Behind the Knife

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.

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May 21, 2026

Journal Review in Colorectal Surgery: Methods for Ileocolic Anastomosis in Crohn's Disease

Ileocolic Crohn’s surgery is framed around patient-specific reconstruction rather than one superior anastomosis. Key points include recurrence after resection, bowel and mesenteric tissue quality, Kono-S uncertainty, endoscopic access and safe haemostasis in thick Crohn’s mesentery.

May 19, 2026

Cancer Vaccines: The Future is Now

Postoperative surgical oncology is becoming part of vaccine trial work. Personalised mRNA approaches rely on tumour sequencing, neoantigen selection, tissue quality and rapid specimen processing, with ctDNA used to identify patients more likely to have occult residual disease.

May 15, 2026

Using AI Today: A Practical Guide

AI is the broad workflow choice rather than an acute clinical case. It is worth opening if ambient scribes, literature surveillance, spreadsheet preparation or care coordination are starting to enter your week, with the safety line kept simple: never trust, always verify.

May 11, 2026

Journal Review in Endocrine Surgery: Updates of the 2025 American Thyroid Association Guidelines for Differentiated Thyroid Cancer

Thyroid nodules and biopsy-proven papillary thyroid cancer can lead to overtreatment when risk is not made explicit. This guideline review is strongest for endocrine surgery or oncology clinics weighing lobectomy, active surveillance, ablation, central neck dissection, radioactive iodine and TSH targets.

May 11, 2026

Clinical Challenges in Burn Surgery - Inhalation Injury

Facial burns and soot need exposure context, not automatic intubation. Choose this for ED, burns or critical care work where enclosed-space fire, carbon monoxide or cyanide risk, bronchoscopy grading, secretion clearance, ventilator strategy and early ECMO escalation change airway planning.

May 7, 2026

Clinical Challenges in Vascular Surgery: Asymptomatic Carotid Artery Stenosis

An incidental carotid bruit or ultrasound stenosis should not automatically lead to surgery. Confirm the patient is truly asymptomatic, optimise antiplatelet, lipid, blood pressure, diabetes and smoking care, then discuss endarterectomy, transfemoral stenting or TCAR using absolute risks.

May 4, 2026

Journal Review in Burn Surgery: Early Excision of Burn Wounds

Major full-thickness burns are a source-control problem once resuscitation is secure. A burn team should plan early or staged excision around 48–72 hours when physiology, depth certainty, blood loss planning, inhalation injury and burn-centre resources allow.

May 1, 2026

Cardiothoracic Surgery Oral Board Review: Free Sample Episode - GERD

Pulmonary nodules that wax and wane alongside cough, hoarseness, regurgitation or recurrent respiratory infections can be aspiration-related. The foregut lesson is to pair chest imaging with reflux history, objective testing, manometry and urgent action when para-oesophageal hernia becomes gastric volvulus.

April 28, 2026

Operative Standards for Cancer Surgery Series: Sentinel Lymph Node Biopsy for Breast Cancer

Breast cancer staging turns on small operative details. The sentinel node episode clarifies which hot, coloured, clipped or suspicious axillary nodes count, and why documenting counts, channels and node yield matters for multidisciplinary decisions.

April 25, 2026

Vascular Surgery Oral Board Review: Free Sample Scenarios (AEF & Acute Mesenteric Ischemia)

Haematemesis after open abdominal aortic aneurysm repair is not something a negative endoscopy should settle. The surgery scenarios are niche, but the bedside lesson is memorable: ask about prior graft surgery, recognise acute mesenteric ischaemia early, and do not let aortoenteric fistula bleeding wait.