Simini Boards Cast

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  The Simini Boards-Cast is the go-to audio study tool for small animal surgery residents prepping for board exams.  Each episode simplifies high-yield surgical content from trusted sources  — built to help you pass faster and with less stress.  🎧 Audio-based learning for passive study ✂️ Practical relevance for surgical application 🧠 Flashcard-style recaps + board-style questions 📈 Designed with resident + program director input  Whether you're commuting, walking the dog, or post-op, turn that time into surgical mastery.  Subscribe now and get board-ready — fast. 

  1. JAN 29

    Chapter 91 - Part E: Successful Surgery, Dead Dog: The Gastric Failure Pattern

    In this final episode of the stomach series, we dismantle one of the most dangerous illusions in soft-tissue surgery: 👉 A perfect gastric surgery does not guarantee a living patient. 👉 The stomach lies — beautifully. It can look pink, perfused, and “saved”… while the physiology collapses quietly over the next 72 hours. This Deep Dive reframes gastric surgery as a systems reboot, not a mechanical repair. You’ll learn why the stomach’s redundant blood supply fools surgeons, why “successful repair, dead dog” is a predictable pattern, and the five lethal endpoints that occur after a perfect closure. We walk through: Why the stomach’s vascular redundancy masks ischemiaHow reperfusion injury poisons patients even as the stomach looks betterWhy gastric emptying — not the suture line — determines survivalHow silent reflux and aspiration pneumonia kill dogs days after surgeryWhy lactate kinetics (not a single number) are your prognostic lifelineThe role of MDF (myocardial depressant factor) in post-op arrhythmiasThe gastric failure cascade: the real cause of death after a “successful” surgeryWhy owners elect euthanasia in “technically successful” cases — and how to prevent that spiralIf you judge success by the photo you took in the OR, you will keep losing patients after surgery.  Success is measured 48–72 hours later, when the dog can eat, empty, and breathe. 🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping): https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    16 min

  2. JAN 29

    Chapter 91 - Part D: Gastric Outflow Is a Trap: Why Pyloric Surgery Breaks Patients

    In this BoardsCast episode, we continue Tobias Chapter 91 by exposing one of the most deceiving failure patterns in soft-tissue surgery: 👉 The pylorus is not a pipe you “open.”  It is a timing valve in a pressure-driven pump. Surgeons often judge pyloric surgery by one metric —  “Is the lumen open?” But gastric outflow doesn’t fail because the hole is too small. It fails because the timing mechanism of the antrum–pylorus unit has been disrupted. This episode reframes pyloric surgery from structural plumbing to physiologic engineering, revealing why patients with perfect closures and wide lumens still starve, reflux, or deteriorate quietly over weeks. You’ll learn: Why the stomach empties by retropulsion, not gravity — and why slamming into a closed pylorus is essentialWhy particles must be 0.1–0.63 mm before the pylorus will ever openHow surgeons accidentally destroy the stomach’s timing, not its anatomyThe five ways pyloric surgery causes slow, silent physiological failureWhy edema and overhandling create functional obstruction even when the lumen looks wideWhy PDS is the wrong suture inside the pylorus (and how it creates strictures)The difference between muscular vs mucosal disease — and why biopsy is mandatoryWhen to use Fredet-Ramstedt, Heineke–Mikulicz, or Y-U advancement — and when each one will failWhy most dogs with “open pylorus but persistent vomiting” actually have functional gastric failureIf you think pyloric surgery is about widening a hole, this episode will fundamentally change your mental model — and your outcomes. 🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping): https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    19 min

  3. JAN 29

    Chapter 91 - Part C: Gastrotomy, Gastrectomy, and the Blood Supply You Forgot

    In this BoardsCast episode, we continue Tobias Chapter 91 — Stomach by exposing one of the most dangerous misconceptions in gastric surgery:  Most stomach leaks are not caused by bad knots, they are caused by bad perfusion.Surgeons often obsess over the closure pattern, the knot quality, and the suture line appearance — but the stomach doesn’t fail because of sewing errors. It fails because of the vascular decisions made 30–60 minutes before the last stitch was placed. This episode reframes gastrotomy and gastrectomy around the single variable that truly determines survival: Blood flow to the remaining stomach. You’ll learn: Why “pink tissue” is one of the most misleading signs in surgeryHow the gastric arcades (left gastric, right gastric, gastroepiploics & short gastrics) determine what tissue will live — and what will dieThe five predictable perfusion crimes that lead to day-3 leaksWhy PDS is the wrong suture for stomach surgery in a pH 1–2 environmentWhy Maxon or Monocryl outperform PDS in the stomach despite shorter longevityHow tension, wide devascularization, and rough handling silently shut down microcirculationHow GDV creates “stomach compartment syndrome” long before necrosis showsWhy leaks on day three almost always mean ischemia, not technical failureIf you judge gastric surgery by how the suture line looks at closure, you will miss the real failure: Tissue that cannot survive long enough to hold those sutures.🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping): https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    14 min

  4. JAN 29

    Chapter 91 - Part B: GDV Isn’t About the Stomach — It’s About Circulation

    In this BoardsCast deep dive, we continue Tobias Chapter 91 — Stomach  by reframing GDV in the way surgeons must understand it for boards, for practice, and for saving lives. GDV is not a stomach problem. GDV is a cardiovascular collapse event disguised as a stomach twist. For decades, surgeons have been trained to “fix the twist” — untwist the organ, check viability, remove the spleen if it looks ugly.  But the lethal physiology of GDV occurs long before the stomach ever becomes necrotic. This episode dismantles the classic “anatomy-first” mindset and replaces it with the hemodynamic mental model that actually saves patients. You’ll learn: Why the stomach’s appearance is a distraction from the true killerHow vena cava compression, preload loss, and cardiac output failure unfold within minutesWhy splenectomy rarely solves the real problemHow myocardial depressant factor and ischemia trigger deadly arrhythmiasWhy lactate trends matter more than lactate valuesThe physiologic priority stack that prevents arrest before the abdomen is even openedWhy decompression is more important than derotationWhich access points actually deliver fluids to the heart (and which don’t)If GDV is treated like a gastric surgery instead of a circulatory crisis, the patient dies before the stomach ever does.  When you shift your focus to restoring venous return, preload, and oxygen delivery, survival changes dramatically. 🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping): https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    18 min

  5. JAN 29

    Chapter 91 - Part A: The Stomach Is a Reservoir, Not a Bag

    In this BoardsCast episode, we begin Tobias Chapter 91 – Stomach by dismantling one of the most common (and dangerous) mental models in soft-tissue surgery:  The stomach is not a bag. It is a reservoir, a grinder, a mixing engine, and a precision gatekeeper — and when surgeons treat it like a passive container instead of a physiological machine, patients fail despite perfect closures. This episode reframes gastric surgery from “fix the hole” to “protect the physiology.” We explore how surgeons can break stomach function even when the incision is flawless and the post-op contrast study looks perfect. You’ll learn: Why the stomach must be understood in functional zones — reservoir vs grinder vs gatekeeperHow receptive relaxation prevents reflux and protects the esophagusWhy the antrum’s retropulsion mechanism is essential for digestionHow inverting suture patterns at the pylorus cause iatrogenic obstructionWhy the stomach’s acidic environment destroys PDS long before the tissue has healedThe 3 pyloroplasty techniques — and how to choose the right oneHow postoperative gastric ileus mimics obstruction and leads to unnecessary reoperationsThe five predictable surgical failures caused by “bag thinking”If you judge gastric surgery by absence of leaks, you’ll miss the real failure: loss of function. 🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping): https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    18 min

  6. JAN 27

    Chapter 90 - Part E: Successful Repair, Dead Patient: The Esophageal Surgery Trap

    In this BoardsCast episode, we conclude Tobias Chapter 90 – Esophagus by uncovering the most dangerous misconception in esophageal surgery: 👉 A technically perfect repair does not mean the patient will survive. While most soft-tissue procedures succeed when the incision seals, the esophagus plays by completely different rules. A watertight repair can still lead to aspiration pneumonia, starvation, strictures, chronic dysfunction, and delayed death — often weeks after surgery. This episode reframes esophageal procedures not as “closure surgeries,” but as functional, physiologic, long-term recovery battles. You’ll learn: Why a perfect-looking repair can still result in patient mortalityHow segmental blood supply, constant motion, and absence of a serosa create a failure-prone organWhy the lungs — not the esophagus — kill esophageal surgery patientsThe five predictable deaths: aspiration pneumonia, starvation, subclinical leak progression, pulmonary failure, euthanasiaThe critical role of G-tubes and why nutrition—not sutures—is the strongest survival predictorThe real holding layer, why single-layer closure is preferred, and why patches (omentum, muscle flaps) save livesThe board-relevant trap: confusing anatomical success with functional successEsophageal surgery is not about closing a hole. It’s about ensuring the patient can swallow, breathe, and live long after the x-ray looks perfect. 🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping) https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    14 min

  7. JAN 27

    Chapter 90 - Part D: Leaks, Strictures, and Aspiration: The Delayed Failure Cascade

    In this BoardsCast episode, we continue Tobias Chapter 90 – Esophagus by confronting one of the deadliest assumptions in soft-tissue surgery: “If it’s perforated, just close it.” For the esophagus, that logic is often fatal.  Because of its segmental blood supply, lack of serosa, constant motion, high intraluminal pressure, and heavy contamination, primary closure is frequently the worst possible choice — and in many cases, it guarantees dehiscence. This episode rewrites the mental model of esophageal repair by explaining when NOT to close, when alternative strategies outperform primary suturing, and what the boards want you to recognize instantly. You’ll learn: Why primary closure fails in the esophagus far more than in any other GI organHow ischemia, tension, pressure, and contamination doom repairsWhen “source control first, closure second” is the correct surgical sequenceWhy diversion, stenting, bypassing, or allowing controlled fistula formation may be saferThe high-risk locations where closure never holdsWhy thoracic vs cervical esophageal injuries must be managed differentlyBoard-relevant presentation patterns for leaks, mediastinitis & fatal dehiscenceThis episode teaches you how to stop thinking “repair the hole” and start thinking “preserve the patient.” 🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping): https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    17 min

  8. JAN 27

    Chapter 90 - Part C: Primary Repair Is a Trap: When Closure Guarantees Dehiscence

    In this BoardsCast episode, we continue Tobias Chapter 90 – Esophagus by confronting one of the deadliest assumptions in soft-tissue surgery: “If it’s perforated, just close it.” For the esophagus, that logic is often fatal.  Because of its segmental blood supply, lack of serosa, constant motion, high intraluminal pressure, and heavy contamination, primary closure is frequently the worst possible choice — and in many cases, it guarantees dehiscence. This episode rewrites the mental model of esophageal repair by explaining when NOT to close, when alternative strategies outperform primary suturing, and what the boards want you to recognize instantly. You’ll learn: Why primary closure fails in the esophagus far more than in any other GI organHow ischemia, tension, pressure, and contamination doom repairsWhen “source control first, closure second” is the correct surgical sequenceWhy diversion, stenting, bypassing, or allowing controlled fistula formation may be saferThe high-risk locations where closure never holdsWhy thoracic vs cervical esophageal injuries must be managed differentlyBoard-relevant presentation patterns for leaks, mediastinitis & fatal dehiscenceThis episode teaches you how to stop thinking “repair the hole” and start thinking “preserve the patient.” 🎁 Simini Bonus Claim your free sample of Simini Protect Lavage (just cover shipping): https://www.simini.com/getstarted1620808454519 Listen On: Spotify | Apple Podcasts | Amazon Music

    15 min
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About

  The Simini Boards-Cast is the go-to audio study tool for small animal surgery residents prepping for board exams.  Each episode simplifies high-yield surgical content from trusted sources  — built to help you pass faster and with less stress.  🎧 Audio-based learning for passive study ✂️ Practical relevance for surgical application 🧠 Flashcard-style recaps + board-style questions 📈 Designed with resident + program director input  Whether you're commuting, walking the dog, or post-op, turn that time into surgical mastery.  Subscribe now and get board-ready — fast. 

Information

  • Creator
    Simini Podcasts
  • Years Active
    2025 - 2026
  • Episodes
    93
  • Rating
    Clean
  • Copyright
    © 2026 Simini Boards Cast
  • Show Website
    Simini Boards Cast