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 uncommon causes of pneumothorax Referenced Material ACCP guidelines for spontaneous pneumothorax: https://journal.chestnet.org/article/S0012-3692...
Jul 15, 2021•35 min•Transcript available on Metacast 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 primary hyperparathyroidism after a diagnosis of nephrolithiasis, and the role of prophylactic central...
Jul 12, 2021•32 min•Transcript available on Metacast 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://www.youtube.com/c/BehindTheKnifeTheSurgeryPodcast . Interested in learning more about specific topics in ...
Jul 08, 2021•37 min•Transcript available on Metacast 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 visualization, dexterity, and ergonomics that have not yet been borne out in rigorous trials. Hosts, Drs. M...
Jul 05, 2021•34 min•Transcript available on Metacast 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.
Jul 01, 2021•38 min•Transcript available on Metacast 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 Dr. Schwarze’s 7 Habits for Highly Effective Surgery Communication, created just for Behind the Knife. 1....
Jun 28, 2021•26 min•Transcript available on Metacast 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 older patients and their surgeons so that patients can avoid unwanted treatment and make decisions that ali...
Jun 24, 2021•48 min•Transcript available on Metacast 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 defin...
Jun 21, 2021•49 min•Transcript available on Metacast 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...
Jun 17, 2021•44 min•Transcript available on Metacast 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 ...
Jun 14, 2021•37 min•Transcript available on Metacast 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 T...
Jun 07, 2021•32 min•Transcript available on Metacast “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.
May 31, 2021•25 min•Transcript available on Metacast 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
May 27, 2021•45 min•Transcript available on Metacast 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.
May 24, 2021•24 min•Transcript available on Metacast 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.
May 17, 2021•34 min•Transcript available on Metacast 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 retur...
May 10, 2021•48 min•Transcript available on Metacast 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 unde...
May 03, 2021•31 min•Transcript available on Metacast 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.
Apr 26, 2021•32 min•Transcript available on Metacast 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...
Apr 19, 2021•23 min•Transcript available on Metacast 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...
Apr 19, 2021•28 min•Transcript available on Metacast 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!
Apr 12, 2021•1 hr 8 min•Transcript available on Metacast 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/
Apr 05, 2021•36 min•Transcript available on Metacast 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.
Mar 29, 2021•21 min•Transcript available on Metacast 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!
Mar 22, 2021•44 min•Transcript available on Metacast 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.
Mar 16, 2021•46 min•Transcript available on Metacast 
