Hakuna Pun-tata

Surgeon by day(and most often nights too)
Sports geek. Avid quizzer.

Treats Twitter like a diary for unfiltered thoughts. Flavour of the season is cricket.

[Dr. Mateo Avila @drteoa]

🚨 La pancreatitis aguda cambió más de lo que parece.

Estas guías iLATAM-AP resumen 20 recomendaciones para manejarla mejor en urgencias, sala, UCI y quirófano.

Primer mensaje: no todo dolor + lipasa alta necesita TAC.
Si cumple 2 de 3 criterios —dolor típico, enzimas >3× o imagen compatible— el diagnóstico ya está hecho.

La TAC precoz no es “rutina”: se reserva para dudas o complicaciones.

[JAMA @JAMA_current]

📊 JAMA Clinical Guidelines Synopsis: The 2025 guideline for #ACS management recommends dual antiplatelet therapy with aspirin and a P2Y12 inhibitor, high-intensity statins, invasive revascularization, and radial access for angiography.

https://t.co/OnEihazgow

[NEJM @NEJM]

Original Article: Daraxonrasib or Chemotherapy in Previously Treated Metastatic Pancreatic Cancer (phase 3 RASolute 302 trial) https://t.co/y4G27hfORg

#ASCO26 | @ASCO

[George Ferzli @drferzli]

Autologous posterior gastric fundus pexy for large hiatal hernia repair: using the fundus as a biologic patch to obliterate a wide hiatus and avoid prosthetic mesh in a dynamic anatomic space.
#ForegutSurgery #HiatalHernia #LaparoscopicSurgery #RoboticSurgery #GeneralSurgery #SurgicalSafety #MedEd #SurgicalEducation #SurgEd #MISurgery #SoMe4Surgery

[JAMA Surgery @JAMASurgery]

Surgical therapy for #gastroparesis in adults with #diabetes was associated with improved glycemic control, reduced insulin utilization, and fewer diabetes-related complications vs nonoperative management.

https://t.co/b5mV3uBW2T

[Royal Challengers Bengaluru @RCBTweets]

Yes, we’re addicted to winning. ⭐️⭐️

[Royal Challengers Bengaluru @RCBTweets]

🏆⭐ 𝗖𝗛𝗔𝗠𝗣𝗜𝗢𝗡𝗦 𝗢𝗙 𝗜𝗡𝗗𝗜𝗔, 𝗔𝗚𝗔𝗜𝗡! ⭐🏆

[Rajat Patidar @rrjjt_01]

Ee Sala Cup Namdu ✌🏻😎

[Liver & Digestive Diseases Clinic @lddcmumbai]

The PANTER trial changed the management of infected pancreatic necrosis.

This landmark study established the step-up approach, reducing complications compared to primary open necrosectomy.

Watch here:
https://t.co/7rqXINykff

[BJS @BJSurgery]

Incidence of autoimmune disease after hernia surgery with a mesh implant: national retrospective cohort study
➡️ https://t.co/jXxgWvhkoe

In a nationwide Dutch cohort, polypropylene mesh implantation was not associated with an increased medium-term risk of autoimmune disease
New autoimmune disease occurred at similar rates after mesh hernia repair and control surgery (1.1% vs 1.5%)

Work by Maurits J C A M Gielen , Ahmed M Chaoui , Samantha Schoenmakers , Bas Vreugdenhil , Tim Lubbers , Richard P G Ten Broek , Rudi M H Roumen , Nicole D Bouvy , Willem A R Zwaans

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide @eurohernias #hernia

[Annals of Surgical Oncology @AnnSurgOncol]

Featured: Is Ultrasound-Based Imaging Essential for #Melanoma Active Surveillance? @LukeRothermel

https://t.co/kbekNiNm96

#MelanomaAwarenessMonth
@DrJamesJakub
@SyedAAhmad5
@SocSurgOnc

[Trauma Surgery & Acute Care Open (TSACO) @TSACO_AAST]

Rib fractures are never “just rib fractures.”

This landmark TSACO study used the National Trauma Data Bank to show just how often rib fractures signal severe injury, ICU admission, prolonged ventilation, and worse outcomes, especially in polytrauma and elderly patients.

A paper that helped reshape how trauma teams think about chest wall injury.

For TSACO’s 10-year anniversary, hear from Austin Lubkemann, MD PGY-3 at University of Arizona General Surgery Residency. @UofAZSurgeryRes

Read here https://t.co/RuPEZD0pEh

Authors: @noelle_saillant, @ProfGroenwold, @TatoUribeLeitz, @marilyn_heng

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

The X or 8 suture technique! Step by step! @SWexner @pferrada1 @AmCollSurgeons @BJSAcademy @CiruAndes2 @TomVargheseJr

[NEJM Clinician @NEJMClinician]

What is the best strategy for determining when to remove a chest tube after spontaneous pneumothorax? "For now, the decision to perform a clamping trial remains provider-dependent," writes Gerald L. Weinhouse, MD. Full summary and comment: https://t.co/Ako0NvMIJQ

[BJS @BJSurgery]

Development of a standard definition of ‘no-option’ and ‘poor-option’ for revascularization in chronic limb-threatening ischemia
➡️https://t.co/QWzz2BdHk3

🦵 How should we define “no-option” or “poor-option” CLTI?
🌍 This modified Delphi study brought together 164 vascular specialists from 30 countries to develop an expert-validated definition.
📊 Consensus supported a multidomain ABRFC framework: arterial anatomy, biology, risk, function, and context.
⚠️ “No-option” CLTI includes desert foot, prohibitive medical risk, non-functional limb, or patient refusal of revascularization.
🔍 “Poor-option” CLTI reflects combined factors such as severe infection, lack of autologous vein, or treatment non-compliance.
🎯 This framework can standardize clinical assessment, trial design, reporting, and future guideline development.

Work by Mario Alejandro Fabiani , Jos C van den Berg , Oscar A De la Torre , Alfredo Verastegui , Anahita Dua On Behalf of , the International Cooperative Vascular Consortium (ICVC)

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery

[Liver & Digestive Diseases Clinic @lddcmumbai]

CT abdomen interpretation is best learned on real cases.

This video takes you through case-based CT console reading, helping you identify key findings in a practical way.

Watch here:
https://t.co/LgeRh5khXk

[Annals of Surgery @AnnalsofSurgery]

Laparoscopic transgastric necrosectomy achieved complete debridement with fewer procedures than direct endoscopic necrosectomy and may reduce length of stay in patients with higher APACHE-II scores. https://t.co/QtXm8BcGD4

[Annals of Surgical Oncology @AnnSurgOncol]

May Issue: Celiac Axis Stenosis in #Pancreatoduodenectomy : Preoperative Predictors for Intervention Considering Stenosis Severity and Collateral Pathway Development

https://t.co/dhnAj8miuN

@SyedAAhmad5
@SocSurgOnc

[Liver & Digestive Diseases Clinic @lddcmumbai]

Surgery in diverticulitis is not routine — it’s indication-based.

This video explains when to operate, when to wait, and how decisions change between uncomplicated and complicated disease.

Watch here:
https://t.co/1U3W804wS0

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

The wrong and the right way to perform a vascular ligation 🔪 How to put the suture in the Kelly or the Halsted Mosquito💥⤵️! @TomVargheseJr @AmCollSurgeons @SWexner @pferrada1 @CiruAndes2