The Scalpel Report
Sharing the Latest in Surgical Education and Innovation |
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Message from the Founders |
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Dear CSurgeries Community,
As we reflect on this past year, we’re deeply grateful for your trust and support. Your engagement drives our mission to provide high-quality surgical content and foster meaningful connections.
Balancing our roles as surgeons and entrepreneurs isn’t always easy, but knowing CSurgeries adds value to your practice keeps us motivated.
Thank you for being part of our journey. We look forward to growing together in 2025. Wishing you a joyful holiday season and a successful new year!
With gratitude,
Dr. Deepak Mehta & Dr. Gresham Richter
Co-Founders, CSurgeries |
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Laryngeal endoscopy easy technique |
| Dr. Prashanth Nayat demonstrates a simple technique for performing laryngeal endoscopy using a rigid Hopkins rod endoscope. In this video, the surgeon gently maneuvers a 30 or 70-degree rigid endoscope through the side of the mouth to visualize the vocal cords and other structures, with the patient phonating and breathing for dynamic assessment. |
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| Cricopharyngeal Myotomy in a Pediatric Patient |
| Dr. Hayden Hairston and Dr. Gresham Richter perform an open surgical approach to a cricopharyngeal myotomy procedure performed on a pediatric patient with dysphagia due to a cricopharyngeal bar. Discover how the surgeons identify and divide the cricopharyngeus muscle, which is located at the top of the esophagus, |
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to relieve the obstruction and improve swallowing function. |
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Total Laparoscopic Hysterectomy and Bilateral Salpingectomy |
| Presented by Dr. Mohamad Mahmoud and Dr. Bruce Lee, this video demonstrates a robotic-assisted total laparoscopic hysterectomy and bilateral salpingectomy with broad ligament and cervical fibroids removal. Learn the steps in careful dissection and cauterization of the relevant tissues, followed by removal of the |
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uterus, fallopian tubes, and fibroids. |
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Why Self-Care is Crucial for Surgeons' Mental Health
While the image of a surgeon is often one of unwavering strength, precision and dedication, the growing mental health crisis within the community that has been brewing in the past decades cannot be ignored. Surgeons, like many healthcare professionals, are increasingly burdened by the demands of their profession, leading to alarming rates of burnout, anxiety, and depression. This article explores the factors contributing to mental health issues in the surgical community, the importance of self-care, the impact on patient care and practical strategies for well-being. Read More |
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Dr. Gresham Richter, A Visionary in Pediatric Surgery |
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| Dr. Gresham Richter, Executive Chairman of CSurgeries, is a renowned pediatric surgeon and researcher specializing in otolaryngology and vascular anomalies. A Professor and Vice Chair of Otolaryngology-Head and Neck Surgery at the University of Arkansas for Medical Sciences (UAMS) and Arkansas Children's, he is a recognized leader with over 90 publications and 30 book chapters. |
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Dr. Richter's expertise lies in treating children with complex conditions. He founded the Arkansas Vascular Biology Program to develop new therapies for vascular lesions. His clinical achievements have earned him recognition as one of the "Best Doctors in America" for five years running.
After completing his residency and fellowship, Dr. Richter returned to UAMS to join the faculty. His passion for education led him to co-create CSurgeries, a web-based platform providing peer-reviewed surgical videos. This platform expands his reach to a wider audience, solidifying his commitment to teaching and innovation within the surgical field. |
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Transoral Approach to Mandibular Fractures: Tips and Tricks |
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Dr. Jose Marchena, an associate professor of oral and maxillofacial surgery at the University of Texas Health Science Center, presents a CSurgeries webinar on the transoral approach to mandibular fractures. The webinar covers various tips and tricks for simplifying this approach and addresses factors relevant to case selection. Dr. Marchena uses clinical photos and videos to illustrate his points and provides an opportunity for questions and answers. |
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| Customize your content experience! Fill out the short form here to get tailored content catering to your specialty. |
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| Catheterization Linked to Increased UTI Risk in Gynecologic Surgery |
|  | Routine catheterization during minor gynecologic surgeries more than doubles the risk of urinary tract infections (UTIs), according to a retrospective cohort study conducted at a tertiary care community hospital in Akron, Ohio. The study, published in Obstetrics & Gynecology, analyzed data from 762 patients who underwent procedures in 2021, revealing a UTI rate of 5.6% among catheterized patients compared to 2.5% in those without catheterization.
What it’s about: The research focused on minor surgeries lasting less than 45 minutes, such as hysteroscopy and loop electrosurgical excision procedures. Although catheterization was performed in 42.4% of cases, it often lacked a clear medical indication. “There is no consensus on the use of routine catheterization at the time of minor gynecologic surgeries,” noted lead author Dr. Salina Zhang of Summa Health. The study found catheterized patients typically had more medical comorbidities, which may partially explain the higher UTI rates.
Why It Matters: The findings suggest many patients undergoing these short surgeries can safely avoid catheterization, as they receive sufficient intraoperative fluids and usually void without difficulty postoperatively. However, researchers acknowledged limitations in the study, including missing follow-up data and the inability to control for all confounding factors. This highlights the need for standardized guidelines to reduce unnecessary catheterization and associated risks. |
| Immediate Surgery Boosts Survival for Older Breast Cancer Patients |
|  | Immediate breast surgery significantly reduces local progression and improves long-term survival for women aged 70 and older with operable breast cancer, according to a comprehensive meta-analysis of three randomized trials. Presented at the San Antonio Breast Cancer Symposium 2024, the study challenges the current practice of offering endocrine therapy alone and emphasizes the benefits of surgical intervention in this population.
What it’s about: The meta-analysis, which included 1,082 women aged 70 and older, revealed a marked reduction in locoregional failure with immediate surgery compared to deferred surgery (12.1% vs. 45.8% at five years). While all patients received tamoxifen for at least five years, none underwent scheduled radiotherapy or chemotherapy. Professor Robert Hills of the University of Oxford highlighted that immediate surgery also reduced distant recurrence and mortality rates, though these survival benefits only became evident after the first year of follow-up.
Why It Matters: Experts emphasized that the study underscores the importance of tailoring treatment strategies for older patients. Dr. Monica Morrow, Chief of Breast Surgery at Memorial Sloan Kettering Cancer Center, noted that the findings could help guide discussions with older patients who may prioritize quality of life over longevity. The delayed yet significant survival benefits suggest that longer follow-up is critical to understanding the impact of surgical intervention, providing valuable insights for modern clinical practices and future trials. |
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Happy Holidays from the entire CSurgeries team! |
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