Wilfried Krois

Pediatric surgeon, optimist and optimizer.

[SurgMedia @surgmedia]

Suturing Practice. Simple Interrupted Suture and Instrument Tie (Surgeon's Knot)
#MedEd #science #medical #training #surgeon

[jpedsurg @jpedsurg]

Early postoperative feeding in single-stage repair of anorectal malformation with vestibular or perineal fistula is not associated with increased wound complications https://t.co/qff3wyWdde #SoMe4PedSurg #jpedsurg

[Ron Barbosa MD FACS @rbarbosa91]

Repeat🧵describing the Aberdeen knot:

an underappreciated surgical knot that is used to secure a running suture. It has been shown to be more secure than a square knot.

We will cover how to do it, what not to do, and a modification that may make it more secure.
(1/ )

[Patrick Georgoff, MD @georgoff]

Open inguinal anatomy v2.

@BehindTheKnife

[Ahmed ( mr organized) @hamood578]

Signs of respiratory distress in pediatric

[Ron Barbosa MD FACS @rbarbosa91]

One simple way to help treat your imposter syndrome is to spend some time watching your colleagues in the OR in real-time where you can see that they struggle in the same ways that you do.

Remember that online videos tend to show a sanitized version that omits much of this.

[Colorectal and pediatric surgery news @SaioaSantiagoMD]

Classic divided sigmoidostomy vs loop sigmoidostomy in anorectal malformations: time for change? #pedcolorectal #some4pedsurg https://t.co/TFuMDyJ0XI

[Pediatric on Squares @OnSquares]

Short bowel syndrome

#Pediatric #Gastroenterology

[Ron Barbosa MD FACS @rbarbosa91]

🧵regarding 'instrument tying' of knots.

Instrument tying is a basic technique of tying surgical knots that is often used as an alternative to hand tying (which we've covered in previous 🧵).

As usual, we'll go the basic technique and also look at some other caveats.
(1/ )

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

Another very satisfying sphincterotomy. This never gets old. N E V E R. #gitwitter @asge @GIE_Journal @videogie

[Dr. Johnny Stewart. MD , FRCSC / RMC, CAF @DrJonnys]

Tension lines in the skin. The dashed lines indicate the predominant direction of the collagen fibers in the dermis.
#SoMe4IQLatAm #SoMe4Surgery #MedTwitter #GITwitter

[Syed A. Ahmad @SyedAAhmad5]

I’ve posted this before. Had a few recent requests for it. So reposting. Excuse the pronouns. @SAGES_Updates @TomVargheseJr @juliomayol

“The training of the Surgeon” by Dr. Allen O Whipple.

https://t.co/7KCCIDxzcS

[jpedsurg @jpedsurg]

Use of trans-anastomotic tubes in congenital duodenal obstruction https://t.co/FZdooIqcAA #jpedsurg #SoMe4PedSurg

[Ron Barbosa MD FACS @rbarbosa91]

🧵for junior trainees regarding the use of the non-dominant hand for surgical procedures:

We'll go over why it's probably even more important than your 'dominant' hand, and what I think is the key to developing proficiency with it, which may not be what you'd guess. 🧐
(1/ )

[jpedsurg @jpedsurg]

Effectiveness of Telesimulation for Pediatric Minimally Invasive Surgery Essential Skills Training https://t.co/ToJ3MpatKd #SoMe4PedSurg #jpedsurg

[jpedsurg @jpedsurg]

The role of motion tracking in assessing technical skill acquisition using a neonatal 3D-printed thoracoscopic esophageal atresia/tracheo-esophageal fistula simulator https://t.co/TNiQjHie9L #SoMe4PedSurg #jpedsurg

[Ben Smith @bensmithlive]

He opts for dynamic neuromuscular stabilization (DNS).

The point of DNS is to retrain our bodies—and our brains—in the patterns of perfect movement we learned as little kids.

DNS is like a software update for the basics.

[Ron Barbosa MD FACS @rbarbosa91]

An older drawing showing why grabbing 'extra' fat and muscle when closing the fascia can lead to separation of the fascia later on.

On the next slide, we'll use simple geometry to understand why suture 'A' is not as good as suture 'B'.
🧵(1/3)

[jpedsurg @jpedsurg]

PREDICTORS OF CLINICAL RESPONSE OF ESOPHAGEAL DILATATIONS IN PEDIATRIC POPULATION https://t.co/p083iSeNBg #SoMe4PedSurg #jpedsurg

[Chase Surgical @ChaseSurgical]

Stoma formation later in year in GI fundamentals workshop. In June we’re concentrating on avoiding stomas with hand sewn anastomosis workshop. See pinned tweet. 👍👍 #SurgEd
Out of interest, does anyone spout a colostomy?