First Incision

This episode covers pancreatic cystic neoplasms including: Neoplastic mucinous cystic lesions - Intraductal papillary mucinous neoplasms (IPMNs) - Mucinous cystic neoplasms (MCNs) Neoplastic non -mucinous cystic lesions - Serous cystic neoplasms / serous cystadenomas - Solid pseudopapillary neoplasms We cover their workup, radiological appearance, demographic information, FNA results, likely cytol...

This week's episode covers three gallbladder pathologies from the hepatobiliary module of the curriculum: - gallbladder adenomyomatosis - gallbladder polyps and - gallbladder cancer This episode covers the histopathology, pathophysiology, imaging findings, and what to do when you suspect gallbladder cancer preoperatively, intraoperatively and post-operatively. Disclaimer The information in th...

Welcome to the first episode of our new season! Moving onto hepatobiliary and pancreatic topics. This week we talk about liver, biliary and pancreatic anatomy, embryology and clinically important variations. Enjoy! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any...

This episode covers everything COLITIS! - infectious colitis - including a quick touch on common infectious causes and how to treat them - pseudomembranous colitis and clostridium difficile infection - diverticulitis in all it's glory - be prepared for some pathophysiology, classification systems (Hinchey I'm looking at you), and discussion about treatment - and to round them off we take...

This week's mismatched topics (brought to you by boredom and Melbourne's 4th COVID lockdown) are: - Volvulus: including sigmoid and caecal volvulus. What are they, how do they present, and how do we treat them? AND - Pilonidal disease: what is it, pathophysiology, how it can present, how it is managed, and some operative steps for a Karydakis / Modified Bascom operation. Thanks for the s...

Finishing off the perianal content for the colorectal module with perianal fistula and hemorrhoids.  Everything you ever wanted to know about all the classification systems, treatment options, and some operative descriptions for these conditions. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not...

This week's episode covers the topics of faecal incontinence and rectal prolapse. These conditions are commonly encountered in the general surgical clinic. We cover the pathophysiology, workup and treatments of these conditions. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be consid...

This episode covers anal cancer and perianal paget's disease. We cover the presentation, workup, aetiology, and treatment of these diseases. Special attention is given to the management of precursor lesions including anal intraepithelial neoplasia (now low and high grade squamous intra-epithelial lesions). Also a corrections corner about last week's episode! Disclaimer The information in...

This episode covers large bowel obstruction and pseudoobstruction. We go into the causes, presentation, workup, and management of both of these conditions, as well as some great perioperative pearls of wisdom. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any reco...

This episode takes us away from IBD and into the realm of perianal pathology. Although not the prettiest side of general surgery, these topics are commonly encountered and definitely fair game for the exam! This episode covers: - Anal fissures - Perianal abscess, and - Pruritis ani We cover the presentation, workup, diagnosis and management of these conditions. We also cover the surgical steps of...

This special addition to our IBD episodes covers three bonus topics: - Perianal Crohn's Disease - IBD and Pregnancy - Indeterminate Colitis Enjoy! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher o...

In this episode we cover Crohn's Disease. - presentations: both gastrointestinal and extra-intestinal - differential diagnoses - workup and diagnosis - histopathological findings - macroscopic  features - management - surgical tips and pearls - malignancy risk and surveillance Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fell...

We are diving back into the colorectal module from the curriculum this week to talk about Ulcerative Colitis. This episode goes into the presentation, endoscopy findings, histopathology, medical and surgical treatment options, and more! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be con...

This week's special guest episode is with Dr Emily Olive - a successful 2020 fellowship exam candidate.    Just in time for the first sitting of the exam this year, this episode has everything!  - what to expect when actually sitting the exam. - great tips for each component of the exam from someone with recent insight into how it runs.  - what is different about the COVID exam format. - grea...

This episode has everything: - Carolyn Vasey (enough said - an incredible colorectal surgeon from Ballarat in Victoria) - Discussions about colorectal cancer surgery, what to do with the splenic flexure tumour, stomas, parastomal hernias, endoscopy and tattooing for rectal cancers, total neoadjuvant treatment, and watch and wait - Chats about surgery and parenthood, and male champions of change; a...

This episode picks up where episode 4 ((introduction to colorectal cancer) left off  - delving into the treatment of rectal cancer. This is a fun topic with lots of nuances and 'it depends' management decisions. We cover: - neoadjuvant treatment - adjuvant treatment - total neoadjuvant treatment - the 'watch and wait' approach - surgery for rectal cancer - surgery for obstructi...

This episode continues from our last - 'introduction to colorectal cancer'. We are exploring the treatment of colon cancer, and specifically the differences in the management of: - resectable non-metastatic - resectable metastatic; and - non-resectable metastatic disease Some of the topics touched upon include chemotherapy, different types of resections, peri-operative management strateg...

This episode covers everything else you need to know about colorectal cancer (see last 2 episodes!) without talking about treatment options. This includes epidemiology, risk factors, presentation, investigation, diagnosis, staging and more! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be...

Be prepared for some knowledge in this episode exploring the different genetic syndromes associated with colorectal cancer. Great episode to cram before the exam! We will cover: Polyposis syndromes: - FAP (Familial Adenomatous Polyposis) - MAP (MUTYH-Associated Polyposis) - Peutz-Jegher's syndrome - Familial juvenile polyposis - Serrated polyposis - PTEN tumour syndromes Non-polyposis syndrom...

Let's dip our toes into the topic of colorectal cancer by taking a look at different types of colorectal polyps. This includes neoplastic and non-neoplastic types, as well as what to do with malignant polyps (I'm looking at you Haggitt and Kikuchi classification). Next we take a dive into genetic pathways in colorectal cancer. This includes the CIN, serrated and MSI pathways. This episod...

We are launching into the colorectal module from the curriculum this week - and starting off with some anatomy! There is a little bit of physiology and surgical anatomy thrown in there for good measure! Happy Studying :D Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to inclu...

This episode covers approaches to the workup and management of oesophageal perforation, plus everything you need to know about corrosive and caustic ingestions Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or pub...

Today's episode covers a few smaller topics in oesophageal surgery including: - oesophageal foreign bodies - oesophageal diverticulum - benign oesophageal tumours References/Resources: - World Journal of Gastroenterology, 2015, Benign esophageal lesions: endoscopic and pathologic features. Tsai et al. - Surgical clinics of North America Vol 95, issue 3.  benign esophageal tumours. Ha eg al. 2...

Everything you need to know about peptic ulcer disease you will find right here in this episode.  We cover how to manage uncomplicated presentations, what the go is with helicobacter pylori, and how to approach complications such as perforated ulcers and bleeding.  Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This...

In this episode, we will be covering the rest of gastric tumours. This includes: - Gastrointestinal Stroma Tumours (GIST) - Gastric Lymphoma - Gastric Neuroendocrine Tumours including Zollinger-Ellison Syndrome - and Gastric Polyps Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be consider...