A US-based surgical education podcast running since 2015, created by Dr Kevin Kniery, Dr Scott Steele, Dr Jason Bingham, and Dr John McClellan. It covers surgical training, procedures, clinical updates, and interviews with surgical experts across various specialties.
Adrenal incidentalomas, haemorrhagic masses, suspected adrenocortical carcinoma and retroperitoneal paraganglioma require biochemical localisation, review of older imaging and careful operative planning. Timing, tumour handling, vascular control and referral depend on stability, anatomy and surgical expertise.
Systematic abdominal inspection and intraoperative ultrasound should precede commitment to hepatocellular carcinoma resection, confirming disease extent, tumour position and vascular or biliary anatomy. The plan then balances anatomic oncological clearance against preservation of functioning liver.
Complex abdominal wall reconstruction aims to restore linea alba continuity, muscle position and function rather than merely bridge a defect. Previous operations, soft-tissue and bowel complexity, modifiable risk, available planes and team expertise determine whether open, laparoscopic or robotic repair is appropriate.
A substantial hiatal hernia needs anatomical repair rather than mucosal anti-reflux therapy, and oesophageal plication should follow exclusion of residual outflow obstruction. Emerging techniques also include duodenal resurfacing for glycaemic control, gastric pouch ablation and magnetic compression anastomosis, with durability and procedural risks made explicit.
Operative video becomes clinically useful when it is converted into structured data about technique, workflow and team behaviour rather than stored passively. Digital surgery can support education, quality improvement, telepresence and competency assessment, but safe use depends on consent, credentialing, liability, reliable connectivity and psychologically safe review.
Access to cardiothoracic surgery training depends on more than academic performance. Visa and credentialing requirements, uneven clinical exposure, cultural and language barriers, and reliance on informal networks can restrict international medical graduates; transparent pathways, structured mentorship, active sponsorship and an accountable culture of belonging offer practical institutional responses.
General surgery, critical-care and dermatology teams get a framework for extensive burn coverage when donor skin is limited. Temporary barriers, dermal templates, cellular products and autologous grafts are organised around wound bed, treatment goal, sequencing, graft take, infection, function and the full cost of care.
General surgery, medical-education and global-health teams get a systems-focused discussion of power in cross-border clinical work. Funding, mobility, credentialing, authorship and publication access are linked to local leadership, protection of local learners and patient access to timely surgical decision-making.
Breast surgery, oncology and acute-care teams get a practical update on pembrolizumab in early and metastatic triple negative breast cancer. It links treatment indications with perioperative recognition of immune-mediated colitis, thyroid dysfunction, adrenal insufficiency and pneumonitis.
General surgery and abdominal-wall teams get a practical appraisal of bioresorbable mesh in ventral hernia repair, contaminated fields and staged reconstruction. It compares degradation profiles, recurrence, wound morbidity and cost while emphasising fascial closure, retromuscular or sublay placement, adequate overlap and avoidance of uncoated mesh directly against bowel.
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