Surgical Pioneering Podcast

Refined Supraclavicular Approach in Unilateral Thyroid Surgery Reviewed by Dr. Reza Lankarani , General Surgeon and Founder of Surgical Pioneering Series To access additional details, please refer to the Surgical Pioneering Podcast Series application available at the following link: https://surgicalpioneer.codeadx.me/ Get full access to Reza Lankarani at lankarani.substack.com/subscribe

The provided sources discuss surgical outcomes and risk factors, specifically focusing on post-operative complications. One source presents a meta-analysis examining the relationship between subcutaneous fat thickness (SFT) and surgical site infections (SSI) following appendectomy, concluding that increased SFT, particularly in open surgeries, correlates with higher infection risk. The other sourc...

by Dr. Reza Lankarani , General Surgeon and Founder of Surgical Pioneering Series This summary reviews major surgical publications from July 2025 by Dr.  Reza Lankarani, General Surgeon and Founder of Surgical Pioneering Newsletter and Podcast Series, covering rib cartilage rhinoplasty (92% satisfaction, 7-8% complication), SSI risks related to subcutaneous fat in appendectomy, benefits of laparos...

Surgical Pioneering: Weekly Highlights in Advanced Surgery Date: July 27, 2025 Prepared For: Surgical Professionals and Healthcare Administrators Source: by Dr. Reza Lankarani , General Surgeon and Founder of Surgical Pioneering Newsletter and Podcast Series Executive Summary This briefing document summarizes key findings from recent surgical publications, highlighting significant advancements, ev...

Overview: • The Surgical Pioneering Podcast, hosted by Dr. Reza Lankarani, explores advancements and debates in general surgery, featuring discussions on topics like GLP1 agonists versus bariatric surgery and bridging anticoagulation. • The podcast is available on multiple platforms, including Apple Podcasts, Audible, Amazon Music, and YouTube, offering accessibility to a wide audience interested...

Reviewed by: Reza Lankarani MD Char et al., BJS 2025 https://doi.org/10.1093/bjs/znaf102 This comprehensive review by Char et al. provides a timely and valuable synthesis of the rapidly evolving field of early-onset gastrointestinal (EO GI) cancers. Early-onset gastrointestinal (EO GI) cancers, defined as cancers diagnosed before the age of 50, have shown a significant and alarming increase worldw...

Does perioperative hydrocortisone reduce morbidity after pancreatoduodenectomy A propensity score matched analysis Reviewed by Reza Lankarani M.D Published: 20 July 2025 https://doi.org/10.1007/s13304-025-02280-4 Updates in Surgery, Springer This propensity score-matched analysis by Radulova-Mauersberger et al. inv estigates whether perioperative hydrocortisone (HC) reduces morbidity after pancrea...

Authored by Dr. Reza Lankarani , General Surgeon MitraClip™ is a minimally invasive transcatheter edge-to-edge repair (TEER) device designed to treat mitral regurgitation (MR), a condition where the mitral valve fails to close properly, causing blood to leak backward into the heart. Inspired by the Alfieri surgical technique, which sutures the valve leaflets to create a double orifice, the MitraCl...

Reviewed by Reza Lankarani M.D ------------------------------------------------------------ Zooravar et al., Cancer Reports (2025) https://doi.org/10.1002/cnr2.70194 ------------------------------------------------------------ This academic article presents a systematic review and meta-analysis examining the Triglyceride-Glucose (TyG) index in relation to breast cancer. It evaluates the TyG index...

Reviewed by Reza Lankarani M.D ------------------------------------------------------------ Published online June 2025 DOI: 10.1097/SLA.0000000000006270 Annals of Surgery ------------------------------------------------------------ This large-scale matched cohort study investigates the long-term association between burn injuries and mental health hospitalizations over 33 years. Analyzing 23,726 bu...

Reviewed by Reza Lankarani MD ------------------------- World Journal of Emergency Surgery https:/doi.org/10.1186/s13017-025-00616-4 This prospective observational substudy of the AMESI cohort provides valuable insights into the complex management of acute arterial occlusive mesenteric ischemia (AMI), specifically superior mesenteric artery (SMA) occlusion. Crucially, the authors rigorously accoun...

The provided sources, primarily critiques from an OBGYN and health disparities researcher, Dr. Reza Lankarani, highlight significant concerns regarding the Vagilangelo® procedure and the broader landscape of cosmetic gynecology, particularly in the context of medical tourism and training in Arab countries. The central theme revolves around the tension between profit-driven healthcare and patient s...

Authored by Reza Lankarani MD Section 1: Introduction Cosmetic gynecology is a rapidly growing field, fueled by technological advances and increasing societal interest in aesthetic and functional modifications of female genital anatomy. Among these innovations, Vagilangelo® is heavily marketed as a revolutionary, minimally invasive vaginal rejuvenation technique promising to restore the "natural v...

GLP-1 Agonists Versus Bariatric Surgery: A Paradigm Shift? 1.1. Host: Obesity and diabetes management are seeing a seismic shift, Dr. Lankarani, with GLP-1 agonists like semaglutide making headlines. Is metabolic surgery becoming obsolete, or do these drugs complement existing surgical interventions? 1.2. Guest: It's a critical juncture. While GLP-1 drugs offer noninvasiveness and 15–22% weight lo...

Authored by Reza Lankarani , M.D General surgery faces intense debates for 2024–2025, including GLP1 agonists vs. bariatric surgery, bridging anticoagulation in urgent cancer surgery, timing of hip fracture repair in heart failure patients, robotic vs. laparoscopic surgery costs and benefits, and opioid-sparing pain protocols. Key issues revolve around clinical outcomes, evolving technology, cost-...

"Effects of the lavage through fistula in treatment of spontaneous esophageal rupture by combined thoracoscop and gastroscop " Reviewed by Reza Lankarani M.D -------------------------------- World Journal of Emergency Surgery Published: 07 June 2025 https://doi.org/10.1186/s13017-025-00630-6 -------------------------------- This retrospective study (2014-2024, n = 24) evaluates a novel lavage-drai...

Reviewed by Reza Lankarani M.D ------------------------------------------------------------ Diseases of the Colon & Rectum DOI: 10.1097/DCR.0000000000003739 Published online:June 2025 ------------------------------------------------------------ This international Delphi consensus study addresses a critical gap in colorectal oncology: the lack of standardized anatomical definitions for colon cancer...

Reviewed by Reza Lankarani M.D ------------------------------------------------------------ Published: 24 June 2025 https://doi.org/10.1186/s13017-025-00632-4 World Journal of Emergency Surgery ------------------------------------------------------------ This prospective observational study by Zhu et al. (2025) investigates serum homocysteine (HCY) as a predictor of irreversible transmural intesti...

Reviewed by Reza Lankarani M.D Volume 282, Number 1, July 2025 DOI: 10.1097/SLA.0000000000006192 Annals of Surgery Summary: This prospective cohort study by Remy et al. (2025) presents a significant contribution to gender-affirming surgery by rigorously evaluating the novel technique of Targeted Nipple-Areola Complex Reinnervation (TNR) during double-incision mastectomy with free nipple grafting (...

By Dr. Reza Lankarani ---------------------------- The POTTER (Predictive Optimal Trees in Emergency Surgery Risk) calculator represents a groundbreaking advancement in AI-driven surgical risk prediction, specifically designed for emergency general surgery (EGS) and laparotomy patients. Developed through collaboration between Massachusetts General Hospital (MGH) and Interpretable AI, POTTER levera...

By Reza Lankarani MD (Verse 1 - Whispered, over detuned guitar) Stealth wings carve the moon tonight, F-35s bleed electric light— While Tehran sleeps in trembling rooms, A Shahed's cheap hum... the coming doom. (Chorus - Voice cracks, piano stains the silence) Oh, Iron Dome rains electric grace, On children's faces in this burning place— Seventy souls... three hundred more, SPICE-2000 wrote it on...

"Effects of the Lavage Through Fistula in Treatment of Spontaneous Esophageal Rupture by Combined Thoracoscop and Gastroscop" Reviewed by Reza Lankarani -------------------------------- World Journal of Emergency Surgery https://doi.org/10.1186/s13017-025-00630-6 Published: 07 June 2025 -------------------------------- This retrospective study (2014-2024, n = 24) evaluates a novel lavage-drainage...

Reviewed by Reza Lankarani This editorial addresses the critical debate surrounding the timing of contralateral symmetrization following therapeutic mammoplasty—a procedure combining oncologic resection with breast reshaping. The authors juxtapose immediate symmetrization (performed concurrently with cancer surgery) against delayed approaches (secondary procedures post-recovery). Traditional ratio...

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Red Wine Versus White Wine Which Poses a Greater Cancer Risk The Medical News Today article examines whether red wine is a healthier choice than white wine, focusing on cancer risks. Epidemiologists highlight that all alcoholic beverages, including wine, are classified as Group 1 carcinogens by the International Agency for Research on Cancer (IARC), linked to cancers of the breast, liver, and esop...