List Archives

Wed Mar 28 18:28:09 BST 2007

Those of us over 50 are beginning to joke that we'll soon need a Fellowship
in "Open Surgery." Meanwhile, we are now graduating residents who have had
limited experience in things we once considered not only bread and butter
(e.g. gastric surgery) but also a required skill set (e.g.CBD explorations).
I wonder how they'll get out of trouble when we're old and they're operating
on us!

Jeffrey Hammond MD, MPH
Chief, Trauma/Surgical Critical Care
Robert Wood Johnson Medical School
New Brunswick, NJ
ph: 732-235-7920
e-mail: hammond at umdnj.edu

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Ronald Gross
Sent: Wednesday, March 28, 2007 9:28 AM
To: Trauma &amp; Critical Care mailing list
Subject: RE: Extinction of Non laparoscopic surgeons

Tim,

Not even in elective surgery - someone is going to have to know how to
operate on the complications encountered by the video-laparoscopic surgeon
who doesn't know how to operate under direct vision, or how to open the
cavity he/she has placed a scope into!  

Geez - did I really say what I was thinking???

Best wishes,
Ron

>>> "Hardcastle, Tim, Dr <tch at sun.ac.za>" <tch at sun.ac.za> 3/28/2007 
>>> 10:14 AM >>>
Dr Khattar

Extinct in elective surgery maybe......Trauma and emergency general surgery
and in countries where the socio-economic conditions are poor - not likely!
We need to have surgeons who can feel comfortable in all cavities and with
all techniques; this is the palce of the Trauma/Acute Care general surgeon.

Regards
Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU) ATLS  instructor
and DSTC Cape Town Course Director Intern program Coordinator: Surgery M.Med
(Emergency Medicine) Executive Committee member Clinical Head (Director):
Diana Princess of Wales Trauma Unit Division of Surgery (General) Room 4064
Department of Surgical Sciences Tygerberg Hospital / University of
Stellenbosch PO Box 19063 Tygerberg 7505 Western Cape South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org]On Behalf Of rm khattar
Sent: Wednesday, March 28, 2007 2:46 PM
To: trauma-list at trauma.org 
Subject: Extinction of Non laparoscopic surgeons

I recently came across  book on laparoscpy in Urologic
malignancies in which authors claimed that non
laparoscopic surgeons would become history.What is the
opinion of leaders in trauma surgery like
Karim,Ken,ERF,Tim on this issue? I am and doing
predominantly open surgery and do not see this
happening at least in next 20 years.

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Extinction of Non laparoscopic surgeons