George Koch

459 posts

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George Koch

George Koch

@_KochDoc

@SocietyGURS Reconstructionist at @OSU_Urology via @uwurology, @VUMCUrology, @GUMedicine, @nyuniversity. 🐶 Dad. Luckiest fiancé in the world to @jYoon_MD.

Katılım Temmuz 2020
583 Takip Edilen500 Takipçiler
George Koch
George Koch@_KochDoc·
Thanks so much for having me! Really appreciated the warm welcome at @CaseUrology Loved all the great discussion and looking forward to more collaboration!!
Andrew Drozd, MD@adrozdMD

Exciting Grand Rounds today @CaseUrology! @_KochDoc moving the needle on Fournier’s Gangrene. Tour de force covering pathophys, antibiotic considerations, current literature, and practical skin sparing techniques = better patient outcomes. Win-win for all involved

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Ohio State Wexner Medical Center Urology Dept.
Ohio State Wexner Medical Center Urology Dept.@OSU_Urology·
We love to see it! Catch our own @ercwltn and @_KochDoc on the latest episode of @_backtableUro 👏👏 @OSUWexMed
BackTable Urology@_backtableUro

What does gender-affirming care look like in everyday urologic practice? @ercwltn and @_KochDoc discuss the evolving landscape of gender-affirming care, barriers to access, and training pathways #URO284 @OSU_Urology @SocietyGURS na2.hubs.ly/H030Zrr0

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Amer. Urol. Assn.
Amer. Urol. Assn.@AmerUrological·
In this episode of Global Perspectives, Dr. Niels Johnsen and Dr. George Koch share their firsthand experiences as AUA Academic Exchange Scholars in India. From clinical insights to cultural discoveries, they reflect on the lessons learned, the surprises encountered, and the lasting impact of international collaboration on their approach to urology. Listen here! ➡️ bit.ly/3N6wFFd #AUANews @nielsvjohnsen @_KochDoc
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UW Urology
UW Urology@uwurology·
@jc_hagedorn joins @_backtableUro to break down the real-world essentials of managing Fournier’s Gangrene from recognizing the earliest warning signs to deciding when surgical intervention or transfer is truly urgent. Her discussion sheds light on current best practices and evolving approaches to this complex condition. Listen here: backtable.com/shows/urology/…
UW Urology tweet media
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Ohio State Wexner Medical Center Urology Dept.
Ohio State Wexner Medical Center Urology Dept.@OSU_Urology·
Big congratulations to our own @DebSundi 👏👏👏 @OSUWexMed @OSUCCC_James @OhioStateMed @ctleeuro
Urology Care Foundation@UrologyCareFdn

We’re proud to announce the inaugural recipients of the Bridge Award, supported by @DornierMedTech! 🎉 This groundbreaking initiative provides funding to help established urology researchers overcome gaps and keep innovation moving forward.  More: bit.ly/4oUUiPd

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George Koch
George Koch@_KochDoc·
@ColinLinke But you’re right, logistically a single aggressive debridement seems more efficient upfront. But balanced against closing some skin-sparing incisions vs. having to graft or send someone home with months of wet-to-drys, repeat judicious debridement is worth it.
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George Koch
George Koch@_KochDoc·
@ColinLinke In my mind, a short-interval second look should be standard for all NSTIs. That ensures adequate source control without putting pressure on the first debridement to be too aggressive. Give borderline perfused tissue a chance to prove viability on ABX.
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George Koch
George Koch@_KochDoc·
@ColinLinke A few extra cm typically isn't the issue, it's the radical debridements that leave huge defects to reconstruct. But to play devil's advocate to your devil's advocate, in what other disease process do we take more margin than we need to just because.
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Colin Linke, DO
Colin Linke, DO@ColinLinke·
@_KochDoc I will play devil’s advocate. Say I take 4cm too much skin… the end result?
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George Koch
George Koch@_KochDoc·
@mohanspeaks Love honey-based dressings for wound breakdown after reconstruction, but for NSTIs it is necessary to remove necrotic tissue emergently in the OR. Debridement should spare viable skin, but still needs to happen and is life saving. This paper is for chronic wounds not NSTI.
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MA
MA@mohanspeaks·
@_KochDoc That's what we do. Add gauze soaked in honey as dressing - the necrotic material comes off rapidly, and is replaced by rich granulation. It is incredible...
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Keşfet

@AmerUrological @smacdonald_md @ben_breyer @jsterling15 @OSU_Urology @Yale_Urology @CaseUrology @ercwltn