Adjuvant? Neoadjuvant? Short course? Long course? The treatment of rectal cancer treatment has come a long way. Tune in to learn more about Total Neoadjuvant Therapy (TNT) and the mysterious HOLY PLANE. Learning Objectives: 1. Describe the rationale for Total Neoadjuvant Therapy (TNT) for rectal cancer 2. Review the history of chemo and radiation therapy in treatment of rectal cancer 3. Describe total mesorectal excision References Bahadoer RR, Dijkstra EA, van Etten B et al. Short-course radiot...
Nov 08, 2021•32 min•Transcript available on Metacast The American Board of Surgery has a new family leave policy for surgery trainees: https://www.absurgery.org/default.jsp?policygsleave . What's new? Is it enough? And what does competency-based training have to do with it? Join Drs. Patrick Georgoff and Shanaz Hossain as they discuss the details with ABS president Dr. Jo Buyske. Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more....
Nov 04, 2021•28 min•Transcript available on Metacast Tick tock tick tock, 5 min is up! There is a plus sign on the testing stick. And you are…. Pregnant! Congratulations??? Join Drs. Erika Rangel, Eugene Kim, Yue-yung Hu, and Debbie Li as they discuss the challenges surgeons and trainees face as they navigate through pregnancy and parenthood. Learning objectives: In this episode, we learn about the personal experiences including the good, the bad, and the ugly behind pregnancy and parenthood. We discuss about the stigma faced and experienced by ma...
Nov 01, 2021•38 min•Transcript available on Metacast Post-operative pain is a challenging topic most surgeons would prefer not to have to think about, and post-inguinal hernia repair pain can be a particular pain in the…groin. Drs. Mike Weykamp, Andrew Wright, and Nick Cetrulo from the University of Washington provide a framework for approaching these challenging patients to help clarify when and how to best evaluate post-inguinal hernia repair pain and identify the patients who might benefit from surgical intervention. Referenced Articles and Vid...
Oct 28, 2021•38 min•Transcript available on Metacast The CODA trial is back – this time to shed light on long-term outcomes for antibiotics versus surgery for appendicitis! Dr. David Flum, lead investigator of the CODA trial, and Dr. Lillian Kao join us today to discuss the results after at least 1 year of follow-up in their patients. Read the full update here in the New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMc2116018 Utilizing the CODA trial results, Dr. Flum has created an innovative online tool for physicians to ...
Oct 25, 2021•25 min•Transcript available on Metacast It’s a brave new world people! There has been an extraordinary and historic change in the way society interacts with information. With the COVID pandemic raging misinformation and conspiracy theories have taken off like wildfire. But why? And what can we as providers do about it? Join Drs. Patrick Georgoff and Brian Southwell for this timely discussion. Dr. Southwell is Senior Director of the Science in the Public Sphere Program at the RTI International’s Center for Communication Science. He is ...
Oct 21, 2021•38 min•Transcript available on Metacast Journal Review in HPB – Surgical Outcomes of the SWOG S1505 Trial Description : Neoadjuvant chemotherapy remains a controversial topic for resectable pancreatic adenocarcinoma. This randomized trial examines surgical and clinical outcomes from peri-operative regimens, mFOLFIRNOX and gem-Abraxane. The HPB Behind the Knife team dives into the specifics of the trial design and findings, as well as sits down with the Principal Investigator Dr. Syed Ahmad himself to ask about the behind-the-scenes de...
Oct 18, 2021•59 min•Transcript available on Metacast Join BTK founders, Dr. Jason Bingham and Dr. John McClellan, as they discuss bariatric emergencies for the general surgeon. This is Part 2 of 2. Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Oct 14, 2021•31 min•Transcript available on Metacast Large diameter 26-32Fr chest tubes are the treatment of choice at many institutions for the treatment of traumatic hemothorax, but does the currently available data support that? Are there better options available? Join our team as we discuss the The Small 14-French (Fr) Percutaneous Catheter vs. Large (28-32Fr) Open Chest Tube for Traumatic Hemothorax (P-CAT): A Multi-center Randomized Clinical Trial by Dr. N Kulvatunyou et al to address this question. Hosts: Elliott R. Haut, MD, PhD, a senior,...
Oct 11, 2021•30 min•Transcript available on Metacast Join BTK founders, Dr. Jason Bingham and Dr. John McClellan, as they discuss bariatric emergencies for the general surgeon. This is Part 1 of 2. Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Oct 07, 2021•31 min•Transcript available on Metacast Peripheral Artery Disease – What the $#^% are we talking about? Peripheral Artery Disease is all about saving peoples legs and lives, but we often don’t talk about PAD lesions with a common clinical language. In this episode of Behind the Knife, the vascular surgery team introduces the Global Vascular Guidelines anddiscusses the WIfI, TASC, and GLASS classifications systems designed to standardize our conversations about PAD lesions and how these fit into treatment decisions. Dr. Nicholas Osborn...
Oct 04, 2021•25 min•Transcript available on Metacast The Colorectal Surgery Virtual Education team is back with Mock Oral exams. This is episode 2 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 .
Sep 30, 2021•35 min•Transcript available on Metacast 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: · Dueland, et al. “Survival Outcomes After Portal Vein Embolization and Liver Resection Compared With Liver Transplant for...
Sep 27, 2021•28 min•Transcript available on Metacast 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 .
Sep 23, 2021•32 min•Transcript available on Metacast 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 becoming the fastest growing solid organ tumor in the United States. In this episode from the Surgical O...
Sep 20, 2021•45 min•Transcript available on Metacast 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/ Risk factors for postdischarge venous thromboembolism among bariatric surgery patients and the evolving...
Sep 16, 2021•22 min•Transcript available on Metacast 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 episode, we discuss the workup of a rectal tumour associated with synchronous liver metastases, indications for...
Sep 13, 2021•46 min•Transcript available on Metacast "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 injury Diaphragm injury Esophageal injury...
Sep 09, 2021•34 min•Transcript available on Metacast 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 R, Renaud E, Goldin AB, Baird R, Cameron DB, Arnold MA, et al. Ovarian torsion in pediatric and adolescent...
Sep 06, 2021•23 min•Transcript available on Metacast "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 injury Chance fractures Cardiac injuries with a negative FAST exam Missed injuries during trauma ex lap...
Sep 02, 2021•30 min•Transcript available on Metacast 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 identify and support the struggling surgical resident. Learning objectives: After listening to this episo...
Aug 30, 2021•35 min•Transcript available on Metacast 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 Instagram handle in the review. Or email us at BTKpodcast@gmail.com to let us know that you showed BTK some lov...
Aug 26, 2021•31 min•Transcript available on Metacast 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 related to fascial closure technique, and review literature on prophylactic mesh augmentation. · Dr. Vaha...
Aug 23, 2021•26 min•Transcript available on Metacast 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, Do and Close.” Using the case of a geriatric trauma patient in multi-system organ failure, in this episod...
Aug 16, 2021•36 min•Transcript available on Metacast 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 (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Scienc...
Aug 12, 2021•29 min•Transcript available on Metacast 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 management of a patient with triple negative breast cancer. In this episode, we review the diagnosis and classi...
Aug 02, 2021•26 min•Transcript available on Metacast 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. Hosts: Drs. Patrick Georgoff (@georgoff) and Amir Motameni (@motameniA) Special guests: Drs. Gifty Kwakye, ...
Jul 29, 2021•34 min•Transcript available on Metacast 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. Cholecystectomy during the third trimester of pregnancy: proceed or delay? J Am Coll Surg. 2019. 228 (4): 494-502. 2) Hong. J...
Jul 26, 2021•38 min•Transcript available on Metacast 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/
Jul 22, 2021•40 min•Transcript available on Metacast 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 episode, we review the indications for renal replacement therapy, the different modalities of continuous ...
Jul 19, 2021•30 min•Transcript available on Metacast 
