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Josh Tyler

@JoshuaTylerMD

Dad, colorectal surgeon. Robot enthusiast, rural surgery/LMIC advocate. Passionate about all things FSU.
Ocean Springs, MS Joined September 2016
1.2K Following 2.6K Followers 7.9K Posts

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Josh Tyler @JoshuaTylerMD
Fair points, for both you and @dr_samehhany81 . Must be interpreted in reality, especially in the US and LMICs. Most surgeons aren't out here changing practice on what's published. We change how we train residents/fellows is how we change practice....
Neil Smart @Neil_J_Smart Jan 5, 2024
@dr_samehhany81 @nirhoresh @nlavellaneda @SWexner @MarkSoliman @debby_keller @CleveClinicFL @AnnalsofSurgery @ZGaroufalia @mikifreund @RachellGefen I think that paradigm has gone. The resuscitate overnight and operate in the morning went about 15 years ago in the UK. CCrISP teaches that patients don't magically get better between 4 and 8am. Operate at 4am. Waiting = MOF & ⬆️✝️
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Josh Tyler @JoshuaTylerMD
Great point @DissanaikeMD. IMO true debate is less about Hartmann as being useful, and more how we teach our trainees/future surgeons how to address the pathology w/o compromising future reversal (don't get in TME plane, minimal mobilization, etc). Would be difficult study to do