burn injury and care, and highlight efforts to improve burn care in low and middle-income countries
2. Discuss two cases at a burn center in Kirtipur, Nepal, highlighting challenges in burn care in LMICs and innovations to address these challenges and provide high level care
a. Highlight enteral resuscitation as an innovative strategy with advantages for treating burn shock in low resource settings
b. Discuss the key burn concept of early excision and steps to ensure safe application in low resource settings1. References
a. Gosselin, R., Charles, A., Joshipura, M., Mkandawire, N., Mock, C. N. , et. al. 2015. “Surgery and Trauma Care”. In: Disease Control Priorities (third edition): Volume 1, Essential Surgery, edited by H. Debas, P. Donkor, A. Gawande, D. T. Jamison, M. Kruk, C. N. Mock. Washington, …
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Behind the Knife ABSITE 2024 - Minimally Invasive Surgery and Endoscopy
3 januari 2024 · 17 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Hernias
2 januari 2024 · 45 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Fluids and Electrolytes
1 januari 2024 · 18 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Skin & Soft Tissue
29 december 2023 · 19 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Burns
28 december 2023 · 19 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Critical Care
27 december 2023 · 39 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Trauma - Part 2
26 december 2023 · 54 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Trauma - Part 1
25 december 2023 · 41 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Hematology
22 december 2023 · 44 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Journal Review in Colorectal Surgery: Management of Perineal Wounds Following Pelvic Surgery
21 december 2023 · 25 min
There is more than one way to plug a hole… Lees meer
Perineal wounds after pelvic surgery can be challenging to manage. It is important for surgeons to have a general understanding of upfront reconstruction options and strategies to deal with the sequence of wound failure. Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon as they discuss the management of perineal wounds following pelvic surgery.
Hosts:
- Susan Galandiuk MD, University of Louisville, Louisville, Kentucky, @DCREdInChief
- Vladimir Bolshinsky MD, Peninsula Health, Victoria, Australia, @bolshinskyv
- Sandy Kavalukas MD, University of Louisville, Louisville, Kentucky, @sandykava
- Hillary Simon DO, University of Louisville, Louisville, Kentucky, @HillaryLSimonProducer:
- Manasa Sunkara MS3, University of Louisville, Louisville, Kentucky, @manasasunkara12Learning objectives:
- Review perineal reconstruction options after pelvic surgery for anorectal pathology.
- Understand management strategies for perineal wound breakdown.
- Discuss the importance of critical appraisal of studies surrounding perineal wound reconstruction and management.References:
- Asaad M, et al. Robotic Rectus Abdominis Muscle Flap following Robotic Extirpative Surgery. Plastic and Reconstructive Surgery 148(6):p 1377-1381, December 2021. doi: 10.1097/PRS.0000000000008592 https://pubmed.ncbi.nlm.nih.gov/34847128/
- Figg RE, Church JM. Perineal Crohn's disease: an indicator of poor prognosis and potential proctectomy. Dis Colon Rectum. 2009 Apr;52(4):646-50. doi: 10.1007/DCR.0b013e3181a0a5bf. https://pubmed.ncbi.nlm.nih.gov/19404069/
- Fuschillo G, Pellino G. Chronic Perineal Sinus After Proctectomy for Crohn’s Disease: Risk Reduction Strategies and Management. Diseases of the Colon & Rectum 65(4):p 468-471, April 2022. doi: 10.1097/DCR.0000000000002413 https://pubmed.ncbi.nlm.nih.gov/35067504/
- Mori GA, Tiernan JP. Management of Perineal Wounds Following Pelvic Surgery. Clin Colon Rectal Surg. 2022 Mar 7;35(3):212-220. doi: 10.10… -
Behind the Knife ABSITE 2024 - Breast
20 december 2023 · 1 uur 10 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Thoracic
19 december 2023 · 37 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Vascular - Part 2
18 december 2023 · 49 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Vascular - Part 1
15 december 2023 · 48 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening.
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Clinical Challenges in Emergency General Surgery: Complicated Pancreatitis
14 december 2023 · 38 min
Join our Emergency General Surgery team as we talk about a popular and controversial issue in surgery: dealing with complicated cases in pancreatitis. We discuss two hard-hitting cases and cover principles of diagnosis, early management and disposition, and things to look out for every step of the way. Lees meer
We cover some common and some rare but particularly problematic complications. Although there is no right answer to every case of pancreatitis, we try to help learners to develop an approach to pancreatitis that considers the morbidity and benefits of every option.
Hosts: Drs. Ashlie Nadler, Jordan Nantais and Graham Skelhorne-Gross
Learning Objectives:
- Review the diagnostic criteria for acute pancreatitis
- Learn to anticipate common and major complications of acute pancreatitis
- Develop an approach to complications of pancreatitis accounting for patient, family, practitioner, and institutional factors
- Understand the risks and benefits of various methods for dealing with pancreatic necrosis and infectionTENSION trial
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32404-2/fulltext
MISER trial
https://pubmed.ncbi.nlm.nih.gov/30452918/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out other emergency general surgery episodes here: https://behindtheknife.org/podcast-category/emergency-general-surgery/
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Behind the Knife ABSITE 2024 - Oncology
13 december 2023 · 12 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Colorectal - Part 2
12 december 2023 · 30 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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Behind the Knife ABSITE 2024 - Colorectal - Part 1
11 december 2023 · 40 min
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Lees meer
Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.
Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.