"Bread and Butter" for surgery fields

[DoctwoB]

One thing I've always been told in looking at specialties is to make sure you enjoy and are fascinated by the bread and butter procedures of the field. You always hear about appendectomies and cholecystectomies for general and CABG for CT, but what are some of the bread and butter procedures for the other specialties?

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[cpants]

One thing I've always been told in looking at specialties is to make sure you enjoy and are fascinated by the bread and butter procedures of the field. You always hear about appendectomies and cholecystectomies for general and CABG for CT, but what are some of the bread and butter procedures for the other specialties?

Colectomy, hemorrhoidectomy for Colorectal
Thyroidectomy for Head/Neck
Liver transplant, kidney transplant for transplant
Exploratory laparotomy for trauma

 

[DrNick Riviera]

I some institutions, the transplant guys do a lot or all of the vascular access cases...

 

[Raygun77]

Neurosurg: Anterior Cervical Discectomy and Fusion (ACDF), Craniotomy

Ortho: Hip and Knee athroplasty

 

[cpants]

Uro: Prostatectomy, TURP, TURBT

 

[coastal]

Ortho

hip and knee arthroplasty
knee arthroscopy - meniscal work, ACLs
basic trauma - hip fractures, distal radius, nailing femurs and tibias

and most classic of all, irrigation and debridement

 

[Arch Guillotti]

General surgery: Butt pus

😀

 

[Thanatos]

gen surg: appys, choles, hernias, miscellaneous crap consults from ER/med that involve abd pain or abscess drainage

colorectal: cancer resections, fistulas, hemorrhoids, perirectal abscess

trauma: babysitting, paging ortho, ex laps for gunshots

CT: cabg, valve for cardiac. VATS lobectomies/pleurex catheters for gen thor.

vascular: lower extremity re-vasc (fem-pop, etc), amputations

Burn: dressing changes, skin grafts

critical care: central lines, bronchs, trachs/pegs

Transplant: kidneys/livers, av fistulas for dialysis

acute care surgery: gen surg cases that happen at night or on weekends

MIS: gastric banding, gastric bypass

surg onc: melanoma, kinda varies

endocrine: thyroidectomy

breast: lumpectomies

plastics: flaps, breast reconstructions

peds: hernias, broviacs, appys

 

[AggieSean]

ENT: tonsillectomy/adenoidectomy, PE tube placement

 

[skiz knot]

Ortho

hip and knee arthroplasty
knee arthroscopy - meniscal work, ACLs
basic trauma - hip fractures, distal radius, nailing femurs and tibias

and most classic of all, irrigation and debridement

Ankle fractures
carpal tunnel release
shoulder arthroscopy, rotator cuff repair
septic joint work-up and treatment
Nail bed injuries (if you take hand call)
In the peds world: closed reduction and casting of fractures
SCFE pinning

 

[ZagDoc]

ENT: tonsillectomy/adenoidectomy, PE tube placement

Tympanoplasty
Mastoidectomy
Parotidectomy
FESS
Septoplasty/Functional Rhinoplasty
Thyroidectomy
Selective Neck Dissection
Various H&N-related Biopsies
Mohs reconstruction/Various local flaps

 

[OtoHNS]

Tympanoplasty
Mastoidectomy
Parotidectomy
FESS
Septoplasty/Functional Rhinoplasty
Thyroidectomy
Selective Neck Dissection
Various H&N-related Biopsies
Mohs reconstruction/Various local flaps

Maybe in an academic setting. In private practice as a general ENT, likely 75% or more of your cases will be PE tubes, T and/or A, septoplasty, sinus surgery (FESS), direct laryngoscopy, or head and neck lump and bumps. Not to say that you wouldn't do any or all of the quoted list, but probably not frequently enough to be "bread and butter."

 

[neb85]

vascular: lower extremity re-vasc (fem-pop, etc), amputations

I'd add endovascular AAA repair, dialysis access, and carotid endarterectomy.

General surgery: Butt pus