Young BJS
Dedicated to and managed by surgeons in training, Young BJS offers everything a trainee could need to supplement and expand upon their core learning.
Focusing on the importance of surgical research, it gives trainees the opportunity to read and critique research, design surgical projects and optimise their chances of being published in peer-reviewed journals.
Preoperative management and resectability criteria in perihilar cholangiocarcinoma
Evaluation and treatment of ruptured abdominal aortic aneurysm
A surgical challenge on the evacuation train
Georgios Karagiannidis MBBS, MRCS, AFHEA
High stakes on a plane
Oliver Kooseenlin
Everyday emergencies: “It’s the journey that matters”
Ayesha Unadkat
Cast your vote: ‘A surgical problem I helped manage on a plane, boat or train’ essay competition
Antibiotic stewardship in acute pancreatitis
Rectal cancer surgery: radiology roadmaps
BJS Open 2024 best colorectal surgery articles: editors’ choices
The best of hepato-pancreato-biliary (HPB) surgery in BJS Open : advancing frontiers towards 2025
Adrenocortical carcinoma: what you at least should know
de Ponthaud C, Roy M, Gaujoux S. Br J Surg 2024; 111: znae177. Comment: Higher risk than you think, and needs expert multidisciplinary care.
Severe acute pancreatitis
Søreide K, Barreto SG, Pandanaboyana S. Br J Surg 2024; 111: znae170. Comment: The cornerstones are supportive care, pain relief and early nutrition, with a step-up approach to surgery.
Acute large bowel obstruction
Lingham G, Okocha M, Griffiths B. Br J Surg 2024; 111: znae202. Comment: Mainly a surgical disease.
Small bowel obstruction
Walshaw J, Smith HG, Lee MJ. Br J Surg 2024; 111: znae167. Comment: Higher mortality than you think. Requires careful use of non-operative strategy.
Acute lower gastrointestinal bleeding
Ong HW, Newman S, Proud D, Mohan H. Br J Surg 2024; 111: znae166. Comment: Most not life-threatening. Use of Oakland score may be useful to guide urgency of investigation and treatment.
Faecal peritonitis.
Sánchez-Rodríguez M, Tejedor P. Br J Surg 2024; 111: znae169. Comment: Timely diagnosis and early source control reduce mortality
Management of blunt abdominal trauma.
Ashley JR, Burczak KW, Cotton BA, Clements TW. Br J Surg 2024; 111: 2024, znae168. Comment: Most patients who die have multiple injuries.
A threat to life and limb: acute lower limb ischaemia
Karonen E, Butt T, Eek F, Acosta S. Br J Surg 2024; 111: znae150. Comment: Survival and limb salvage rates remain stagnant
Why I became a trauma surgeon
Karim Brohi FRCS FRCA
Karim Brohi shares why he became a trauma surgeon.
Why I became a cardiac surgeon
Bil Kirmani BSc MbChB PGCert MD FRCS(C-Th)
Consultant Cardiac Surgeon
Associate Chief Clinician Information Officer
Honorary Senior Clinical Lecturer, University of Liverpool
Research Scholar, NIHR CRN NW
Liverpool Heart and Chest Hospital
Liverpool L14 3PE
UK
Bil Kirmani shares why he became a cardiac surgeon.
Why I became a hernia surgeon
Andrew de Beaux, MD, MBChB, FRCSEd, FEBS, AWS
NHS Lothian, Scotland,
Oxford University Hospitals, England
Spire Murrayfield Hospital, Scotland
@acdebeaux
It is interesting how surgery evolves. What was largely seen as a training operation left to trainees, hernia repair become a rapidly expanding area of surgery now linked under the more prestigious title of Abdominal Wall Surgery. And it is also interesting to see how careers evolve. In my own case, while always having an interest in hernia surgery, chance events, from whom I worked with, who I met in industry and the opportunities to change surgical interests because of colleagues, should not be underestimated. Once I started talking about incisional hernia repair, the referrals came flooding in! Looking back on my career, I give the 5 reasons, that in retrospect, moulded my career as an Abdominal Wall surgeon. 1. Friends in the hernia business worldwide.
Why I became a surgeon, and then a medical director
Julio Mayol, PhD, Professor of Surgery Universidad Complutense de Madrid, Madrid, Spain
Why did I become a medical director? That’s a good question. The answer takes me back to when I was just five years old. Even though there were no doctors in my family, I felt a strong pull towards surgery. Why, you ask? Well, I was deeply influenced by American TV series. Two years later, at the age of seven, I found myself in La Princesa Hospital, a teaching institution in the heart of Madrid. I was fighting peritonitis, the result of a delayed diagnosis of appendicitis. It was 1970, a time when modern diagnostic tools like ultrasound and CT scans were not available, and there were only a few antibiotics to choose from. After two surgeries, my recovery was slow but steady. During this time, Sister Filomena García kept my spirits high with her amusing stories. One story that stuck with me was about a renowned surgery professor, Hipólito Durán-Sacristan. He had recently moved to the San Carlos Clinical Hospital from Valladolid, where he had been the youngest University rector. This story set my path: I was destined to become a surgeon and a professor of surgery at Hospital Clínico San Carlos and Universidad Complutense de Madrid. The next leg of my journey began at Hospital Clínico San Carlos. I studied medicine and became an intern in the Department of Surgery under Prof. Durán-Sacristan. My determination to fulfill my dream was unwavering, and after finishing my medical studies, I passed the national exam that allowed me to become a surgery resident. Interestingly, Prof. Durán-Sacristan had retired two years earlier, but one of his disciples, Prof. Represa, had been appointed chair. His support over my professional career has been fundamental. I am also greatly indebted to Prof. Elisabeth Vincent-Hamelin, my Ph.D. advisor, who played a significant role in my academic journey.