/r/surgery

Photograph via snooOG

This is a community for healthcare professionals to discuss surgery and related topics. This subreddit is NOT for medical advice.

THIS SUBREDDIT IS FOR MEDICAL PROFESSIONALS.

  • /r/surgery is a lounge where medical professionals can talk about the latest advances, controversies, ask questions of each other, commiserate or tell a doctor joke. Although primarily aimed at Surgical staff, residents and students, we encourage other health care professionals to join in the discussions.

  • Posts by non-professionals requesting medical advice will be deleted. Instead, you might consider /r/askdoctors or /r/askdocs.

  • Posts targeted at non-professionals are not allowed. (If you are marketing your clinic it will be deleted and you will be banned with prejudice.)

  • Contact your physician/surgeon in the case of questions related to your surgery.

  • Auto-moderator is active. Posts from accounts less than 5 days old or with less than 5 comment karma will be filtered.

OTHER MEDICAL SUBREDDITS AND FRIENDS OF /r/SURGERY

/r/neurology

/r/surgery

41,421 Subscribers

1

Titanium screw removal

1 Comment
2024/04/30
07:31 UTC

1

Securing Surg Residency

Hello fellow surgery enthusiast's!

I am a recent medical school graduate, Non-US IMG (about to be married next week to a US citizen however).

I have no other desires but to pursue surgery. I am looking for any and all advice on getting into a surgical program. Not picky, but would prefer the South, but again I just want to get in to a program, and become a surgeon.

I am extremely hardworking and have a crazy work ethic (I grew up on a farm which I greatly think carved out my continued drive to keep working and get everything done). Knowledge and scores I am probably an average or potentially sub-par applicant on paper I guess. šŸ¤· . Regardless, I know I can definitely surprise and wow some program directors with my drive, work ethics, skills and just showing how badly I truly want this pathway in my life to be successful.

I have been trying to reach out to new programs and have been reaching out to programs of interest to get some externships rotations to show my desire. My efforts have shown no results and I just wanted to reach out and obtain information from any others. More things I should be doing? Anyone know or can help personally with getting me placed or connected with someone who can help me achieve my goals?

I appreciate everyone time and opinions!! Thank you in advance!

1 Comment
2024/04/29
19:41 UTC

6

What is the best setup to film open surgery?

Hello everyone,

I'm a young French surgeon. My new project is to film all surgeries. The idea is to provide a video database for residents and improve their learning. For minimally invasive surgery, it's relatively easy because we often already use a camera. On the other hand, I'm having trouble finding solutions for open surgery. I've already tried a front-facing Gopro and it's quite satisfying at first glance, but in the end it doesn't really allow you to show dissection details, for example. One of the main problems with conventional cameras is the distance from the surgery and therefore the difficulty of filming an operation if there's no one behind the camera. There is also the problem of brightness and overexposure of the surgical site.

Can any of you share your video set-up with us?

A few details:

- I won't be able to call on professionals to install the equipment.

- My maximum budget is 5000ā‚¬ (ideally less than 3000ā‚¬)

- I have several ORs, so ideally I'd like to set up a movable device, for example with a fixed stand in each OR and a camera that can be easily connected and disconnected.

- I don't have much time between surgeries to make adjustments (zoom, focus), so ideally I'd like something that's easy to adjust.

Thank you very much for your help,

Ps: for the moment in France there aren't many legal problems with filming and sharing surgery, in case you were wondering.

11 Comments
2024/04/29
08:19 UTC

8

Switch from Internal Medicine to Surgery?

I recently matched into an Internal Medicine residency at an academic centre. Now I know this sounds like a pipe-dream question, but I just cannot shake this feeling.

I am a non-US IMG who wanted to pursue residency in the US for better pay and working conditions. From the get-go, I was told that if I want to secure a spot, I need to apply to either Internal Medicine, Family Medicine or Pediatrics. Being a female, I was repeatedly suggested that I was too ā€œweakā€ to pursue a specialty where Iā€™d have to stand for hours on end. I have also had a pretty rough time mentally trying to overcome a traumatic event which did not help with my confidence. I studied hard, did whatever research I could and applied to Internal Medicine. I was thrilled to match at my second choice for residency.

I feel like my brain was all-consumed by the hustle that this entire process demanded of me. I donā€™t think I ever stopped to really think what I wanted. I absolutely love doing procedures, am a quick learner, and had a great time during my surgery rotations in medical school (even though I was unlucky with some of the mentors). I was overjoyed at every opportunity to scrub in and suture.

Iā€™m kicking myself for not putting my interests as my priority and giving in to what others had to say about me. I absolutely understand the cons that come with a surgical specialty, with the long hours, compromise on a work-life balance and higher chances of having a toxic workplace environment. The biggest hurdle would probably be my visa (Iā€™ll be on a J-1 visa soon, which comes with a requirement to work in my home country for 2 years).

Is this going to be a pipe dream forever? Would switching my residency be an option to think about? Should I rather just give up on surgery and pursue a procedural specialty down the line like cardio or GI? Do I need a slap in the face and someone to tell me that I should be grateful for what I have accomplished?

Ugh if only I had this epiphany a few months before I submitted my ROL. :/

10 Comments
2024/04/28
18:56 UTC

0

inspiring surgery results from patient

0 Comments
2024/04/28
13:26 UTC

7

When doing a hand tie when are you supposed to "switch sides?"

My title is not clear at all, I apologize.

Assume that you threw a simple interrupted stitch going from right to left. Sometimes, I have seen my attending tie the knot with R hand on R tail, L hand on L tail; however, sometimes they switch so that the R hand is holding the L tail and vice versa. Is there a specific objective that I am trying to achieve when I tie one way versus the other? Is the difference based on location (fascia, bowel) or is it surgeon's preference?

6 Comments
2024/04/28
10:50 UTC

10

Medical student training

Hello I am a surgical tech and have been working as a tech and surgical assist for over 10 years. I have been thinking about creating a small business in my free time to help train medical students, first year interns, and PA students in the basics of the OR. I've worked at teaching hospitals for most of my career and always end up taking the students under my wing to teach them. I would mainly focus on scrubbing in, gowning, gloving, sterile technique, and maybe do a crash course in intro to laparoscopic surgery with a mock abdomen. I was wondering if any students out there think this would be beneficial enough for me to actually pursue starting.

14 Comments
2024/04/27
23:58 UTC

0

Fascinating video by Australian jaw surgeon Dr. Paul Coceancig which shows how the upper jaw is "Chinese footbound" by premolar extractions when done in teens and loses 10 mm of growth and is forced to grow downward (clockwise) by the orthodontic work.

1 Comment
2024/04/27
05:53 UTC

8

Open Heart Surgery-reoperation limit?

I am a pediatric CVICU nurse and therefore see the early days of surgical palliation. In our population we have some kiddos go through 3 surgeries in their childhood (for HLHS for example). Iā€™m curious for the adult world cardiac surgeons, what is the MAX number of times youā€™ve heard of/seen a patient have open heart surgery? 4times? 5? More? What was their underlying condition? What were the outcomes?

Background: I got into my field because my husband was a heart baby and has now had 4 open heart surgeries. (2 aortic bio valve replacements, a Ross, and On-X in aortic position) We are now facing his conduit being problematic with a moderately leaky pulmonary valve and wondering just how many times he could theoretically continue to have his chest cracked? -He has also thrown 2 large clots while being appropriately anti coagulated and had massive strokes because of it, though he is back to baseline now. Also, he is 32 years old. Not looking for advice at all, we trust his team completely, more just looking for anecdotes/experiences with reoperation limits.

17 Comments
2024/04/25
21:59 UTC

1

My photo ID JUST expired last week and I have surgery in 3 days.

Will the hospital still accept my photo ID if itā€™s just expired? Itā€™s a passport and itā€™s my only form of identification.

6 Comments
2024/04/25
21:43 UTC

130

I had an ingrown hair .

So Iā€™m tagging this nsfw , itā€™s not a very pretty sighting . I was about an inch away from my anus and getting a colostomy bag.

25 Comments
2024/04/25
09:55 UTC

3

Differences between parapatellar, transpatellar, suprapatellar & infrapatellar intramedullary tibial nailing

Hi all,
I recently had IMN surgery following a detroyed tib, fib and ankle, and I was curious if anyone can help me understand the differences between the 4 main approaches to IMN surgery? I've tried doing some searching, but have a hard time understanding the differences. Hoping someone can provide a breakdown.

Thanks!

https://preview.redd.it/i8pby6vh1hwc1.png?width=1378&format=png&auto=webp&s=0633be40a9d84c1d5bce4c17d56f2a834730ef1b

1 Comment
2024/04/24
18:36 UTC

1

A dark comedy about a surgery

Hey guys!

I recently had medical advices from a surgeon in this subreddit for my movie and wanted to share the crowdfunding campaign with you.

The pitch :

A famous surgeon comes back from a luxurious vacation and learns that his hospital's administration has changed and taken a turn for the worse. When it's time to start the surgery his assistant hands him...a butterknife. This triggers a wild journey of chaotic events.

I would love to know what you guys think about the project and what kind of crazy stories you had from your medical history.

Please feel free to share and contribute, it would mean a lot!

https://www.kickstarter.com/projects/tmur/butterknife

1 Comment
2024/04/24
02:39 UTC

1

Recovery Time of a Fractured Clavicle in Athletes. What is the Right Approach? College Research

1 Comment
2024/04/23
20:08 UTC

3

Clinical Neurosurgery

Iā€™m an incoming neurosurgery resident and I would like some recommendations for neuro anatomy textbooks and some resources for brushing up clinical cases and surgical procedures just to keep on top of everything. Thanks in advanced for your recommendations:)

1 Comment
2024/04/23
21:10 UTC

5

What would you say is wrong with this gallbladder?

Thanks in advance

26 Comments
2024/04/23
22:49 UTC

5

Why do they have to use anesthetics that paralyze the lungs and require intubation?

Why not use ketamine or other anesthetics?

& Why not just use local for certain surgeries like facelift?

Genuinely curious and thanks so much in advance!

14 Comments
2024/04/23
18:09 UTC

0

Ankle surgery

Iā€™m about to get ankle surgery and be out of work (nannying) for at least 3-4 months. Any advice on how to make money while recovering? No college degree, will I get to get certification in whatever to be able to make money/pay rent & bills! Thanks so much!

3 Comments
2024/04/23
17:38 UTC

1

Got my uterus removed Oct 29 2020. Had one uterine fibroid and two pedunculated tumors (benign). Recovery is the least amount of pain i felt in 16 years.

1 Comment
2024/04/22
12:49 UTC

4

Eye surgery

Hey! Not sure if this is the right place but I couldn't find any other sub Reddits, if you know them please share them Thanks!

I have bulging eyes and it's by far my biggest insecurities and I just can't deal with it anymore so I have been thinking for a while to get them fix but I keep looking for different places and most of them tell me that they don't have any kind of surgery for that. I found there is a surgery that's called blepharoplasty that seems to help to correct them but honestly I had no idea.

Any nice soul that can enlighten me on this topic? I'm desperate and almost hopeless at this point.

Thank you so much šŸ’•

5 Comments
2024/04/22
23:36 UTC

15

Hair Transplant

My patients for hair transplant very good result.

10 Comments
2024/04/22
04:29 UTC

1

How do I pick a medical school?

I want to be a surgeon, I am about to start my third year of my bachelorā€™s degree and I am going to take my mcat this year. I am starting to look for the right school but I donā€™t know anyone who knows about what schools would be right and what would be wrong, I live in California and want to stay in the US. Do the schools have to have a specific accreditation? What school did you attend and do you wish you could have gone to a different one? I need a little bit of guidance from surgeons who have been through this.

2 Comments
2024/04/21
22:47 UTC

0

ABSITE- Study plan

Does anyone have a tried and tested study plan? Urgently need one. Will appreciate it. Plan to include reading and questions from score and true learn.

3 Comments
2024/04/21
16:17 UTC

1

Hernioplasty with Abdominoplasty

1 Comment
2024/04/21
05:59 UTC

7

understanding surgical stapling material ?

Hey, general surgery resident here, I was wondering if there was an online ressource to better understand stapling material types (ntlc,gia, endo gia etc...), types of reloads (colours), adapted to which kind of tissue, how to use them in the best manner etc

Thanks in advance for any help given!

6 Comments
2024/04/21
14:07 UTC

2

Does This Infant Have a Dislocated Hip? Out with clinical exam, in with universal ultrasound

Dislocated hips in newborns can lead to complex surgery, interruption to family life, and premature osteoarthritis. Daniel Perry, MBChb(Hons), PhD, of Alder Hey Children's Hospital, University of Liverpool, discusses the clinical diagnosis of dislocated hips in newborns with JAMA Associate Editor David Simel, MD, MHS.

JAMA podcast => https://www.youtube.com/watch?v=r2WDsILlGTs

doi:10.1001/jama.2024.2404

https://jamanetwork.com/journals/jama/fullarticle/2817545?guestAccessKey=162c55de-ee5c-4f37-a447-4ec31d0eb678&utm_source=jps&utm_medium=email&utm_campaign=author_alert-jamanetwork&utm_content=author-author_engagement&utm_term=1m

0 Comments
2024/04/21
08:44 UTC

0

Biological/cadaver knee replacement

Hello, I just wanted to ask if you had a clone to donate organs, would it be possible to cure knee osteoarthritis by transplanting/grafting healthy portions of bone on where your diseased bone was? Alternatively is it conceivable in the future to be able to have a leg transplant performed given aforementioned circumstances?

0 Comments
2024/04/20
20:08 UTC

1

Can i match?

Hello I'm a 5th year US IMG, I'm currently in my final year of medical school and I would love some advice about my future. So about a year ago I took Step1 and unfortunately failed, During this time my country broke out in civil war and looking back on the situation I probably should have not taken the exam while my mind was so scattered. But you can't change the past, recently I had an amazing opportunity to retake it and passed. So my question is should I still consider surgery as a possible career path, all around reddit I see that a failed step 1 is a major red flag especially coming from an IMG. And Surgery is relativity competitive, is there any possible way that I could become a surgeon in the US?

Currently I'm studying for Step 2 and I'm certain I could apply for the 2024 match, but would it be better for me to wait a year and try to do research or something? Sorry I don't really have mentors that could help me with this. I would really appreciate any advice I could get.

1 Comment
2024/04/20
06:55 UTC

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