Let’s talk postoperative care—Join Dr. Katharine Caldwell for a discussion with expert acute and critical care surgeon Dr. Isaiah Turnbull. This episode of the Washington Manual of Surgery Podcast will focus on postoperative care and is a companion to Chapter 3 of the 9th edition of the bestselling Washington Manual of Surgery.  

Dr. Isaiah Turnbull reviews the management of common post-operative problems. Key points include handling hypotension, tachycardia, and fever in post-operative patients, the importance of clinical assessment for infections, and insights from the STOP-IT trial on antibiotic duration. The episode also emphasizes the need for proper imaging and laboratory investigations to diagnose and manage necrotizing soft tissue infections effectively. Tune in for expert advice crucial for surgical trainees. 

Guest Host: Katharine Caldwell, MD – general surgery resident at WashU Medicine and associate editor of the Washington Manual of Surgery  

Guest: Isaiah Turnbull, MD, is an associate professor in the Department of Surgery at WashU Medicine. Dr. Turnbull’s specialty is in acute and critical care surgery and his research interests include medical and surgical training burnout, and how this issue compromises training, clinical efficacy, and quality assurance. 

Notes:

LRINEC Score

• Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004 Jul;32(7):1535-41. doi: 10.1097/01.ccm.0000129486.35458.7d. PMID: 15241098.
• Fernando SM, Tran A, Cheng W, Rochwerg B, Kyeremanteng K, Seely AJE, Inaba K, Perry JJ. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2019 Jan;269(1):58-65. doi: 10.1097/SLA.0000000000002774. PMID: 29672405.

STOP-IT

• Sawyer RG, Claridge JA, Nathens AB, Rotstein OD, Duane TM, Evans HL, Cook CH, O'Neill PJ, Mazuski JE, Askari R, Wilson MA, Napolitano LM, Namias N, Miller PR, Dellinger EP, Watson CM, Coimbra R, Dent DL, Lowry SF, Cocanour CS, West MA, Banton KL, Cheadle WG, Lipsett PA, Guidry CA, Popovsky K; STOP-IT Trial Investigators. Trial of short-course antimicrobial therapy for intraabdominal infection. N Engl J Med. 2015 May 21;372(21):1996-2005. doi: 10.1056/NEJMoa1411162. Erratum in: N Engl J Med. 2018 Feb 15;378(7):686. doi: 10.1056/NEJMx180006. PMID: 25992746; PMCID: PMC4469182.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk appendicitis—Join Dr. Paul Kepper for a discussion with expert colorectal surgeon Dr. William Chapman Jr. This episode of the Washington Manual of Surgery Podcast will focus on the appendix and is a companion to Chapter 22 of the 9th edition of the bestselling Washington Manual of Surgery.  

Dr. Chapman reviews the management of acute appendicitis. The episode covers key diagnostic steps, including the use of CT scans and ultrasounds, surgical and antibiotic treatment options, and the management of appendiceal neoplasms. Dr. Chapman emphasizes the importance of patient communication and tailored treatment plans. Tune in for a comprehensive overview of appendix pathology. 

Guest Host: Paul Kepper, MD – general surgery resident at WashU Medicine 

Guest: William Chapman Jr., MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Chapman’s specialty is in colorectal surgery and his research interests include colon and rectal cancer and patient reported outcomes in colorectal surgery. 

References:

Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov;132(5):910-25.

Salminen P, Paajanen H, Rautio T, et al. Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis: The APPAC Randomized Clinical Trial. JAMA. 2015;313(23):2340–2348.

Salminen P, Tuominen R, Paajanen H, Rautio T, Nordström P, Aarnio M, Rantanen T, Hurme S, Mecklin JP, Sand J, Virtanen J, Jartti A, Grönroos JM. Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial. JAMA. 2018 Sep 25;320(12):1259-1265.

Hayes D, Reiter S, Hagen E, Lucas G, Chu I, Muñiz T, Martinez R. Is interval appendectomy really needed? A closer look at neoplasm rates in adult patients undergoing interval appendectomy after complicated appendicitis. Surg Endosc. 2021 Jul;35(7):3855-3860.

Wei B, Qi CL, Chen TF, Zheng ZH, Huang JL, Hu BG, Wei HB. Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis. Surg Endosc. 2011 Apr;25(4):1199-208.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk lung and mediastinal disease—Join Dr. Louisa Bai for a discussion with expert thoracic surgeon Dr. Whitney Brandt. This episode of the Washington Manual of Surgery Podcast will focus on lung and mediastinal disease and is a companion to Chapter 31 of the 9th edition of the bestselling Washington Manual of Surgery.  

Dr. Brandt reviews the management of lung and mediastinal diseases. She discusses the diagnostic approaches and treatment protocols for conditions such as non-small cell lung cancer, myasthenia gravis, and recurrent pneumothorax. Key topics include mediastinal staging, the use of stereotactic body radiation therapy for inoperable lung lesions, and the role of induction chemoradiotherapy. Tune in for practical insights and up-to-date practices in thoracic surgery. 

Guest Host: Louisa Bai, MD – General surgery resident at WashU Medicine

Guest: Whitney Brandt, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Brandt’s specialty is in thoracic surgery and her research interests include lung and esophageal cancer. 

Notes:  

In this episode, the hosts use a number of abbreviations. These are spelled out below: 

FEV1: forced expiratory volume in 1 second 

DLCO: diffusing capacity of the lung for carbon monoxide  

EBUS: endobronchial ultrasound 

SBRT: stereotactic body radiation therapy 

For more information on lung cancer staging, see Table 31-1 in the Washington Manual of Surgery or visit https://www.cancer.org/cancer/types/lung-cancer/detection-diagnosis-staging/staging-nsclc.html  

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk head, neck, and spinal trauma—Join Dr. Nicole Santucci for a discussion with expert trauma surgeon Dr. Jessica Staszak. This episode of the Washington Manual of Surgery Podcast will focus on head, neck, and spinal trauma, and is a companion to Chapter 6 of the 9th edition of the bestselling Washington Manual of Surgery.   

Dr. Staszak reviews the management of head, neck, and spinal trauma. Covering the ABCs of trauma assessment and the importance of primary and secondary surveys, she details the approach to a 76-year-old male patient on Eliquis with a head injury. Key topics include performing CT scans for diagnosis, monitoring intracranial pressure, managing anticoagulation therapy, and evaluating cervical spine stability. Discover essential insights for efficient evaluation and treatment in trauma scenarios. 

Guest Host: Nicole Santucci, MD – General surgery resident at WashU Medicine

Guest: Jessica Staszak, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Staszak’s specialty is in surgical critical care.

Notes:
Canadian Head CT Rule: refer to Table 6.1 in the Washington Manual of Surgery (modified from Steil IG, Clement Cm, Rowe BH, et al. JAMA 2005;294(12):1511-8)

Underscoring the criteria (assuming initial GCS 13-15): 

Age ≥ 65
GCS < 15 after 2 hours
Open/depressed skull fracture
Signs of basal skull fracture
> 2 episodes of emesis
≥ 30 minutes of amnesia
Significant mechanism (peds vs auto, ejected passenger, fall from ≥ 3 feet or 5 stairs)

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk anorectal disease—Join Dr. Ahmed Eltahir for a discussion with expert colorectal surgeon Dr. Matthew Mutch. This episode of the Washington Manual of Surgery Podcast will focus on anorectal disease and is a companion to Chapter 24 of the 9th edition of the bestselling Washington Manual of Surgery.  

Dr. Mutch reviews the essentials of managing anorectal diseases. Topics include the anatomy of the anal canal, the treatment and grading of hemorrhoids, and the chemo-radiation regimens for anal cancers. You’ll learn about first-line treatments and surgical options for anal fissures, abscesses, and fistulas. Tune in for high-yield insights into both benign and malignant anorectal conditions. 

Guest Host: Ahmed Eltahir, MD – General surgery resident at WashU Medicine 

Guest(s): Matthew Mutch, MD, the Solon and Bettie Gershman Professor of Surgery, serves as chief of the Section of Colon and Rectal Surgery in the Department of Surgery at WashU Medicine. Dr. Mutch’s specialty is in colorectal cancer and the treatment of benign colorectal diseases. 

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk transplant surgery—Join Dr. Sydney Beache for a discussion with expert transplant surgeon Dr. Jason Wellen. This episode of the Washington Manual of Surgery Podcast will focus on abdominal transplantation and is a companion to Chapter 21 of the 9th edition of the bestselling Washington Manual of Surgery.  

Dr. Wellen reviews key aspects of liver, kidney and pancreas transplants. This episode covers the basics of transplantation, organ allocation, transplant immunology, technical considerations, complications, and innovations on the cutting edge of transplant surgery, including the use of robotics and normothermic machine perfusion. 

Guest Host: Sydney Beache, MD, MPHS – General surgery resident at WashU Medicine

Guest: Jason Wellen, MD, MBA, is a professor of surgery in the Department of Surgery at WashU Medicine. He serves as director of the kidney and pancreas transplant program at WashU Medicine and as chief of pediatric kidney transplantation at St. Louis Children’s Hospital.  

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Welcome to the Washington Manual of Surgery Podcast—a companion to the 9th edition of the bestselling Washington Manual of Surgery. Each episode contains valuable information spanning the breadth of surgical subspecialties. 

Meet senior editors Dr. Paul Wise and Dr. Jeffrey Blatnik. 

Paul Wise, MD, co-editor of the Washington Manual of Surgery, is vice chair of surgical education in the Department of Surgery at WashU Medicine. Dr. Wise’s specialty is in colon and rectal surgery and the treatment of colorectal cancers. He serves as director of the Inherited Colorectal Cancer and Familial Polyposis registry at WashU Medicine and the Alvin J. Siteman Cancer Center. 

Jeffrey Blatnik, MD, co-editor of the Washington Manual of Surgery, is chief of the Section of Minimally Invasive Surgery in the Department of Surgery at WashU Medicine. Dr. Blatnik’s specialty is in minimally invasive gastrointestinal surgery and hernia repair. He serves as director of the Hernia Center at WashU Medicine. 

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk inguinal hernias—Join Dr. Bradley Kushner for a discussion with expert hernia surgeons Dr. Jeffrey Blatnik and Dr. Arnab Majumder. This episode of the Washington Manual of Surgery Podcast will focus on inguinal hernias and is a companion to Chapter 25 of the 9th edition of the bestselling Washington Manual of Surgery.  

Drs. Blatnik and Majumder delve into need-to-know aspects of inguinal hernias, including diagnosis, management, and common perioperative complications. You’ll also learn about the nuanced differences between open and minimally invasive hernia repairs, the significance of pertinent anatomy, and key considerations for both elective and emergency surgery scenarios.  

Guest Host: 
Bradley Kushner, MD – General surgery resident at WashU Medicine and associate editor of the Washington Manual of Surgery 

Guests: 
Jeffrey Blatnik, MD, co-editor of the Washington Manual of Surgery, is chief of the Section of Minimally Invasive Surgery in the Department of Surgery at WashU Medicine. Dr. Blatnik’s specialty is in minimally invasive gastrointestinal surgery and hernia repair. He serves as director of the Hernia Center at WashU Medicine. 

Arnab Majumder, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Majumder’s specialty is in minimally invasive abdominal surgery and hernia repair. 

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres