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Behind The Knife: The Surgery Podcast

Science

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

EPA Playbook: Perioperative Care of Critically Ill Patient

July 04, 2026 2:00am 24 min

In this episode of EPA Playbook, Drs. Kevin Kniery, Emma Burke, and Agnes Premkumar discuss management of critically ill surgical patients, using case-based discussions to reinforce core principles of shock, resuscitatio...

EPA Playbook: Benign or Malignant Colon

July 03, 2026 2:00am 27 min

Join Drs. Steele, Burke, & Premkumar in this episode of EPA Playbook, where we tackle a core general surgery EPA: the evaluation and management of benign and malignant colon disease. From common presentations like divert...

Are EPAs Actually Working? An Honest Look at Competency-Based Surgical Training

July 02, 2026 2:00am 37 min

Two years into the EPA era — are we actually training surgeons differently, or just checking new boxes? In this episode, Behind the Knife co-director and Duke Trauma Surgeon Dr. Patrick Georgoff and Behind the Knife surg...

Intraoperative Cholangiography Guidelines: Routine, Selective, or Never?

June 29, 2026 2:00am 34 min

In this episode, we use the recent SAGES guidelines to tackle one of the most common and controversial questions in general surgery. Through a case-based discussion, our experts review the evidence for intraoperative bil...

Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

June 25, 2026 2:00am 34 min

Join our Hernia Team for a review of the current controversy around preoperative optimization and the practical implications.Hosts: Dr. Maggie Bosley - @MBosleyMD Dr. Sean Orenstein - @OrensteinSean Dr. Amber Sandoval Dr...

Rectal Cancer in the Young and Pregnant: Fertility and Management Considerations

June 22, 2026 2:00am 27 min

As colorectal cancer rates rise among younger adults, surgeons are increasingly caring for patients with rectal cancer who are pregnant or hoping to preserve future fertility. With more individuals delaying childbearing,...

Journal Review in Bariatric Surgery: Socioeconomic Disparities

June 18, 2026 2:00am 23 min

Why do millions of patients qualify for bariatric surgery, yet only a fraction ever make it to the operating room?Hosts·      Matthew Martin, trauma and bariatric surgeon at the University of Southern California/Los Ange...

Whole Blood vs. Components: The Prehospital Debate

June 15, 2026 2:00am 42 min

Prehospital blood is one of the hottest debates in trauma resuscitation — and the evidence just got a lot more interesting. In this episode, Drs. Patrick Georgoff and Ayman Ali sit down with Dr. Ed Barnard, UK defense pr...

Clinical Challenges in Surgical Oncology: Melanoma

June 11, 2026 2:00am 35 min

Join the Behind the Knife Surgical Oncology Team as we discuss clinical challenges through case-based examples including the diagnosis, workup, and management of patients with cutaneous melanoma. Learning Objectives:In t...

Clinical Challenges in Vascular Surgery: Phlegmasia in Pregnancy

June 08, 2026 2:00am 38 min

A 25-year-old pregnant woman presents with a 1-day history of progressive pain and swelling. The foot is cold, pulseless and neurologic function is deteriorating by the hour. Imaging shows a massive iliofemoral DVT. Now ...

Bad Day on Call: Live Case Discussion from ASGBI Conference

June 04, 2026 2:00am 32 min

Get a behind-the-scenes look at one of the most anticipated sessions from the Association of Surgeons of Great Britain and Ireland Annual Conference: “Bad Day on Call.”In this session, expert surgeons from the United Sta...

Clinical Challenges in Emergency General Surgery: C Diff - When to Pull the Operative Trigger

June 01, 2026 2:00am 32 min

It’s hospital day five. The patient looked better yesterday… but now she’s hypotensive, on vasopressors, acidotic, and spiraling toward multi-organ failure. The CT scan doesn’t show perforation or megacolon, but your gut...

BIG T Trauma Ep. 28: Retained Ballistic Fragments: What We Were Never Taught

May 28, 2026 2:00am 27 min

The majority of non-fatal gunshot wound survivors walk away with a bullet still inside them. Most are discharged without a removal attempt, without a surveillance plan, and without a conversation about what comes next. T...

Journal Review in Surgical Education: What We Can Learn From America’s Literacy Crisis

May 25, 2026 2:00am 24 min

In this episode, hosts Drs. Maya Hunt, Nicole Santucci, Bryanna Stukes and Zoe Zhou explore the parallels between the literacy crisis in America and current challenges in surgical education, drawing insights from the pod...

Journal Review in Colorectal Surgery: Methods for Ileocolic Anastomosis in Crohn's Disease

May 21, 2026 2:00am 29 min

Ileocolic resection is one of the most common operations performed for Crohn's disease, yet the optimal approach to anastomotic construction and mesenteric management remains an active area of debate. From the configurat...

Cancer Vaccines: The Future is Now

May 18, 2026 2:00am 35 min

As cancer vaccines move into Phase II and III clinical trials, it isincreasingly important for surgeons to understand their role in thisevolving landscape. What exactly are these vaccines, how do they work,and what shoul...

Using AI Today: A Practical Guide

May 14, 2026 2:00am 44 min

Can an algorithm actually give you your life back? A recent Stanford paper revealed that using large language models at home yields massive efficiency gains—up to 176%. For busy surgeons drowning in clinical duties and a...

Journal Review in Endocrine Surgery: Updates of the 2025 American Thyroid Association Guidelines for Differentiated Thyroid Cancer

May 11, 2026 2:00am 36 min

What are the experts saying about thyroid cancer treatment in 2025?  Maybe it’s time to discuss deescalation of aggressive surgical care for lower risk thyroid cancers.  We can accept that less surgery may be appropriate...

Clinical Challenges in Vascular Surgery: Asymptomatic Carotid Artery Stenosis

May 07, 2026 2:00am 33 min

For decades, a tight carotid stenosis felt like a ticking time bomb — a plaque waiting to throw an embolus and cause the next stroke. We were taught that severe narrowing meant surgery, and trials like ACAS and ACST-1 se...

Journal Review in Burn Surgery: Early Excision of Burn Wounds

May 04, 2026 2:00am 22 min

In this episode, our expert panel dives into the critical, historically debated topic of early burn wound excision using a real-world case of a patient with massive surface area burns. We explore the dramatic shift from ...

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