"What suture would you like to close with, Doctor?" asked the scrub nurse. "Errrr....Dunno, what do they normally use?" replied the surgical trainee who hadn't taken a few minutes to watch this week's podcast from Lee Creedon, all about sutures. In this podcast, mapped to ISCP and basic surgical skills course objectives, Lee takes you though different kinds of sutures, needles, nomenclature and the indications for using each particular type of suture. So, when the scrub nurse asks you which sutu...
Mar 13, 2014•15 min
Eponymously named operations give you little clue as to what they are or what they're for. One of the most commonly performed eponymous procedures is Hartmann's procedure. Jon Lund takes you though the background, indications, preparation and performance of this operation in a video podcast, latest in the "operation explained" series. Essential viewing for medical students on a surgical attachment and core trainees (junior residents). Jon Lund is Associate Professor of Surgery at the University ...
Mar 09, 2014•15 min
What's a population? Easy question? Or not? What's a representative sample? What's a random sample from the population and how do you decide if the set of data you have is the same or different from your population. How many samples do you need to take to be representative of the whole population? Rob Radcliffe explains these concepts and much more, passing through central limit theorem - the very core of medical statistics - to explain all of these easy sounding but difficult concepts in a clea...
Feb 22, 2014•17 min
There are many ways to skin cat and many ways to image the colon. Barium enema is quickly becoming a thing of the past and being replaced by CT colonography, also called virtual colonoscopy. In this video podcast Jon Lund talks to Dr Rajeev Singh about this increasingly common imaging technique, its advantages and disadvantages, its sensitivity and specificity for detecting lesions in the colon and its future. The discussion is illustrated with images taken from CT colonography investigations. T...
Feb 08, 2014•20 min
Are you a viking who can't straighten your fingers, find it difficult to get your hand in your pocket and keep poking yourself in the eye when you're washing your face? If so, you might have Dupuytren's contracture. Benjamin Baker talks to Jill Arrowsmith about this common problem, discussing aetiology, diagnosis and treatment options in the latest in our plastic surgery podcasts. Dupuytren's contracture is common, and if you can diagnose it and discuss its management in undergraduate and postgr...
Jan 31, 2014•10 min
Statistics is a bit of a mystery to most of us. Help is here from former maths teacher and current surgical trainee, Rob Radcliffe. In the third in this series explaining medical statistics, Rob explains hypothesis testing. This is fundamental to just about all we do when cam paring data in trials. The null hypothesis is explained and when it is safe to reject it (how to tell if 2 distributions are the same or different and by how much). This podcast also makes it clear where the "magic" p<0....
Jan 25, 2014•12 min
Susan Clayton shows you how to do a laparoscopic renal pyeloplasty for pelviureteric junction (PUJ) obstruction. In this step by step video you will be taken though the stages of this key operation in urology. Essential viewing for any core trainee or resident, or anyone interested in or already pursuing a career in surgery or urology. Susan Clayton is a trainee in the East Midlands School of Surgery. The procedure was performed by Mr Simon Williams, Consultant Urologic Surgeon, Royal Derby Hosp...
Jan 18, 2014•10 min
This audio podcast covers all you need to know about the aetiology, presentation, anatomy, and treatment of carpal tunnel syndrome. Ben Baker is an Academic Foundation Year 2 Doctor and Jill Arrowsmith is a Consultant Plastic and Reconstructive Surgeon in the renowned Pulvertaft Hand Centre, Royal Derby Hospital, UK
Jan 11, 2014•13 min
How do wounds heal? What stitch would you use to close a wound and why? When would you not close a wound? What do you do when a wound looks infected? Seem like easy questions but would you be able to answer them?? In the first of a series of podcasts on plastic surgery, Benjamin Baker talks to Jill Arrowsmith about aspects of wound healing. Types of wounds healing are discussed. Primary closure, delayed primary closure healing by secondary intention are explained as well as granulation tissue, t...
Jan 04, 2014•14 min
Happy Holidays from all at School of Surgery
Dec 22, 2013•28 sec
You're standing in your surgical examination looking at a patient's abdomen. The examiner asks you to comment on the scars you can see. What are you going to say? Help is at hand... Keaton Jones takes you though positions of scars on the abdomen, how old they are and what the operation might have been. Kochers, roof top, mercedes benz and Rutherford- Morrison incisions are covered amongst all the other incisions and combinations of scars from open and laparoscopic operations which will give you ...
Dec 14, 2013•11 min
"Doctor, Mr Jones's urine output has been low for the last 3 hours, can you come to review him please?" This is a common call to trainees on surgical wards. But what is a low urine output, why is is low and what are you going to do? In the second in their series on common problems on the ward facing FY1/2 and core trainees (interns and junior residents), Jennifer Murphy and Daniel Couch take you through definitions of adequate and poor urine output, causes and management of the problem so that y...
Dec 06, 2013•11 min
In a previous podcast you've seen how to to a laparoscopic nephrouterectomy for TCC. Now you can learn about transitional cell carcinoma itself. Susan Clayton discusses epidemiology, aetiology, presentation, investigation, treatment options and prognosis of TCC with Simon Williams. The podcast is mapped to learning outcomes from ISCP and covers all you need to know as a medical student and core surgical trainee (junior resident) about this common urological cancer. Listening to this is a few min...
Nov 29, 2013•8 min
Do you have an average number of legs? Most likely you have slightly more than the mean number of lower limbs if you think about it. It is important to be able to describe data properly so that we convey the correct and accurate meaning. In his second podcast on medical statistics, Rob Radcliffe takes us through descriptive statistics, central tendency and normal distribution in an accessible and painless fashion. Easy to understand explanations are supplemented with diagrams and charts so that ...
Nov 27, 2013•19 min
In the first of a new series on common problems seen on the surgical ward after an operation, Jennifer Murphy discusses hypotension in the post operative period with Daniel Couch. The symptoms, signs and of causes of hypotension in the post op period are discussed, as well as an algorithm for diagnosis and treatment for each cause. Essential listening for medical students coming up to finals or wanting to be well prepared for their first surgical job. Also important revision for foundation docto...
Nov 16, 2013•15 min
Susan Clayton takes you through laparoscopic removal of the kidney and ureter to treat transitional cell carcinoma. There is a step by step commentary and operative footage of this commonly performed operation, with explanation of the anatomy and each step of the operation. This podcast will help you to fully understand nephroureterectomy, whether you are a medical student, core trainee (junior resident), or higher surgical trainee. Surgery perfumed by Simon Williams, Consultant Urological Surge...
Nov 09, 2013•10 min
What are you going to do when you are asked to see a patient in pain?! What drug will you give? What if it doesn't work??! Help is at hand... Ben Baker and Tom Heinink discuss the WHO pain ladder in this audio podcast. They discuss all you'll need to know to manage post operative pain and pain in patients presenting as emergencies to surgery in a logical and stepwise manner, using the World Health Organisation ladder as a model. This podcast is essential listening for medical students coming up ...
Nov 03, 2013•10 min
In the second in the series on common emergencies in urology, Susan Clayton talks to Hari Ratan about the presentation and management of renal colic, one of the most common urological conditions presenting as an emergency. A good working knowledge of renal colic and renal calculi is essential for anyone learning urology either as a medical student, foundation year doctor (intern) or core trainee in surgery or urology (junior resident). This podcast is mapped to final year medical student learnin...
Oct 26, 2013•9 min
In the first of a series on urological emergencies, Benjamin Baker talks to Hari Ratan about torsion of the testicle and epididymo-orchitis. The talk covers all aspects of presentation and management and is mapped to medical student finals objectives and also ISCP. It is essential listening for medical students coming up to finals or during a surgery attachment, foundation year 1 doctors (interns) and core surgical trainees (Junior residents), or anyone involved in emergency care. Benjamin Baker...
Oct 19, 2013•10 min
In the first of his series on medical statistics, Rob Radcliffe, maths graduate, former maths teacher and current trainee in surgery in East Midlands School of Surgery, talks us through a way to clearly formulate clinical questions. Correct formulation of these questions is fundamental to research, the correct use of statistics in clinical settings and will help you to read, interpret and critique a scientific paper. Rob describes, using an example from his own practice, the PICO method to help ...
Oct 12, 2013•7 min
Click on this link http://videoportal.dbh.nhs.uk:2800 or paste into your browser to access a recording of a day of the M18 colorectal masterclass. There's a whole day of presentations on common topics in proctology, including haemorrhoids, pruritus ani, fissure, MRI, endoanal ultrasound pilonidal sinus and more. The highlight is a recording of Professor Robin Phillips (St Mark's Hospital, UK) giving his excellent talk on fistula in ano, which tells you, extremely clearly, all you will ever need ...
Sep 28, 2013•2 min
Building on last week's podcast, Katherine Smith, Specialty Registrar in East Midlands School of Surgery, takes you through a laparoscopic anterior resection for a rectosigmoid cancer. There is a step by step commentary and operative footage of this commonly performed operation, with explanation of the anatomy and each step of the operation. Viewing this in conjunction with the "anterior resection explained" podcast will help you to fully understand anterior resection, whether you are a medical ...
Sep 25, 2013•1 min
Jon Lund continues the series on explaining the principles of operations for colorectal cancer with anterior resection. In this video podcast the underlying principles of surgery for cancer are explained, and the indications for operation, adjuvant and neoadjuvant treatment in rectal cancer are discussed. The operation is explained with the help of diagrams, as well as indications for formation of defuntioning ileostomy. This podcast will be helpful to medical students on surgical attachments an...
Sep 14, 2013•13 min
Keaton Jones defines a fracture and shows you an easy method to describe any fracture, with examples from x-rays of patients. This video podcast is essential viewing for medical students or core trainees (junior residents) in the emergency department or orthopaedics who might find themselves on the spot, having to comment on a fracture to the consultant in a teaching session, or to a colleague over the phone. Never be lost for words again!
Sep 08, 2013•8 min
Jon Lund, Associate Professor of Surgery at University of Nottingham and Consultant Surgeon at Royal Derby Hospital takes you on a guided tour of the contents of the abdomen and shows how to do a laparoscopic appendicectomy. This video podcast will be useful to core trainees in surgery (junior residents) and medical students who are interested in surgery. Surgery performed by Ash Bhalla assisted by Chris Neophytou.
Aug 30, 2013•7 min
Keaton Jones, Academic Clinical Fellow at the University of Oxford, talks to Ash Bhalla, Research Fellow in Surgery at the University of Nottingham, about pancreatitis. This audio podcast is mapped to learning outcomes for medical undergraduates and core surgical trainees (junior residents), and covers presentation, diagnosis, investigations, scoring systems, prognosis and complications of pancreatitis - so all you really need to know about this common acute surgical condition!
Aug 24, 2013•11 min
School of Surgery are back from their summer holidays! Keaton Jones completes his multimedia explanation of lap chole with indications for on table cholangiography, a picture of a cholangiogram, with explanation of the pathology and anatomy and a video of a laparoscopic common bile duct exploration. This video podcast will be helpful to medical students and trainees in core surgery (junior residents). It will help you to understand whats going on, get the answers right when you're on the spot an...
Aug 17, 2013•7 min
Keaton Jones takes you on a multimedia journey though laparoscopic cholecystectomy. Indications, technique and complications are covered, with pictures, slides and operative videos and anatomical diagrams. If you are a medical student who wants to know about the procedure, or you are about to go to see one in the OR and want to know what you're seeing, then this is an ideal resource. If you are a core trainee (Junior resident) in surgery and want to be properly prepped for doing a laparoscopic c...
Aug 02, 2013•11 min
Jon Lund talk to Rajeev Singh, Consultant Radiologist at Royal Derby Hospital, UK about common abnormalities see on plain abdominal x-rays, using the ABC structure described in the previous video podcast on the normal plain x-ray. The video podcast covers small and large bowel obstruction and caecal and sigmoid volvulus amongst other topics. Ideal for learning or revision for medical students or foundation doctors and core trainees in surgery (interns and junior residents)
Jul 26, 2013•16 min
Keaton Jones, Academic trainee at University of Nottingham and Royal Derby Hospital, UK, introduces stomas. In this video podcast stoma is defined, types of stoma discussed (especially ileostomy and colostomy, loop and end stomas) and complications listed. Keaton also takes you through how to examine a patient with a stoma (these patients tend to crop up in exams!) This video podcast will be useful for medical students as learning and interns and junior residents (foundation and core trainees) a...
Jul 19, 2013•10 min