Let’s talk malignant breast disease – Join general surgery resident Dr. Faiz Gani for a discussion with Dr. Julie Margenthaler, surgical oncologist and professor of surgery with expertise in the treatment of breast disease. This episode of the Washington Manual of Surgery Podcast will focus on the surgical management of malignant breast disease and serves as a companion to Chapter 27 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, hosted by general surgery resident Dr. Faiz Gani, Dr. Julie Margenthaler, program director of the breast oncology fellowship and director of breast surgery at WashU Medicine and former president of the American Society of Breast Surgeons, offers an in-depth review of managing malignant breast disease. They discuss assessment of a breast mass, considerations for adjuvant and neoadjuvant therapies, genetic testing and tumor genomic assessment, surgical considerations and breast conservation options. This episode provides practical insights and references comprehensive guidelines for breast cancer management.

Guest Host:

Faiz Gani, MD – General surgery resident at WashU Medicine.

Guest:

Julie Margenthaler, MD – Professor of Surgery in the Section of Surgical Oncology. She specializes in treating diseases of the breast, mastectomy, sentinel lymph node biopsy, and partial mastectomy (lumpectomy). She is the program director of the breast oncology fellowship program at WashU Medicine.

Citations:

BI-RADS (Breast Imaging Reporting and Data System): system developed by the American College of Radiology to classify breast lesions found on mammography. Table 27.4 in the Washington Manual of Surgery.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk burns – Join general surgery resident Dr. Oluseye Oduyale for a discussion with Dr. John Kirby, director of the Burn and Wound Healing Programs at Barnes-Jewish Hospital. This episode of the Washington Manual of Surgery Podcast will focus on the surgical management of burn patients and serves as a companion to Chapter 10 of the 9th edition of the bestselling Washington Manual of Surgery.

In this insightful episode, Dr. Kirby and Dr. Oduyale discuss the multi-disciplinary approach to burn care, emphasizing the importance of acute medical management, comprehensive rehabilitation, nutrition optimization, and psychosocial support. Highlighting a case study, they delve into early surgical interventions, wound infection prevention, and long-term recovery strategies. Besides the manual, resources like professional societies’ guidelines are recommended for advancing burn care practice. This episode provides valuable knowledge for burn survivors and healthcare providers.

This topic is covered in more than one episode of the Washington Manual of Surgery Podcast. Check out Part 1/2 here: https://www.buzzsprout.com/2422197/episodes/17618966

Guest Host:

Oluseye Oduyale, MD – General surgery resident at WashU Medicine.

Guest:

John P. Kirby, MD – Associate Professor of Surgery for the Section of Acute and Critical Care Surgery. He specializes in trauma surgery, wound healing, and acute critical care.

Notes:

ABA = American Burn Association (https://ameriburn.org/)

SBAR = Situation, Background, Assessment, and Recommendation

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk burns – Join general surgery resident Dr. Oluseye Oduyale for a discussion with Dr. John Kirby, director of the Burn and Wound Healing Programs at Barnes-Jewish Hospital. This episode of the Washington Manual of Surgery Podcast will focus on the management of burn patients and serves as a companion to Chapter 10 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Kirby, a trauma, acute, and critical care surgeon, discusses the management of burn patients. We explore topics ranging from initial assessment to airway management, fluid requirements, and the importance of consulting specialized burn centers. Dr. Kirby shares insights from the Washington Manual and emphasizes the need for comprehensive, multidisciplinary approaches to burn care, highlighting the contributions of professional societies like the American Burn Association. Essential considerations for severe burns and patient referrals are also extensively reviewed.

Guest Host:

Oluseye Oduyale, MD – General surgery resident at WashU Medicine.

Guest:

John P. Kirby, MD – Associate Professor of Surgery for the Section of Acute and Critical Care Surgery. He specializes in trauma surgery, wound healing, and acute critical care.

Notes:

ABA = American Burn Association (https://ameriburn.org/)

SBAR = Situation, Background, Assessment, and Recommendation

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

This episode of the Washington Manual of Surgery Podcast is bittersweet due to the untimely and sudden death of Dr. Brad Warner, the featured faculty member in this episode, on April 4, 2025. This episode was recorded prior to Dr. Warner’s untimely passing and is being published in honor of his memory. Dr. Warner was beloved by all as a phenomenal surgeon, rigorous researcher, exceptional educator, and dedicated mentor. He was a gifted photographer with a passion for nature. Most importantly, he was kind, generous, and caring. He is survived by his wife, Dr. Barbara Warner, their two daughters, and one grandchild.

Nevertheless, we are honored to have him talk neonatal and infant surgery — Join general surgery resident Dr. Horacio Carvajal for a discussion with Dr. Warner. This episode of the Washington Manual of Surgery Podcast focuses on surgical scenarios related to GI illness in infants and serves as a companion to Chapter 39 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, host Dr. Horacio Carvajal and special guest Dr. Brad Warner, Professor of Surgery and former Chief of the Division of Pediatric Surgery at WashU Medicine, discuss the management of common pediatric surgery issues, especially focusing on bilious emesis in neonates and infants. Key points include identifying scenarios requiring emergent surgery, conducting essential preoperative workup, and implementing effective management strategies. Dr. Warner elaborates on procedures such as colostomies, enemas, and the use of acetylcysteine for meconium removal, providing crucial insights into pediatric surgical care.

Learn more about the life and legacy of Dr. Brad Warner: https://medicine.washu.edu/news/obituary-brad-warner-professor-of-pediatric-surgery-66/

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk surgical diseases of the stomach — Join general surgery resident Dr. Shaleen Sathe for a discussion with surgeon scientist and hepatopancreatobiliary (HPB) surgeon, Dr. Roheena Panni. This episode of the Washington Manual of Surgery Podcast will focus on the surgical care of gastric diseases and serves as a companion to Chapter 14 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, host Dr. Shaleen Sathe is joined by surgical oncologist Dr. Roheena Panni to discuss comprehensive management of stomach-related conditions. They cover high-yield topics such as the diagnosis and management of gastroparesis, approaches to treating malignant and benign stomach diseases, and endoscopic interventions for gastrointestinal bleeding. Tune in to learn about the latest surgical techniques, the importance of multidisciplinary care, and updates on treatments for gastric cancer.

Guest Host: Shaleen Sathe, MD – General surgery resident at WashU Medicine.

Guest: Roheena Z. Panni, MD, MPHS – Assistant professor of surgery for the Section of Surgical Oncology. She specializes in hepatic, biliary, pancreatic, and gastric surgery.

Notes:

Modified Forrest Classification: stratifies risk of ulcer rebleeding based on observed characteristics on endoscopy

Forrest I (active ulcer hemorrhage): Ia - spurting hemorrhage; Ib - oozing hemorrhage

Forrest II (signs of recent ulcer hemorrhage): IIa - nonbleeding visible vessel; IIb - adherent clot; IIc - flat pigmented spot on ulcer base

Forrest III (no active bleeding): clean ulcer base (lesions without signs of recent hemorrhage and/or fibrin-covered)

Original citation: Forrest J.A., Finlayson N.D., Shearman D.J. Endoscopy in gastrointestinal bleeding. Lancet. 1974;2:394–397. doi: 10.1016/S0140-6736(74)91770-X.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk surgical liver disease—Join general surgery resident Dr. Catherine Zivanov for a discussion with expert liver transplant surgeon, Dr. William Chapman. This episode of the Washington Manual of Surgery Podcast will be part 2 of 2 focusing on the surgical care of liver disease and serves as a companion to Chapter 17 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. William Chapman, a leading abdominal transplant and hepatobiliary surgeon, discusses malignant liver diseases with host Dr. Catherine Zivanov.

Topics covered include the application of the MELD score for liver disease prognosis, criteria for liver transplantation such as Milan and UCSF criteria, and treatment strategies for hepatocellular carcinoma and colorectal liver metastases. The episode also delves into the role of future liver remnant and the use of portal and hepatic vein embolization to enhance surgical outcomes.

This topic is covered in more than one episode of the Washington Manual of Surgery Podcast, so please check out part 1 of this topic focused on the surgical treatment of benign liver diseases!

Guest Host:

Catherine Zivanov, MD, MPHS – General surgery resident at WashU Medicine.

Guest:

William Chapman, MD – Director of the Division of General Surgery and Chief of the Section of Transplant Surgery. He is a specialist in liver transplantation, transplantation surgery, hepatobiliary surgery, and liver diseases.

Citations:

Liver Imaging Reporting and Data System (LI-RADS):

Fowler KJ, Potretzke TA, Hope TA, Costa EA, Wilson SR. LI-RADS M (LR-M): definite or probable malignancy, not specific for hepatocellular carcinoma. Abdominal Radiology (NY), 2018.

Milan Criteria and Beyond:

Mazzaferro V, Regalia E, Doci R, et al. Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. The New England Journal of Medicine, 1996.

Mazzaferro V, Citterio D, Bhoori S, et al. Liver transplantation in hepatocellular carcinoma after tumour downstaging (XXL): a randomised, controlled, phase 2b/3 trial. The Lancet Oncology, 2020.

Model for End-Stage Liver Disease (MELD):

https://optn.transplant.hrsa.gov/data/allocation-calculators/meld-calculator/

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk surgical liver disease – Join general surgery resident Dr. Catherine Zivanov for a discussion with expert liver transplant surgeon, Dr. William Chapman. This episode of the Washington Manual of Surgery Podcast will be part 1 of 2 focusing on the surgical care of liver disease and serves as a companion to Chapter 17 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Chapman, a leading abdominal transplant and hepatobiliary surgeon, discusses liver anatomy and benign liver diseases with host, Dr. Catherine Zivanov.

Topics covered include incidental liver masses, imaging techniques like CT and MRI, and distinguishing features of common benign tumors such as hemangioma and focal nodular hyperplasia. Dr. Chapman emphasizes imaging-based diagnoses and the importance of patient history in managing these conditions.

This topic is covered in more than one episode of the Washington Manual of Surgery Podcast, so please stay tuned for part 2 of this topic!

Guest Host: Catherine Zivanov, MD – General surgery resident at WashU Medicine.

Guest: William Chapman, MD – Director of the Division of General Surgery and Chief of the Section of Transplant Surgery. He is a specialist in liver transplantation, transplantation surgery, hepatobiliary surgery, and liver diseases.

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk abdominal trauma—Join Dr. Kerry Swanson for a discussion with expert critical care surgeon, Dr. Doug Schuerer. This episode of the Washington Manual of Surgery Podcast will focus on care in the ICU and is a companion to Chapter 8 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Schuerer, a trauma and acute care surgeon at Washington University in Saint Louis, discusses the management of abdominal trauma. Key topics include the primary and secondary survey of trauma patients, the significance of imaging for gunshot wounds, damage control laparotomy, and the importance of hemostasis. Dr. Schuerer provides insights into modern resuscitation techniques, the use of FAST exams, and the importance of systematic approaches during surgery.

Guest Host: Kerry Swanson, MD – General surgery resident at WashU Medicine.

Guest: Douglas Schuerer, MD – Director of Trauma at Barnes Jewish Hospital. He is a specialist in Acute Care Surgery. His expertise is in managing critically ill and injured patients.

Notes:

MTP: massive transfusion protocol (whole blood or 1:1:1 transfusion ratio of packed red blood cells:plasma:platelets). Refers to the administration of balanced blood product ratios, which aims to reduce mortality and improve patient outcomes suffering life-threatening hemorrhages.

FAST: An acronym for the phrase Focused Assessment with Sonography in Trauma. Refers to rapid bedside ultrasound examination to evaluate a patient’s condition who has experienced abdominal blunt force trauma or penetrating trauma.

Splenic injuries grading scale: A grading system to determine the level of splenic injury. This five-level scale guides the management and treatment decisions for patients with splenic trauma, Grade I being the least severe and Grade V being the most severe.

Pringle maneuver: A surgical technique designed for controlling bleeding from the liver through cross-clamping the hepatoduodenal ligament, which includes the hepatic artery, portal vein and common bile duct; only a temporizing measure due to the hepatobiliary ischemia caused by the procedure.

Zones of the retroperitoneum (RP Zones): Three zones of the retroperitoneum, which surgeons use to describe the locations of injuries or pathology in the retroperitoneal region, identified as: Zone 1 (sometimes known as the central zone) is the midline retroperitoneum from aortic hiatus to the sacral promontory including the major vessels and their major branches; Zone 2 (sometimes known as the perirenal zone) is the bilateral lateral areas involving the kidneys and their vessels as well as the paracolic gutters; and Zone 3 (sometimes known as the pelvic zone) is the pelvis below the promontory including the iliac vessels.

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres