🚨 Strangulated hernia?
Your first job is NOT repairing the hernia.
Your first job is treating the life-threatening problem: DEAD bowel ⚠️
It’s called source control. Too many surgeons waste OR time on the hernia while the patient is septic and hypotensive.
This is a key emergency surgery principle.
Looking for more surgical pearls? Sign up for my Groin & Pelvic Hernia Master Course.
🎓 Practical surgical judgment. Real-world decision making.
🔗 https://t.co/cNVGukDWPD
🧵 Malla profiláctica en laparotomía media de emergencia: ¿previene hernia incisional o aumenta complicaciones?
Este metaanálisis incluyó 7 RCTs y 643 pacientes. La malla redujo de forma significativa la hernia incisional hasta 24 meses, comparada con cierre fascial solo.
A MUST-READ!
This is probably one of my most important papers where I try to teach how to fish rather than offer fish.
How I Read a Clinical Trial Report?
BG’s primer for Busy Clinicians.
Thank you @JCOOP_ASCO@EthicsdoctorP for the kind invitation. I hope the readers will find this useful.
https://t.co/HJhZlsBpU2
New to reading CT abdomen?
This video provides a step-by-step approach to CT abdomen interpretation, helping beginners develop a systematic method to avoid missing important findings.
Watch here:
https://t.co/aBFOvXXYxx
#MedTwitter
"Hot" Laproscopic Cholecystectomy
🔴Principles remain the same
🔴Know bailout options
➡️Subtotal
🔴Gallbladder decompression
🔴Identification of Rouviere's sulcus if present
🔴Endo pledget very useful in these cases
🔴Suction/irrigation
➡️blunt dissection
🔴Demonstrate CVS
honestly, it just takes a lot to be a surgical medical officer and subsequently graduate to become a surgeon.
the stress, sacrifice and suffering is endless. it just takes a lot , that’s the word.
either you’re ready or not.
“எந்த Patient வந்தாலும் மொத கைய புடிச்சி பாரு டா.. யாருமே நம்மள தொட்டு கூட பார்க்கல..” 😭🙏💔
And @Gobinath_C knows exactly what to underline and reiterate 💙
#NeeyaNaana is Undoubtedly the best thing happened to Tamil society via Television 🙏
🧵 “The IV fluids didn’t save her. They erased her sodium.”
Today, let me introduce you to Anita.
Anita came to the ER with vomiting and mild dehydration.
Vitals stable. Mentally alert.
Labs: Na⁺ 134 mEq/L — almost normal.
She was started on “routine IV fluids.”
By morning, Anita was confused.
By afternoon, she had a seizure.
📉 Na⁺ 118 mEq/L
What went wrong? 👇