Journal Review in Transplant Surgery: New Topics in Liver Transplantation
Learning Objectives: ·       Describe the role of portal vein embolization and how it is currently utilized in the setting of metastatic colon cancer ·       Understand adequate functional volume and delineate different methods of increasing a future liver remnant ·       Identify the leading causes of drug-induced liver failure and recognize how these have changed over time Journal Articles: ...
28m Sep 27, 2021
28m
Colorectal Surgery Virtual Education Series: Mock Oral Exam Part 1
The Colorectal Surgery Virtual Education team is back with Mock Oral exams.  This is episode 1 of 2 and includes 2 high-yield cases. Also available in video format at www.behindtheknife.org. For more information on the Colorectal Surgery Virtual Education initiative visit www.crsvirtualed.org.
32m Sep 23, 2021
32m
Clinical Challenges in Surgical Oncology: Curative Options for Hepatocellular Carcinoma
Description:  A patient being surveilled for untreated hepatitis C presents to your clinic for a newly identified liver mass. Hepatocellular carcinoma (HCC) accounts for ~90% of new liver cancers and infection by hepatitis B and hepatitis C viruses are the main risk factors. Non-alcoholic steatohepatitis associated with metabolic syndrome and diabetes mellitus, however, have contributed to HCC ...
45m Sep 20, 2021
45m
Journal Review in Bariatric Surgery: Controversies Surrounding Extended VTE Prophylaxis
Ever wonder why some bariatric patients received extended VTE prophylaxis and others do not? Or what the ideal chemical VTE prophylaxis is for bariatric patients? All of your questions answered in this journal review discussion! Journal articles: A single-center comparison of extended and restricted thromboprophylaxis with LMWH after metabolic surgery: https://pubmed.ncbi.nlm.nih.gov/31641983...
22m Sep 16, 2021
22m
Clinical Challenges in Colorectal Surgery: Colorectal Cancer with Synchronous Colorectal Cancer Liver Metastasis
You’re faced with a challenging case of a patient with rectal cancer and synchronous liver lesion. Where do you start: chemotherapy, chemoradiotherapy, upfront surgery, liver first, rectum first? Join Drs. Carole Richard, François Dagbert and Maher Al Khaldi as they discuss the management of a patient with rectal cancer with a synchronous hepatic metastasis. Learning objectives In this episod...
45m Sep 13, 2021
45m
Big T Trauma Series Ep. 13 - Pitfalls in Trauma #2
"The eyes do not see what the mind does not know." Trauma surgery is riddled with pitfalls.  Take your guard down for a minute and BAM, you are eating humble pie.  Don't let this happen to you! Join Drs. Bryan Cotton, Teddy Puzio, Krislynn Mueck, and host Patrick Georgoff for a fun, high-yield review.  In this episode (2 of 2), we cover: Splenic pseudoaneurysm Compartment syndrome Urogenital...
34m Sep 09, 2021
34m
Journal Review in Pediatric Surgery: Pediatric Ovarian Mass
Please join Drs. Brian Gray, Amanda Jensen and Manisha Bhatia from Indiana University as they discuss ovarian mass in pediatric surgery. Journal Article links: Madenci AL, Vandewalle RJ, Dieffenbach BV, Laufer MR, Boyd TK, Voss SD, et al. Multicenter pre-operative assessment of pediatric ovarian malignancy. J Pediatr Surg 2019;54(9):1921-5. https://pubmed.ncbi.nlm.nih.gov/30867096/ Dasgupta ...
23m Sep 06, 2021
23m
Big T Trauma Series Ep. 12 - Pitfalls in Trauma #1
"The eyes do not see what the mind does not know." Trauma surgery is riddled with pitfalls.  Take your guard down for a minute and BAM, you are eating humble pie.  Don't let this happen to you! Join Drs. Bryan Cotton, Teddy Puzio, Rushabh Dev, and host Patrick Georgoff for a fun, high-yield review.  In this episode (1 of 2), we cover: Extraperitoneal rectal injury Blunt cerebrovascular injur...
30m Sep 02, 2021
30m
Clinical Challenges in Surgical Education: Supporting the Struggling Resident
The chief residents in your program are at their wits end with some of their colleagues. Residents are yelling at nurses, skin closures look like they’re from a horror movie and a patient almost died because of a delay in being seen. How can the chiefs and program director help these struggling residents? Join Drs. Kyla Terhune, Jeremy Lipman, Judith French and Amy Han as they discuss how to i...
35m Aug 30, 2021
35m
Clinical Challenges in Colorectal Surgery: Large Bowel Obstruction
Tune in to listen to two of the BTK original founders, Dr. Jason Bingham and Dr. Scott Steele, as they discuss clinical challenges in colorectal surgery, specifically large bowel obstruction. Want to win a free Behind the Knife ABSITE review book?  Simply leave us a review on Apple Podcasts before September 1st and you will be entered into the drawing.  Be sure to include your Twitter or Insta...
31m Aug 26, 2021
31m
Journal Review in Hernia Surgery: Prophylactic Mesh Placement
Incisional hernia is one of the most common long-term complications associated with surgical interventions. In this episode from the Hernia and Abdominal Wall Reconstruction team at Behind the Knife, we discuss evidence-based decision making to reduce incisional hernia rates following laparotomy. We review preoperative factors associated with hernia occurrence, intraoperative decision making re...
26m Aug 23, 2021
26m
Clinical Challenges in Surgical Palliative Care: The Family Meeting, Code Status and Goals of Care
Welcome to the first of a six-part series focused on the integration of palliative care into the practice of surgery.  Dr. Geoffrey Dunn defines Surgical Palliative Care as “the treatment of suffering and the promotion of quality of life for seriously ill or terminally ill patients under surgical care.”  He has proposed that the Family Meeting is like a surgical procedure in which we “Prepare, ...
36m Aug 16, 2021
36m
ACS Cancer Surgery Standards Program
Behind the Knife – ACS Cancer Surgery Standards Program Host: Shreya Gupta, MD (@shreyaguptaMD) Guests: Mediget Teshome, MD, MPH, FACS (@drmediget) is an Assistant Professor in the Department of Breast Surgical Oncology at the University of Texas MD Anderson Cancer Center. She is the Chair of the Education Committee of the Cancer Surgery Standards Program (CSSP). Timothy Vreeland, MD, FACS (...
29m Aug 12, 2021
29m
Clinical Challenges in Breast Surgery: Triple Negative Breast Cancer
A young woman is referred urgently to your breast surgical oncology clinic for a second opinion. She has been told that she needs to have an urgent mastectomy for a palpable triple negative breast cancer with suspicious axillary lymphadenopathy. Are there other options she should consider? Join Drs. Michael Alvarado, Rita Mukhtar, and Alexa Glencer as they discuss the multidisciplinary manageme...
26m Aug 02, 2021
26m
How you can DOMINATE the surgery clerkship
Medical students - do you want to DOMINATE your surgery clerkship?  Of course you do!  Tune in and find out how.  In this episode we introduce Behind the Knife’s 5 Principles for Clerkship DOMINATION, we hear from clerkship directors at top-notch surgery programs around the country, and we review the primary learning environments in surgery and how you can excel in each of these environments. ...
34m Jul 29, 2021
34m
Journal Review in Emergency General Surgery: Cholecystitis in Pregnancy
Your patient is pregnant in her third trimester and she has acute cholecystitis...a relatively common but unnerving scenario.  What do you do?!  Do you operate?  Do you observe?  What about the baby?  Tune in and get the information you need to best care for this patient. Hosts: Drs. Graham Skelhorne-Gross, Ashlie Nadler and Jordan Nantais. Papers reviewed: 1) Fong, Z. et. al. Cholecystectom...
38m Jul 26, 2021
38m
BTK/ANNALS JOURNAL CLUB #18: RESIDENT WELLNESS, BURNOUT, AND PERSONAL ACCOMPLISHMENT
Dr. Yue-Yung Hu, Dr. Ryan Ellis, and Dr. Rhami Khorfan discuss two key new papers discussing optimizing resident achievement and well-being. Check out the papers at these links! https://pubmed.ncbi.nlm.nih.gov/33605580/ https://pubmed.ncbi.nlm.nih.gov/33491973/
40m Jul 22, 2021
40m
Journal Review in Surgical Critical Care: Renal Dysfunction in the Intensive Care Unit
Episode Description The timing of renal replacement therapy remains controversial and may be influenced by local resources, availability and institutional practices. In this episode from the Surgical Critical Care team at Behind the Knife, we provide a brief overview, introduce a clinical scenario and discuss two contemporary articles on the timing of initiation. Learning Objectives: In this ...
30m Jul 19, 2021
30m
Clinical Challenges in Thoracic Surgery: Spontaneous Pneumothorax
Intro:  Join Drs. Brian Louie, Peter White, and Megan Lenihan as they discuss the management of spontaneous pneumothorax in its various presentations. Learning Objectives -        Management of primary spontaneous pneumothorax -        Management of secondary spontaneous pneumothorax -        Operative intervention -        Nonoperative intervention -        Recognition and management of unco...
35m Jul 15, 2021
35m
Journal Review Endocrine Surgery: AAES 2021 Highlights
Couldn’t log on to the American Association of Endocrine Surgeons Annual Meeting this year? No need to have FOMO, in this episode from the Endocrine Surgery team at Behind the Knife, we review key abstract presentations from the meeting. We discuss the strengths and limitations of the studies, and how the results translate to clinical practice. Specifically, we go into screening and surgery for...
32m Jul 12, 2021
32m
Clinical Challenges in Colorectal Surgery: Endoscopic Management of Advanced Colorectal Polyps
You find a 2.3 cm polyp in the right colon during a screening colonoscopy.  Does this patient need a colectomy? Is polypectomy ok? What should I do?? Join Drs. Peter Marcello, Jonathan Abelson and Tess Aulet as they discuss the endoscopic management of advanced colorectal polyps. Be sure to check out Behind the Knife's YouTube channel for the VideoCast version of this high-yield case: https://...
37m Jul 08, 2021
37m
Journal Review (MIS): Evaluating the robotic platform in general surgery: ROLARR & RIVAL
Minimally Invasive Surgery Journal Review Evaluating the Robot Platform for use in General Surgery: ROLARR & RIVAL The debate about whether or not robotic surgery has a place in mainstream general surgery practice has been raging years with critics highlighting concerns about cost and a lack of high-level evidence showing benefit in patient outcomes while proponents suggest benefits in visual...
34m Jul 05, 2021
34m
Plastic Surgery for the General Surgeon: Lymphedema Surgery
Dr. Shailesh Agarwal from Brigham and Women's Hospital in Boston joins us once more on the podcast! This time he lends us his expertise in the surgical management of lymphedema. Come listen to how Dr. Agarwal is improving the lives of patients with this terrible, chronic condition, often produced as a result of prior surgery.
38m Jul 01, 2021
38m
7 Habits for Highly Effective Surgery Communication with Dr. Gretchen Schwarze
On this episode we are joined by Dr. Gretchen Schwarze, Associate Professor of Vascular Surgery at the University of Wisconsin in Madison.  Dr. Schwarze is an expert in surgical decision making, informed consent, advance directives, and end-of-life care, and in this episode we pick her brain for practical tips on how to talk to patients about surgery and end of life decisions.  Tune in to hear ...
26m Jun 28, 2021
26m
Best Case Worst Case Tool: Scenario Planning with Dr. Gretchen Schwarze
On this episode we talk about an extremely important topic - end of life care and decision making.  We are lucky to be joined by Dr. Gretchen Schwarze, Associate Professor of Vascular Surgery at the University of Wisconsin in Madison.  Dr. Schwarze is the creator of the Best Case Worst Case tool, an incredibly useful resource.  The Best Case Worse Case tool helps improve communication between o...
48m Jun 24, 2021
48m
Clinical Challenges in Surgery HPB: Pancreatic Head Cancer
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 f...
49m Jun 21, 2021
49m
Surgical Oncology- Hepatic artery infusion pump
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
44m Jun 17, 2021
44m
Clinical Challenges in Trauma Surgery: Penetrating Cardiac Trauma
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, nation...
37m Jun 14, 2021
37m
Clinical Challenge in Vascular Surgery: Carotid Artery Stenosis
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...
32m Jun 07, 2021
32m
#DearIntern
“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.
25m May 31, 2021
25m
Vascular Trauma Resident Survival Guide Part 3 - Abdomen, Pelvis, and Extremities
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
45m May 27, 2021
45m
Vascular Trauma Resident Survival Guide Part 2 - Neck & Chest
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.
24m May 24, 2021
24m
Vascular Trauma Resident Survival Guide Part 1 w/ Rich's Vascular Trauma
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.
34m May 17, 2021
34m
The Joint Commission Tackles Healthcare Disparities in the COVID Era
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 ...
48m May 10, 2021
48m
COVIDSurg Update
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 ...
31m May 03, 2021
31m
Clinical Challenges in Surgery: ARDS
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...
32m Apr 26, 2021
32m
Surgical Technique: Kidney Transplant (Part 2)
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...
23m Apr 19, 2021
23m
Surgical Technique: Kidney Transplant (Part 1)
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...
28m Apr 19, 2021
28m
Plastic Surgery for the General Surgeon: Flap Reconstruction
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!
1hr 7m Apr 12, 2021
1hr 7m
Vascular Journal Club - When to Thrombolyse DVTs? Single or Dual Antiplatelet Following Bypasses?
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/
36m Apr 05, 2021
36m
Clinical Challenges: GSW to the Abdomen
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.
21m Mar 29, 2021
21m
Understanding SCORE and the Future of Surgical Education
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!
44m Mar 22, 2021
44m
Clinical Challenges: Diverticulitis
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 t...
46m Mar 16, 2021
46m
SSO Landmark Papers - Intrahepatic Cholangiocarcinoma
The venerable Dr. Timothy Pawlik from Ohio State joins us on the podcast today to discuss his Landmark Paper review of Intrahepatic Cholangiocarcinoma!
32m Mar 08, 2021
32m
Plastic Surgery for the General Surgeon: Breast Reconstruction with Dr. John Kim
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!
58m Mar 01, 2021
58m
Plastic Surgery for the General Surgeon: Abdominal and Chest Wall Reconstruction with Dr. Shailesh Agarwal
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. ep...
34m Feb 22, 2021
34m
Plastic Surgery for the General Surgeon: Perineal Reconstruction with Dr. Shailesh Agarwal
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, al...
29m Feb 15, 2021
29m
Kick-Off to 2021!
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.
7m Feb 10, 2021
7m
Endovascular Management of Trauma with Dr. Todd Rasmussen and Dr. Wayne Causey
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...
1hr 12m Feb 08, 2021
1hr 12m
BTK ABSITE 2021 - DO NOT OPEN UNTIL MORNING OF ABSITE (45 MINUTE REVIEW)
The time has come. Dominate it.
46m Jan 29, 2021
46m