𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗥𝗲𝗰𝘂𝗿𝗿𝗲𝗻𝘁 𝗥𝗶𝗴𝗵𝘁 𝗜𝗻𝗴𝘂𝗶𝗻𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝘄𝗶𝘁𝗵 𝗠𝗲𝘀𝗵 𝗘𝘅𝗰𝗶𝘀𝗶𝗼𝗻 𝗮𝗻𝗱 𝗜𝗖𝗚
🔴Previous open preperitoneal mesh repair for symptomatic right inguinal hernia
🔴Presents with recurrent right inguinal hernia
➡️Likely technical failure as a result of inadequate dissection rather than mesh shrinkage
🔴Decision to proceed to robotic hernia repair with excision of mesh
➡️Robotic platform facilitates precision dissection
🔴Initial dissection above and below the mesh helped identification of anatomical landmarks
🔴Judicious excision of mesh
➡️Tiny disc of mesh left at deep ring where separation attempt appeared unsafe
🔴ICG useful adjunct to confirm the integrity of vas and gonadal vessels
➡️Excellent tool for trainees to appreciate inguinal anatomy
In a decade long analysis of the national inpatient sample, diverting loop ileostomy with antegrade colonic lavage appears to be a safe alternative to colectomy in select patients with fulminant C.Diff. colitis. Although it does not confer a survival benefit, it is associated with lower wound morbidity and does not worsen outcomes even when conversion to colectomy is required.
#AAST2025 #wmchealth @Bardiya_z@jordanmkirsch@WMCHealth
https://t.co/QQba2kR3HF
Older, obese individuals face a significantly heightened risk of thromboembolic complications, including deep vein thrombosis, stroke, and myocardial infarction, after sustaining severe trauma, according to a new large-scale study that was conducted by NYMC faculty, including Bardiya Zangbar, M.D., assistant professor of surgery, lead author of the study, and published in The American Journal of Surgery. https://t.co/lrQlgvy33I #NYMCSOM
A Johns Hopkins robot known as SRT-H removed a gallbladder by itself with 100% accuracy after watching surgery videos.
It identified arteries, clipped ducts, cut tissue, and even adapted when the visuals changed mid-procedure.
It followed voice commands like "grab the gallbladder head" and adjusted in real-time, just like a human trainee.
It exhibited the expertise of a skilled human surgeon, even during unexpected scenarios typical in real-life, medical emergencies.
The surgery was done on a life-like model, not a real person.
TRAUMA LAPAROTOMY. Know it well!
Standard approach:
✔️ Stem to stern (xiphoid to pubis)
✔️ Take down falciform ligament
✔️ Pack all 4 quadrants
✔️ Explore systematically
✔️ Control bleeding and contamination
✔️ Decide: Damage control?
🧵 1/3
Grand Rounds Thursday: An honor to host @NealBarshes for Grand Rounds! Thank you, Dr. Barshes for sharing on "Moving the Needle in Limb Salvage" at @VAHouston. Invaluable insights from a leading expert in vascular surgery and limb preservation! @KougiasP@sunydownstate
Today, our #Downstate Department of #Surgery threw an amazing #rooftop#party to celebrate the end of summer. It was an absolute blast and a fantastic way for residents and faculty to close out the season! 🍹🍔😎@KougiasP
We were honored to have Nita Ahuja, MD, MBA, Chair of the Department of Surgery at Yale, as our Grand Rounds speaker today. Dr. Ahuja shared her tremendous insight on becoming a leader in academic surgery and the importance of mentorship and professionalism. @KougiasP#inspired
Very proud of Steven Medvedovskly and @ja_edwards_md who received Best Student and Best Quickshot awards. Inspiring presidential address by AVAS President @maryhawn#AVAS2024@sunydownstate
On National Doctors' Day, a message of encouragement, kindness, and commitment to excellence from our Chair, @KougiasP
Thank you to our @sunydownstate physicians, including those in @DownstateSurg. You have impact that changes lives.
https://t.co/MBcv3HzrdV
A leap day treat for the Department of Sugery's Grand Rounds. Dr. Oluyinka Olutoye, renowned pioneer in #fetalsurgery and Surgeon-in-chief @nationwidekids shared the depth of his singularly, exceptional experience and wisdom. @KougiasP@sunydownstate
Downstate Surgery kicking off #ASC2024 with Dr. Tomàs Daviú-Molinari presenting on utilization of concurrent CABG-carotid revascularizations. @sunydownstate#iNSPIRe
The SUNY Downstate Department of Surgery is pleased to invite applications for a 2-year research fellowship starting July 2024. Categorical residents @ACGME accredited general surgery programs interested in clinical outcomes & health services research are welcome to apply.