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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>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>I. 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>
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		<slash:comments>0</slash:comments>
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		<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>I. 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>I. 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>
		<wfw:commentRss>http://forsurgeons.net/general-surgery/metastasis-dependancy-on-the-primary-tumor/feed</wfw:commentRss>
		<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>I. Mitsiev</dc:creator>
				<category><![CDATA[endoscopy]]></category>
		<category><![CDATA[general surgery]]></category>
		<category><![CDATA[recently read]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/recently-read/notes-notes</guid>
		<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>I. 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>I. 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>
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		<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>I. 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>
		<wfw:commentRss>http://forsurgeons.net/general-surgery/transgastric-endoscopy-current-adventure-in-the-surgery-fashion/feed</wfw:commentRss>
		<slash:comments>2</slash:comments>
		</item>
		<item>
		<title>Surgical skills and video games.</title>
		<link>http://forsurgeons.net/recently-read/surgical-skills-and-video-games</link>
		<comments>http://forsurgeons.net/recently-read/surgical-skills-and-video-games#comments</comments>
		<pubDate>Fri, 23 Feb 2007 18:14:43 +0000</pubDate>
		<dc:creator>I. Mitsiev</dc:creator>
				<category><![CDATA[general surgery]]></category>
		<category><![CDATA[recently read]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/recently-read/surgical-skills-and-video-games</guid>
		<description><![CDATA[A very interesting trial was published in the current issue of &#8220;Archives of Surgery&#8220;. The clear conclusion is: &#8220;Video game skill correlates with laparoscopic surgical skills. Training curricula that include video games may help thin the technical interface between surgeons and screen-mediated applications, such as laparoscopic surgery. Video games may be a practical teaching tool [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/recently-read/surgical-skills-and-video-games/feed</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Acute Appendicitis and vaso-vagal exacerbation.</title>
		<link>http://forsurgeons.net/general-surgery/acute-appendicitis-and-vaso-vagal-exacerbation</link>
		<comments>http://forsurgeons.net/general-surgery/acute-appendicitis-and-vaso-vagal-exacerbation#comments</comments>
		<pubDate>Tue, 20 Feb 2007 11:08:47 +0000</pubDate>
		<dc:creator>I. Mitsiev</dc:creator>
				<category><![CDATA[cases]]></category>
		<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/general-surgery/acute-appendicitis-and-vaso-vagal-exacerbation</guid>
		<description><![CDATA[In the last Friday a patient was brought to my ER from the airport. He was previously reported by the control point as a cerebral commotio. He was a man in the 4 decade who flew from a big city in the USA to Europe accompanied by his wife. It was interesting that he is [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/general-surgery/acute-appendicitis-and-vaso-vagal-exacerbation/feed</wfw:commentRss>
		<slash:comments>2</slash:comments>
		</item>
		<item>
		<title>Covered perforation of a postpyloric ulcer.</title>
		<link>http://forsurgeons.net/general-surgery/covered-perforation-of-a-postpyloric-ulcer</link>
		<comments>http://forsurgeons.net/general-surgery/covered-perforation-of-a-postpyloric-ulcer#comments</comments>
		<pubDate>Wed, 24 May 2006 14:29:35 +0000</pubDate>
		<dc:creator>I. Mitsiev</dc:creator>
				<category><![CDATA[cases]]></category>
		<category><![CDATA[general surgery]]></category>

		<guid isPermaLink="false">http://forsurgeons.net/uncategorized/covered-perforation-of-a-postpyloric-ulcer</guid>
		<description><![CDATA[
A 75 yo, previously completely healthy patient came to my ER and complained about upper GI pain for 3 days, no other complains. The exam showed a very painful and tense abdominal wall upon pressure. Labs got some elevated WBC (11.2 Bil/l) without elevated CRP or any other parameter. The abdominal plain is shown on [...]]]></description>
		<wfw:commentRss>http://forsurgeons.net/general-surgery/covered-perforation-of-a-postpyloric-ulcer/feed</wfw:commentRss>
		<slash:comments>0</slash:comments>
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