Yugen

Coming from a 5x UCL winner that he’s a very good manager but we should listen to Mark Goldbridge as i’m told.

Management of peptic ulcer bleeding - updated ESGE guidelines unveiled at #ESGEDays2026 🩸🆕 📸: esge.com/assets/downloa…

This BSG guidance document is like a textbook for upper GI endoscopy and is a must read for endoscopists and trainees 💡🆕

🧵 Malla profiláctica en laparotomía media de emergencia: ¿previene hernia incisional o aumenta complicaciones? Este metaanálisis incluyó 7 RCTs y 643 pacientes. La malla redujo de forma significativa la hernia incisional hasta 24 meses, comparada con cierre fascial solo.

A MUST-READ! This is probably one of my most important papers where I try to teach how to fish rather than offer fish. How I Read a Clinical Trial Report? BG’s primer for Busy Clinicians. Thank you @JCOOP_ASCO @EthicsdoctorP for the kind invitation. I hope the readers will find this useful. ascopubs.org/doi/10.1200/OP…

Two techniques for tying off vessels. #bleedingmanagent #vascularinjury #surgicalskills #ligation #trauma #meded

New to reading CT abdomen? This video provides a step-by-step approach to CT abdomen interpretation, helping beginners develop a systematic method to avoid missing important findings. Watch here: youtu.be/szRT1rp1O5U⁠ #MedTwitter

My beautiful radiology study corner

"Hot" Laproscopic Cholecystectomy 🔴Principles remain the same 🔴Know bailout options ➡️Subtotal 🔴Gallbladder decompression 🔴Identification of Rouviere's sulcus if present 🔴Endo pledget very useful in these cases 🔴Suction/irrigation ➡️blunt dissection 🔴Demonstrate CVS

aaromaley just shook me, such a beiatiful love story man!

honestly, it just takes a lot to be a surgical medical officer and subsequently graduate to become a surgeon. the stress, sacrifice and suffering is endless. it just takes a lot , that’s the word. either you’re ready or not.

Why parents and kids in TN go to extreme to study medicine? So many Vellaiyans’ sons have become sirs when they became Doctors in Tamil Nadu ❤️😍

“எந்த Patient வந்தாலும் மொத கைய புடிச்சி பாரு டா.. யாருமே நம்மள தொட்டு கூட பார்க்கல..” 😭🙏💔 And @Gobinath_C knows exactly what to underline and reiterate 💙 #NeeyaNaana is Undoubtedly the best thing happened to Tamil society via Television 🙏

🧵 “The IV fluids didn’t save her. They erased her sodium.” Today, let me introduce you to Anita. Anita came to the ER with vomiting and mild dehydration. Vitals stable. Mentally alert. Labs: Na⁺ 134 mEq/L — almost normal. She was started on “routine IV fluids.” By morning, Anita was confused. By afternoon, she had a seizure. 📉 Na⁺ 118 mEq/L What went wrong? 👇

parasakthi absolute 5/5 ⭐️⭐️

Trauma Laparoscopy and Primary Repair of Small Bowel Injury Presentation: 🔵Presented 6 hours following football tackle with knee to abdomen 🔵Resulted in blunt trauma to anterior abdominal wall 🔵On examination ➡️tender abdomen with tachycardia but normotensive and HB stable 🔵CT in ED ➡️Small volume intraperitoneal free air anterior to liver ➡️Gas locules around transverse colon at the splenic flexure Approach: 🔴Low threshold for laparoscopy +/- proceed 🔴Complete examination of small bowel on both anti mesenteric and mesenteric sides 🔴Two areas of injury near DJ flexure - one full thickness and one seromuscular ➡️Perforation immediately beyond DJ flexure 🔴Free intraperitoneal bile an irritant 🔴Primary repair with 2/0 vicryl ➡️If concern regarding ischaemic edges, consider freshening 🔴Thorough peritoneal lavage 🔴Feeding jejunostomy not indicated ➡️Oral intake resumed 24 hours post-op 🔴Advanced lap experience critical 🔴Pt. discharged POD3 with no readmissions to hospital

Final testing of our inguinal hernia model before our pilot course in January.

okay jusy bought myself a lap simulator now😂😂😂

At this point of time, it’s no longer scoring to pass, it’s about scoring to excel. nevertheless, a pat on my back. we shall keep going

Ginkgo biloba contains high levels of flavonoids and terpenoids, compounds known for their strong antioxidant effects. Antioxidants combat or neutralize the damaging effects of free radicals. However, the exact benefit of ginkgo's antioxidant properties in the human body remains unclear. Some research suggests that ginkgo extract can reduce markers of inflammation. Inflammation is part of the body’s natural response to injury or invasion by a foreign substance, during which various components of the immune system are recruited to fight the invader or heal the injured area. We recently encountered a patient who, during her postoperative recovery from a mastectomy, took Ginkgo biloba and developed bleeding six weeks after surgery. A known side effect of ginkgo supplements is an increased risk of bleeding. This is because ginkgo contains a component called ginkgolide B, which inhibits platelet aggregation by antagonizing the Platelet Activating Factor (PAF). Therefore, it is advisable that patients avoid taking ginkgo after surgery.