Sharmila Dissanaike
@DissanaikeMD
Chair of Surgery, Trauma, Burn, Critical Care Surgeon Sri Lankan-American Buddhist
Usually lives Outside the Box.
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15-04-2016 17:33:07
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Sharmila Dissanaike Ron Barbosa MD FACS Patrick Molt, MD Karim Brohi Michael J Schwabe, MD, MS Agree good rule of thumb is ‘don’t blindly stab stuff into stuff’
#Panamerican #Trauma #Society Meeting kicks off in Colombia! Panamericanadetrauma
Info ➡️ panamtrauma.org
Remember: Fee waivers (FREE publication) for #TSACO papers from low income countries #OpenAccessWeek #OAWeek22 ! #TSACO Global
🔥 Did you know that for trauma patients...
Whipstitch > ABTHERA for temporary abdominal closure?
Read more here to find out how! bit.ly/3DoYmRd
TTUHSC Department of Surgery Reagan Collins
#SoMe4Surgery #SoMe4Trauma #TSACOGlobal
Sharmila Dissanaike Ron Barbosa MD FACS Michael J Schwabe, MD, MS Yep. If you go open with correct landmarks I think you've got to try pretty hard to go sub-diaphragmatic.
Students at #AmirKabir university in #Tehran are protesting the arrest and suspension of their class mates. #Iran #MahsaAmini Monday, Oct 31
Sharmila Dissanaike Mucking around in the pelvis to get a ureter out is far more trouble than it’s worth. I think the incidence rate of upper tract urothelial Ca is <2% in pts who already have bladder Ca so would be waaaay lower in gen pop. Get kidney out and move on.
Sharmila Dissanaike Ashley Winter MD || Urologist Kent DeLay Cook County Trauma William Matthew Brigode John Ruggero Matt Kaminsky andrew dennis “Tradition is peer pressure from dead people”
Hasan Alam always emphasizes the importance of being willing to reconsider our patient care decisions and change paths. Only way to provide the best care.
Also I have Dr Shapiro in my ear with “every day is a school day!”
Sharmila Dissanaike Leah Tatebe Kent DeLay Definitely no reason to remove the ureter in a trauma setting. And yes, even when we take out a kidney for renal cell carcinoma we do not perform ureterectomy
Sharmila Dissanaike Leah Tatebe Ashley Winter MD || Urologist Yep.. even if the nephrectomy is done for a urothelial carcinoma in the kidney most will not have a recurrence in the stump
No good evidence for wasting time on ureterectomy in trauma nephrectomy pt (who by definition is critically ill, likely coagulopathic so unlike elective case, extra time =harm)
This brief report spells it out nicely (& no new evidence since pub in 2013) journals.sagepub.com/doi/abs/10.117…