Rick Nelson knows more about anal fissure than almost anyone in the world and has recently published a comprehensive meta-analysis of the evidence supporting treatment for anal fissure in the leading journal, Techniques in Coloproctology.
There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy.
Invaluable listening for updating knowledge or revising for an exam.
You can read the full paper at http://bit.ly/2yeyCEZ
A systematic review and meta-analysis of the treatment of anal fissure. Techniques in Coloproctology
August 2017, Volume 21, Issue 8, pp 605–625
How to recognise and immediately manage complications of sleeve gastrectomy and gastric bypass are discussed in the second part of this podcast. Understand why bariatric patients clinical examination might be unreliable, why vomiting or jaundice are danger symptoms which may need emergency intervention, why NSAIDs and smoking are very dangerous in bypass patients and many more things you're going to find very useful when on call or in an exam!
Mapped to the 2016 General Surgery syllabus.
Cat Boereboom is a trainee in surgery in the East Midlands, UK and Sherif Awad is a consultant in bariatric surgery at the East Midlands Bariatric Institute, based at the Royal Derby Hospital, UK
You're not a bariatric surgeon, but you need to know how the immediate management of complications of bariatric surgery because they might well come in to your hospital, even if its not a bariatric surgical centre.
In the first of 2 podcasts, Cat Boereboom talks to Sherif Awad about recognition of complications of gastric band and what to do when you see them. You'll also be able to recognise when a band is in the right place and when it has slipped, what a Huber needle is and what to do with it and what to do if you don't have one, port infection and lots more.
Part 2 covers sleeve gastrectomy and gastric bypass.
Mapped to the General Surgery 2016 syllabus.
Cat Boereboom is a trainee in the East Midlands, UK and Sherif Awad is a consultant bariatric surgeon at the East Midlands Bariatric Institute based at the Royal Derby Hospital, UK
For decades the only real option for perforated diverticular disease was a Hartmann's procedure, but there has been a lot of interest in the less invasive and stoma saving laparoscopic lavage and drainage procedure as an alternative. But is it effective?
Jon Lund talks to David Humes about the background and the evidence for and against peritoneal lavage as a treatment for this common colorectal emergency. David Humes is Associate Professor of Surgery at the University of Nottingham, UK and an NIHR Postdoctoral Fellow. Get the meta-analysis referred to in the podcast here (http://bit.ly/2peBO1J)
A host of practical tips on difficult urethral catheter insertion, changing a suprapubic catheter, managing a 3-way catheter, what to do when you're called about testicular pain, paraphimosis or a nephrostomy.
When you have listened to this podcast by Philly Horner and Suzie Hall you will be much more confident about how to manage these common problems yourself and be able to do it safely, knowing when you should ask for help. Essential listening for all foundation doctors, interns, and medical students, whatever your speciality
Dr Ruediger Prosst, Director of The Proctological Institute in Stuttgart, Germany, tells Jon Lund about his experience in treating the often challenging problem of high and complex anal fistula using a novel, sphincter sparing clipping device. This podcast links to Tech Coloproctol (2016) 20: 753. doi:10.1007/s10151-016-1537-0
"Doctor, Mrs Smith's calcium is 2.9, what do you want me to do?"
Cat Boereboom talks to Roger Stanworth about all aspects of the presentation, diagnosis and treatment of both high and low calcium. Once you've listened to this podcast you will know how to manage any calcium disorder. Mapped to the General Surgery 2016 curriculum, this podcast is also very useful listening to those taking MRCS or FRCS, as well as medical school finals.
Cat Boereboom is a trainee in General Surgery, and Roger Stanworth is Clinical Lead for Diabetes and Endocrinology at the Royal Derby Hospital, UK
Philly Horner talks to Gill Tierney about the presentation, diagnosis and treatment of small bowel obstruction, a very common condition presenting as an emergency. This podcast contains all you need to know if you're a medical student, foundation doctor (intern), or early years trainee in surgery.
Sorry about the sound in places, this was recorded on location without our usual high quality mic. Best on headphones.
All you need to know about how to interpret the results of a meta analysis in 14 minutes and 15 seconds.
If you find yourself in an exam and asked to review a meta analysis in an interview or an exam, or even if you're reading one in a journal to inform your clinical practice, this will be the best 1/4 hour you have spent in ages.
If you want a more detailed explanation and to properly understand the process, then download our other podcast about meta analysis, which gives the background to all you see here. With Brett Doleman and Jon Lund