Surgical Education by Behind The Knife

Episode 667 •

Oct 12

Clinical Challenges in Colorectal Surgery: Management of Horseshoe Abscess

You have a young patient with a horseshoe abscess. How should you address the abscess initially? What is the best approach to drain it? Now that it is drained, what do I do with all the drains? Tune in to figure out how to best approach the most challenging of perianal abscesses. 

Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Julia Saraidaridis as they discuss the management of horseshoe abscess and complicated perianal fistula. 

Learning Objectives
1. Describe the evaluation for perianal abscesses and fistula. 
2. Discuss the different surgical options in managing horseshoe abscesses and post operative care to definitive management
3. Explain the rationale behind use of different fistula surgeries in complex perianal fistulas

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. 

Our Colorectal Surgery Oral Board Audio Review includes 51 high-yield scenarios designed for Colorectal Surgeons by Colorectal Surgeons.  Learn more here: https://behindtheknife.org/premium

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Episode 658 •

Sep 11

Journal Review in Hepatobiliary Surgery: Advances in Liver Venous Deprivation and Hypertrophy

For patients with insufficient future liver remnant (FLR) volume, adequate hypertrophy after Portal Venous Embolization (PVE) is associated with reduced likelihood of post-operative hepatic insufficiency. But what happens when PVE isn’t enough to obtain adequate volume prior to surgery? In this episode from the HPB team at Behind the Knife, listen in on the discussion about advances in venous deprivation techniques that can potentially increase resection rates and hypertrophy

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 Portal Venous Embolization (PVE)
– Develop an understanding of Sequential Hepatic Venous Embolization (HVE)
– Develop an understanding of Radiological Simultaneous Porto-hepatic Venous Embolization (RASPE)
– Develop an understanding of the traditional two-stage hepatectomy with PVE
– Develop an understanding of the Fast Track Two-Stage Hepatectomy

Papers Referenced (in the order they were mentioned in the episode):

1) Niekamp AS, Huang SY, Mahvash A, Odisio BC, Ahrar K, Tzeng CD, Vauthey JN. Hepatic vein embolization after portal vein embolization to induce additional liver hypertrophy in patients with metastatic colorectal carcinoma. Eur Radiol. 2020 Jul;30(7):3862-3868. doi: 10.1007/s00330-020-06746-4. Epub 2020 Mar 7. PMID: 32144462.
2) Laurent C, Fernandez B, Marichez A, Adam JP, Papadopoulos P, Lapuyade B, Chiche L. Radiological Simultaneous Portohepatic Vein Embolization (RASPE) Before Major Hepatectomy: A Better Way to Optimize Liver Hypertrophy Compared to Portal Vein Embolization. Ann Surg. 2020 Aug;272(2):199-205. doi: 10.1097/SLA.0000000000003905. PMID: 32675481.
3) Nishioka Y, Odisio BC, Velasco JD, Ninan E, Huang SY, Mahvash A, Tzeng CD, Tran Cao HS, Gupta S, Vauthey JN. Fast-track two-stage hepatectomy by concurrent portal vein embolization at first-stage hepatectomy in hybrid interventional radiology / operating suite. Surg Oncol. 2021 Dec;39:101648. doi: 10.1016/j.suronc.2021.101648. Epub 2021 Aug 16. PMID: 34438236.

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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Episode 647 •

Aug 3

Dominate the Match – Episode 5: “Meet the Match-2024”

It’s that time of year (again!)- when medical students across the country are preparing their residency applications. The process can be a bit daunting, and there have been a number of changes to process for the 2024 application cycle. Join our education fellow, Dr. Jessica Millar, and Dr. David Hughes as they review the “nuts and bolts” of this year’s residency application cycle.

Guests:
David Hughes, MD- Clinical Associate Professor of Endocrine Surgery, General Surgery Residency Program Director- University of Michigan

Important Dates:

– June 7, 2023: ERAS application opens at 9 a.m. ET.
– September 6, 2023: Residency applicants may begin submitting MyERAS applications to programs at 9 a.m. ET.
– September 15, 2023: Registration for the NRMP Match Opens
– September 27, 2023: Residency programs may begin reviewing MyERAS applications, MSPEs, and supplemental ERAS application data (if applicable) at 9 a.m. ET.

– October 26-31, 2023: Common Interview Release Window

– January 31, 2024: Registration for the NRMP Match Closes

Previous DOMINATE the Match Episodes:
Episode 2- “Choose Me” (Personal Statements and Letters of Recommendations)
https://behindtheknife.org/podcast/dominate-the-match-episode-2-choose-me/

Episode 3- “The Interview”
https://behindtheknife.org/podcast/dominate-the-match-episode-3-the-interview/

Episode 4- “Rank and Match”
https://behindtheknife.org/podcast/dominate-the-match-episode-4-rank-and-match/

Residency Program Lists:
– FREIDA Residency and Fellowship Database: https://freida.ama-assn.org/
– Doximity: https://www.doximity.com/residency/?utm_campaign=marketing_resnav_competitor_broad_20210520&utm_source=google&utm_medium=cpc&gclid=CjwKCAjwt52mBhB5EiwA05YKo1J47BLAtTPtsJBmVvXGP2pDXLLqgDIwM0pgkSYjoBhFUOO1ktXDYRoC2bkQAvD_BwE

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our intern bootcamp series here: https://behindtheknife.org/podcast-series/medical-student-and-intern-survival-guide/

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Episode 646 •

Jul 31

BTK Throw Down: Trauma Vascular Access

The first BTK THROW DOWN!  A spicy debate…a war of words…a battle of ideas!  This fiery episode features leaders in the field of trauma surgery discussing the optimal approach to vascular access in trauma patients.  A recent study titled “Moving the Needle on Time to Resuscitation: An EAST Prospective multicenter study of vascular access in hypotensive injured patients using trauma video review” concluded that intraosseous access should be considered a first line therapy in hypotensive trauma patients.  Is this appropriate?  Crazy?  Just so crazy it might work?  Let’s get ready to ruuuummmmbbbbbbllllllleeeee!

Hosts: 
Patrick Georgoff, MD (@georgoff)
Nina Clark, MD (@clarkninam)

Guests: 
Ryan Dumas, MD – UT Southwestern (@RPDumasMD)
Michael Vella, MD, MBA – University of Rochester (@MichaelVella32)
Bellal Joseph, MD – University of Arizona (@TopKnife_B)

Moving the Needle on Time to Resuscitation: An EAST Prospective multicenter study of vascular access in hypotensive injured patients using trauma video review.
– Dumas RP, Vella MA, Maiga AW, Erickson CR, Dennis BM, da Luz LT, Pannell D, Quigley E, Velopulos CG, Hendzlik P, Marinica A, Bruce N, Margolick J, Butler DF, Estroff J, Zebley JA, Alexander A, Mitchell S, Grossman Verner HM, Truitt M, Berry S, Middlekauff J, Luce S, Leshikar D, Krowsoski L, Bukur M, Polite NM, McMann AH, Staszak R, Armen SB, Horrigan T, Moore FO, Bjordahl P, Guido J, Mathew S, Diaz BF, Mooney J, Hebeler K, Holena DN. Moving the needle on time to resuscitation: An EAST prospective multicenter study of vascular access in hypotensive injured patients using trauma video review. J Trauma Acute Care Surg. 2023 Jul 1;95(1):87-93. doi: 10.1097/TA.0000000000003958. Epub 2023 Apr 4. PMID: 37012624.

Time to early resuscitative intervention association with mortality in trauma patients at risk for hemorrhage.
– Deeb AP, Guyette FX, Daley BJ, Miller RS, Harbrecht BG, Claridge JA, Phelan HA, Eastridge BJ, Joseph B, Nirula R, Vercruysse GA, Sperry JL, Brown JB. Time to early resuscitative intervention association with mortality in trauma patients at risk for hemorrhage. J Trauma Acute Care Surg. 2023 Apr 1;94(4):504-512. doi: 10.1097/TA.0000000000003820. Epub 2023 Jan 11. PMID: 36728324; PMCID: PMC10038862.

Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein cannulation in adult patients: a systematic review and meta-analysis
– van Loon FHJ, Buise MP, Claassen JJF, Dierick-van Daele ATM, Bouwman ARA. Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein cannulation in adult patients: a systematic review and meta-analysis. Br J Anaesth. 2018 Aug;121(2):358-366. doi: 10.1016/j.bja.2018.04.047. Epub 2018 Jul 2. PMID: 30032874.

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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Episode 617 •

May 4

BIG T Trauma Series Ep. 17 – Brain Death

On this episode of the BIG T Trauma series Drs. Patrick Georgoff, Teddy Puzio, and Jason Brill discuss brain death and why you as a provider must be able to provide clarity when it is needed most.  This episode is packed with useful information on a very complicated topic.  So, sit back, relax, and enjoy the show.  

The World Brain Death Project (JAMA 2020): https://pubmed.ncbi.nlm.nih.gov/32761206/

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out the rest of the BIG T trauma series here: https://behindtheknife.org/podcast-series/big-t-trauma/

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Dominate the

Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE.

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We know how to study for the ABSITE, and do well. That’s why we made this book. Concise, convenient, and up-to-date, our ABSITE review book is essential reading for surgical trainees.

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Essential listening for residents
I can’t say enough good things about this podcast. Amazing content, engaging discussion and an essential resource for surgery residents anywhere.
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Gold Standard for surgical podcasts. Great podcast for surgical residents and fellows. Great topics. Great content. Great discussions. Highly recommend.
BigRizzle809
Incredible, entertaining and empowering!
This is a must listen to show if you’re thinking about becoming a surgeon, going into medicine in some capacity or just want to learn more about what the world of surgery looks like – from actual surgeons! All of the hosts do an incredible job bringing on guests in the field who cover a wide variety of topics that apply across the entire medical landscape – all while keeping the focus of sugery as the backdrop. Highly recommend listening and subscribing!
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Amazing surgical resource
Annual ABSITE review is incredibly helpful, and such a nice break from staring at a computer screen! I listen on my way to/from work every day, making my commute a more efficient use of time. The topics outside of ABITE are also great tools for learning more about current issues in surgery as well as a career development and hot topics at annual meetings. This is an invaluable resource – I would highly recomment to every surgical resident, fellow, and faculty invested in surgical education!
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Amazing podcasts, great ABSITE series, fascinating interviews with leaders in the field! Wish I had discovered years ago!
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