Bowel Obstruction · WSES 2020
SBO hallmarkDilated >2.5cm
Bologna metContrast trial
Closed-loopOperate now
Brutal Rule
"Colicky to constant. That bowel is dying."
MCQ · Fournier's Gangrene
First step after FG diagnosis with crepitus?
Emergency debridement ✓
IV antibiotics only
CT scan first
ASGE 2019 · Choledocholithiasis
High riskERCP direct
IntermediateEUS / MRCP
Low riskLap chole
EP 08
Anesthesia & Perioperative Care
RSI · Airway · ICU handover
YesSurgeryBet · Latest
Krickenbeck · ARM
Perineal fistulaPrimary PSARP
RectobladderColostomy 1st
No fistulaAssess carefully
Periop Checklist
ConsentDone
Site markingDone
WHO checklistDone
ICU handoverPending
Strangulation = constant pain. Operate now. Do not wait.
Check FGSI before closing. Debride wide!
SIH
Surgical Insight Hub

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The only surgical education resource written by a resident, for the overnight shift. No textbook theory. Just the clinical decisions that keep patients alive.

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Residency Journal Notes

High-yield PDFs. Dense tables. Zero filler.

Referenced against current guidelines — WSES, ASGE, TG18, SAGES. Every note is a pre-ward round weapon. Tables, numbered steps, decision algorithms. No paragraphs. No theory. Just decisions.

Bowel ObstructionWSES 2020
SBO hallmarkDilated loops >2.5cm, no rectal gas
Bologna criteriaWater-soluble contrast trial
Operate ifPeritonitis / closed-loop / 72h fail
StrangulationConstant pain = dead bowel. Go.
The Brutal Rule
"When colicky pain goes constant — that bowel is dying. Stop waiting. Operate."
YesSurgeryBet Podcast

Raw clinical conversations. Zero filler.

Dr. Abdulmalik Moh breaks down surgical topics the way they actually matter. Built for residents managing crashing patients at 3 AM. No academic fluff. Just mechanics.

EP 08
Anesthesia & Perioperative Care
RSI · Airway · ICU handover
EP 07
PUD Perforation
Boey score · Patch vs resection
EP 06
Fournier's Gangrene
FGSI · Debridement · Reconstruction
MCQ Revision

Test yourself. Right now.

Board-style questions embedded in every note. Interactive revision dashboard coming soon.

58M, constant pain after 3 days of colic. CT: closed-loop obstruction. Next step?
A. NG tube, observe 48h
B. Emergency exploration ✓
C. Gastrografin swallow
D. CT angiography first
By the numbers

8 topics.
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Every note referenced against current guidelines. Written by a surgical resident who lives this daily.

Guidelines referencedWSES · TG18 · ASGE
Paragraphs in notesZero
Access costFree forever
The Library
8 topics. All free.

Every note referenced against current guidelines. Written by a surgical resident. Updated regularly.

01
Anorectal Malformation
Paediatric Surgery
02
Bowel Obstruction
WSES 2020 · Bologna
03
PUD Perforation
Boey score · H. pylori
04
HPB Surgery
Strasberg · Whipple
05
Choledocholithiasis
ASGE 2019
06
Fournier's Gangrene
FGSI · Debridement
07
CT Imaging Findings
Pattern recognition
08
Anesthesia & Periop
RSI · Airway · ICU
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