School of Surgery

The management of early rectal cancer is becoming increasingly complex.Find out all you need to know about diagnosis, staging, treatment, follow up and prognosis in this podcast.
Steve Schlichtemeier is the colorectal robotic surgical fellow at the Royal Derby Hospital, UK and Bill Speake is a consultant colorectal surgeon and recent past ECAG lead for the East Midlands of the UK

In the second podcast on radiotherapy, Sindu Vivekanandan explains to Keaton Jones what is meant by the terms adjuvant and neoadjuvant, what the 3 main ways of delivering radiotherapy are, in which tumour radiotherapy is effective and in which it isn't, and the limiting factors and side effects associated with radiotherapy.
Essential listening for anyone who's patients receive radiotherapy as part of their treatment.
Keaton Jones is an academic surgeon at the University of Oxford, UK and Sindu Vivekanandan is a consultant oncologist.

Keaton Jones asks Sindu Vivekanandan what is radiotherapy, how it works and why we use it. Dose and fractionation are explained along with the '4Rs' of radiobiology: repair, reassortment, repopulation and reoxygenation. Toxicity is discussed as well as methods for increasing the effect of treatment on target tissues.
Essential listening for surgeons and anyone who's patients receives radiotherapy as part of their treatment.
Keaton Jones is an academic surgeon at the University of Oxford, UK and Sindu Vivekanandan is a consultant oncologist.

Rick Nelson knows more about anal fissure than almost anyone in the world and has recently published a comprehensive meta-analysis of the evidence supporting treatment for anal fissure in the leading journal, Techniques in Coloproctology.
There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy.
Invaluable listening for updating knowledge or revising for an exam.
You can read the full paper at http://bit.ly/2yeyCEZ
A systematic review and meta-analysis of the treatment of anal fissure. Techniques in Coloproctology
August 2017, Volume 21, Issue 8, pp 605–625

How to recognise and immediately manage complications of sleeve gastrectomy and gastric bypass are discussed in the second part of this podcast. Understand why bariatric patients clinical examination might be unreliable, why vomiting or jaundice are danger symptoms which may need emergency intervention, why NSAIDs and smoking are very dangerous in bypass patients and many more things you're going to find very useful when on call or in an exam!
Mapped to the 2016 General Surgery syllabus.
Cat Boereboom is a trainee in surgery in the East Midlands, UK and Sherif Awad is a consultant in bariatric surgery at the East Midlands Bariatric Institute, based at the Royal Derby Hospital, UK

You're not a bariatric surgeon, but you need to know how the immediate management of complications of bariatric surgery because they might well come in to your hospital, even if its not a bariatric surgical centre.
In the first of 2 podcasts, Cat Boereboom talks to Sherif Awad about recognition of complications of gastric band and what to do when you see them. You'll also be able to recognise when a band is in the right place and when it has slipped, what a Huber needle is and what to do with it and what to do if you don't have one, port infection and lots more.
Part 2 covers sleeve gastrectomy and gastric bypass.
Mapped to the General Surgery 2016 syllabus.
Cat Boereboom is a trainee in the East Midlands, UK and Sherif Awad is a consultant bariatric surgeon at the East Midlands Bariatric Institute based at the Royal Derby Hospital, UK

For decades the only real option for perforated diverticular disease was a Hartmann's procedure, but there has been a lot of interest in the less invasive and stoma saving laparoscopic lavage and drainage procedure as an alternative. But is it effective?
Jon Lund talks to David Humes about the background and the evidence for and against peritoneal lavage as a treatment for this common colorectal emergency. David Humes is Associate Professor of Surgery at the University of Nottingham, UK and an NIHR Postdoctoral Fellow. Get the meta-analysis referred to in the podcast here (http://bit.ly/2peBO1J)

A host of practical tips on difficult urethral catheter insertion, changing a suprapubic catheter, managing a 3-way catheter, what to do when you're called about testicular pain, paraphimosis or a nephrostomy.
When you have listened to this podcast by Philly Horner and Suzie Hall you will be much more confident about how to manage these common problems yourself and be able to do it safely, knowing when you should ask for help. Essential listening for all foundation doctors, interns, and medical students, whatever your speciality

Dr Ruediger Prosst, Director of The Proctological Institute in Stuttgart, Germany, tells Jon Lund about his experience in treating the often challenging problem of high and complex anal fistula using a novel, sphincter sparing clipping device. This podcast links to Tech Coloproctol (2016) 20: 753. doi:10.1007/s10151-016-1537-0

All you need to know about the classification, presentation, diagnosis, investigation and treatment of causes of haematuria: Philly Horner talks to Simon Williams, Consultant Urological Surgeon