What do you enjoy about abdominal surgery?

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I was wondering why abdominal surgery is so popular. Every consult I get has the chief complaint of "abdominal pain." I've seen over 100 cholescystectomies. The people going into abdominal surgery, please share what fuels your passion.

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This thread might be better suited in the General Surgery forum, rather than the Allopathic forum.
 
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I was wondering why abdominal surgery is so popular. Every consult I get has the chief complaint of "abdominal pain." I've seen over 100 cholescystectomies. The people going into abdominal surgery, please share what fuels your passion.

Are you expecting the people asking you for the consult to tell YOU what is going on?? Lol.
 
What are you asking exactly? Are you asking what the clinical indications of a cholecystectomy are? Are you asking what a surgical abdomen is? What is confusing, exactly?

Surgical services are consulted when the primary team thinks a problem is treated surgically. That is why they are consulted and thus surgery is often then performed.
 
I was wondering why abdominal surgery is so popular. Every consult I get has the chief complaint of "abdominal pain." I've seen over 100 cholescystectomies. The people going into abdominal surgery, please share what fuels your passion.

Easy access (e.g. unlike thoracic or intracranial surgery).

In all seriousness though, GI pathology is very interesting to me. There's a lot of variety too.
 
I don't know anyone who is going into "abdominal surgery" - last time I checked that's not a surgical subspecialty.

In acute care/emergency general surgery - you will often operate in the abdomen. Cholecystectomy is the most common (or second most common, depending on the source) abdominal operation performed in the US so it is unsurprising that you have seen several of these (*I don't know any med student who has scrubbed in on more than a hundred of anything while on their rotations...but that's another issue). There is a wide range of abdominal pathology that you will see from consults for "abdominal pain" including but not limited to appendicitis, diverticulitis, bowel perforation, volvulus, ulcer disease, obstruction (of widely varying etiologies including malignancy), bleeding, and a hundred others that I'm not going to rattle off. The operations can actually be quite diverse and interesting.

I love operating in the belly. No one that I know loves the smell of succus or stool, but I can honestly say at this point it just usually doesn't bother me. I've done some crazy operations and been exposed to interesting pathology that I had to that point only read about in a textbook. And I've only been doing it for 3 years.

There are other specialties that operate in the abdomen - bariatric/MIS surgeons where the appeal is getting to do complex laparoscopy all the time; colorectal surgery where the appeal is again complex laparoscopy as well as a wide variety of office based/outpatient procedures and "big whacks" for pelvic/rectal cancer; surgical oncologists who do complex liver, biliary, gastric, and pancreatic resections.

In other words...there's a lot to love.
 
Easy access (e.g. unlike thoracic or intracranial surgery).

In all seriousness though, GI pathology is very interesting to me. There's a lot of variety too.

Thank you for your reply.
 
I don't know anyone who is going into "abdominal surgery" - last time I checked that's not a surgical subspecialty.

In acute care/emergency general surgery - you will often operate in the abdomen. Cholecystectomy is the most common (or second most common, depending on the source) abdominal operation performed in the US so it is unsurprising that you have seen several of these (*I don't know any med student who has scrubbed in on more than a hundred of anything while on their rotations...but that's another issue). There is a wide range of abdominal pathology that you will see from consults for "abdominal pain" including but not limited to appendicitis, diverticulitis, bowel perforation, volvulus, ulcer disease, obstruction (of widely varying etiologies including malignancy), bleeding, and a hundred others that I'm not going to rattle off. The operations can actually be quite diverse and interesting.

I love operating in the belly. No one that I know loves the smell of succus or stool, but I can honestly say at this point it just usually doesn't bother me. I've done some crazy operations and been exposed to interesting pathology that I had to that point only read about in a textbook. And I've only been doing it for 3 years.

There are other specialties that operate in the abdomen - bariatric/MIS surgeons where the appeal is getting to do complex laparoscopy all the time; colorectal surgery where the appeal is again complex laparoscopy as well as a wide variety of office based/outpatient procedures and "big whacks" for pelvic/rectal cancer; surgical oncologists who do complex liver, biliary, gastric, and pancreatic resections.

In other words...there's a lot to love.

Thank you for your response. Did you like general surgery before you matched into it?
 
Thank you for your response. Did you like general surgery before you matched into it?

It's funny you ask. As a third year student, I saw very little true general surgery. I was at an academic center where I only saw complex surg onc cases. I decided on general surgery based on the variety and scope of practice, not because of having a real experience in it. My decision was reinforced during my 4th year rotations that exposed me to general and vascular surgery before applying and matching.
 
It's funny you ask. As a third year student, I saw very little true general surgery. I was at an academic center where I only saw complex surg onc cases. I decided on general surgery based on the variety and scope of practice, not because of having a real experience in it. My decision was reinforced during my 4th year rotations that exposed me to general and vascular surgery before applying and matching.

This was why I did my sub-I at the VA, to get more exposure to "bread and butter" general surgery. My med school's general surgery PD has commented many times that the med students typically graduate having seen more whipples than appendectomies.
 
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True, but @DermViser should know better than to recommend posting in the residency/professional forums by a student.
I realize now it also varies by the specialty forum. For example, on the Derm forum, med students ask questions all the time that are specific to that specialty. Same for Anesthesiology or Radiology. Obviously on the Surgery forum, there will be a LOT more people who can communicate why they love abdominal surgery.
 
I realize now it also varies by the specialty forum. For example, on the Derm forum, med students ask questions all the time that are specific to that specialty. Same for Anesthesiology or Radiology.

If that's the case, those forum moderators aren't following the TOS. However, we allow Mods to administer the forum in the best manner they see fit.

I find that many of the Surgery forum denizens tend to read the other forums regularly (perhaps more than other specialties do), so its not necessary to post student questions there, because *we* will come here.

Obviously on the Surgery forum, there will be a LOT more people who can communicate why they love abdominal surgery.

Maybe. But as I noted above, our most active posters tend to spend time in the student forums as well.
 
We're just talking bout bowels here...get your mind out of the gutter
What are you talking about? My mind is currently in one of the paracolic gutters.

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If that's the case, those forum moderators aren't following the TOS. However, we allow Mods to administer the forum in the best manner they see fit.

I find that many of the Surgery forum denizens tend to read the other forums regularly (perhaps more than other specialties do), so its not necessary to post student questions there, because *we* will come here.



Maybe. But as I noted above, our most active posters tend to spend time in the student forums as well.
I think in pretty much every one of the subspecialty forums has the medical students posting questions, especially this time of year. Within reason. Looking at the front page of the surgical forum, I count maybe a good 1/5 to 1/4 of most recent posts are clearly posted by medical students including (but not limited to)"Are my hands steady enough?", "Surgical electives for M3-M4?", "Scared of graduating from med school...is it normal?".
 
Even though I have no plans of going into surgery and my time in the OR is spent standing perfectly still in 1 spot holding a camera, there's something satisfying about dissecting peritoneum and lysing adhesions...
 
I think in pretty much every one of the subspecialty forums has the medical students posting questions, especially this time of year. Within reason. Looking at the front page of the surgical forum, I count maybe a good 1/5 to 1/4 of most recent posts are clearly posted by medical students including (but not limited to)"Are my hands steady enough?", "Surgical electives for M3-M4?", "Scared of graduating from med school...is it normal?".
That's only because I've been reading SDN from my phone and its a pain to move things from the mobile version.

Plus, it also depends on the context and the response from the usual members.

If its a pre-med asking about how to match into a surgical residency, I'll move that.

If its someone asking technical questions or debating a surgical controversy, I might leave that.
 
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