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Master General Surgery And Trauma

Dr. Jocielle Miranda, MD

Released: 2025-05-04

Master General Surgery And Trauma - QR Code

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13 Episodes

Audio

Free New

13 Episodes

Audio

Released: 2025-05-04

Most Recent Episode

Episode 9 - “Reinforced to Resist: A New Standard in Emergency Laparotomy – Redefining Closure with Mesh”

🎙️ Episode Title: “Reinforced by Evidence: Onlay Mesh to Prevent Fascial Dehiscence in Emergency Laparotomy” Episode Description: In this episode, we explore the results of a landmark randomized clinical trial published in JACS, which evalua

Time: 16:02

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🎙️ Episode Title: “Reinforced by Evidence: Onlay Mesh to Prevent Fascial Dehiscence in Emergency Laparotomy”

Episode Description: In this episode, we explore the results of a landmark randomized clinical trial published in JACS, which evaluated the use of onlay prophylactic mesh reinforcement to prevent fascial dehiscence (FD) in high-risk patients undergoing emergency midline laparotomy.

Despite advances in closure techniques, FD remains a devastating complication—especially in emergent, contaminated scenarios. This study, conducted at Hospital das Clínicas, FMUSP, shows that reinforcement with onlay mesh reduced FD to 0%, compared to 13.5% in standard suture closures. While the mesh group experienced higher rates of minor surgical site occurrences (SSOs), over 90% were resolved with conservative or bedside management.

Join us as we break down:

🔹 The Rotterdam risk model as a tool for mesh indication

🔹 Technical considerations in mesh placement and tension distribution

🔹 The trade-offs between increased operative time and long-term outcomes

🔹 Why the use of mesh in contaminated fields may be safer than once thought

🧠 Take-Home Messages: • Prophylactic onlay mesh is safe and effective in FD prevention • Minor SSOs are acceptable when balanced against FD risk • Emergency surgical settings require tailored, evidence-based strategies

📢 This episode is available on all major streaming platforms and the Google Classroom of the Abdominal Wall and Content Group – HC-FMUSP.

Episode ID: 1000706257598

GUID: https://api.spreaker.com/episode/65910249

Release Date: 04/05/2025, 23:35:51

Description

Podcast Description – “Master General Surgery and Trauma”

🎙️ Master General Surgery and Trauma is your go-to podcast for cutting-edge discussions on surgical innovation, trauma care, and evidence-based medicine. Developed under the curation of leading experts from General Surgery and Trauma, this podcast explores the most relevant topics shaping modern surgical practice.

Each episode features in-depth analyses of clinical protocols, surgical techniques, trauma management strategies, and patient safety improvements. This podcast is developed by experienced surgeons and academic leaders in General Surgery and Trauma, combining scientific evidence, clinical research, and real-world surgical experience. Each episode delivers carefully curated content that deepens understanding of surgical principles, enhances decision-making, and promotes excellence in patient care.

Whether you’re a surgeon, resident, medical student, or healthcare professional, this podcast provides valuable discussions that bridge the gap between theory and practice in abdominal wall, treatment of surgical complications, emergency surgery, trauma care, and surgical oncology.

🔹 Stay informed.

🔹 Stay prepared.

🔹 Master the art of General Surgery and Trauma.

🎧 Tune in now and take your surgical knowledge to the next level!

Feed URL

https://www.spreaker.com/show/5548137/episodes/feed

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