Medliorate

Improving medical students

Archive for the ‘Surgery’ Category

Virtual Knee Surgery

Posted by medliorator on July 1, 2008

Tailored for a younger audience, but still ruthlessly addictive.  Take a look at Edheads Virtual Knee Surgery, a Flash masterpiece.

Posted in Surgery, Tools | 1 Comment »

Watch Surgery Online

Posted by medliorator on May 16, 2008

Jefferson surgeons perform reconstruction immediately following radical mastectomy. Women with breast cancer often seek immediate breast reconstruction after a mastectomy to help them regain a semblance of their body and for their psychological peace of mind.

Heart Transplant. The Department of Cardiothoracic Surgery at the Montefiore-Einstein Heart Center in New York.

Posted in Surgery | 1 Comment »

Personality of a Good General Gurgeon

Posted by medliorator on April 7, 2008

Anal retentiveness. An absolute obsession with getting the details, and getting them right… You see, before I waltz into the room in my oh-so-comfortable shoes, I have

  • read the chart
  • read the old chart, if it exists
  • reviewed the x-rays
  • found the lab results
  • talked to the referring physician
  • had a few martinis cups of coffee

In the OR, no stone can go unturned, no potential problem left unexplored. This is true for routine, as well as complex and emergent surgeries. And then, for the truly ill patient, all sorts of things need to be tended to after surgery— and a general surgeon must rely on his or her own self, not abdicating things like looking at all of the labs or X-rays to other consultants that may be involved. This is where the “meticulous, parsimonious, and obstinate” personality comes to the forefront.

 

Pucker. Attention to detail. Rechecking the anastomosis before closing. Calling to check on the sick postop patient, even though you are not on call and you know full well that your partner, who is on call, is perfectly capable of dealing with anything that arises. Answering pages.

Pucker [Aggravated DocSurg]

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Survive OR pimping

Posted by medliorator on April 5, 2008

here’s a novel idea: Study in advance! The best way to survive long pimping sessions in the OR is to be prepared and to impress with your knowledge. It’s not the easiest or the most fun way to make it through your Surgery rotation, but it is gratifying and it works!

How to Survive Pimping in the OR [The Differential]

Posted in Clinical Rotations, Pimping, Surgery | 2 Comments »

Attributes of a Successful Surgeon

Posted by medliorator on March 5, 2008

Back in the Dark Ages (i.e., when I was in training) it was said that the most important attributes a surgeon could have in order to be successful were:

 

1. Availability – In the surgeon’s world of the past, this meant being readily on hand, reachable, and quick to respond when asked to see a patient. “Capable of being gotten” means keeping your beeper on — and answering it. And, of course, being “qualified and willing to serve or assist” should be the hallmark of a good general surgeon.

 

2. Affability – Being pleasant to referring physicians, nurses, and referring docs is not only good for everyone involved, it also makes plain old good bidness sense.

 

3. Ability – the least important of the “3 A’s”

 

the fourth “A” — adaptability: The ability to change (or be changed) to fit changed circumstance

 

the successful …physician of the future …must be imminently adaptable. Quick on their feet to make sure that they are fully compliant with every mandate passed … Nimble enough to dance to the tune of a slew of paper-pushing high school graduates who will churn the numbers of a myriad of physician “quality measurements” … And ready and willing to keep their own statistics, to ensure that any perceived deviation from local, national or regional arbitrarily determined standards can be demonstrated to be false.

 

Adaptability will last, for a while, at the top of the list, with “ability” relegated to fourth place.

The “A’s” Have It [Aggravated DocSurg]

Posted in Surgery, Tips & Advice | Comments Off on Attributes of a Successful Surgeon

Remove Gall Bladder through Mouth

Posted by medliorator on June 26, 2007

The Oregon Clinic announced that Dr. Lee Swanstrom has recently performed the first transgastric endoscopic cholecystectomy in the US

Dr Swanstrom and his surgical team have subsequently completed two additional procedures as part of an IRB (Institutional Research Board) approved research study. The procedure involves removing the gall bladder without making traditional incisions on the surface of the skin, which is expected to result in less pain, lower risk of infection and a reduced recovery time as compared to traditional surgery.

Much of the discomfort and recovery time after conventional surgery — and even laparoscopic surgery — is due to the incisions made in the abdominal wall, particularly the larger incision needed to remove the gallbladder.

Natural Orifice Transluminal Endoscopic Surgery (NOTES), as this procedure has become known, involves passing flexible surgical tools and a camera through the patient’s mouth to reach the abdominal cavity by an incision made in the stomach. Once the operation is over, the surgeon draws any removed tissue back through the patient’s mouth and closes the hole in the stomach.

First Transgastric NOTES Gall Bladder Surgery in the US [USGI Medical]

Posted in News, Surgery | 1 Comment »