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Explore every episode of Behind The Knife: The Surgery Podcast

Dive into the complete episode list for Behind The Knife: The Surgery Podcast. Each episode is cataloged with detailed descriptions, making it easy to find and explore specific topics. Keep track of all episodes from your favorite podcast and never miss a moment of insightful content.

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Pub. DateTitleDuration
18 Jan 2021BTK ABSITE 2021 - Thoracic00:48:18
05 Jan 2021BTK ABSITE 2021 - Breast00:43:20

We review high yield breast topics, to include: high yield anatomy, benign breast disease, and management of breast cancer and the axilla.

SURVEY LINK:

https://survey.libsyn.com/behindtheknife

10 Feb 2021Kick-Off to 2021!00:07:23

The ABSITE is over! 2021 has truly begun now. Listen to this short update about what we have in store for you guys over the course of this next year.

27 Apr 2020Big T Trauma Series Ep. 1 - Neck Trauma00:27:44

Neck trauma

Hosts: Patrick Georgoff, MD and Jayne McCauley, MD

The inaugural episode of the BIG T TRAUMA series!  This series will offer clinically oriented material that focuses on how best to care for traumatically injured and critically ill patients.  The information presented in this podcast is designed for surgical trainees but is appropriate for anyone with an interest in trauma surgery, including medical students, advanced practice providers, and nurses. 

 

This episode will cover neck trauma, and includes important learning points related to blunt and penetrating injury.  Demystify neck trauma today!!!

 

References:

13 Jan 2021BTK ABSITE 2021 - Critical Care Part 2 with Dr. Matthew Martin00:34:15
19 Jan 2021BTK ABSITE 2021 - Pediatric Surgery00:56:04
22 Feb 2021Plastic Surgery for the General Surgeon: Abdominal and Chest Wall Reconstruction with Dr. Shailesh Agarwal00:34:21

This is the second part of our discussion with Dr. Shailesh Agarwal, Plastic Surgeon at Brigham and Women's in Boston. In this half, we discuss the plastic surgeon's perspective on abdominal wall reconstruction and chest wall reconstruction. This is part of a short mini-series of episodes we are releasing about topics in plastic surgery that would interest every surgeon! Stay tuned for more. episode in the Plastic Surgery for the General Surgeon series! 

31 May 2020BTK/ANNALS JOURNAL CLUB #16: GLOBAL SURGERY00:35:00
Join us for our 16th joint Journal Club with Annals of Surgery! We discuss the hot topic of global surgery—specifically, how to advance your surgical career while pursuing interests in global surgery.   This episode's guest author is Dr. Sherry Wren, Director of Global Surgery and Professor of Surgery at Stanford University. She is also Vice Chair for Professional Development and Diversity, and she manages Stanford’s educational surgical partnerships in sub-Saharan Africa.   She was lead author of the recent paper "Academic Advancement in Global Surgery: Appointment, Promotion, and Tenure Recommendations From the American Surgical Association Working Group on Global Surgery" Dr. Wren will talk about her own career and experiences as a global surgeon alongside the working group's recommendations for academic advancement.   Download the full paper here: https://journals.lww.com/annalsofsurgery/Fulltext/2020/02000/Academic_Advancement_in_Global_Surgery_.14.aspx
07 Jul 2020Abdominal Vascular Trauma - Venous with Dr. Todd Rasmussen00:32:28

Abdominal Vascular Trauma – Venous with Dr. Todd Rasmussen. 

Episode 3 of 6 for our vascular trauma series. Kevin and Adham discuss the management of injuries to the vena cava and portomesenteric venous system with Dr. Rasmussen. 

Dr. Rasmussen is a Colonel in the United States Air Force and is a Professor of Surgery and Associate Dean of Research at the Uniformed Services University of Health Sciences and an attending vascular surgeon at Walter Reed National Military Medical Center. 

Dr. Rasmussen has been deployed numerous times to Iraq and Afghanistan, and cared for many traumatic vascular injuries at Walter Reed Medical Center, through his experience and research he has become one of the foremost leaders on the management of vascular trauma and recently published the third edition of Rich’s Vascular Trauma. 

  

Check out Dr. Rasmussen’s book 

https://www.elsevier.com/books/richs-vascular-trauma/9781455712618 

https://www.amazon.com/Richs-Vascular-Trauma-Todd-Rasmussen/dp/1455712612 

16 Nov 2020Who Should Manage Vascular Trauma? A Debate. 00:42:12

“Who Should Manage Vascular Trauma?”

Today’s podcast is a collaboration between

Audible Bleeding – AudibleBleeding.com

Behind The Knife – BehindTheKnife.org

Trauma ICU Rounds - TraumaICURounds.ca

Subscribe to all 3 on any podcasting platform!

 

The most recent article discussed in this podcast can be found here.

https://journals.lww.com/annalsofsurgery/Fulltext/2020/08000/Beyond_the_Crossroads__Who_Will_be_the_Caretakers.53.aspx

 

Vascular Surgery

Dr. Benjamin Starnes

Dr. Starnes is a Professor of Vascular Surgery, Chief of the Division of Vascular Surgery and Vice Chair of the Department of Surgery for UW Medicine. Additionally he is a former military surgeon with combat experience.

 

Dr. Westley Ohman

Dr. Ohman is an Assistant Professor of Vascular Surgery at Barnes-Jewish Hospital which is a level 1 trauma center where he is routinely involved in the care of complex vascular trauma.

 

Trauma Surgery

Dr. Tanya Zakrison is an Associate Professor of Surgery and a Trauma and Acute care surgeon at the University of Chicago medical center, which is a level 1 trauma center.

Dr. Matthew Martin is a Professor of Surgery at Scripps Medical Center in San Diego, a former Army Surgeon who is recognized as a leader in trauma care, and has served on 5 combat deployments.

Moderators

Dr. Dennis Kim is an Associate Professor of Surgery and an Acute Care and Trauma Surgeon at UCLA School of Medicine and is the host of the podcast Trauma ICU rounds

Dr. Kevin Kniery is a vascular surgeon at Brooke Army Medical Center.

 

 

 

13 Jul 2020Virtual Interviewing for Residency and Fellowship in the COVID Era00:39:31

Join Dr. Scott Steele and Dr. Jason Bingham as they host our guests, Dr. Howard Ross and Dr. Ajita Prabhu to discuss interviewing in this new age of Zoom conferences. Prior BTK personality Dr. Woo Do also drops in to the show to discuss his own experiences interviewing for (and successfully matching in!) a Pediatric Surgery fellowship!

Dr. Howard Ross - Chief of Colorectal Surgery and General Surgery Residency Program Director at Temple University

Dr. Ajita Prabhu - Associate Professor of Surgery and General Surgery Residency Assistant Program Director at Cleveland Clinic

03 Jan 2021BTK ABSITE 2021 - Vascular Part 100:40:18

BTK ABSITE Companion 

Check out our book at this link, and help us out with a 5 star rating!  https://amzn.to/37sEH44

 

Subscribe to our YouTube Channel here for video ABSITE reviews. 

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

15 Jan 2021BTK ABSITE 2021 - Hernias00:33:09

Quick hit hernia knowledge for ABSITE, boards and even rounds.   Covers wide range of different types of hernia and repair options.

 

https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/0578802767

04 May 2020Big T Trauma Series Ep. 4 - TEG and Anticoagulant Reversal00:31:27

Big T Trauma Series Ep. 4 - TEG and Anticoagulant Reversal

This is part II of trauma resuscitation.  In this episode we cover TEG and anticoagulant reversal.  We worked hard to keep things practical and clinically relevant  - perfect for listeners who want to dominate their next trauma resuscitation.  

20 Jul 2020ECMO Basics Part 1 with Patrick Georgoff and Nicholas Teman00:32:07

Please enjoy this three part series on ECMO by Patrick Georgoff and 

Please check out our Journal Cast for quick breakdowns of landmark papers.

https://www.youtube.com/watch?v=7tsRUhnVDCw

13 Oct 2020SSO Landmark Papers - Colorectal Cancer Liver Metastases00:49:21

What is the latest, up to date practice in surgical oncology for liver mets from colorectal cancer? Dr. Jean-Nicolas Vauthey, author of the landmark paper on the topic, joins us to discuss.

27 Jul 2020Systemic Bias and Structural Racism in Surgery and Medicine00:54:31

The recent murder of George Floyd, among others, has once again brought to the forefront discourse on the deep-rooted, structural obstacles and mistreatment that black people face. Those roots have grown into our own profession as well, so join the BTK team this week as we discuss the serious topic of systemic racism in surgery and how we can begin to overcome it.

Featuring our guests:

Carla Pugh, MD, PhD; Professor of Surgery at Stanford University, Acute Care Surgeon, Director of the Technology Enabled Clinical Improvement Center

Lola Fayanju, MD, MA; Assistant Professor of Surgery and Population Health Sciences at Duke University, Associate Director for Disparities & Value in Healthcare with Duke Forge

Fabian Johnston, MD, MHS; Associate Professor of Surgical Oncology, Chief of GI Surgical Oncology, Director of the Peritoneal Surface Malignancy Program, Program Director of the Complex General Surgery Oncology Fellowship at Johns Hopskins University

26 Oct 2020Why a Career in Vascular Surgery with Dr. Bernadette Aulivola 00:28:00

Dr. Bernadette Aulivola is a Professor of Vascular Surgery and Endovascular Surgery at Loyola Medical Center and the Division Director of Vascular Surgery. 

https://loyolamedicine.org/doctor/bernadette-aulivola

Check out Audible Bleeding here https://www.audiblebleeding.com/ or on any podcast platform. 

Find a vascular mentor here!

https://svsconnect.vascular.org/home

Request Dr. Aulivola and Dr. Ellozy

 

06 May 2020Big T Trauma Series Ep. 5 - Gun Violence00:41:53

In this episode, we talk about gun violence in America.  We cover gun violence statistics, the second amendment, current gun laws, the research conundrum, and gun policy with a focus on background checks, assault weapons, and public opinion.  We also discuss recommendations from the American College of Surgeons.  

References:

18 Dec 2020BTK ABSITE 2021 - Hepatobiliary Part 200:29:27

We continue with high-yield hepatobiliary, to include: cystic lesions and tumors of the liver and biliary tree.

 

ABSITE COMPANION:

https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/0578802767

27 Jan 2021BTK ABSITE 2021 - Anesthesia00:33:48

In this episode we review the need to know information regarding anesthesia and preoperative work up.  Very concentrated information intended for the ABSITE and boards.

01 Apr 2020Critical Care Management of COVID-19 from the Front Lines - Dr. Mayur Narayan 00:53:02

Dr. Mayur Narayan associate professor of surgery at Weill Cornell Medical Center, describes his early experience managing a SICU full of COVID-19 + positive patients. 

Dr. Patrick Georgoff, critical care fellow, and frequent Behind The Knife contributor joins us to help break down the critical care aspects of COVID-19. 

Resources

SCCM Covid guidelines: http://www.med.umich.edu/surgery/mcccn/documents/SSC-COVID19-Critical-Care-Guidelines.pdf

DOD Covid guidelines: http://www.med.umich.edu/surgery/mcccn/documents/DoD-COVID-19-Practice-Management-Guide-V10

JAMA treatment synopsis: https://jamanetwork.com/journals/jama/fullarticle/2763879?guestAccessKey=8e645e9d-64dc-436c-8f59-d0dd83afb7d9&utm_content=weekly_highlights&utm_term=032820&utm_source=silverchair&utm_campaign=jama_network&cmp=1&utm_medium=email

Michigan Critical Care Collaborative Network: http://www.med.umich.edu/surgery/mcccn/

MGH Treatment Guide: http://www.med.umich.edu/surgery/mcccn/documents/MGH-Guide-for-COVID-Patients.JPG

30 Mar 2020Healthcare Leadership in Crisis - (COVID-19) with Dr. Scott Steele and Dr. Tom Hustead00:43:28

Behind the Knife joins Cal Walters on his podcast "Intentional Living and Leadership" to discuss leading in a healthcare crisis with two veteran physicians that have served on multiple combat tours to Iraq and Afghanistan. 

If you are interested in becoming a better leader or living a more intentional life, please check out Cal's podcast. Highly recommend. 

https://www.calwalters.me/

Intentional Living and Leadership 

 

Dr. Tom Hustead graduated from West Point in the top 3% of his class and received his medical degree from Case Western University School of Medicine. As a retired Army Colonel, highlights from his distinguished career include deployments to Iraq and Afghanistan, being awarded Flight Surgeon of the Year for his service in combat, Outstanding Faculty of the Year for his medical teaching, and board selection as Department Chair for a family medicine residency department. As a result of his appointment by the Army Surgeon General to be the “face of military medicine” to recruit and share the Army Medicine story, Dr. Hustead recognized a need and developed a passion for teaching physicians across the country to be effectively engaged leaders. In his final appointment in the military, Dr. Hustead was the commander/CEO of a NATO military medical facility at the Supreme Headquarters Allied Powers Europe in Belgium. Dr. Hustead currently practices as a family physician at Hardin Memorial Health and serves as Medical Director for their employed medical group. Dr. Hustead also co-founded The Referent Group, which provides leadership training, coaching, and resources for healthcare leaders.  With an emphasis on servant leadership, Dr. Hustead’s core conviction is that effective leadership is never about the leader, but is focused in creating a culture where those being led can flourish

Dr. Scott Steele is the Chair of Colorectal Surgery at Cleveland Clinic in Cleveland, OH. As a graduate of West Point, he was an active duty Army officer, serving as the Chief of Colorectal Surgery at Madigan Army Medical Center, Fort Lewis, WA. He has served 4 combat tours in Iraq and Afghanistan, being awarded the Combat Medical Badge amongst others. His contributions to the medical literature include over 140 peer-reviewed articles, 60 invited reviews and book chapters, 12 national practice parameters, guest editor for 5 volumes dedicated to colorectal disease, and currently is an editor on 4 textbooks in colorectal surgery.

We recorded this interview on March 28, 2020, a time when our nation’s entire medical ecosystem is mobilizing for war against the COVID-19 pandemic. While many Americans are working from home to blunt the spread of the virus, healthcare clinicians and administrators are working around the clock to prepare for the coming tsunami of patients. The scope and the scale of the coming fight is unprecedented in the healthcare community.

 

15 Dec 2020BTK ABSITE 2021 - Spleen00:25:47

We discuss high-yield Spleen topics for ABSITE and the boards.

Be sure to check out the BTK ABSITE Study Companion available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/0578802767/ref=sr_1_5?dchild=1&keywords=absite&qid=1607311826&sr=8-5

05 Oct 2020CODA Trial Results - Antibiotics versus Surgery for Appendicitis00:27:04

In today's episode, the lead investigator of the CODA Trial, Dr. David Flum, joins us along with members of his team to discuss the newly released results of the CODA Trial.

28 Dec 2020BTK ABSITE 2021 - Colorectal Part 200:40:25

BTK ABSITE Companion 

Check out our book at this link, and help us out with a 5 star rating!  https://amzn.to/37sEH44

 

Subscribe to our YouTube Channel here for video ABSITE reviews. 

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

17 Mar 2020COVID-19 Essentials for Surgeons01:00:18

Critical information on COVID-19 and how it impacts us as surgeons, and how we can help in the fight. 

Dr. Sharmila Dissanaike – Chair of the Texas Tech Department of Surgery 

-Discusses preparing her department of surgery for COVID

Dr. Angela Hewlett – Medical Director of the Nebraska Biocontainment Unit         

-Breaks down the basics of this virus from an ID perspective

Dr. Christian Jones – Director of the Acute Care Surgery Fellowship at Johns Hopkins

-Discusses how we can safe when managing these patients

Dr. Vahagn Nikolian – Fellow At Columbia University in Abdominal Wall Reconstruction

- Discusses how to implement telemedicine into practice

 

Corona Virus Info

https://www.cdc.gov/coronavirus/2019-ncov/index.html

https://emcrit.org/ibcc/covid19/

Johns Hopkins Corona Virus Map

https://coronavirus.jhu.edu/map.html

How to properly put on and remove PPE (seems silly but is important)

https://www.youtube.com/watch?v=CChf0-enyp0

Resources for learning about Vents

Propofology.com/non-icu.html

13 Jan 2021BTK ABSITE 2021 - Critical Care Part 1 with Dr. Matthew Martin00:37:56
24 Aug 2020BTK/AAS "How I Built It" Series - Dr. John Birkmeyer00:25:12

Leaders in clinical and health services research discuss keys to success in this collaborative effort between BTK and The Association for Academic Surgery. In this episode, Dr. Karan Chhabra discussing building a strong health services research program from the bottom-up with Dr. John Birkmeyer.

03 Dec 2020BTK ABSITE 2021 - Head and Neck00:27:51

If you find our ABSITE reviews helpful please give us a review on Apple Podcasts 

https://apple.co/2JvIT9Z

And 

Check out buy and rate our book on Amazon!

https://amzn.to/2I3eGOW 

23 Jan 2021BTK ABSITE 2021 - Biostatistics00:23:20
08 Feb 2021Endovascular Management of Trauma with Dr. Todd Rasmussen and Dr. Wayne Causey01:12:47

If you want to hear more vascular surgery specific content, be sure to check out Audible Bleeding wherever podcasts are found. 

Dr. Todd Rasmussen is a Colonel in the United States Air Force and is a Professor of Surgery and Associate Dean of Research at the Uniformed Services University of the Health Sciences and an attending vascular surgeon at Walter Reed National Military Medical Center. Dr. Rasmussen has been deployed numerous times to Iraq and Afghanistan and cared for many traumatic vascular injuries at Walter Reed Medical Center. Through his experience and research, he has become one of the foremost leaders on the management of vascular trauma and recently published the third edition of Rich’s Vascular Trauma.

Dr. Marlin “Wayne” Causey is a Lieutenant Colonel in the US Army and the Chief of Vascular Surgery at Brooke Army Medical Center.

Dr. Kevin Kniery is a vascular surgeon at Brooke Army Medical Center.

Seminal Papers in Blunt Thoracic Aortic Injury

AAST 1997 Paper: https://pubmed.ncbi.nlm.nih.gov/9095103/

AAST 2008 Paper: https://pubmed.ncbi.nlm.nih.gov/18545103/

JVS 2011 Paper: https://pubmed.ncbi.nlm.nih.gov/20974523/

Timing of repair of BTAI JVS 2020: https://www.jvascsurg.org/article/S0741-5214(20)31575-5/fulltext

Dr. Ben Starnes’ podcast on Behind The Knife on BTAI.

https://bit.ly/2LuycWq

22 Jun 2020BTK/AAS "How I Built It" Series - Dr. Karl Bilimoria00:34:58

Leaders in clinical and health services research discuss keys to success in this collaborative effort between BTK and The Association for Academic Surgery. In this episode, Dr. Fabian Johnston has an engaging conversation with Dr. Karl Bilimoria about establishing a world-class health services research program.  

19 Dec 2020BTK ABSITE 2021 - Adrenal00:32:48

Jason Bingham, Kevin Kniery, John McClellan and Woo Do review high-yield adrenal topics for the ABSITE, including: hyperaldosteronism, Cushing syndrome, congenital adrenal hyperplasia, adrenal incidentaloma, adrenocortical carcinoma, pheochromocytoma.

Review the congenital adrenal hyperplasia mnemonic here. 

Buy and rate your BTK ABSITE Companion HERE

28 Sep 2020BTK/AAS "How I Built It" Series - Dr. Sandra Wong00:25:04

Leaders in clinical and health services research discuss keys to success in this collaborative effort between BTK and The Association for Academic Surgery. In this episode, Dr. Fabian Johnston discusses research mentorship, building a health services career, and breaking down barriers between translation and implementation scientists with Dr. Sandra Wong, Surgery Chief at Geisel SOM at Dartmouth.

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06 Apr 2020Special COVID19 Coverage: How to deal with anxiety and stress coming from this pandemic00:27:08

Dr. Sharmila Dissanaike discusses the stress that the surgical residents and attending are facing in this unprecedented times. Listen in for techniques that can help you and your close ones navigate through emotions and manage stress in a productive manner. 

14 Dec 2020BTK ABSITE 2021 - Stomach00:54:22

Listen to our review on the very high-yield topic: stomach!

Don't forget to check out our new edition of the ABSITE Companion Book on Amazon! 

24 Jul 2020ECMO Basics Part 3 with Patrick Georgoff and Nicholas Teman00:27:00

Thanks to Patrick Georgoff @georgoff and Nicholas Teman @nickteman for this fantastic 3 part series.

Check out our new website designed by Michael Vu

Check out our new YouTube series on bedside procedures. First video is how to place a chest tube!

https://www.youtube.com/watch?v=o5HuiD51Su0

17 Aug 2020Adrenal Incidentaloma and Adrenalectomy with Dr. Travis McKenzie00:57:33

Dr. Travis McKenzie from Mayo Clinic discusses his approach to the adrenal incidentaloma, and shares pearls of wisdom for shucking out those adrenal masses.

12 Jan 2021BTK ABSITE 2021 - Trauma Part 2 with Dr. Matthew Martin01:01:56
15 Jan 2021BTK ABSITE 2021 - Fluids and Electrolytes00:54:00
23 Nov 2020Colorectal Surgery Mock Oral Boards01:31:40

Jon Abelson and William Kethman bring us this week's episode. Tune in and listen to Michael Valente, David Liska, Jason Chen, and Sarath Sujatha-Bhaskar take us through several excellent oral boards scenarios related to colorectal surgery!

18 May 2020Big T Trauma Series Ep. 10 - Rib Fractures00:38:54

Hosts: Patrick Georgoff, MD and Jayne McCauley, MD

This…episode….covers…rib…fractures…sorry, I am splinting.  Was that a fever?  Am I developing pneumonia?!  Could this have been avoided with regional anesthesia? Or surgical fixation?  Tune in to find out everything you need to know about the management of rib fractures.

 

References:

  • Kasotakis G, Hasenboehler EA, Streib EW, et al. Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2017; 82:618.
  • Carver TWMilia DJSomberg C, et al. Vital capacity helps predict pulmonary complications after rib fractures. J Trauma Acute Care Surg. 2015 Sep;79(3):413-6.
  • Galvagno SM JrSmith CEVaron AJ, et al. Pain management for blunt thoracic trauma: A joint practice management guideline from the Eastern Association for the Surgery of Trauma and Trauma Anesthesiology Society. J Trauma Acute Care Surg. 2016 Nov;81(5):936-951.
  • Cheema FAChao EBuchsbaum J, et al. State of Rib Fracture Care: A NTDB Review of Analgesic Management and Surgical Stabilization. Am Surg. 2019 May 1;85(5):474-478.
  • Pieracci FM, Leasia K, Bauman Z, et al. A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL). J Trauma Acute Care Surg. 2020;88(2):249. 
  • Pieracci FM, Coleman J, Ali-Osman F, et al. A multicenter evaluation of the optimal timing of surgical stabilization of rib fractures. J Trauma Acute Care Surg. 2018;84(1):1. 
03 Jan 2021BTK ABSITE 2021 - Vascular Part 200:40:28

BTK ABSITE Companion 

Check out our book at this link, and help us out with a 5-star rating!  https://amzn.to/37sEH44

 

Subscribe to our YouTube Channel here for video ABSITE reviews. 

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

09 Sep 2020GlobalSurg - CovidSurg Week. International Collaborative. 00:24:25
There is an urgent need to understand the outcomes of COVID-19 infected patients who undergo surgery. Capturing real-world data and sharing international experience will inform the management of this complex group of patients who undergo surgery throughout the COVID-19 pandemic, improving their clinical care. CovidSurg has been designed by an international collaborating group of surgeons and anaesthetists which has now reached 69 countries.

More information here https://globalsurg.org/covidsurg/

Connect on twitter @COVIDSurg 

 

01 Jul 2020"War Doctor" David Nott on Surgery in War Zones01:02:01

Dr. David Nott has been a Consultant Surgeon at Chelsea and Westminster Hospital for 23 years where he specializes in general surgery. Professor Nott also performs vascular and trauma surgery at St Mary’s Hospital and cancer surgery at the Royal Marsden Hospital.

For the past twenty three years David has taken unpaid leave each year to work for the aid agencies Médecins Sans Frontières, the International Committee of the Red Cross and Syria Relief. He has provided surgical treatment to the victims of conflict and catastrophe in Bosnia, Afghanistan, Sierra Leone, Liberia, Ivory Coast, Chad, Darfur, Yemen, the Democratic Republic of Congo, Haiti, Iraq, Pakistan, Libya, Syria, Central African Republic, Gaza and Nepal.

Please check out his book "War Doctor" for an inspiring read

https://www.amazon.com/War-Doctor-Surgery-Front-Line-ebook/dp/B07WWGLY7Z/ref=sr_1_1?dchild=1&keywords=war+doctor&qid=1593638019&s=digital-text&sr=1-1

Also check out his foundation that supports training surgeons in war zones.

https://davidnottfoundation.com/

A big thanks to Patrick Georgoff for making this happen.

16 Apr 2020COVID-19: Ethical Responsibility during a Pandemic with Dr. Angelos00:25:42

Dr. Peter Angelos is an endocrine surgeon and medical ethicist at the University of Chicago. He answers our questions regarding the ethical and moral obligations and implications during the struggles of this pandemic.

14 Sep 2020Deep Space: What will Surgery and Medicine Away from Earth Look Like?01:02:53

You've been selected to be on the next team taking a 3-year trip to Mars. What will you bring with you? How will you treat appendicitis?

That, and much more regarding human space travel and surgery, is discussed by Dr. Rich Williams and Dr. Carol Scott-Conner in this week's episode about deep space medicine.

24 May 2020BTK/ANNALS JOURNAL CLUB #15: SAFE CHOLECYSTECTOMY ORAL BOARDS REVIEW00:37:47
Join us for our 15th joint Journal Club with Annals of Surgery! We discuss a brand-new set of multisociety guidelines, putting together the latest evidence on preventing bile duct injury during laparoscopic cholecystectomy.   This episode's guest author is Dr. Michael Brunt, Professor and Chief of MIS at Wash U in St. Louis, and lead author of the new paper "Safe Cholecystectomy Multi-Society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile duct Injury during Cholecystectomy" He will walk us through the guidelines in oral boards style, providing safe and evidence-based answers to many of your common questions about laparoscopic cholecystectomy.   Download the full paper here: https://journals.lww.com/annalsofsurgery/Abstract/9000/Safe_Cholecystectomy_Multi_society_Practice.94547.aspx

 

21 Sep 2020SSO Landmark Papers - Rectal Cancer and Lateral Lymph Nodes00:45:07

The Society of Surgical Oncology has published The Landmark Series, an invaluable series of reviews that discuss the key papers of surgical oncology which shape our practice today. 

Dr. George Chang of MD Anderson, author of The Landmark Series: Management of Lateral Lymph Nodes in Locally Advanced Rectal Cancer, joins us to discuss his work.

During the discussion, Dr. Chang mentioned his other work on robotic surgery and the lateral pelvic lymph node dissection, read it here: https://onlinelibrary.wiley.com/doi/abs/10.1111/codi.15350

29 Apr 2020Big T Trauma Series Ep. 2 - REBOA00:29:52

Hosts: Patrick Georgoff, MD and Teddy Puzio, MD

This episode covers all things REBOA, including indications, practical tips and tricks, and complications.  Don’t be shy – have a listen. 

References:

  • Joseph et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surgery 2019 (https://www.ncbi.nlm.nih.gov/pubmed/30892574)
  • Brenner et al. Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Proximal Aortic Control in Patients With Severe Hemorrhage and Arrest. JAMA Surgery 2018 (https://www.ncbi.nlm.nih.gov/pubmed/28973104)
  • Brenner et al. Resuscitative Endovascular Balloon Occlusion of the Aorta and Resuscitative Thoracotomy in Select Patients with Hemorrhagic Shock: Early Results from the American Association for the Surgery of Trauma's Aortic Occlusion in Resuscitation for Trauma and Acute Care Surgery Registry. J Am Coll Surg 2018 (https://www.ncbi.nlm.nih.gov/pubmed/29421694)
22 Apr 2020BTK/AAS "How I Built It" Series - Dr. Clifford Ko00:47:06

Leaders in clinical and health services research discuss keys to success in this collaborative effort between BTK and The Association for Academic Surgery. In this episode, Drs. Fabian Johnston and Stephanie Bonne have an engaging conversation with Dr. Clifford Ko about improving quality of surgical care through with a robust health services research program.  

31 Aug 2020Palliative Care and Surgery01:04:37

Dr. Red Hoffman, Dr. Fabian Johnston, and Dr. Susan McCammon, each surgeons with unique expertise in palliative care, join us to discuss the difficult decisions and discussions we sometimes must make for those patients with the worst prognoses or who are suffering the most.

13 May 2020Big T Trauma Series Ep. 8 - Complex Case Discussion #101:04:50

Host: Patrick Georgoff, MD with special guest Bryan Cotton, MD, Professor of Surgery at McGovern Medical School at the University of Texas in Houston and Ethan Taub, MD, Assistant Professor of Surgery at McGovern Medical School at the University of Texas in Houston.

This is part I of complex case discussions.  In this episode, we discuss the management of complex trauma cases with Dr. Bryan Cotton and Dr. Ethan Taub.  Learn how to manage pericardial tamponade, subclavian injuries, and expanding zone I hemorrhage.  Are you not entertained!?

07 Sep 2020SSO Landmark Papers Series - Melanoma00:49:07

The Society of Surgical Oncology has published The Landmark Series, an invaluable series of reviews that discuss the key papers of surgical oncology which shape our practice today. 

Dr. Kelly McMasters, Editor-in-Chief of the Annals of Surgical Oncology, joins us today to introduce the Landmark Series, as well as walk us through the Landmark papers regarding the treatment of melanoma.

30 Jul 2020BTK/ANNALS JOURNAL CLUB #17: RACIAL DISPARITIES IN THE COVID-19 ERA00:41:10
In this 17th joint journal club with Annals of Surgery, we are joined by Dr. Sidra Bonner and Dr. Glenn Wakam, co-authors of the recently accepted paper "Covid-19 and Racial Disparities: Moving Toward Surgical Equity."   Our two guests are residents at the University of Michigan who lead an excellent discussion around their recent work in which they challenge the common belief among surgeons that their practices are free from racial disparities, and propose tangible interventions to reduce systemic inequity in surgical care.   Download the full paper here: https://journals.lww.com/annalsofsurgery/Citation/9000/Covid_19_and_Racial_Disparities__Moving_Towards.94434.aspx
23 Jan 2021BTK ABSITE 2021 - Transplant00:54:25
10 Dec 2020BTK ABSITE 2021 - Esophagus00:44:09

We discuss high-yield topics related to the Esophagus. Show notes with illustrations are available in a new paperback form on Amazon: BTK ABSITE Podcast Companion

19 Mar 2020COVID19 Special - Ventilator Management Refresher for Surgeons00:46:41

Check out Dr. Patrick Georgoff's Youtube video that describes in more detail the basics of managing a ventilator. 

https://youtu.be/RHx-p5RFoaA

 

Some great resources tagged below:

ARDSnet ventilator protocols:

http://www.ardsnet.org/files/ventilator_protocol_2008-07.pdf

Caring for the COVID pt from JAMA

https://jamanetwork.com/journals/jama/fullarticle/2762996

 

 

08 May 2020Big T Trauma Series Ep. 6 - Spinal Cord Injury00:35:56

This episode covers spinal cord injury, including cervical spine clearance and pre-hospital, ED/trauma bay, and ICU management.  Guaranteed to give you the confidence you need to *appropriately* toss that ill-fitting cervical collar in the trash.

 

References:

07 Dec 2020BTK ABSITE 2021 - Thyroid00:27:19

We discuss high-yield thyroid topics, to include: Hyperthyroidism Grave's disease, Toxic multinodular goiter, Thyroiditis Workup of the palpable thyroid nodule, Thyroid cancer (papillary vs. follicular vs. medullary)

Be sure to check out the BTK ABSITE Study Companion available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/0578802767/ref=sr_1_5?dchild=1&keywords=absite&qid=1607311826&sr=8-5

08 Mar 2021SSO Landmark Papers - Intrahepatic Cholangiocarcinoma00:31:32

The venerable Dr. Timothy Pawlik from Ohio State joins us on the podcast today to discuss his Landmark Paper review of Intrahepatic Cholangiocarcinoma!

18 Dec 2020BTK ABSITE 2021 - Hepatobiliary Part 100:33:23

We discuss high yield topics related to the liver and biliary tree, to include: benign biliary disease, portal hypertension, and liver abscesses.

Absite Companion:

https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/0578802767

10 Aug 2020Cerebrovascular Trauma with Dr. Todd Rasmussen00:59:14

Kevin and Nicole discuss the management of ceberbrovascular trauma, primarily blunt and penetrating injuries to the carotid and vertebral arteries. 

Dr. Rasmussen is a Colonel in the United States Air Force and is a Professor of Surgery and Associate Dean of Research at the Uniformed Services University of the Health Sciences and an attending vascular surgeon at Walter Reed National Military Medical Center. 

Dr. Rasmussen has been deployed numerous times to Iraq and Afghanistan and cared for many traumatic vascular injuries at Walter Reed Medical Center. Through his experience and research, he has become one of the foremost leaders on the management of vascular trauma and recently published the third edition of Rich’s Vascular Trauma.

Nicole Rich is a vascular surgery fellow at New York Presbyterian. 

Behind The Knife YouTube Page

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

EAST Blunt Cerebrovascular Injury Guidelines

https://www.east.org/education/practice-management-guidelines/blunt-cerebrovascular-injury

Check out Rich’s Vascular Trauma

https://www.elsevier.com/books/richs-vascular-trauma/9781455712618

01 Mar 2021Plastic Surgery for the General Surgeon: Breast Reconstruction with Dr. John Kim00:57:45

How do you discuss breast reconstruction with your patient? Dr. John Kim from Northwestern University joins us to talk about this rich topic. 

Check out our YouTube channel this week as we will release video clips of the interview along with visual aids!

01 May 2020Big T Trauma Series Ep. 3 - Transfusion Medicine For The Trauma Surgeon00:39:20

Hosts: Patrick Georgoff, MD and Jason Brill, MD

This is part I of trauma resuscitation.  In this episode we cover transfusion medicine from a trauma surgery perspective.  Whole blood, 1:1:1, massive transfusion…it’s all here. 

29 Jan 2021BTK ABSITE 2021 - DO NOT OPEN UNTIL MORNING OF ABSITE (45 MINUTE REVIEW)00:46:06

The time has come. Dominate it.

23 Dec 2020BTK ABSITE 2021 - Pancreas00:57:16

BTK ABSITE Companion 

Check out our book at this link, and help us out with a 5 star rating!  https://amzn.to/37sEH44

 

Subscribe to our YouTube Channel here for video ABSITE reviews. 

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

 

 

21 Jul 2020ECMO Basics Part 2 with Patrick Georgoff and Nicholas Teman00:21:59

A big thanks to Patrick Georgoff and Nicholas Teman for putting together this great mini-series.

 

Have you seen our YouTube page? Everything from ABSITE review, to technical skills to landmark paper reviews.

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

Our website has also been updated.

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

20 May 2020Big T Trauma Series Ep. 11 - Solid Organ Injury00:40:29

Hosts: Patrick Georgoff, MD and Jayne McCauley, MD

In this episode (the last of the series) we cover the management of blunt injury to the solid organs…the liver, spleen, and kidney.  DOMINATE THE DAY.

 

References: 

  1. Nonoperative management of blunt hepatic injury: An Eastern Association for the Surgery of Trauma practice management guideline (https://www.east.org/education/practice-management-guidelines/hepatic-injury-blunt-selective-nonoperative-management-of)
  2. Western Trauma Association/Critical Decisions in Trauma: Operative Management of Adult Blunt Hepatic Trauma (https://www.westerntrauma.org/algorithms/PublishedAlgorithms/WTACriticalDecisionsOperativeManagementOfAdultBluntHepaticTrauma.pdf)
  3. Selective nonoperative management of blunt splenic injury: An Eastern Association for the Surgery of Trauma practice management guideline (https://www.east.org/education/practice-management-guidelines/splenic-injury-blunt-selective-nonoperative-management-of)
  4. Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma—2016 updates (https://westerntrauma.org/documents/PublishedAlgorithms/WTACriticalDecisionsAdultBluntSplenicTrauma-2016Update.pdf)
  5. Western Trauma Association Critical Decisions in Trauma: Management of renal trauma (https://westerntrauma.org/documents/PublishedAlgorithms/WTACriticalDecisionsManagementOfRenalTrauma.pdf)
11 May 2020Big T Trauma Series Ep. 7 - Traumatic Brain Injury00:45:43

This episode covers all things TBI.  It’s a perfect review for the non-neurosurgeon.

References:

11 Mar 2020Arterial Abdominal Vascular Trauma with Dr. Todd Rasmussen00:54:14

Episode 2 of 6 of our vascular trauma series collaboration with Audible Bleeding. Kevin and Adham discuss the management of abdominal arterial vascular injuries with Dr. Rasmussen

If you want to read more about vascular trauma, please refer to 

Rich's Vascular Trauma

https://www.elsevier.com/books/richs-vascular-trauma/9781455712618

12 Jan 2021BTK ABSITE 2021 - Trauma Part I with Dr. Matthew Martin00:53:54
28 Dec 2020BTK ABSITE 2021 - Colorectal Part 100:42:29

BTK ABSITE Companion 

Check out our book at this link, and help us out with a 5 star rating!  https://amzn.to/37sEH44

 

Subscribe to our YouTube Channel here for video ABSITE reviews. 

https://www.youtube.com/channel/UCZkuV3bsUyp0q4mTFHFEoKg

 

09 Nov 2020SSO Landmark Papers - Neuroendocrine Tumor Liver Metastases00:39:45

Dr. James Howe and Dr. Alexandra Gangi, coauthors of The Landmark Series: Neuroendocrine Tumor Liver Metastases, join us to discuss their paper and the latest in the field of these rare but important tumors.

 

Read the paper yourself here! https://link.springer.com/article/10.1245%2Fs10434-020-08787-x

07 Dec 2020BTK ABSITE 2021 - Parathyroid00:27:16

We discuss high-yield parathyroid topics, to include: PTH, calcitonin, hypercalcemia, hyperparathyroidism (primary vs. secondary vs. tertiary), and parathyroid cancer. 

Be sure to check out the BTK ABSITE Study Companion available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/0578802767/ref=sr_1_5?dchild=1&keywords=absite&qid=1607311826&sr=8-5

02 Nov 2020BTK/AAS "How I Built It" Series - Dr. Julie Ann Sosa00:36:35

Leaders in clinical and health services research discuss keys to success in this collaborative effort between BTK and The Association for Academic Surgery. In this episode, Dr. Fabian Johnston discusses how to do health services research the right way with UCSF Surgery Chair Dr. Julie Sosa.

03 Aug 2020What Happened - American Board of Surgery 2020 Qualifying Exam Failure01:12:20

American Board of Surgery FAQs regarding 2020 QE

http://www.absurgery.org/default.jsp?faq_virtualgsqe2020

  Guests on this podcast   Dr. Buyske President and CEO of The American Board of Surgery   Dr. Benjamin Jarman Gundersen Medical Foundation General Surgery Residency Program Director  President - Association of Program Directors in Surgery   Dr. Brittany Bankhead-Kendall Trauma and Acute Care Surgeon at Texas Tech University of Health Sciences   Dr. Allison Martin Incoming surgical oncology fellow at MD-Anderson

 

11 Jan 2021BTK ABSITE 2021 - Hematology00:19:26

Help us out by filling out our survey

https://survey.libsyn.com/behindtheknife

 

Check out our book here

https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion-ebook/dp/B08NCX9N1V

 

Check out our YouTube landmark paper series here

https://www.youtube.com/watch?v=lzAoWs6w8q8

 

23 Feb 2020#14: Annals of Surgery Journal Club discussing the latest thyroid guidelines 00:28:41
Join us for our 14th joint Journal Club with Annals of Surgery! We discuss a brand-new set of guidelines from the American Association of Endocrine Surgeons to help keep us up-to-date on thyroid disease.   This episode's guest authors are Dr. Kepal Patel, the Director of Endocrine Surgery at NYU, and Dr Herb Chen, the Chair of Surgery at UAB. They are two of the authors of "Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults"   Access the executive summary free of charge here:  https://journals.lww.com/annalsofsurgery/Fulltext/2020/03000/Executive_Summary_of_the_American_Association_of.1.aspx   And the full set of guidelines here:  https://journals.lww.com/annalsofsurgery/Fulltext/2020/03000/The_American_Association_of_Endocrine_Surgeons.28.aspx
15 Feb 2021Plastic Surgery for the General Surgeon: Perineal Reconstruction with Dr. Shailesh Agarwal00:29:27

This is our first episode in the Plastic Surgery for the General Surgeon series! Our guest Dr. Shailesh Agarwal, from Brigham and Women's in Boston, come onto the show to discuss trunk reconstruction with us. In this first-half of our recording session, Dr. Agarwal discusses perineal reconstruction. Stay tuned for next week's episode where we will release the second half of the conversation, all about abdominal and chest wall reconstruction!

15 May 2020Big T Trauma Series Ep. 9 - Complex Case Discussion #200:50:03

Host: Patrick Georgoff, MD with special guest Bryan Cotton, MD, Professor of Surgery at McGovern Medical School at the University of Texas in Houston, and Ethan Taub, MD, Assistant Professor of Surgery at McGovern Medical School at the University of Texas in Houston.

This is part 2 of complex case discussions.  In this episode, we discuss the management of complex trauma cases with Dr. Bryan Cotton and Dr. Ethan Taub.  Learn how to manage pericardial tamponade, subclavian injuries, and expanding zone I hemorrhage.  Are you not entertained!?

16 Mar 2021Clinical Challenges: Diverticulitis00:45:32
Diverticulitis has got to be one of the most classic problems encountered by surgeons and medical students in their surgery rotation. In this inaugural "Clinical Challenges" episode, colorectal surgeons Scott Steele and Joshua Bleier join acute care and trauma surgeon Patrick Georgoff to discuss the important clinical pearls, starting from when you meet the patient, all the way to when you're taking care of them after their surgery.
22 Mar 2021Understanding SCORE and the Future of Surgical Education00:43:36
We brought Dr. Mary Klingensmith and Dr. Amit Joshi on the show, executive leaders on the Surgical Council on Resident Education. Listen to them discuss the history of SCORE, how it has improved over time, and how these two leaders in surgical education anticipate residency training changing over the next decade!
29 Mar 2021Clinical Challenges: GSW to the Abdomen00:21:02
Discussing a REAL TRAUMA CASE that happened just a few months ago, Patrick Georgoff, John McClellan, and Hasan Alam come together to detail their thought process in managing a patient with a gunshot wound to the abdomen.
05 Apr 2021Vascular Journal Club - When to Thrombolyse DVTs? Single or Dual Antiplatelet Following Bypasses?00:35:40
Check out the articles discussed in today's podcast here

ATTRACT Trial 
https://www.nejm.org/doi/full/10.1056/NEJMoa1615066

Dual Antiplatelets Following Lower Extremity Bypass
https://pubmed.ncbi.nlm.nih.gov/32777321/


12 Apr 2021Plastic Surgery for the General Surgeon: Flap Reconstruction01:07:37
Dr. Anton Fries, Chief of Plastic Surgery at UT San Antonio, joins the podcast to give us all a primer on all we need to know about flap-based reconstruction.

Don’t forget to visit GreenChef.com and use promo code 90Surgery to get $90 off your first organic, delivered meals. It’s a great way to support your body and the podcast!
19 Apr 2021Surgical Technique: Kidney Transplant (Part 2)00:22:32
Note: We couldn't upload the video version to your podcast player because the file was just way too big! That's because the operative video is so high quality! Please go our YouTube channel to watch it! Or click this link: https://youtu.be/xx7JMIe2d_o

In the first of our Surgical Technique video series, Mass Gen Transplant surgeons take us step by step through a kidney transplant! This is Part 2 of the series. We are joined by Dr. Leigh Anne Dageforde, Dr. Anushi Shah, and Dr. Ashley Aaron. Just in time for National Donate Life Month!
19 Apr 2021Surgical Technique: Kidney Transplant (Part 1)00:27:53
Note: We couldn't upload the video version to your podcast player because the file was just way too big! That's because the operative video is so high quality! Please go our YouTube channel to watch it! Or click this link: https://youtu.be/xx7JMIe2d_o

In the first of our Surgical Technique video series, Mass Gen Transplant surgeons take us step by step through a kidney transplant! This is Part 1 of the series. We are joined by Dr. Leigh Anne Dageforde, Dr. Anushi Shah, and Dr. Ashley Aaron. Just in time for National Donate Life Month!
26 Apr 2021Clinical Challenges in Surgery: ARDS00:31:41
Clinical Challenges in Surgery: ARDS

It's the middle of the night...the ventilator is alarming, the patient is hypoxic, and the nurse wants to know if you would like to paralyze the patient.  What do you do?!  Join Drs. Matt Martin, John McClellan, and Patrick Georgoff as they discuss the management of a real patient with severe Acute Respiratory Distress Syndrome.  From paralytics and proning to steroids and ECMO, this episode has got you covered. 
03 May 2021COVIDSurg Update00:31:28
In this episode, we follow up with our friends at COVIDSurg (https://globalsurg.org/covidsurg/).  While the pandemic has been raging they have been hard at work, studying the interface between COVID and all things surgery.  They’ve produced some amazing work, most of which impacts the day to day lives of surgeons around the country.  

How long should you wait to operate on a patient who has had COVID?  And what do you tell your patients about this?  What about vaccines?  Should your next patient undergoing elective surgery be vaccinated before you take them to the operating room?  Find out!
10 May 2021The Joint Commission Tackles Healthcare Disparities in the COVID Era00:47:51
In this episode, we host the Joint Commission who tell us about their efforts to improve healthcare disparities and healthcare provider diversity. We first briefly discuss structural racism before pivoting to how COVID has revealed how deep the roots of inequity travel. Finally we discuss the ways that Joint Commission are tackling the problem. Dr. Ana McKee, Executive Vice President and Chief Diversity, Equity, and Inclusion Officer of the Joint Commission joins our discussion, along with return guest Dr. Fabian Johnston from Johns Hopkins University.

Dr. McKee mentions the Bernard J Tyson National Award for Excellent in the Pursuit of Healthcare Equity in this episode! Applications open on May 17. Please see go to THIS LINK to learn more about the process!
17 May 2021Vascular Trauma Resident Survival Guide Part 1 w/ Rich's Vascular Trauma00:33:34
Go to HelloFresh.com/Surgery12 to get up to 12 free meals and support Behind The Knife.

Host: Kevin Kniery
Guest Hosts: Alexis Lauria and Alec Kersey

Check our YouTube tutorial on REBOA https://bit.ly/3uSxLXb

For more in detail vascular trauma discussions check out our previous episodes with Dr. Todd Rasmussen. 
24 May 2021Vascular Trauma Resident Survival Guide Part 2 - Neck & Chest00:24:12
Go to greenchef.com/90surgery with code "90surgery" to get 90 dollars off some fantastic meals and help support Behind The Knife. 

Host: Kevin Kniery
Guest Hosts: Alexis Lauria and Alec Kersey

For more details on vascular trauma discussion check previous episodes with Dr. Rasmussen. 
31 May 2021#DearIntern00:24:50
“If you could go back to your very first day of intern year and tell yourself one thing, what would it be?"  

In this episode, AlleaBelle Gongola joins Scott Steele, Kevin Kniery, and Patrick Georgoff to discuss this very question. Tune in to hear wise answers from previous BTK episodes and fill up on inspiration as we head into a new academic year.  
27 May 2021Vascular Trauma Resident Survival Guide Part 3 - Abdomen, Pelvis, and Extremities00:45:11
Go to greenchef.com/90surgery with code "90surgery" to get 90 dollars off some fantastic meals and help support Behind The Knife.

Host: Kevin Kniery
Guests: Alexis Lauria and Alec Kersey
07 Jun 2021Clinical Challenge in Vascular Surgery: Carotid Artery Stenosis00:32:08
Clinical Challenge in Surgery – Carotid Artery Stenosis

Carotid endarterectomy is a great option for most patients, but what do you do when the lesion extends high in the neck or the neck has been irradiated? In this episode from the Vascular Surgery team at Behind the Knife, we discuss carotid artery stenosis using a real patient case from the University of Michigan. We touch on diagnosis and imaging as well as medical and surgical management of carotid disease with a special discussion about Transcarotid Artery Revascularization (TCAR), a new technique available for the treatment of carotid lesions.

Dr. Nicholas Osborne is an Associate Professor of Vascular Surgery at the University of Michigan and the Chief of Vascular Surgery at the Ann Arbor Veteran’s Affairs Healthcare System.

Dr. Frank Davis is a Chief Resident in the Integrated Vascular Surgery program at the University of Michigan.

Dr. Craig Brown is a PGY-6 in the General Surgery program at the University of Michigan.

Seminal Papers in Carotid Artery Stenosis

The MRC European Carotid Surgery Trial (ECST): https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(97)09292-1/fulltext

Endarterectomy for Asymptomatic Carotid Artery Stenosis (ACAS Trial): https://jamanetwork.com/journals/jama/article-abstract/388335

The North American Symptomatic Carotid Endarterectomy Trial (NASCET Trial): https://www.ahajournals.org/doi/epub/10.1161/01.STR.30.9.1751

Safety and Efficacy Study for Reverse Flow Used During Carotid Artery Stenting Procedure (ROADSTER Trial): https://pubmed.ncbi.nlm.nih.gov/26506270/

ROADSTER 2 Trial: https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.030550

14 Jun 2021Clinical Challenges in Trauma Surgery: Penetrating Cardiac Trauma00:36:32
Clinical Challenges in Trauma Surgery: Penetrating Cardiac Trauma

A patient presents with a stab wound to the THE BOX.  What do you do?  X-ray?  FAST?  Heal with steel?  In this episode, the BTK trauma team discusses your options and gives you a few pro tips along the way.

Join Drs. Haut, Feinman, and Sigmon for a high-yield clinical challenge.

Hosts:

Elliott Haut, MD, PhD, a senior, nationally recognized name in trauma and acute care surgery at Johns Hopkins University. Dr. Haut is a past president of The Eastern Association for the Surgery of Trauma (EAST).

Marcie Feinman, MD, MEHP, the current program director of General Surgery Residency at Sinai Hospital of Baltimore and editorial board member of SCORE.  She received her Masters in Education in the Health Professions from Johns Hopkins.

David Sigmon, MD, MMEd, a PGY-5 resident at the University of Illinois at Chicago who plans on going into trauma surgery.  He did two years of research in surgical education at the University of Pennsylvania where he also received his Master’s in Medical Education.

Papers:

Inaba K, Chouliaras K, Zakaluzny S, et al. FAST ultrasound examination as a predictor of outcomes after resuscitative thoracotomy: a prospective evaluation. Ann Surg. 2015;262(3):512-518; discussion 516-518.
 https://pubmed.ncbi.nlm.nih.gov/26258320/

Teeter W, Haase D. Updates in traumatic cardiac arrest. Emerg Med Clin North Am. 2020;38(4):891-901.
https://pubmed.ncbi.nlm.nih.gov/32981624/

Israr S, Cook AD, Chapple KM, et al. Pulseless electrical activity following traumatic cardiac arrest: Sign of life or death? Injury. 2019;50(9):1507
1510. https://pubmed.ncbi.nlm.nih.gov/31147/183/

17 Jun 2021Surgical Oncology- Hepatic artery infusion pump00:43:46
Today we have a very special guest on Behind the Knife- Dr Michael D’Angelica. He discusses surgical oncology with his HPB focus along with colorectal liver metastases. The episode digs in deeper on the origin of hepatic artery infusion pump, its surgical technique and common complications and much more. Enjoy!

https://jamanetwork.com/journals/jamasurgery/article-abstract/2735967


21 Jun 2021Clinical Challenges in Surgery HPB: Pancreatic Head Cancer00:49:01
Description: Pancreatic adenocarcinoma is a highly lethal cancer with a dismal long-term prognosis requiring complex multidisciplinary planning in order to optimize outcomes. In this episode from the Hepato-Pancreato-Biliary team at Behind the Knife, we discuss a patient presenting with a borderline resectable pancreatic head mass. 

Learning Objectives: In this episode, we review risk factors for pancreatic adenocarcinoma, key steps of the diagnostic work-up and pre-operative planning, and definitions of resectable, borderline resectable, and unresectable tumors. The history of chemotherapy for pancreatic cancer is briefly reviewed, highlighting the importance of multi-agent regimens and role of neoadjuvant therapy. Finally, we highlight the critical steps of the Whipple procedure.

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 an Associate Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at William Beaumont Army Medical Center

Connor Chick, MD (@connor_chick) is a PGY-4 General Surgery resident at Brooke Army Medical Center

Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-3 General Surgery resident at Brooke Army Medical Center

Links to Papers Referenced in this Episode

Treatment sequencing for resectable pancreatic cancer: influence of early metastases and surgical complications on multimodality therapy completion and survival
J Gastrointest Surg. 2014 Jan;18(1):16-24
https://pubmed.ncbi.nlm.nih.gov/24241967/ 

Preoperative biliary drainage for cancer of the head of the pancreas
N Engl J Med. 2010 Jan 14;362(2):129-37
https://pubmed.ncbi.nlm.nih.gov/20071702/

1423 pancreaticoduodenectomies for pancreatic cancer: A single-institution experience
J Gastrointest Surg. 2006 Nov;10(9):1199-210; discussion 1210-1.
https://pubmed.ncbi.nlm.nih.gov/17114007/

 Adjuvant chemotherapy with gemcitabine and long-term outcomes among patients with resected pancreatic cancer: the CONKO-001 randomized trial
JAMA. 2013 Oct 9;310(14):1473-81. 
https://pubmed.ncbi.nlm.nih.gov/24104372/

Comparison of adjuvant gemcitabine and capecitabine with gemcitabine monotherapy in patients with resected pancreatic cancer (ESPAC-4): a multicentre, open-label, randomised, phase 3 trial
Lancet. 2017 Mar 11;389(10073):1011-1024
https://pubmed.ncbi.nlm.nih.gov/28129987/

FOLFIRINOX or Gemcitabine as Adjuvant Therapy for Pancreatic Cancer
N Engl J Med. 2018 Dec 20;379:2395-2406
https://www.nejm.org/doi/full/10.1056/NEJMoa1809775 

Surgical Outcome Results From SWOG S1505: A Randomized Clinical Trial of mFOLFIRINOX Versus Gemcitabine/Nab-paclitaxel for Perioperative Treatment of Resectable Pancreatic Ductal Adenocarcinoma
Ann Surg. 2020 Sep 1;272(3):481-486.doi: 10.1097/SLA.0000000000004155
https://pubmed.ncbi.nlm.nih.gov/32740235/




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