Ajit Pai, MCh; FRCS(E), FACS

Saw this gem of a saying on rounds.All progress depends on the unreasonable woman or man! ⁦@SWexner⁩ @CRSelvasekar⁩ ⁦@sminaev2015⁩ ⁦@pferrada1⁩ ⁦@oliviawriting⁩ ⁦@mkatzmd⁩ ⁦@juliomayol⁩ ⁦@me4_so⁩ ⁦@SamAtallahMD⁩ ⁦@IkomaMD⁩

@shekharkubal1 @IUGastro @IU_Surgery @IU_Health @INDonorNetwork Congratulations Shekhar!

Strong work from IU liver transplant team in 2024 with 215 transplants (#5) and 94.85% 1-year survival on the recent SRTR report. @IUGastro, @IU_Surgery, @IU_Health, @INDonorNetwork

An interesting study of type of diversion stoma after rectal cancer surgery and effect on Renal Function.There is no end to the endless pursuit of excellence! ⁦@SyedAAhmad5⁩ ⁦@SWexner⁩ ⁦@ScottRSteeleMD⁩ ⁦@JohnRTMonsonMD⁩ journals.lww.com/dcrjournal/ful…

Important new @AnnalsofSurgery study from Japan focused on the impact of rectal cancer surgery on male sexual function. Important points: -Excellent response rate (95+%) with inclusion of preop as well as longitudinal postop data. -Only 6-7% had preop radiation, and BMI was much lower than what's encountered in the US. -Across all approaches (lap, robot, TaTME), preop rates of erectile dysfunction were pretty high, got much worse after surgery, and had moderate improvement at 12 months postop. -Benefits of robotics may have been blunted by surgeons being early in the robotic learning curve (27% had <20 cases, and 60% had <60 cases) journals.lww.com/annalsofsurger…

@TheNotoriousHPB My prayers with your family. I’m sure she aids in your mission, from the heavens above.

On this #WorldPancreaticCancerDay, I wish my mom a happy heavenly birthday. She would have been 77 years old today if not for this terrible disease. I will continue to fight for her and all of my patients. We must do better. 💜

@rbarbosa91 For some reason we call it as the Sergeant’ over here in India. There is always one which has lost its sheen over the years and become tarnished!

When closing the abdominal fascia, the most common tool used to protect the underlying bowel from getting poked with the needle is probably the malleable retractor ('ribbon', if you prefer). Normally the wide one on the L is used, and you switch to the narrow one near the end.

11 small things that I do to bring a smile :- —————————————————- 1. Whenever I buy something from a shopkeeper ( especially the small ones ). Pay them off to the higher rounded zero. Example :- If the bill is 14 Rs. I pay 20 Rupees. 2. To every single person who comes to my home to deliver anything I offer them a small water bottle. 3. Every Diwali 🪔 I buy sweets for all the security Guards & labourers in my apartment. 4. I give minimum 100 Rs. tips to parking guys at restaurant and many other places. 5. Whenever I buy some sweets or snacks I buy one set for my driver too. 6. I always ensure that my cook flies to his hometown once a year at my cost 7. I use a porter in Railway Station even if I’ve only one bag. 8. If i travel in Ola / Uber cab service I always ask them to start a SIP with the “first month paid by me offer”. 9. G-pay min 501 Rupees to any temple Pujari. 10. Drop my window down and advise anybody who has a child on a two wheeler without a helmet. Have got abused and appreciated by multiple folks. 11. Suddenly call my office boy / security guard / any labour staff who have been honest and sincere and ask them a surprise question ? What would they like to take home today ? Or how would they like to spend this Sunday ? Many of them have said they would want to watch a movie and have lunch in a hotel of their choice with their family…. I make that happen. ……. The reason for me to share this is only one :- If any of you think, one or many of them are worth emulating. Pls do. It brings a smile to their face beyond your imagination. The joy it gives them is unbelievable and it is truly a beautiful feeling to witness that. #SpreadKindness #SpreadLove #SpreadMagicInEveryStep #letuashare #joy #wecare

@Kishore1975_ Well said. We have more technology at hand than any other generation, yet less time!

Long List of things gone from our life ———————————————— 1. We don’t visit others' houses JLT 2. Have forgotten going to relatives' homes for good. 3. Friends don’t meet until it is planned well in advance with a strict log-out time. 4. Very few folks to be at your side even during a crisis as grave as death of a family member. 5. The habit of Strolling across the road for a cup of tea is gone. 6. Nobody is surprising anybody by a family visit. 7. Cousins are never staying over at each other's place. 8. Elders used to play underarm cricket/ carrom/chess/ludo with us - that’s gone … elders rarely are to be seen. 9. During marriages people used to spend hours chatting and joking and having fun…. Today it is visit and scoot 10. Festivals were together and big …. today it is pic sharing of pixel size family 11. Sending food and other stuff to neighbors used to be regular - now it’s non-existent 12. We have adopted the method of calling and fixing appointments to meet friends 13. Tc / RIP / Tq / Cya / HB / JLT …… everything has shortened. Not just English but our time, availability, and just pure care. I've decided to do something about it. I've decided to: 1. Bump into people’s homes without notice 2. Go to relatives' homes without calling 3. Meet a friend JLT 4. Walk into a neighbor's home and sit down for a few hours 5. Take my children to cousins' homes 6. Meet elders and call them regularly over the phone 7. Make family WhatsApp groups active and lively 8. Make school friends' groups more vibrant and engaging and honest 9. Make life more natural and less appointment-based 10. Call clients home as friends and not as business mates 11. Ask for the numbers of some Twitter friends and call and just speak to them…… no agenda … just plain friendship and chatting …. Let us rise up and reclaim our lost connections! Let us revive the art of human touch, of spontaneity, and of love. Let us make a conscious effort to create moments that truly matter. Join me in this journey, and together, let's bring back the warmth and simplicity that our lives so desperately need. #life #reclaim @hvgoenka @SrBachchan @TVMohandasPai @anandmahindra @thekiranbedi @kiranshaw @BesuraTaansane @Abhinav_Bindra @TheTanveerAhmed @Sathguru_ @chetan_bhagat @navikakumar @tehseenp @PoornimaNimo @RatanSharda55 @theskindoctor13 @vijaygajera @VandanaI2 @warikoo @sandipsabharwal @sachin_rt @KapilSharmaK9

@MBosleyMD Or perhaps an operated abdomen with a recurrent pseudomyxoma peritonei recurrence! ‘You are only as good as your last operation’…

If you are a surgeon who thinks really highly of him/herself let me know and I’ll send you some parastomal hernias to fix

@DCRjournal @FicheraAlessand @JISBMD @ConorDelaneyMD @justinmaykel @KarimAlavi @KyleCologne @dubaicolorectal @SamAtallahMD @debby_keller Incomprehensible why someone would create a stoma this way. Always remember: “ Ability is not synonymous with indication.”

#DCRJournal Didactic Video on Robotic Transabdominal Approach to Stoma Creation: bit.ly/4b56x4S @FicheraAlessand @JISBMD @ConorDelaneyMD @justinmaykel @KarimAlavi @KyleCologne @dubaicolorectal @SamAtallahMD @debby_keller

@JeyarajahRohan @AHPBA @SSATNews Amazing! Keep on walking.

Celebrated my 1000th robotic case! Crazy as I don’t do any choles etc in the platform. Thankful for being able to teach and ⁦@AHPBA⁩ HPB and ⁦@SSATNews⁩ CGS fellowships!

She said it best. All progress depends on the unreasonable human! Thankful for the wonderful nurses we are privileged to work with. ⁦@SWexner⁩ ⁦@TheNotoriousHPB⁩ ⁦@drsuswarner⁩ ⁦@pferrada1⁩ ⁦@CelestinoGutirr⁩ ⁦@JBMatthews⁩ ⁦@juliomayol⁩

@MarcDiMartino @HalletJulie @IHPBA @EAHPBA @AHPBA @MarcBesselink @Gio_Marchegiani @ZhiVenFongMD @drsuswarner @BasGrootKoerkam @HPBCambridge @FlavioRochaMD Absolutely. Relentless pursuit of excellence in the hands of unreasonable men and women is the bedrock of surgery. Does it behove the individual well trained surgeon in practice to feel inadequate if she or he has published infrequently? That is the question!

@HalletJulie @IHPBA @EAHPBA @AHPBA @MarcBesselink @Gio_Marchegiani @ZhiVenFongMD @drsuswarner @BasGrootKoerkam @HPBCambridge @FlavioRochaMD Controversial topic indeed. The answer may seem easy, but echoing @drajitpai, some key questions may be: Is it meaningful for real-life scenarios all around the globe? In the era of big data/AI and precision medicine, what is the role of a "simple" surgeon?

🗣️We need your help! Gearing up for the debate ✨Surgical research: is it worth it?✨ at #IHPBA24 @ihpba ECG retreat In a world of hurdles and high-stakes🥴 What makes it worthwile? What keeps you going? Why is it important? Tell us👇🏻& share!

@HalletJulie @IHPBA @EAHPBA @AHPBA @MarcBesselink @Gio_Marchegiani @ZhiVenFongMD @drsuswarner @BasGrootKoerkam @HPBCambridge @FlavioRochaMD Research by the surgeon is essential, but not an end in itself. Too many studies are conceived and written with the aim of keeping afloat, rather than a quest for true progress or adding anything of importance to existing literature!

@DCRjournal @ScottRSteeleMD @SWexner @me4_so @ACPGBI @drtracyhull @ASCRS_1 A very essential study. We all know that prolonged operative time cannot be good for either the patient (or the surgeon !); this paper sets this in stone.

#DCRJournal visual abstract | The Impact of Prolonged Operative Time Associated With Minimally Invasive Colorectal Surgery: A Report From the Surgical Care Outcomes Assessment Program: bit.ly/48dXiOl @ScottRSteeleMD @Swexner @me4_so @ACPGBI @drtracyhull @ASCRS_1

@martin_rutegard @DCRjournal @JohnRTMonsonMD @jendavidsmd @ScottRSteeleMD @SWexner @me4_so @ACPGBI @drtracyhull @ASCRS_1 Noted! I will have to look at my data. I do not recall one in 4 having a leak. It might be humbling to look at hard facts!

@drajitpai @DCRjournal @JohnRTMonsonMD @jendavidsmd @ScottRSteeleMD @SWexner @me4_so @ACPGBI @drtracyhull @ASCRS_1 That’s what happens when you follow up all patients for a long time, and use the ISREC definition. Other large-scale multicentre studies have similar results: journals.lww.com/annalsofsurger…

#DCRJournal visual abstract | Anastomotic Leakage in Relation to Type of Mesorectal Excision and Defunctioning Stoma Use in Anterior Resection for Rectal Cancer: bit.ly/3TH2gwY @JohnRTMonsonMD @jendavidsmd @ScottRSteeleMD @Swexner @me4_so @ACPGBI @drtracyhull @ASCRS_1

@DCRjournal @CelestinoGutirr For classic splenic flexure tumours, a classic radical left hemicolectomy, taking the left colic, left br MCA and the IMV from its root. Transverse to proximal sigmoid colon anastomosis. If tumour extends either more proximal or more distal, then a subtotal Colectomy.

#DCRJournal Real World Question | What is your preferred approach to splenic flexure masses? Respond with your answer - let's discuss.

May the force be with you!

@ArasEmreCanda Well demonstrated. Aren’t you worried about air embolism when needling the mesentery?!

Performing a #cytoreductivesurgery and #HIPEC for recurrent #ovariancancer #peritonealcarcinomatosis is both challenging and crucial. In this video, witness the intricate technique of small intestinal #mesentericperitonectomy using CO2 insufflation with a veress needle. This innovative method streamlines the process, making mesenteric peritonectomy more feasible and effective and we achieved CC-0 #peritonectomy.