Washington Manual of Surgery Podcast

Small Intestine: Part 1 - Washington Manual of Surgery

Fri, 06 Mar 2026 12:00:00 -0600

Let’s talk disorders of the small intestine—Join general surgery resident, Dr. Cameron Casson, for a discussion with expert colorectal surgeon, Dr. Paul Wise. This episode of the Washington Manual of Surgery Podcast will focus on small bowel disorders as a companion to Chapter 16 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Paul Wise provides insights into the management of adhesive and malignant small bowel obstructions, including timely intervention and consideration of palliative options, as well as assessment and management of Crohn's disease.

Guest Host:

Cameron Casson, MD – General surgery resident at WashU Medicine.

Guest:

Paul Wise, MD – Dr. Paul Wise is a professor of surgery who specializes in comprehensive colon and rectal cancer care in the Section of Colon and Rectal Surgery at WashU Medicine. Dr. Wise is the Vice Chair for Education in the Department of Surgery and Senior Editor of the 9th Edition of the Washington Manual of Surgery.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Esophagus: Part 2 - Washington Manual of Surgery

Fri, 20 Feb 2026 12:00:00 -0600

Let’s talk disorders of the esophagus—Join general surgery resident Dr. Adam Liebendorfer for a discussion with expert thoracic surgeon, Dr. Bryan Meyers. This episode of the Washington Manual of Surgery Podcast will focus on the diagnosis and management of Barrett's, esophageal cancer, and emergencies as an additional companion to Chapter 13 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Bryan Meyers provides insights into the assessment and surveillance of Barrett’s esophagus. The discussion also encompasses esophageal cancer delineation, staging, and treatment (including palliative options), in addition to some "potpourri" of benign conditions of the esophagus, including perforation and caustic ingestion. Tune in for valuable insights in a comprehensive guide for understanding the complexities of esophageal surgery.

Guest Host:

Adam Liebendorfer, MD – General surgery resident at WashU Medicine.

Guest:

Bryan Meyers, MD, MPH – Dr. Bryan Meyers is the Patrick and Joy Williamson Professor of Surgery, specializing in lung and esophageal cancer, lung transplantation, and general thoracic surgery at WashU Medicine. He has expertise in minimally invasive approaches, including robotic surgery.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Esophagus: Part 1 - Washington Manual of Surgery

Fri, 06 Feb 2026 12:00:00 -0600

Let’s talk disorders of the esophagus — Join general surgery resident Dr. Adam Liebendorfer for a discussion with expert thoracic surgeon, Dr. Bryan Meyers. This episode of the Washington Manual of Surgery will focus on management of common disorders of the esophagus and serves as an additional companion to Chapter 13 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Bryan Meyers provides insights into the management of dysphagia, hiatal hernia, and esophageal reflux disease. The discussion encompasses diagnostic strategies and surgical interventions, including the POEM* procedure. Tune in for valuable insights in a comprehensive guide for understanding the complexities of esophageal surgery.

Guest Host:

Adam Liebendorfer, MD – General surgery resident at WashU Medicine.

Guest:

Notes:

*POEM: Per Oral Endoscopic Myotomy

Schatzki ring: Benign ring of tissue in the lower esophagus that can lead to dysphagia, often associated with hiatal hernias and chronic gastroesophageal reflux disease

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Cerebrovascular Disease - Washington Manual of Surgery

Fri, 23 Jan 2026 12:00:00 -0600

Let's talk cerebrovascular conditions - Join vascular surgery resident Dr. Ryan Wahidi for a discussion with expert vascular surgeon, Dr. Mohamed Zayed. This episode of the Washington Manual of Surgery Podcast will focus on diseases affecting the blood supply to the brain and serves as an additional companion to Chapter 34 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Mohamed Zayed provides comprehensive insights into the management of cerebrovascular disease with a specific focus on carotid artery stenosis. The discussion encompasses the evaluation and treatment of carotid artery stenosis. Tune in for valuable insights into optimal patient care and recent advances in the field.

Guest Host:

Ryan Wahidi, MD - Vascular surgery resident at WashU Medicine.

Guest:

Mohamed Zayed, MD, PhD, is a distinguished professor of surgery, radiology, molecular and cellular biology, and biomedical engineering and the Chief of the Division of Surgical Sciences at WashU Medicine. He is a leading expert on the management of cerebrovascular disease, particularly carotid artery stenosis. Dr. Zayed is the Director of Vascular Research as well as CVISE (CardioVascular Research Innovation in Surgery and Engineering) Center at WashU.

Notes/Citations:

CVISE: CardioVascular Research Innovation in Surgery and Engineering Center at WashU https://cvise.wustl.edu/

TCAR: Trans Carotid Artery Revascularization

B-mode (Brightness mode) added to Doppler is an ultrasound technique that combines standard grayscale imaging (highlighting anatomy) with flow analysis (Doppler) to visualize both structure and movement, like blood flow in vessels, in one real-time image

NASCET: North American Symptomatic Carotid Endarterectomy Trial; N Engl J Med. 1998;339(20). https://bit.ly/49IQHgJ and North American Symptomatic Carotid Endarterectomy Trial Collaborators; N Engl J Med. 1991;325(7). https://bit.ly/4qzCl9O

ACAS: Asymptomatic Carotid Atherosclerosis Study; JAMA. 1995;273(18). https://bit.ly/4qyrxc5

ROADSTER: Reverse Flow Used During Carotid Artery Stenting Procedure trial; J Vasc Surg. 2015;62(5). https://bit.ly/3LrldUx

CREST: Carotid Revascularization Endarterectomy vs. Stenting Trial; N Engl J Med. 2010;363(1). https://bit.ly/45Vicm9

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Colon and Rectum: Part 2 - Washington Manual of Surgery

Mon, 12 Jan 2026 12:00:00 -0600

Let's talk colorectal conditions—Join general surgery resident Dr. Jorge Zárate Rodriguez for a discussion with expert colorectal surgeon, Dr. Steven Hunt. This episode of the Washington Manual of Surgery focuses on diseases of the colon and rectum, serving as a companion to Chapter 23 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode, Dr. Steven Hunt, Professor of Surgery at Washington University in St. Louis, discusses the management of colorectal malignancy. Key topics include the importance of reviewing endoscopy and pathology reports, performing staging workups, making clinical decisions based on imaging, and criteria for various surgical procedures, such as transanal minimally invasive surgery. They also discuss the importance of neoadjuvant therapy and surveillance for patients with rectal adenocarcinoma. Tune in for an insightful overview of colorectal cancer management.

Guest Host:

Jorge Zárate Rodriguez, MD – General surgery resident at WashU Medicine.

Guest:

Steven Hunt, MD – Dr. Hunt specializes in colorectal disorders, with research interests in the treatment of rectal cancer and inflammatory bowel disease. He serves as the surgical director at the Center for Advanced Medicine-South County and contributes to the NCCN Clinical Practice Guidelines in Oncology for Colon and Rectal Cancer. He has been recognized with the Jeffrey F. Moley Mentorship Award for his efforts in surgical education of general surgery residents at WashU Medicine.

Show Notes/Citations:

Understood during this podcast is that a cancer- and symptom-focused history and physical are part of the routine evaluation of all cancer patients, including family history of cancer to understand the patient’s risk for hereditary colorectal cancer syndromes that might impact surgical and non-operative treatment recommendations. Additionally, tumor and patient assessment for immunotherapy candidacy should be included given treatment implications.

NCCN Guidelines:

Colon cancer: https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1428
Rectal cancer: https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1461

NCCN: National Comprehensive Cancer Network; TEM: Transanal Endoscopic Microsurgery; TNT: total neoadjuvant therapy; sm level: submucosal cancer invasion level.

Haggitt Classification of Malignant Polyps (see Table 23.3):

Level | Description

0 Noninvasive, high-grade dysplasia

I Invasive cancer in head of pedunculated polyp

II Invasive cancer in neck of pedunculated polyp

III Invasive cancer in stalk of pedunculated polyp

IV Invasive cancer in base of pedunculated polyp; all sessile polyps (see Kudo classification based on sm level, Table 23.4)

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Colon and Rectum: Part 1 - Washington Manual of Surgery

Fri, 26 Dec 2025 12:00:00 -0600

Let’s talk colorectal conditions—Join general surgery resident Dr. Jorge Zárate Rodriguez for a discussion with expert minimally invasive surgeon, Dr. Steven Hunt, whose broad expertise covers the breadth of colon and rectal surgery. This episode of the Washington Manual of Surgery will focus on benign diseases of the colon and rectum and serves as a companion to Chapter 23 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Steven Hunt, Professor of Surgery at Washington University in St. Louis, discusses the management of colorectal issues with a focus on benign diseases. Key topics include diagnostic approaches and treatment strategies for diverticulitis, colonic inflammatory bowel disease, and acute colonic ischemia. Dr. Hunt also shares experienced insights on operative timing and decision-making for these complex conditions.

Guest Host:

Jorge Zárate Rodriguez, MD – General surgery resident at WashU Medicine.

Guest:

Steven Hunt, MD – Dr. Hunt specializes in the breadth of colorectal disorders, and his research interests are focused on the treatment of rectal cancer and inflammatory bowel disease. Dr. Hunt serves as the surgical director at the Center for Advanced Medicine-South County and is a contributor to the NCCN Clinical Practice Guidelines in Oncology for both Colon Cancer and Rectal Cancer. He has been recognized with the Jeffrey F. Moley Mentorship Award for his efforts in surgical education of general surgery residents at WashU Medicine.

Citations:

Hinchey classification of complicated diverticulitis (modified from Table 23.1):

Grade - Description

Ia – Localized pericolonic inflammation/phlegmon

Ib – Localized pericolonic abscess

II – Pelvic abscess

III – Purulent peritonitis

IV – Fecal peritonitis

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Adrenal Gland: Part 2 - Washington Manual of Surgery

Fri, 12 Dec 2025 12:00:00 -0600

Let’s talk endocrine conditions— Join general surgery resident Dr. Corbin Frye for a discussion with expert minimally invasive surgeon Dr. L. Michael Brunt, whose broad expertise includes adrenal maladies. This episode of the Washington Manual of Surgery will focus on adrenal and hereditary endocrine diseases and serves as a companion to Chapter 29 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual Surgery Podcast, Dr. Corbin Frye is joined by Dr. Brunt, Pruett Family Professor of Surgery at WashU Medicine, to discuss surgical care for adrenal tumors. They complete the discussion on functional adrenal tumors by discussing pheochromocytomas, adrenal cortical carcinoma, and other miscellaneous adrenal tumors, as well as adrenalectomy considerations and approaches. Dr. Brunt shares valuable insights from his extensive surgical experience.

Guest Host:

Corbin Frye, MD – General surgery resident at WashU Medicine.

Guest:

L. Michael Brunt, MD – Throughout his incredible career in academic medicine, Dr. Brunt has served as President of the Fellowship Council, Central Surgical Association, and the Society of American Gastrointestinal and Endoscopic Surgeons. He has been recognized for his lifetime of dedication to surgical education and clinical leadership by the Barnes-Jewish Medical Staff Association as well as WashU Medicine’s Academy of Educators. Dr. Brunt has served as a team physician for the St. Louis Blues professional hockey team since 1994 and was recognized for his 30 years of service by the Professional Hockey Athletic Trainers Society/Society of Professional Hockey Equipment Managers at the 2024 National Hockey League Team Physicians annual meeting (and he has a ring from the 2019 Stanley Cup Champion St. Louis Blues as a member of the team!).

Citations:

DHEA-S (dehydroepiandrosterone sulfate): a steroid hormone produced mainly by the adrenal glands that is a precursor to other sex hormones like estrogen and testosterone

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Adrenal Gland: Part 1 - Washington Manual of Surgery

Fri, 28 Nov 2025 12:00:00 -0600

Let’s talk endocrine conditions — Join general surgery resident Dr. Corbin Frye for a discussion with expert minimally invasive surgeon, Dr. L. Michael Brunt, whose broad expertise includes adrenal maladies. This episode of the Washington Manual of Surgery will focus on adrenal diseases and serves as a companion to Chapter 29 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual Surgery Podcast, Dr. Corbin Frye is joined by Dr. Brunt, Pruett Family Professor of Surgery at WashU Medicine, to discuss surgical care for adrenal tumors. They cover the assessment and management of adrenal nodules, lesions, and protocols for adrenal incidentalomas. Dr. Brunt shares valuable insights from his extensive surgical experience.

Guest Host:

Corbin Frye, MD – General surgery resident at WashU Medicine.

Guest:

L. Michael Brunt, MD – Throughout his incredible career in academic medicine, Dr. Brunt has served as President of the Fellowship Council, Central Surgical Association, and the Society of American Gastrointestinal and Endoscopic Surgeons. He has been recognized for his lifetime of dedication to surgical education and clinical leadership by the Barnes-Jewish Medical Staff Association as well as WashU Medicine’s Academy of Educators. Dr. Brunt has served as a team physician for the St. Louis Blues professional hockey team since 1994 and was recognized for his 30 years of service by the Professional Hockey Athletic Trainers Society/Society of Professional Hockey Equipment Managers at the 2024 National Hockey League Team Physicians annual meeting (and he has a ring from the 2019 Stanley Cup Champion St. Louis Blues as a member of the team!).

Show notes:

Hounsfield units (HU), more information: DenOtter TD, Schubert J. Hounsfield Unit. [Updated 2023 Mar 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547721/

American Association of Endocrine Surgeons Guidelines for Adrenalectomy 2022: https://jamanetwork.com/journals/jamasurgery/fullarticle/2795363

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Intraoperative Considerations - Washington Manual of Surgery

Fri, 14 Nov 2025 12:00:00 -0600

Let’s talk patient safety— Join general surgery resident Dr. Felicia Zhang for a discussion with expert trauma surgeon, Dr. Jason Snyder. This episode of the Washington Manual of Surgery Podcast will focus on critical considerations during surgical procedures and serves as a companion to Chapter 2 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, host Dr. Felicia Zhang is joined by Dr. Jason Snyder, an acute and critical care surgeon at WashU Medicine, to discuss vital intraoperative considerations. Key points include the importance of team introductions, surgical timeouts, anesthesia options, managing intraoperative complications, and effective postoperative handoffs. Gain insights into optimizing patient care during surgery with practical tips from experienced professionals.

Guest Host:

Felicia Zhang, MD – General surgery resident at WashU Medicine.

Guest:

Jason Snyder, MD – Director of Emergency General Surgery at Barnes-Jewish Hospital and associate program director for the General Surgery Residency Program at WashU Medicine. He is a specialist in acute care surgery. He is the chairman for the Missouri chapter of the Committee on Trauma of the American College of Surgeons.

Citations:

PROMMTT trial: The prospective, observational, multicenter PROMMTT study compared the effectiveness of different platelet or plasma to RBC ratios within various resuscitation time frames. The study found that higher ratios (1:1 or greater) administered in the first 6 hours of active resuscitation were linked to improved in-hospital mortality rates.

https://jamanetwork.com/journals/jamasurgery/fullarticle/1379768

PROPPR trial: The randomized clinical trial compared the transfusion of plasma, platelets, and red blood cells in ratios of 1:1:1 versus 1:1:2 in patients with severe trauma during active resuscitation. The study found that the 1:1:1 group had a higher rate of achieving hemostasis and a lower rate of death due to exsanguination within the first 24 hours.

https://jamanetwork.com/journals/jama/fullarticle/2107789

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Skin and Soft Tissue Tumors: Part 3 - Washington Manual of Surgery

Fri, 31 Oct 2025 12:00:00 -0500

Let's talk skin cancer – Join general surgery resident Dr. Ken Newcomer for a discussion with Dr. Ryan Fields, the former chair of the Section of Surgical Oncology in the Department of Surgery at WashU Medicine and leading expert in comprehensive surgical cancer care. This episode of the Washington Manual of Surgery Podcast will focus on the surgical management of skin and soft tissue tumors and serves as a companion to Chapter 28 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of The Washington Manual of Surgery Podcast, hosted by general surgery resident, Dr. Ken Newcomer, Dr. Ryan Fields discusses the diagnosis and management of non-melanoma skin and soft tissue tumors, highlighting the importance of a multidisciplinary approach. The discussion delves into the specifics of treating sarcoma and rare cases like Merkel cell carcinoma.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
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Skin and Soft Tissue Tumors: Part 2 - Washington Manual of Surgery

Fri, 17 Oct 2025 12:00:00 -0500

Let’s talk melanoma – Join general surgery resident Dr. Ken Newcomer for a discussion with Dr. Ryan Fields, the former chair of the Section of Surgical Oncology in the Department of Surgery at WashU Medicine and leading expert in comprehensive surgical cancer care. This episode of the Washington Manual of Surgery Podcast will further focus on the management of melanoma and serves as a companion to Chapter 28 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of The Washington Manual of Surgery Podcast, hosted by general surgery resident Dr. Ken Newcomer, Dr. Ryan Fields discusses further pragmatic treatment considerations for cutaneous melanoma, including immune therapy, adjuvant and neoadjuvant therapy options, completion nodal dissections, surgical complication risks, and surveillance recommendations.

Citations:

The PRADO Trial: https://pubmed.ncbi.nlm.nih.gov/35661157/

SWOG 1901 – Southwest Oncology Group: https://pubmed.ncbi.nlm.nih.gov/36856617/

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Skin and Soft Tissue Tumors: Part 1 - Washington Manual of Surgery

Fri, 03 Oct 2025 12:00:00 -0500

Let’s talk melanoma – Join general surgery resident Dr. Ken Newcomer for a discussion with Dr. Ryan Fields, the former chief of the Section of Surgical Oncology in the Department of Surgery at WashU Medicine and leading expert in comprehensive surgical cancer care. This episode of the Washington Manual of Surgery Podcast will focus on melanoma and serves as a companion to chapter 28 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of The Washington Manual of Surgery Podcast, hosted by general surgery resident Dr. Ken Newcomer, Dr. Ryan Fields – who played a vital role in advancing cancer care and research at WashU Medicine – offers an in-depth review of cutaneous melanoma evaluation, staging, and treatment, including excision techniques and discussion of some of the most important sentinel lymph node trials. Tune in for a comprehensive review on melanoma from experts who combine clinical insight with compassionate patient care for assessing and treating these malignancies.

Guest Host:

Ken Newcomer, MD – General surgery resident at WashU Medicine.

Guest:

Ryan Fields, MD – Dr. Fields was the inaugural Kim and Tim Eberlein Distinguished Professor of Surgery at WashU Medicine. He has been recognized for his groundbreaking work in cancer genomics and dedication to advancing the field. He is now the Chair of the Department of Surgery at the University of Rochester Medical Center, where he is the chief surgeon of Strong Memorial Hospital and director of translational research of the Wilmot Cancer Institute.

Citations:

Breslow staging, the original article: https://pmc.ncbi.nlm.nih.gov/articles/PMC1397358/

MSLT-1 Trial: https://pmc.ncbi.nlm.nih.gov/articles/PMC4058881/

MSLT-2 Trial: https://pmc.ncbi.nlm.nih.gov/articles/PMC5548388/

DeCOG Trial: https://www.sciencedirect.com/science/article/pii/S1470204516001418?via%3Dihub

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Soft Tissue Infection - Washington Manual of Surgery

Fri, 19 Sep 2025 12:00:00 -0500

Let’s talk NSTI – Join general surgery resident Dr. Tiffany Brocke for a discussion with Dr. Lindsay Kranker, surgical critical care specialist and assistant professor of surgery with expertise in comprehensive trauma/emergency surgery care. This episode of the Washington Manual of Surgery Podcast will focus on the assessment and treatment of necrotizing soft tissue infections and serves as a companion to Chapter 11 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of The Washington Manual of Surgery Podcast, hosted by general surgery resident Dr. Tiffany Brocke, Dr. Lindsay Kranker – who plays a major role in ACCS patient care and surgical education efforts – offers an in-depth review of necrotizing soft tissue infection identification and management.

This episode covers crucial aspects of necrotizing soft tissue infections, including the importance of early identification, debridement, antibiotic coverage, and managing expectations for recovery. They discuss the utility of imaging, the significance of multidisciplinary care, and setting realistic recovery expectations with patients. Tune in for a comprehensive review on NSTI from experts who combine clinical insight with compassionate patient care.

Guest Host:

Tiffany Brocke, MD – General surgery resident at WashU Medicine.

Guest:

Lindsay M. Kranker, MD – Assistant Professor of Surgery for the Section of Acute and Critical Care Surgery. She specializes in emergency general surgery and surgical critical care. Dr. Kranker is also an assistant program director for the general surgery residency program and the associate director for the surgery clerkship at WashU Medicine.

Show notes:

LRINEC score: https://pubmed.ncbi.nlm.nih.gov/15241098/

Clindamycin versus linezolid: https://pubmed.ncbi.nlm.nih.gov/38149106/

Vibrio NSTI article: https://climatehealthed.org/course/vibrio-vulnificus-and-necrotizing-fasciitis/

“Dakin’s”: dilute sodium hypochlorite (bleach) solution available from 0.0125% to 0.5%

“Vashe”: saline-based 0.033% hypochlorous acid

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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WashU Medicine Department of Surgery: @washusurg
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Breast Disease - Washington Manual of Surgery

Fri, 05 Sep 2025 12:00:00 -0500

Let’s talk malignant breast disease – Join general surgery resident Dr. Faiz Gani for a discussion with Dr. Julie Margenthaler, surgical oncologist and professor of surgery with expertise in the treatment of breast disease. This episode of the Washington Manual of Surgery Podcast will focus on the surgical management of malignant breast disease and serves as a companion to Chapter 27 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, hosted by general surgery resident Dr. Faiz Gani, Dr. Julie Margenthaler, program director of the breast oncology fellowship and director of breast surgery at WashU Medicine and former president of the American Society of Breast Surgeons, offers an in-depth review of managing malignant breast disease. They discuss assessment of a breast mass, considerations for adjuvant and neoadjuvant therapies, genetic testing and tumor genomic assessment, surgical considerations and breast conservation options. This episode provides practical insights and references comprehensive guidelines for breast cancer management.

Guest Host:

Faiz Gani, MD – General surgery resident at WashU Medicine.

Guest:

Julie Margenthaler, MD – Professor of Surgery in the Section of Surgical Oncology. She specializes in treating diseases of the breast, mastectomy, sentinel lymph node biopsy, and partial mastectomy (lumpectomy). She is the program director of the breast oncology fellowship program at WashU Medicine.

Citations:

BI-RADS (Breast Imaging Reporting and Data System): system developed by the American College of Radiology to classify breast lesions found on mammography. Table 27.4 in the Washington Manual of Surgery.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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WashU Medicine Department of Surgery: @washusurg
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Burns: Part 2 - Washington Manual of Surgery

Fri, 22 Aug 2025 12:00:00 -0500

Let’s talk burns – Join general surgery resident Dr. Oluseye Oduyale for a discussion with Dr. John Kirby, director of the Burn and Wound Healing Programs at Barnes-Jewish Hospital. This episode of the Washington Manual of Surgery Podcast will focus on the surgical management of burn patients and serves as a companion to Chapter 10 of the 9th edition of the bestselling Washington Manual of Surgery.

In this insightful episode, Dr. Kirby and Dr. Oduyale discuss the multi-disciplinary approach to burn care, emphasizing the importance of acute medical management, comprehensive rehabilitation, nutrition optimization, and psychosocial support. Highlighting a case study, they delve into early surgical interventions, wound infection prevention, and long-term recovery strategies. Besides the manual, resources like professional societies’ guidelines are recommended for advancing burn care practice. This episode provides valuable knowledge for burn survivors and healthcare providers.

This topic is covered in more than one episode of the Washington Manual of Surgery Podcast. Check out Part 1/2 here: https://www.buzzsprout.com/2422197/episodes/17618966

Guest Host:

Oluseye Oduyale, MD – General surgery resident at WashU Medicine.

Guest:

John P. Kirby, MD – Associate Professor of Surgery for the Section of Acute and Critical Care Surgery. He specializes in trauma surgery, wound healing, and acute critical care.

Notes:

ABA = American Burn Association (https://ameriburn.org/)

SBAR = Situation, Background, Assessment, and Recommendation

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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WashU Medicine Department of Surgery: @washusurg
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Burns: Part 1 - Washington Manual of Surgery

Fri, 08 Aug 2025 12:00:00 -0500

Let’s talk burns – Join general surgery resident Dr. Oluseye Oduyale for a discussion with Dr. John Kirby, director of the Burn and Wound Healing Programs at Barnes-Jewish Hospital. This episode of the Washington Manual of Surgery Podcast will focus on the management of burn patients and serves as a companion to Chapter 10 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Kirby, a trauma, acute, and critical care surgeon, discusses the management of burn patients. We explore topics ranging from initial assessment to airway management, fluid requirements, and the importance of consulting specialized burn centers. Dr. Kirby shares insights from the Washington Manual and emphasizes the need for comprehensive, multidisciplinary approaches to burn care, highlighting the contributions of professional societies like the American Burn Association. Essential considerations for severe burns and patient referrals are also extensively reviewed.

Guest Host:

Oluseye Oduyale, MD – General surgery resident at WashU Medicine.

Guest:

John P. Kirby, MD – Associate Professor of Surgery for the Section of Acute and Critical Care Surgery. He specializes in trauma surgery, wound healing, and acute critical care.

Notes:

ABA = American Burn Association (https://ameriburn.org/)

SBAR = Situation, Background, Assessment, and Recommendation

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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WashU Medicine Department of Surgery: @washusurg
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Pediatric Surgery - Washington Manual of Surgery

Fri, 25 Jul 2025 12:00:00 -0500

This episode of the Washington Manual of Surgery Podcast is bittersweet due to the untimely and sudden death of Dr. Brad Warner, the featured faculty member in this episode, on April 4, 2025. This episode was recorded prior to Dr. Warner’s untimely passing and is being published in honor of his memory. Dr. Warner was beloved by all as a phenomenal surgeon, rigorous researcher, exceptional educator, and dedicated mentor. He was a gifted photographer with a passion for nature. Most importantly, he was kind, generous, and caring. He is survived by his wife, Dr. Barbara Warner, their two daughters, and one grandchild.

Nevertheless, we are honored to have him talk neonatal and infant surgery — Join general surgery resident Dr. Horacio Carvajal for a discussion with Dr. Warner. This episode of the Washington Manual of Surgery Podcast focuses on surgical scenarios related to GI illness in infants and serves as a companion to Chapter 39 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, host Dr. Horacio Carvajal and special guest Dr. Brad Warner, Professor of Surgery and former Chief of the Division of Pediatric Surgery at WashU Medicine, discuss the management of common pediatric surgery issues, especially focusing on bilious emesis in neonates and infants. Key points include identifying scenarios requiring emergent surgery, conducting essential preoperative workup, and implementing effective management strategies. Dr. Warner elaborates on procedures such as colostomies, enemas, and the use of acetylcysteine for meconium removal, providing crucial insights into pediatric surgical care.

Learn more about the life and legacy of Dr. Brad Warner: https://medicine.washu.edu/news/obituary-brad-warner-professor-of-pediatric-surgery-66/

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Stomach - Washington Manual of Surgery

Fri, 11 Jul 2025 12:00:00 -0500

Let’s talk surgical diseases of the stomach — Join general surgery resident Dr. Shaleen Sathe for a discussion with surgeon scientist and hepatopancreatobiliary (HPB) surgeon, Dr. Roheena Panni. This episode of the Washington Manual of Surgery Podcast will focus on the surgical care of gastric diseases and serves as a companion to Chapter 14 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, host Dr. Shaleen Sathe is joined by surgical oncologist Dr. Roheena Panni to discuss comprehensive management of stomach-related conditions. They cover high-yield topics such as the diagnosis and management of gastroparesis, approaches to treating malignant and benign stomach diseases, and endoscopic interventions for gastrointestinal bleeding. Tune in to learn about the latest surgical techniques, the importance of multidisciplinary care, and updates on treatments for gastric cancer.

Guest Host: Shaleen Sathe, MD – General surgery resident at WashU Medicine.

Guest: Roheena Z. Panni, MD, MPHS – Assistant professor of surgery for the Section of Surgical Oncology. She specializes in hepatic, biliary, pancreatic, and gastric surgery.

Notes:

Modified Forrest Classification: stratifies risk of ulcer rebleeding based on observed characteristics on endoscopy

Forrest I (active ulcer hemorrhage): Ia - spurting hemorrhage; Ib - oozing hemorrhage

Forrest II (signs of recent ulcer hemorrhage): IIa - nonbleeding visible vessel; IIb - adherent clot; IIc - flat pigmented spot on ulcer base

Forrest III (no active bleeding): clean ulcer base (lesions without signs of recent hemorrhage and/or fibrin-covered)

Original citation: Forrest J.A., Finlayson N.D., Shearman D.J. Endoscopy in gastrointestinal bleeding. Lancet. 1974;2:394–397. doi: 10.1016/S0140-6736(74)91770-X.

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Surgical Diseases of the Liver: Part 2 - Washington Manual of Surgery

Fri, 27 Jun 2025 12:00:00 -0500

Let’s talk surgical liver disease—Join general surgery resident Dr. Catherine Zivanov for a discussion with expert liver transplant surgeon, Dr. William Chapman. This episode of the Washington Manual of Surgery Podcast will be part 2 of 2 focusing on the surgical care of liver disease and serves as a companion to Chapter 17 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. William Chapman, a leading abdominal transplant and hepatobiliary surgeon, discusses malignant liver diseases with host Dr. Catherine Zivanov.

Topics covered include the application of the MELD score for liver disease prognosis, criteria for liver transplantation such as Milan and UCSF criteria, and treatment strategies for hepatocellular carcinoma and colorectal liver metastases. The episode also delves into the role of future liver remnant and the use of portal and hepatic vein embolization to enhance surgical outcomes.

This topic is covered in more than one episode of the Washington Manual of Surgery Podcast, so please check out part 1 of this topic focused on the surgical treatment of benign liver diseases!

Guest Host:

Catherine Zivanov, MD, MPHS – General surgery resident at WashU Medicine.

Guest:

William Chapman, MD – Director of the Division of General Surgery and Chief of the Section of Transplant Surgery. He is a specialist in liver transplantation, transplantation surgery, hepatobiliary surgery, and liver diseases.

Citations:

Liver Imaging Reporting and Data System (LI-RADS):

Fowler KJ, Potretzke TA, Hope TA, Costa EA, Wilson SR. LI-RADS M (LR-M): definite or probable malignancy, not specific for hepatocellular carcinoma. Abdominal Radiology (NY), 2018.

Milan Criteria and Beyond:

Mazzaferro V, Regalia E, Doci R, et al. Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. The New England Journal of Medicine, 1996.

Mazzaferro V, Citterio D, Bhoori S, et al. Liver transplantation in hepatocellular carcinoma after tumour downstaging (XXL): a randomised, controlled, phase 2b/3 trial. The Lancet Oncology, 2020.

Model for End-Stage Liver Disease (MELD):

https://optn.transplant.hrsa.gov/data/allocation-calculators/meld-calculator/

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Surgical Diseases of the Liver: Part 1 - Washington Manual of Surgery

Fri, 13 Jun 2025 12:00:00 -0500

Let’s talk surgical liver disease – Join general surgery resident Dr. Catherine Zivanov for a discussion with expert liver transplant surgeon, Dr. William Chapman. This episode of the Washington Manual of Surgery Podcast will be part 1 of 2 focusing on the surgical care of liver disease and serves as a companion to Chapter 17 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Chapman, a leading abdominal transplant and hepatobiliary surgeon, discusses liver anatomy and benign liver diseases with host, Dr. Catherine Zivanov.

Topics covered include incidental liver masses, imaging techniques like CT and MRI, and distinguishing features of common benign tumors such as hemangioma and focal nodular hyperplasia. Dr. Chapman emphasizes imaging-based diagnoses and the importance of patient history in managing these conditions.

This topic is covered in more than one episode of the Washington Manual of Surgery Podcast, so please stay tuned for part 2 of this topic!

Guest Host: Catherine Zivanov, MD – General surgery resident at WashU Medicine.

Guest: William Chapman, MD – Director of the Division of General Surgery and Chief of the Section of Transplant Surgery. He is a specialist in liver transplantation, transplantation surgery, hepatobiliary surgery, and liver diseases.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Abdominal Trauma - Washington Manual of Surgery

Fri, 30 May 2025 12:00:00 -0500

Let’s talk abdominal trauma—Join Dr. Kerry Swanson for a discussion with expert critical care surgeon, Dr. Doug Schuerer. This episode of the Washington Manual of Surgery Podcast will focus on care in the ICU and is a companion to Chapter 8 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Schuerer, a trauma and acute care surgeon at Washington University in Saint Louis, discusses the management of abdominal trauma. Key topics include the primary and secondary survey of trauma patients, the significance of imaging for gunshot wounds, damage control laparotomy, and the importance of hemostasis. Dr. Schuerer provides insights into modern resuscitation techniques, the use of FAST exams, and the importance of systematic approaches during surgery.

Guest Host: Kerry Swanson, MD – General surgery resident at WashU Medicine.

Guest: Douglas Schuerer, MD – Director of Trauma at Barnes Jewish Hospital. He is a specialist in Acute Care Surgery. His expertise is in managing critically ill and injured patients.

Notes:

MTP: massive transfusion protocol (whole blood or 1:1:1 transfusion ratio of packed red blood cells:plasma:platelets). Refers to the administration of balanced blood product ratios, which aims to reduce mortality and improve patient outcomes suffering life-threatening hemorrhages.

FAST: An acronym for the phrase Focused Assessment with Sonography in Trauma. Refers to rapid bedside ultrasound examination to evaluate a patient’s condition who has experienced abdominal blunt force trauma or penetrating trauma.

Splenic injuries grading scale: A grading system to determine the level of splenic injury. This five-level scale guides the management and treatment decisions for patients with splenic trauma, Grade I being the least severe and Grade V being the most severe.

Pringle maneuver: A surgical technique designed for controlling bleeding from the liver through cross-clamping the hepatoduodenal ligament, which includes the hepatic artery, portal vein and common bile duct; only a temporizing measure due to the hepatobiliary ischemia caused by the procedure.

Zones of the retroperitoneum (RP Zones): Three zones of the retroperitoneum, which surgeons use to describe the locations of injuries or pathology in the retroperitoneal region, identified as: Zone 1 (sometimes known as the central zone) is the midline retroperitoneum from aortic hiatus to the sacral promontory including the major vessels and their major branches; Zone 2 (sometimes known as the perirenal zone) is the bilateral lateral areas involving the kidneys and their vessels as well as the paracolic gutters; and Zone 3 (sometimes known as the pelvic zone) is the pelvis below the promontory including the iliac vessels.

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Vascular Access - Washington Manual of Surgery

Fri, 16 May 2025 12:00:00 -0500

Let’s talk vascular access—Join Dr. Mustansir for a discussion with expert transplant and vascular access surgeon Dr. Shenoy. This episode of the Washington Manual of Surgery Podcast will focus on vascular access for hemodialysis and is a companion to Chapter 38 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, hosted by Dr. Fatima Mustansir, Dr. Surendra Shenoy, a transplant and vascular access surgeon at WashU Medicine, delves into the management of vascular access. Key discussion points include strategies for preventing hemodialysis access failures, the importance of patient education and techniques to avoid infection and distal ischemic problems. Dr. Shenoy emphasizes mastering the creation of functional arterio-venous fistulas and the significance of using intraoperative ultrasound for better outcomes.

Guest Host: Fatima Mustansir, MD – Vascular surgery resident at WashU Medicine.

Guest: Surendra Shenoy, MD, PhD – A transplant specialist and vascular access surgeon. His experience in transplant surgery spans decades and his research contributions have helped shape the field.

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Critical Care - Washington Manual of Surgery

Fri, 02 May 2025 12:00:00 -0500

Let’s talk critical care—Join Dr. Visani for a discussion with expert critical care surgeon Dr. Buckman. This episode of the Washington Manual of Surgery Podcast will focus on care in the ICU and is a companion to Chapter 4 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Buckman joins Dr. Visani to discuss essential topics such as managing critically ill post-operative patients, the importance of enteral vs. parenteral nutrition, glycemic control approaches to managing acute kidney injury and ventilation strategies for patients with cervical spine injuries. They also touch on neurogenic shock, traumatic brain injury management and the use of mechanical circulatory support in cases of cardiogenic shock.

Guest Host: Adrienne Visani, MD – General surgery resident at WashU Medicine.

Guest: Sara Buckman, MD, PharmD - A former pharmacist and current surgical intensivist. She brings her pharmacological and surgical expertise to the critical care setting.

Citations:

NICE-SUGAR study: https://www.nejm.org/doi/full/10.1056/NEJMoa0810625

Neurological spinal injury classifications: https://pmc.ncbi.nlm.nih.gov/articles/PMC3232636/

Steroid use in spinal injury therapy: https://journals.lww.com/neurosurgery/fulltext/2015/03001/pharmacological_therapy_for_acute_spinal_cord.9.aspx

Lung-protective ventilator management: https://pubmed.ncbi.nlm.nih.gov/16352797/

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Pancreas: Part 2 - Washington Manual of Surgery

Fri, 18 Apr 2025 12:00:00 -0500

Let’s talk Pancreatitis—Join Dr. Katharine Caldwell for a discussion with expert surgical oncologist Dr. Dominic Sanford. This episode of the Washington Manual of Surgery Podcast will focus on pancreatitis and is a companion to Chapter 19, section 8 of the 9th edition of the bestselling Washington Manual of Surgery.

This topic is covered in more than one episode of the Washington Manual of Surgery Podcast. Check out Part 1 of 2 here: https://www.buzzsprout.com/2422197/episodes/16905316

In this episode of the Washington Manual of Surgery Podcast, Dr. Katharine Caldwell and Dr. Dominic Sanford discuss acute pancreatitis, covering its diagnosis, management and complications. Key topics include the criteria for diagnosing acute pancreatitis, initial treatment steps for necrotizing pancreatitis, and the importance of timely interventions to prevent recurrence. Dr. Sanford emphasizes supportive care, including the benefits of enteral nutrition and strategies to mitigate long-term risks such as reducing alcohol and tobacco use. Tune in for an insightful overview of managing this complex condition.

Guest Host: Katharine Caldwell, MD, MSCI – general surgery resident at WashU Medicine and associate editor of the Washington Manual of Surgery.

Guest: Dominic Sanford, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Sanford’s specialty is in minimally invasive surgery of the pancreas, bile ducts, liver, spleen and adrenal glands and his research interests include improving pancreatic cancer patient outcomes.

Citations:

Step up trial: https://pubmed.ncbi.nlm.nih.gov/21741922/

Classification of acute pancreatitis: https://pubmed.ncbi.nlm.nih.gov/23100216/

Revised Atlanta Classification definitions:
Mild: No organ failure or systemic complications
Moderately severe: Transient organ failure (<48 h) or local systemic complications without persistent organ failure
Severe: Persistent organ failure (>48 h)

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Pancreas: Part 1 - Washington Manual of Surgery

Fri, 04 Apr 2025 12:00:00 -0500

Let’s talk PDAC—Join Dr. Katharine Caldwell for a discussion with expert biliary and pancreatic surgeon Dr. Dominic Sanford. This episode of the Washington Manual of Surgery Podcast will focus on pancreatic ductal adenocarcinoma and is a companion to Chapter 19 of the 9th edition of the bestselling Washington Manual of Surgery.

Drs. Caldwell and Sanford discuss the management of pancreatic ductal adenocarcinoma (PDAC). They go into detail on the importance of distinguishing between benign and malignant biliary obstructions and the use of lab tests and imaging for diagnosis. They discuss treatment strategies based on disease staging and the standards of care, involving locally advanced or borderline resectable PDAC. The discussion covers the use of neoadjuvant chemotherapy and surgical options, including the Whipple procedure, as well as post-operative complications that may arise and the management of pancreatic leaks and fistulae.

Guest Host: Katharine Caldwell, MD – general surgery resident at WashU Medicine and associate editor of the Washington Manual of Surgery

Guest: Dominic Sanford, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Sanford’s specialty is in minimally invasive surgery of the pancreas, bile ducts, liver, spleen and adrenal glands and his research interests include improving pancreatic cancer patient outcomes.

Citations:

Modified fistula risk score: https://pubmed.ncbi.nlm.nih.gov/28408176/

The original fistula risk score paper: https://pubmed.ncbi.nlm.nih.gov/23122535/

The leak/pancreatic fistula classification scoring system (A/B/C) from 2017: https://pubmed.ncbi.nlm.nih.gov/28040257/

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Chest Trauma - Washington Manual of Surgery

Fri, 21 Mar 2025 12:00:00 -0500

Let’s talk chest trauma—Join Dr. Phelps for a discussion with expert trauma surgeon Dr. Niziolek. This episode of the Washington Manual of Surgery Podcast will focus on trauma of the thoracic cavity and is a companion to Chapter 7 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Niziolek discusses chest trauma, highlighting its prevalence and high mortality rate, especially in cases involving thoracic injuries. She goes into detail on initial assessment and management following the ABCs (airway, breathing, circulation) protocols and procedures such as chest tube placement and resuscitative thoracotomy. The episode covers essential anatomy considerations and protocols for massive transfusion and emergency thoracotomy criteria.

Guest Host: Hannah Phelps, MD – General surgery resident at WashU Medicine.

Guest: Grace Niziolek, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Niziolek’s specialty is in surgical critical care.

References:

Burlew CC, et al. "Resuscitative Thoracotomy." Western Trauma Association Practice Management Guidelines. Accessed 3/4/2025. https://www.westerntrauma.org/algorithms.php

Moore EE, Knudson MM, Burlew CC, et al. Defining the limits of resuscitative emergency department thoracotomy: a contemporary Western Trauma Association perspective. J Trauma. Feb 2011;70(2):334-9. doi:10.1097/TA.0b013e3182077c35

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Postoperative Care - Washington Manual of Surgery

Fri, 07 Mar 2025 12:00:00 -0600

Let’s talk postoperative care—Join Dr. Katharine Caldwell for a discussion with expert acute and critical care surgeon Dr. Isaiah Turnbull. This episode of the Washington Manual of Surgery Podcast will focus on postoperative care and is a companion to Chapter 3 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Isaiah Turnbull reviews the management of common post-operative problems. Key points include handling hypotension, tachycardia, and fever in post-operative patients, the importance of clinical assessment for infections, and insights from the STOP-IT trial on antibiotic duration. The episode also emphasizes the need for proper imaging and laboratory investigations to diagnose and manage necrotizing soft tissue infections effectively. Tune in for expert advice crucial for surgical trainees.

Guest Host: Katharine Caldwell, MD – general surgery resident at WashU Medicine and associate editor of the Washington Manual of Surgery

Guest: Isaiah Turnbull, MD, is an associate professor in the Department of Surgery at WashU Medicine. Dr. Turnbull’s specialty is in acute and critical care surgery and his research interests include medical and surgical training burnout, and how this issue compromises training, clinical efficacy, and quality assurance.

Notes:

LRINEC Score

Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004 Jul;32(7):1535-41. doi: 10.1097/01.ccm.0000129486.35458.7d. PMID: 15241098.
Fernando SM, Tran A, Cheng W, Rochwerg B, Kyeremanteng K, Seely AJE, Inaba K, Perry JJ. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2019 Jan;269(1):58-65. doi: 10.1097/SLA.0000000000002774. PMID: 29672405.

STOP-IT

Sawyer RG, Claridge JA, Nathens AB, Rotstein OD, Duane TM, Evans HL, Cook CH, O'Neill PJ, Mazuski JE, Askari R, Wilson MA, Napolitano LM, Namias N, Miller PR, Dellinger EP, Watson CM, Coimbra R, Dent DL, Lowry SF, Cocanour CS, West MA, Banton KL, Cheadle WG, Lipsett PA, Guidry CA, Popovsky K; STOP-IT Trial Investigators. Trial of short-course antimicrobial therapy for intraabdominal infection. N Engl J Med. 2015 May 21;372(21):1996-2005. doi: 10.1056/NEJMoa1411162. Erratum in: N Engl J Med. 2018 Feb 15;378(7):686. doi: 10.1056/NEJMx180006. PMID: 25992746; PMCID: PMC4469182.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Appendix - Washington Manual of Surgery

Fri, 21 Feb 2025 12:00:00 -0600

Let’s talk appendicitis—Join Dr. Paul Kepper for a discussion with expert colorectal surgeon Dr. William Chapman Jr. This episode of the Washington Manual of Surgery Podcast will focus on the appendix and is a companion to Chapter 22 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Chapman reviews the management of acute appendicitis. The episode covers key diagnostic steps, including the use of CT scans and ultrasounds, surgical and antibiotic treatment options, and the management of appendiceal neoplasms. Dr. Chapman emphasizes the importance of patient communication and tailored treatment plans. Tune in for a comprehensive overview of appendix pathology.

Guest Host: Paul Kepper, MD – general surgery resident at WashU Medicine

Guest: William Chapman Jr., MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Chapman’s specialty is in colorectal surgery and his research interests include colon and rectal cancer and patient reported outcomes in colorectal surgery.

References:

Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov;132(5):910-25.

Salminen P, Paajanen H, Rautio T, et al. Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis: The APPAC Randomized Clinical Trial. JAMA. 2015;313(23):2340–2348.

Salminen P, Tuominen R, Paajanen H, Rautio T, Nordström P, Aarnio M, Rantanen T, Hurme S, Mecklin JP, Sand J, Virtanen J, Jartti A, Grönroos JM. Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial. JAMA. 2018 Sep 25;320(12):1259-1265.

Hayes D, Reiter S, Hagen E, Lucas G, Chu I, Muñiz T, Martinez R. Is interval appendectomy really needed? A closer look at neoplasm rates in adult patients undergoing interval appendectomy after complicated appendicitis. Surg Endosc. 2021 Jul;35(7):3855-3860.

Wei B, Qi CL, Chen TF, Zheng ZH, Huang JL, Hu BG, Wei HB. Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis. Surg Endosc. 2011 Apr;25(4):1199-208.

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Lung and Mediastinal Disease - Washington Manual of Surgery

Fri, 07 Feb 2025 12:00:00 -0600

Let’s talk lung and mediastinal disease—Join Dr. Louisa Bai for a discussion with expert thoracic surgeon Dr. Whitney Brandt. This episode of the Washington Manual of Surgery Podcast will focus on lung and mediastinal disease and is a companion to Chapter 31 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Brandt reviews the management of lung and mediastinal diseases. She discusses the diagnostic approaches and treatment protocols for conditions such as non-small cell lung cancer, myasthenia gravis, and recurrent pneumothorax. Key topics include mediastinal staging, the use of stereotactic body radiation therapy for inoperable lung lesions, and the role of induction chemoradiotherapy. Tune in for practical insights and up-to-date practices in thoracic surgery.

Guest Host: Louisa Bai, MD – General surgery resident at WashU Medicine

Guest: Whitney Brandt, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Brandt’s specialty is in thoracic surgery and her research interests include lung and esophageal cancer.

Notes:

In this episode, the hosts use a number of abbreviations. These are spelled out below:

FEV1: forced expiratory volume in 1 second

DLCO: diffusing capacity of the lung for carbon monoxide

EBUS: endobronchial ultrasound

SBRT: stereotactic body radiation therapy

For more information on lung cancer staging, see Table 31-1 in the Washington Manual of Surgery or visit https://www.cancer.org/cancer/types/lung-cancer/detection-diagnosis-staging/staging-nsclc.html

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Head, Neck, and Spinal Trauma - Washington Manual of Surgery

Fri, 24 Jan 2025 12:00:00 -0600

Let’s talk head, neck, and spinal trauma—Join Dr. Nicole Santucci for a discussion with expert trauma surgeon Dr. Jessica Staszak. This episode of the Washington Manual of Surgery Podcast will focus on head, neck, and spinal trauma, and is a companion to Chapter 6 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Staszak reviews the management of head, neck, and spinal trauma. Covering the ABCs of trauma assessment and the importance of primary and secondary surveys, she details the approach to a 76-year-old male patient on Eliquis with a head injury. Key topics include performing CT scans for diagnosis, monitoring intracranial pressure, managing anticoagulation therapy, and evaluating cervical spine stability. Discover essential insights for efficient evaluation and treatment in trauma scenarios.

Guest Host: Nicole Santucci, MD – General surgery resident at WashU Medicine

Guest: Jessica Staszak, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Staszak’s specialty is in surgical critical care.

Notes:
Canadian Head CT Rule: refer to Table 6.1 in the Washington Manual of Surgery (modified from Steil IG, Clement Cm, Rowe BH, et al. JAMA 2005;294(12):1511-8)

Underscoring the criteria (assuming initial GCS 13-15):

Age ≥ 65
GCS < 15 after 2 hours
Open/depressed skull fracture
Signs of basal skull fracture
> 2 episodes of emesis
≥ 30 minutes of amnesia
Significant mechanism (peds vs auto, ejected passenger, fall from ≥ 3 feet or 5 stairs)

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Anorectal Disease – Washington Manual of Surgery

Fri, 10 Jan 2025 12:00:00 -0600

Let’s talk anorectal disease—Join Dr. Ahmed Eltahir for a discussion with expert colorectal surgeon Dr. Matthew Mutch. This episode of the Washington Manual of Surgery Podcast will focus on anorectal disease and is a companion to Chapter 24 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Mutch reviews the essentials of managing anorectal diseases. Topics include the anatomy of the anal canal, the treatment and grading of hemorrhoids, and the chemo-radiation regimens for anal cancers. You’ll learn about first-line treatments and surgical options for anal fissures, abscesses, and fistulas. Tune in for high-yield insights into both benign and malignant anorectal conditions.

Guest Host: Ahmed Eltahir, MD – General surgery resident at WashU Medicine

Guest(s): Matthew Mutch, MD, the Solon and Bettie Gershman Professor of Surgery, serves as chief of the Section of Colon and Rectal Surgery in the Department of Surgery at WashU Medicine. Dr. Mutch’s specialty is in colorectal cancer and the treatment of benign colorectal diseases.

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Transplant Surgery – Washington Manual of Surgery

Fri, 27 Dec 2024 12:00:00 -0600

Let’s talk transplant surgery—Join Dr. Sydney Beache for a discussion with expert transplant surgeon Dr. Jason Wellen. This episode of the Washington Manual of Surgery Podcast will focus on abdominal transplantation and is a companion to Chapter 21 of the 9th edition of the bestselling Washington Manual of Surgery.

Dr. Wellen reviews key aspects of liver, kidney and pancreas transplants. This episode covers the basics of transplantation, organ allocation, transplant immunology, technical considerations, complications, and innovations on the cutting edge of transplant surgery, including the use of robotics and normothermic machine perfusion.

Guest Host: Sydney Beache, MD, MPHS – General surgery resident at WashU Medicine

Guest: Jason Wellen, MD, MBA, is a professor of surgery in the Department of Surgery at WashU Medicine. He serves as director of the kidney and pancreas transplant program at WashU Medicine and as chief of pediatric kidney transplantation at St. Louis Children’s Hospital.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Introducing the Washington Manual of Surgery Podcast

Fri, 13 Dec 2024 15:00:00 -0600

Welcome to the Washington Manual of Surgery Podcast—a companion to the 9th edition of the bestselling Washington Manual of Surgery. Each episode contains valuable information spanning the breadth of surgical subspecialties.

Meet senior editors Dr. Paul Wise and Dr. Jeffrey Blatnik.

Paul Wise, MD, co-editor of the Washington Manual of Surgery, is vice chair of surgical education in the Department of Surgery at WashU Medicine. Dr. Wise’s specialty is in colon and rectal surgery and the treatment of colorectal cancers. He serves as director of the Inherited Colorectal Cancer and Familial Polyposis registry at WashU Medicine and the Alvin J. Siteman Cancer Center.

Jeffrey Blatnik, MD, co-editor of the Washington Manual of Surgery, is chief of the Section of Minimally Invasive Surgery in the Department of Surgery at WashU Medicine. Dr. Blatnik’s specialty is in minimally invasive gastrointestinal surgery and hernia repair. He serves as director of the Hernia Center at WashU Medicine.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres

Inguinal Hernias – Washington Manual of Surgery

Fri, 13 Dec 2024 15:00:00 -0600

Let’s talk inguinal hernias—Join Dr. Bradley Kushner for a discussion with expert hernia surgeons Dr. Jeffrey Blatnik and Dr. Arnab Majumder. This episode of the Washington Manual of Surgery Podcast will focus on inguinal hernias and is a companion to Chapter 25 of the 9th edition of the bestselling Washington Manual of Surgery.

Drs. Blatnik and Majumder delve into need-to-know aspects of inguinal hernias, including diagnosis, management, and common perioperative complications. You’ll also learn about the nuanced differences between open and minimally invasive hernia repairs, the significance of pertinent anatomy, and key considerations for both elective and emergency surgery scenarios.

Guest Host:
Bradley Kushner, MD – General surgery resident at WashU Medicine and associate editor of the Washington Manual of Surgery

Guests:
Jeffrey Blatnik, MD, co-editor of the Washington Manual of Surgery, is chief of the Section of Minimally Invasive Surgery in the Department of Surgery at WashU Medicine. Dr. Blatnik’s specialty is in minimally invasive gastrointestinal surgery and hernia repair. He serves as director of the Hernia Center at WashU Medicine.

Arnab Majumder, MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Majumder’s specialty is in minimally invasive abdominal surgery and hernia repair.

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

WashU Medicine Department of Surgery: @washusurg
General Surgery Residency at WashU Medicine: @washusurgres