Send us a text The Care of the Critically Ill Surgical Patient (CCrISP) protocol provides a structured, evidence-based framework by prioritising rapid diagnosis and timely intervention through a systematic approach. It is designed to minimize critical omissions—a common cause of poor outcomes—by teaching clinicians to follow a hierarchy of assessment and resuscitation. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents.&nbs...

Send us a text Refeeding syndrome and dumping syndrome are both nutrition-related metabolic disorders, but they differ fundamentally in their physiological drivers, timing, and the specific biochemical shifts they cause. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe. ...

Send us a text It is a life-threatening condition characterized by a sustained elevation of intra-abdominal pressure (IAP) >20 mmHg (often >25-30 mmHg in clinical practice) associated with new or worsening organ dysfunction. It is not merely high pressure, but the resultant end-organ failure that defines the syndrome. The pathophysiology is a vicious cycle: increased IAP reduces perfusion to abdominal viscera (notably the gut and liver) and causes diaphragmatic splinting, leading to imp...

Send us a text The management of internal hernia complications is a surgical emergency that requires a high index of clinical suspicion and rapid intervention to prevent high rates of strangulation and mortality. Non-operative management has no role in treating symptomatic internal hernias due to the extreme risk of ischemia. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. DISCLAIMER: This content is for reference...

Send us a text An interloop abscess is a localized collection of pus sequestered between the loops of the small intestine, typically walled off by the omentum, adjacent viscera, and adhesions. Because these infections are partially contained rather than free-floating, they often present with more insidious or subtle symptoms compared to generalized peritonitis. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. DISCL...

Send us a text The Tokyo Guidelines (TG), particularly the latest iteration (TG18), systematically standardize the diagnosis, severity assessment, and management of acute cholecystitis by providing validated, reproducible criteria developed through systematic literature review and expert consensus. This framework transformed clinical decision-making by replacing the historical lack of unified criteria. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to...

Send us a text Ethical frameworks guide individualized decisions regarding resuscitation (Do Not Attempt Cardiopulmonary Resuscitation, or DNACPR) and treatment limitations (Ceiling of Care) in surgery by establishing core principles that mandate a patient-centered approach and prohibit standardized policies. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. DISCLAIMER: This content is for reference only and you mus...

Send us a text Technical surgical choices in gastrojejunostomy significantly influence the speed of patient recovery, the incidence of specific complications like delayed gastric emptying (DGE), and the long-term functional efficacy, such as the maintenance of patency. Key technical choices influencing outcomes include the orientation on the gastric wall (anterior vs. posterior), the route of the jejunal loop (antecolic vs. retrocolic), and the configuration of the anastomosis (side-to-side v...

Send us a text The systematic abdominal examination fundamentally guides urgent surgical decision-making and patient triage by rapidly identifying life-threatening conditions, directing imaging, localizing pathology, and supporting operative planning. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. Disclaimer: This content is for reference only and you must follow local/standard guidelines in clinical practice Lik...

Send us a text Specialized surgical techniques used in procedures like abdominoperineal resection (APR) balance the primary goal of oncological clearance (achieving clear surgical margins) with the secondary goal of preserving functional outcomes and improving quality of life by employing targeted modifications during the dissection, particularly around the mesorectum and the pelvic nerves. Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more ...

Send us a text The ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) process fundamentally transforms advanced care planning from prior DNACPR (Do-Not-Attempt-Cardiopulmonary-Resuscitation) discussions through changes in scope, timing, and focus. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. Disclaimer: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscri...

Send us a text The open appendicectomy procedure is a systematic surgical approach that involves several essential technical steps, from pre-operative preparation to layered wound closure. Mastery of this procedure requires sound anatomical knowledge and careful tissue handling. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. Disclaimer: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, sh...

Send us a text Cholecystostomy and cholecystogram differ fundamentally in their purpose and application, with one serving as a surgical intervention for management and the other as a diagnostic imaging procedure. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. Disclaimer: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe. Support the show Quick discussion and r...

Send us a text Surgical competency progression is defined by specific training phases that emphasize skill mastery and outcome quality, moving beyond relying on case numbers alone. Compet Competence in common general surgical procedures builds over many cases and extends over years of practice, with the learning curve being safest and steepest when supported by structured supervision, simulation, and progressive responsibility. Don’t forget to check out out YouTube and Facebook pages to enjoy...

Send us a text The critical differences between preperitoneal (sublay) mesh repair and onlay mesh repair techniques center on the placement of the mesh, the required dissection, technical difficulty, and associated risks, particularly concerning seroma formation. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. Disclaimer: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscr...

Send us a text Precise anatomical knowledge is fundamental for ensuring safe and effective laparoscopic cholecystectomy (LC) procedures. This insight is crucial because it directly minimizes the risk of complications, particularly potentially catastrophic bile duct injuries (BDI). Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. Disclaimer: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, ...

Send us a text The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) integrates into the general surgical patient pathway for emergency care by serving as a crucial tool for personalized decision-making, especially during acute crises when patients may lose the capacity to communicate their wishes. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. Disclaimer: For reference only and must follow local/standard guidelines in clinical...

Send us a text The understanding of the myopectineal orifice (MPO) anatomy fundamentally transformed modern laparoscopic hernia surgery techniques by providing a unified anatomical foundation, standardizing the operative approach, ensuring comprehensive repair coverage, and enhancing surgical safety and education. Let's dive in. Disclaimer: For reference only and must follow local/standard guidelines in clinical practice Support the show Quick discussion and review of topics that int...

Send us a text Diagnostic imaging, particularly CT scanning, and the subsequent classification of diverticulitis into uncomplicated or complicated disease are central to determining appropriate management pathways, guiding decisions from whether to use antibiotics to whether to pursue surgery or drainage. Let's dive in to explore more. Support the show Quick discussion and review of topics that interests you.

Send us a text The essential diagnostic tools and staging methods for oesophageal cancer involve a multi-step process utilizing both clinical assessment and advanced imaging, summarized below based on the sources: Essential Diagnostic Tools (Investigations) The first steps for suspected oesophageal cancer involve an initial assessment followed by a detailed diagnostic work-up. Initial Assessment Initial steps include obtaining a detailed clinical history, performing a physical examination (wh...