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’

I know it's tacky to point out statistically insignificant trends in a small retrospective series but.. allegations of ⬆️evisceration potential w whipstitch for temporary closure was an M&M comment that spurred me to do this review in 1st place😊
Clearly wasn't the case.

#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

The most important thing about this amazing Paris transformation is how fast it happened — how fast people on bikes “appeared” — once streets were transformed. You can’t write this off as “Paris was always this way,” because it wasn’t.

It took leadership.

Students at Hormozgan University in Bandar Abbas (historically a more socially conservative region of Iran) tear down the wall of gender segregation in the school cafeteria while chanting “freedom, freedom, freedom” (azadi)

Today I am requesting the Committee on Foreign Investment — which reviews acquisitions of U.S. businesses by foreign buyers — to conduct an investigation into the national security implications of Saudi Arabia's purchase of Twitter.
bloomberg.com/news/articles/…

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

Ashley Winter MD || Urologist Sharmila Dissanaike Kent DeLay Time to rethink the Cook County Trauma way?
William Matthew Brigode John Ruggero Matt Kaminsky andrew dennis

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…

Mike Sarr is an amazing surgeon, leader, & educator, who happens to be a wonderful & fun human being too! Someone well worth listening to IMO😊

Myth can spread for generations in #MedEd 🌎
ATOM Author once prescribed removing entire ureter in trauma nephrectomy because of cancer risk; that tale persists to this day, despite NO evidence this rare cancer happens at any significant rate from it, in any clinical study🤷‍♀️