@ManishChandSurg As @MarkSoliman says, the only thing I’ll commit to blindly is my wife! I usually start MIS first then take down stoma once we know reversal is feasible
My first photo shoot after surgery, I'd never taken my top off and showed anyone my "bag" literally felt sick on my journey to Matts studio but sharing that first picture changed me as a person it lifted this huge weight off my shoulders and helped me accept the new me. #stoma
@justinmaykel Unquestionably real. Most interesting data point from a pt of mine with hand-sewn coloanal and LARS- brought his yearly water bills in. +500 gallons used this year due to clustering.
Join myself and @ehaasmd this Thursday for @SAGES_Updates@IntuitiveSurg Colon Channel Event! We will be discussing Value in Robotic Colorectal Surgery, the NICE procedure and much more! Register: https://t.co/4Oc5HRgo8Y there will also be a shout-out to @amirbastawrous!
@FezaRemziMD@AnnalsofSurgery Are you able to post your letter and the response here? I think I remember reading some of your letter but I cannot see the response due to usual #paywall issues. Would be curious to see both... shouldn't be silencing unpopular opinions, if that is what happened here
@JaroslawMichal3@SWexner @LeeOcuin @SurgJournal@asbun_hj@herbert_zeh Performing the *exact* same operation lap vs robotic will never show a difference. Question is can the techniques that benefit the pt- ICA, NICE etc be performed consistently and safely. Not many can do straight lap. Robot democratizes access to these techniques
@TAMISYoda An excellent approach in appropriately skilled hands. These are difficult no matter how you approach it- lap, robotic, transanal, open. It’s always good to have a big toolbox
@LeeOcuin @SWexner@SurgJournal@asbun_hj@herbert_zeh I think it depends how the operation is being done. If robotics allows consistent execution of ICA for a surgeon vs lap, for example, then the benefits and improvement in outcomes are tangible. Using any tool optimally and wisely is a key to success.
The reflection on TaTME adoption is refreshing. I’d be equally interested to audit how it was aggressively pushed by certain big names/societies, who simultaneously dismissed robotics. Interesting message sent, particularly on intellectual bias
excellent video worthy of re-visiting cadaveric anatomy for the modified Hanley procedure (and how the spaces communicate), plus demonstration of the procedure. a must for residents and fellows to watch! https://t.co/KKjTvasGaE
This sucks.
There is no way to sugarcoat this fiasco.
Hoping that there is a path to take care of current examinees, and accountability for those responsible for the circumstances @AmBdSurg#MedTwitter