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	<title>Surgery for Surgeons &#187; general surgery</title>
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	<link>http://forsurgeons.net</link>
	<description>surgery blog for surgeons</description>
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		<title>Mitrofanoff procedure</title>
		<link>http://forsurgeons.net/general-surgery/mitrofanoff-procedure</link>
		<comments>http://forsurgeons.net/general-surgery/mitrofanoff-procedure#comments</comments>
		<pubDate>Fri, 16 Sep 2011 18:14:35 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[cases]]></category>
		<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/?p=171</guid>
		<description><![CDATA[Yesterday I had a patient who had a Mitrofanoff procedure in the past and I decided to take a look at the literature about this interesting approach.
A PubMed search for &#8220;Mitrofanoff&#8221; showed 416 articles as of today. Among them, a recent educational article gives a nice overview over the topic.
The original article was published 1980 describing [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Single Incision Laparoscopic Surgery (SILS)</title>
		<link>http://forsurgeons.net/general-surgery/single-incision-laparoscopic-surgery-sils</link>
		<comments>http://forsurgeons.net/general-surgery/single-incision-laparoscopic-surgery-sils#comments</comments>
		<pubDate>Wed, 14 Sep 2011 16:18:01 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/?p=168</guid>
		<description><![CDATA[The initial hype about NOTES is over!
This is such a good news that I couldn&#8217;t  resist starting with it. :)
I wrote twice about this topic and not only my opinion didn&#8217;t change, I noticed that the general perception regarding NOTES is meanwhile clearly negative. Even people who are usually more open to new approaches share [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/general-surgery/single-incision-laparoscopic-surgery-sils/feed</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Work load in surgical education: comparison of different systems and impact on healthcare.</title>
		<link>http://forsurgeons.net/general-surgery/work-load-in-surgical-education-comparison-of-different-systems-and-impact-on-healthcare</link>
		<comments>http://forsurgeons.net/general-surgery/work-load-in-surgical-education-comparison-of-different-systems-and-impact-on-healthcare#comments</comments>
		<pubDate>Tue, 15 Mar 2011 03:49:08 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/?p=157</guid>
		<description><![CDATA[The introduction of the 80-hours week for the residents in the USA brought a lot of unhappy faces in the faculty members. Ever since then the residents have to listen to &#8220;what-do-you-know&#8221; and &#8220;when-I-was-a-resident&#8221; stories on a daily basis. The generation conflict is remarkably expressed in these conversations and it is caused solely by the [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Anemia and blood transfusions</title>
		<link>http://forsurgeons.net/recently-read/anemia-and-blood-transfusions</link>
		<comments>http://forsurgeons.net/recently-read/anemia-and-blood-transfusions#comments</comments>
		<pubDate>Sat, 20 Feb 2010 04:02:32 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[general surgery]]></category>
		<category><![CDATA[recently read]]></category>
		<category><![CDATA[transplant surgery]]></category>
		<category><![CDATA[trauma]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/?p=117</guid>
		<description><![CDATA[Acute anemia is a common reason for transfusion of blood products. The hemoglobin (Hb) threshold for correcting anemia has been a hot topic of discussions for a long time. Here I would like to share my experience and thoughts about this very surgical issue.
About 15 years ago I listened to a talk that was given [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/recently-read/anemia-and-blood-transfusions/feed</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Intravenous Metronidazole for Clostridium difficile colitis</title>
		<link>http://forsurgeons.net/general-surgery/intravenous-metronidazole-for-clostridium-difficile-colitis</link>
		<comments>http://forsurgeons.net/general-surgery/intravenous-metronidazole-for-clostridium-difficile-colitis#comments</comments>
		<pubDate>Thu, 21 Jan 2010 04:34:15 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/?p=126</guid>
		<description><![CDATA[I have to admit, like many colleagues, I believed for many years that giving Flagyl (Metronidazole) for C. diff. colitis should happen only PO. Now I was corrected.
Recently one of the transplant surgeons in the hospital I work in suggested IV Flagyl for a patient with this diagnosis and I objected. She told me that [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/general-surgery/intravenous-metronidazole-for-clostridium-difficile-colitis/feed</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Metastasis dependancy on the primary tumor?</title>
		<link>http://forsurgeons.net/general-surgery/metastasis-dependancy-on-the-primary-tumor</link>
		<comments>http://forsurgeons.net/general-surgery/metastasis-dependancy-on-the-primary-tumor#comments</comments>
		<pubDate>Sat, 13 Sep 2008 21:38:38 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[cases]]></category>
		<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/general-surgery/metastasis-dependancy-on-the-primary-tumor</guid>
		<description><![CDATA[Recently I had an interesting case with a weird behavior of a suspected metastasis after resection of the primary tumor.
Description
A 43 years old male came in July 2008 to the Medical Service with nausea, vomiting and abdominal pain. The workup showed a tumor in the 3rd portion of the duodenum as well as a big [...]]]></description>
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		<slash:comments>4</slash:comments>
		</item>
		<item>
		<title>NOTES? NOTes!</title>
		<link>http://forsurgeons.net/recently-read/notes-notes</link>
		<comments>http://forsurgeons.net/recently-read/notes-notes#comments</comments>
		<pubDate>Sat, 23 Feb 2008 17:18:10 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[endoscopy]]></category>
		<category><![CDATA[general surgery]]></category>
		<category><![CDATA[recently read]]></category>

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		<description><![CDATA[About a year ago I wrote about a transgastric approach in some gastroenterological experiments. What happened in this year? Well, there is a development! Let us take a look at a paper published last year in Nature Clinical Practice Gastroenterology &#38; Hepatology &#8211; a magazine belonging to the Nature publishing group. This publication is a [...]]]></description>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Second look: on-demand vs planned in patients with peritonitis.</title>
		<link>http://forsurgeons.net/recently-read/second-look-on-demand-vs-planned-in-patients-with-peritonitis</link>
		<comments>http://forsurgeons.net/recently-read/second-look-on-demand-vs-planned-in-patients-with-peritonitis#comments</comments>
		<pubDate>Fri, 07 Dec 2007 20:46:52 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[general surgery]]></category>
		<category><![CDATA[recently read]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/recently-read/second-look-on-demand-vs-planned-in-patients-with-peritonitis</guid>
		<description><![CDATA[Every abdominal surgeon has patients with peritonitis. In severe cases, a &#8220;second look&#8221; should be planned. At least this is the common opinion.
A  group from Holland published a randomized trial about this topic. Surprisingly the results did not show higher morbidity in the &#8220;on-demand&#8221; group.
This is a surprise, due to the unavoidable human factor estimating [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/recently-read/second-look-on-demand-vs-planned-in-patients-with-peritonitis/feed</wfw:commentRss>
		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Followup for patients with papillary thyroid cancer.</title>
		<link>http://forsurgeons.net/recently-read/followup-for-patients-with-papillary-thyroid-cancer</link>
		<comments>http://forsurgeons.net/recently-read/followup-for-patients-with-papillary-thyroid-cancer#comments</comments>
		<pubDate>Sat, 27 Oct 2007 04:48:14 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[general surgery]]></category>
		<category><![CDATA[recently read]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/recently-read/followup-for-patients-with-papillary-thyroid-cancer</guid>
		<description><![CDATA[Since the end of the 70-ies, as the radioiodine therapy was initiated, the prognosis of the well-differentiated thyroid carcinomas improved like no other. Despite the success of the therapy, about 30% of the papillary thyroid carconimas show a recidive. Therefore the question about the followup of these carcinomas is quite interesting.
This is the topic of [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/recently-read/followup-for-patients-with-papillary-thyroid-cancer/feed</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Transgastric endoscopy &#8211; current adventure in the surgery fashion.</title>
		<link>http://forsurgeons.net/general-surgery/transgastric-endoscopy-current-adventure-in-the-surgery-fashion</link>
		<comments>http://forsurgeons.net/general-surgery/transgastric-endoscopy-current-adventure-in-the-surgery-fashion#comments</comments>
		<pubDate>Sat, 31 Mar 2007 13:49:46 +0000</pubDate>
		<dc:creator>Ivo Mitsiev</dc:creator>
				<category><![CDATA[endoscopy]]></category>
		<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/general-surgery/transgastric-endoscopy-current-adventure-in-the-surgery-fashion</guid>
		<description><![CDATA[In the beginning of the most medical books, one can read that the medicine (and of course the surgery) is an ever growing field. Now we know that the laparoscopic cholecystectomy is a good idea, whereas the laparoscopic hernia repair is not a good one. The evidence based knowledge doesn&#8217;t need much trials. Therefore I [...]]]></description>
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		<slash:comments>2</slash:comments>
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