Washington Manual of Surgery Podcast – Détails, épisodes et analyse

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Washington Manual of Surgery Podcast

WashU Medicine Department of Surgery

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Fréquence : 1 épisode/14j. Total Éps: 46

The Washington Manual of Surgery Podcast provides quick access to essential surgical knowledge for busy trainees, surgeons and students. You’ll get clear guidance on surgical decision-making, procedures and diseases, presented by expert faculty and residents from the Department of Surgery at WashU Medicine. This podcast is designed as a companion to the 9th edition of the bestselling Washington Manual of Surgery.

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Cardiac Surgery: Part 1 - Washington Manual of Surgery

vendredi 25 septembre 2026 • Durée 21:07

Let’s talk cardiac surgery — Join general surgery resident Dr. Mary Siki for a discussion with expert cardiac surgeon Dr. Matthew Schill. This episode of the Washington Manual of Surgery Podcast will cover the comprehensive surgical care of the heart and serves as an additional companion to Chapter 32 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Schill discusses coronary vascular anatomy, cardiopulmonary bypass, preoperative risk assessment and imaging, coronary bypass graft options, and provides a detailed discussion of valvular disease and treatment options.

Guest Host:

Mary Siki, MD – General surgery resident at WashU Medicine.

Guest:

Matthew Schill, MD – Dr. Matthew Schill is an assistant professor of surgery in the Section of Cardiac Surgery. He specializes in coronary artery bypass grafting, heart valve repair and replacement, and surgical treatment of atrial fibrillation including minimally invasive options.

Notes:

STS risk calculator: https://acsdriskcalc.research.sts.org/

Euroscore risk calculator: https://www.euroscore.org/

Allen test: means to assess radial and ulnar flow to the hand

SAVR: Surgical Aortic Valve Replacement

TAVR: Transcatheter Aortic Valve Replacement

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

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Thyroid Glands - Washington Manual of Surgery

vendredi 4 septembre 2026 • Durée 32:37

Let’s talk thyroid disease—Join general surgery resident Dr. Abby Chmiel for a discussion with expert endocrine surgeon Dr. Taylor Brown. This episode of the Washington Manual of Surgery Podcast will cover thyroid disease, and serves as an additional companion to Chapter 30 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Brown explores thyroid disease, including thyroid nodules. The discussion covers the role of diagnostic imaging tools, as well as disease classification and major types of thyroid cancers. They also discuss surgical decision-making and the risks and advantages of lobectomy versus total thyroidectomy, concluding with postoperative management, long-term surveillance, and an overview of Graves' disease.

Guest Host:

Abby Chmiel, MD – General surgery resident at WashU Medicine.

Guest:

Taylor Brown, MD, MHS – Dr. Brown is an assistant professor of surgery in the Division of Surgical Oncology who specializes in endocrine surgery.

Notes:

TI-RADS: "Thyroid Imaging Reporting and Data System", a standardized risk-stratification scoring system to evaluate thyroid nodules on ultrasound that assigns points based on ultrasound features to estimate cancer risk and guide biopsy decisions.
Bethesda System for Reporting Thyroid Cytopathology: Cibas ES, Ali SZ. The 2017 Bethesda system for reporting thyroid cytopathology. Thyroid. 2017;27(11):1341.
Molecular testing: Livhits MJ, Zhu CY, Kuo EJ, et al. Effectiveness of molecular testing techniques for diagnosis of indeterminate thyroid nodules: a randomized clinical trial. JAMA Oncol. 2021;7(1):70.
Positioning in the operating room: modified "beach chair" (e.g., semi-Fowler's) position elevating the patient's upper body to a 30-to-45-degree angle with a shoulder roll to extend the neck.
PTU: Propylthiouracil

Parathyroid Glands - Washington Manual of Surgery

vendredi 7 août 2026 • Durée 33:12

Let’s talk parathyroid disease and parathyroidectomy—Join general surgery resident Dr. Abby Chmiel for a discussion with expert endocrine surgeon, Dr. Taylor Brown. This episode of the Washington Manual of Surgery Podcast will cover hyperparathyroidism and serves as an additional companion to Chapter 30 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Brown explores the essentials of parathyroid disease. The discussion gives additional insight into the functions of the glands, recognizing the signs and diagnosis of hyperparathyroidism, understanding when surgery is recommended, and how to safely perform the operation. He concludes with expert guidance on recognizing and managing surgical complications.

Guest Host:

Abby Chmiel, MD – General surgery resident at WashU Medicine.

Guest:

Taylor Brown, MD, MHS – Dr. Brown is an assistant professor of surgery in the Division of Surgical Oncology who specializes in endocrine surgery.

Show notes:

FHH: "Familial hypocalciuric hypercalcemia", a rare genetic condition causing elevated blood calcium and normal or slightly elevated parathyroid hormone (PTH)

4DCT: Specialized multi-phase CT to locate enlarged or overactive parathyroid glands with the fourth dimension being time, tracking how contrast flows through the tissues to pinpoint abnormal glands.

Guidelines for operating on asymptomatic hyperparathyroidism: Bilezikian JP, et al. Guidelines for the management of asymptomatic primary hyperparathyroidism: summary statement from the Fourth International Workshop. J Clin Endocrinol Metab. 2014;99(10):3561

Positioning in the operating room: modified "beach chair" (e.g., semi-Fowler's) position elevating the patient's upper body to a 30-to-45-degree angle with a shoulder roll to extend the neck.

Miami criteria (iPTH drop >/= 50% from the highest of either pre-incision or pre-excision level at 10 minutes after gland excision): Carneiro DM, et al. Comparison of intraoperative iPTH assay (QPTH) criteria in guiding parathyroidectomy: which criterion is the most accurate? Surgery. 2003 Dec;134(6):973.

Trauma Resuscitation - Washington Manual of Surgery

vendredi 10 juillet 2026 • Durée 18:42

Let’s talk trauma resuscitation and adjuncts—Join general surgery resident Dr. José Aldana for a discussion with expert trauma surgeon, Dr. Patrick Craft. This episode of the Washington Manual of Surgery Podcast will focus on the fundamentals of trauma resuscitation using the ATLS principles, and serves as an additional companion to Chapter 5 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Craft discusses the assessment of patients using ATLS protocols. The discussion also covers the use of FAST ultrasound and chest imaging, tube thoracostomy, and indications for resuscitative thoracotomy. This episode offers essential guidance for surgical trainees and clinicians caring for critically injured patients.

Guest Host:

José Aldana, MD – Dr. Aldana was a Preliminary PGY-1 at WashU Medicine and is currently a surgical resident at the University of Rochester.

Guest:

Patrick Craft, DO – Dr. Craft is an Assistant Professor of Surgery at WashU Medicine and trauma surgeon specializing in surgical critical care. He has expertise in comprehensive trauma management.

Show notes:

ATLS: https://www.facs.org/quality-programs/trauma/education/advanced-trauma-life-support/

GCS: Glasgow Coma Scale, evaluates three parameters: eye-opening (1-4 points), verbal response (1-5 points), and motor response (1-6 points). Scores range from 3 (deeply comatose) to 15 (fully awake).

Permission hypotension in trauma: Schreiber MA, et al. A controlled resuscitation strategy is feasible and safe in hypotensive trauma patients: results of a prospective randomized pilot trial. J Trauma Acute Care Surg. 2015;78(4):687-695.

Venous Disease - Washington Manual of Surgery

vendredi 26 juin 2026 • Durée 13:41

Let’s talk venous disease—Join vascular surgery resident Dr. Julia Suggs for a discussion with expert vascular surgeon Dr. Nanette Reed. This episode of the Washington Manual of Surgery Podcast will focus on the evaluation, diagnosis, and management of venous disease, and serves as an additional companion to Chapter 37 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Drs. Reed and Suggs discuss the assessment of deep vein thrombosis, distinguishing the appropriateness of medical and surgical management, and thrombectomy approaches. The discussion also covers duplex imaging, anticoagulation, May-Thurner syndrome, pulmonary embolism prevention, and postoperative considerations for patients with venous disease.

Guest Host:

Julia Suggs, MD – Vascular surgery resident at WashU Medicine.

Guest:

Nanette Reed, MD – Dr. Reed is a vascular surgeon specializing in revascularization and limb preservation. She is now on faculty at the University of Iowa Carver College of Medicine.

Show notes:

Esmark bandage: Very elastic, rubber or polyisoprene bandage used for limb exsanguination or clot expression when it is wrapped tightly around an arm or leg.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media. -------Instagram:

Surgical Management of Obesity: Part 2 - Washington Manual of Surgery

mardi 16 juin 2026 • Durée 23:01

Let’s talk considerations after bariatric surgery — Join general surgery resident Dr. Diego Polanco for a discussion with expert weight loss surgeon Dr. J. Christopher Eagon. This episode of the Washington Manual of Surgery Podcast will focus on long- and short-term complications after weight loss surgery, and serves as an additional companion to Chapter 15 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Eagon discusses operative complications, including anastomotic leaks, dumping syndrome, and nutritional deficiency issues after weight loss surgery. The discussion also explores the reversal of comorbidities of obesity, the ability to preserve weight loss, and marginal ulcers.

Guest Host:

Diego Polanco, MD – General surgery resident at WashU Medicine.

Guest:

J. Christopher Eagon, MD – Dr. Eagon is a professor of surgery and minimally invasive surgeon specializing in bariatric surgery. He has consummate expertise in minimally invasive weight loss surgery techniques. Under his direction, the weight loss surgery service received the Blue Distinction Centers designation for bariatric surgery in 2022.

Show notes:

Gallstones after bariatric surgery: Sugerman HJ, et al. A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss. Am J Surg. 1995 Jan;169(1):91-6; discussion 96-7.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

Surgical Management of Obesity: Part 1 - Washington Manual of Surgery

jeudi 4 juin 2026 • Durée 20:07

Let’s talk surgical management of obesity—Join general surgery resident Dr. Diego Polanco for a discussion with expert weight loss surgeon, Dr. J. Christopher Egon. This episode of the Washington Manual of Surgery Podcast will focus on weight loss surgery procedures and serves as an additional companion to Chapter 15 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Eagon discusses patient selection criteria, preoperative evaluation, and the most common bariatric procedures. The discussion also explores recovery protocols, multimodal pain management, dietary progression after surgery, and the importance of lifelong supplementation to optimize outcomes and improve obesity-related comorbidities.

Guest Host:

Diego Polanco, MD – General surgery resident at WashU Medicine.

Guest:

Show notes:

ERAS = Enhanced Recovery After Surgery

NSAIDs = Non-Steroidal Anti-Inflammatory Drugs

ASBMS = American Society for Metabolic and Bariatric Surgery

Bariatric surgery targeting opioid prescribing: a national model for effectively reducing opioid use after bariatric surgery: Petrick AT, Shah TA, Gadaleta D, Gould J, Morton J, Smith A, Evans-Labok K, Knapp L, Ko CY, Brethauer SA. Surg Obes Relat Dis. 2025 Apr;21(4):402-410. doi: 10.1016/j.soard.2024.11.011. Epub 2024 Dec 9. PMID: 39753417

Preoperative Assessment - Washington Manual of Surgery

vendredi 15 mai 2026 • Durée 14:53

Let’s talk preoperative management—Join general surgery resident Dr. Angela Hill for a discussion with expert trauma critical care surgeon Dr. Thoi H. Ngo. This episode of the Washington Manual of Surgery Podcast will focus on the preoperative assessment of patients and serves as an additional companion to Chapter 1 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Drs. Ngo and Hill discuss surgical decision-making in a "flip-the-script" Board-style (versus our usual) discussion of an elderly patient presenting to the emergency department with abdominal pain, focusing not just on the clinical management but functional status, preoperative optimization, and decision-making capacity.

Guest Host:

Angela Hill, MD – General surgery resident at WashU Medicine.

Guest:

Thoi H. Ngo, MD – Dr. Ngo is a fellowship-trained trauma surgeon. Dr. Ngo completed the two-year surgical critical care and trauma/acute care surgery fellowship at WashU Medicine before joining the faculty in the Section of Acute and Critical Care Surgery. He is now an attending trauma surgeon at Westchester Medical Center Health.

Notes:

FRAIL Scale: Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight - Gleason LJ, et al. FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture Patients. J Am Med Dir Assoc. 2017 Dec 1;18(12):1082.

Comprehensive Geriatric Assessment: Pilotto A, et al. The Comprehensive Geriatric Assessment and the multidimensional approach. A new look at the older patient with gastroenterological disorders. Best Pract Res Clin Gastroenterol. 2009;23(6):829.

Prehabilitation: Hughes MJ, et al. Prehabilitation Before Major Abdominal Surgery: A Systematic Review and Meta-analysis. World J Surg. Jul 2019;43(7):1661.

Decision-making information: WashU Center for Humanism and Ethics in Surgical Specialties (CHESS): https://chess.wustl.edu/

Surgical Diseases of the Biliary Tree: Part 3 - Washington Manual of Surgery

vendredi 1 mai 2026 • Durée 14:42

Let’s talk bile leaks and cholangitis — Join general surgery resident Dr. Usman Panni for a discussion with expert transplant and biliary surgeon Dr. Adeel Khan. This episode of the Washington Manual of Surgery Podcast will focus on benign biliary diseases, including choledocholithiasis and acute cholangitis, and serves as an additional companion to Chapter 18 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Adeel Khan discusses the management of post-cholecystectomy biloma/bile leaks. He also provides insight into the assessment and management of choledocholithiasis and acute cholangitis.

Guest Host:

Usman Panni, MD – General surgery resident at WashU Medicine.

Guest:

Adeel S. Khan, MD, MPH – Dr. Khan is a transplant surgeon and a hepatopancreatobiliary surgeon. He is a professor of surgery at WashU Medicine. Dr. Khan is an award-winning robotic surgeon, whose practice focuses on laparoscopic and robotic surgery of the liver, pancreas and bile ducts, with a special interest in liver tumors (primary and metastatic), pancreatic cancer, cancer of the gallbladder and bile duct, and benign hepatobiliary and pancreatic conditions.

Show notes:

Acute cholangitis signs:
- Charcot’s triad: Fever, jaundice, RUQ pain.
- Reynold’s pentad: Charcot’s triad with hypotension and altered mental status.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

Surgical Diseases of the Biliary Tree: Part 2 - Washington Manual of Surgery

lundi 20 avril 2026 • Durée 16:26

Let’s talk biliary injury—Join general surgery resident Dr. Usman Panni for a discussion with expert transplant and biliary surgeon Dr. Adeel Khan. This episode of the Washington Manual of Surgery Podcast will focus on benign biliary diseases, including nuances of cholecystectomy and its complications, and serves as an additional companion to Chapter 18 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Adeel Khan provides insight into the assessment and treatment of bile duct injuries. Topics also include intra-operative cholangiography and common bile duct exploration. They discuss injury classification using the Strasberg classification system.

Guest Host:

Usman Panni, MD – General surgery resident at WashU Medicine.

Guest:

Show notes:

Strasberg Classification of Bile Duct Injuries (modified from Table 18.3) - injury classification and description
- A: Leak from cystic duct stump or duct of Luschka
- B: Occlusion of aberrant right hepatic duct
- C: Transection without ligation of aberrant right hepatic duct
- D: Lateral injury to major bile duct
- E1: Common hepatic duct (CHD) division >2 cm from bifurcation
- E2: CHD division <2 cm from bifurcation
- E3: CHD division at the bifurcation with confluence preserved
- E4: Hilar stricture, involvement of the confluence, & loss of communication between right and left HDs
- E5: Involvement of aberrant right HD with or without CBD stricture

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