What's one common surgery that every surgeon has their own style of doing it?

[osumc2014]

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What's a surgery that there is not a consensus in approach?

 

[IJL]

What's a surgery that there is not a consensus in approach?

Hernia repairs maybe?

 

[linebacker57]

Trapeziectomy

 

[mvenus929]

Appendectomy. I'm pretty sure I've seen that done several different ways, including a single-port lap procedure.

 

[J ROD]

boob job.....we all like'em a little different.

 

[Winged Scapula]

Assuming the OP is asking about options for management, the choice of access to the organ (ie, laparotomy vs laparoscopy/SILS/robotic) as in the case of appendectomy doesn't change the fact that the case is otherwise done the same.

Probably the best example is inguinal hernia repair. While most are done with simple plug and patch these days, there are differences of opinion regarding laparoscopic approach (TEP vs TAPP) and method of tissue repair (McVey, Shouldice, Lichenstein etc).

Another example would be esophagectomy: Ivor Lewis vs Transhiatal vs "3 hole" (McKeown).

Fundoplication: "loose" Nissen vs Dor vs Toupet wrap.

Parotidectomy: minimally invasive/radioactive tracer guided vs 4 gland exploration vs 3 1/2

On the off chance that the OP is looking for a topic to present, you might want to consider interval appendectomy and whether or not the surgery is actually indicated in those patients that improve with conservative management. An interesting and evolving topic that is accessible to medical students.

 

[Smurfette]

Parotidectomy: minimally invasive/radioactive tracer guided vs 4 gland exploration vs 3 1/2

On the off chance that the OP is looking for a topic to present, you might want to consider interval appendectomy and whether or not the surgery is actually indicated in those patients that improve with conservative management. An interesting and evolving topic that is accessible to medical students.

I think you mean parathyroidectomy.

 

[Winged Scapula]

I think you mean parathyroidectomy.

Doh!

That's exactly what I meant.

Long day. 😀

 

[JP2740]

Assuming the OP is asking about options for management, the choice of access to the organ (ie, laparotomy vs laparoscopy/SILS/robotic) as in the case of appendectomy doesn't change the fact that the case is otherwise done the same.

Probably the best example is inguinal hernia repair. While most are done with simple plug and patch these days, there are differences of opinion regarding laparoscopic approach (TEP vs TAPP) and method of tissue repair (McVey, Shouldice, Lichenstein etc).

Another example would be esophagectomy: Ivor Lewis vs Transhiatal vs "3 hole" (McKeown).

Fundoplication: "loose" Nissen vs Dor vs Toupet wrap.

Parotidectomy: minimally invasive/radioactive tracer guided vs 4 gland exploration vs 3 1/2

On the off chance that the OP is looking for a topic to present, you might want to consider interval appendectomy and whether or not the surgery is actually indicated in those patients that improve with conservative management. An interesting and evolving topic that is accessible to medical students.

Why don't more people do the fundoplication?

 

[Winged Scapula]

Why don't more people do the fundoplication?

Do you mean why isn't the surgery more commonly performed or why don't more surgeons do them?

With the advent of PPI's, the need for anti-reflux procedures has dropped dramatically. There are other indications for fundoplication but that would be one of the most common ones.

If your question is the latter, I see them mostly done by the minimally invasive/4 got guys as well as pediatric surgeons. Out in community practice of course the general surgeons still do them.

 

[JP2740]

Do you mean why isn't the surgery more commonly performed or why don't more surgeons do them?

With the advent of PPI's, the need for anti-reflux procedures has dropped dramatically. There are other indications for fundoplication but that would be one of the most common ones.

If your question is the latter, I see them mostly done by the minimally invasive/4 got guys as well as pediatric surgeons. Out in community practice of course the general surgeons still do them.

It seems like PPI's are not totally benign drugs is what I was getting at. And working in outpatient clinic (I'm a med student) and hospital, even for pretty bad cases of reflux, I rarely see it even mentioned as an option. What gives? I've heard good things about outcomes.

 

[Winged Scapula]

It seems like PPI's are not totally benign drugs is what I was getting at. And working in outpatient clinic (I'm a med student) and hospital, even for pretty bad cases of reflux, I rarely see it even mentioned as an option. What gives? I've heard good things about outcomes.

Are these outpatient surgical or medical clinics? If it's the latter I suspect it's a sense that sending someone to a surgeon is akin to admitting failure.

Not everyone is a candidate for fundoplication but for refractory reflux that has been treated adequately (ie. Max medical therapy with at least double dose PPI's times at least six months), Then it should be an option to at least send someone for a surgical consultation.

 

[SouthernSurgeon]

Are these outpatient surgical or medical clinics? If it's the latter I suspect it's a sense that sending someone to a surgeon is akin to admitting failure.

Not everyone is a candidate for fundoplication but for refractory reflux that has been treated adequately (ie. Max medical therapy with at least double dose PPI's times at least six months), Then it should be an option to at least send someone for a surgical consultation.

I would also point out that it's actually done QUITE frequently, especially since it can be performed laparoscopically. It's one of the most common operations done by general surgeons.

Which just underscores how common GERD is.

 

[Winged Scapula]

I would also point out that it's actually done QUITE frequently, especially since it can be performed laparoscopically. It's one of the most common operations done by general surgeons.

Which just underscores how common GERD is.

Yeah we did them all the time on both adults and children. Even though I haven't done General Surgery in years I feel like it's one of the procedures I could still do well.

 

[Winged Scapula]

I would also point out that it's actually done QUITE frequently, especially since it can be performed laparoscopically. It's one of the most common operations done by general surgeons.

Which just underscores how common GERD is.

Yeah we did them all the time on both adults and children. Even though I haven't done General Surgery in years I feel like it's one of the procedures I could still do well.