Simini Boards Cast

Simini Podcasts
  • 5.0 (2)
  • EDUCATION

  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. 20H AGO

    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

  2. 20H AGO

    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

  3. 20H AGO

    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

  4. 20H AGO

    Chapter 90 - Part B: Timing Kills: Why Esophageal Surgery Is a Race Against Biology

    In this BoardsCast episode, we continue Tobias Chapter 90 – Esophagus with the single most unforgiving truth in esophageal surgery:  timing is life — or death. Unlike intestine, skin, or stomach, the esophagus has almost no reserve capacity. Ischemia begins early. Contamination happens instantly. Dehiscence is common. Delays are catastrophic. Every minute between injury, diagnosis, stabilization, and intervention influences whether the patient lives — or whether the esophagus fails. This episode breaks down the physiology, the timeline, and the surgical reasoning behind why esophageal emergencies must be approached with urgency and precision. You’ll learn: Why esophageal tissue becomes ischemic faster than any other GI segmentHow delays lead to necrosis, mediastinitis, and fatal contaminationWhy timing is different in foreign bodies, perforations, strictures, and caustic injuryWhen stabilization helps — and when it killsThe “esophageal clock” the boards expect you to know coldWhy even a perfect closure fails if performed too lateHow timing determines leak rates, stricture formation, and mortalityThis episode builds the surgical decision-making framework required for every esophageal emergency. 🎁 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

  5. 20H AGO

    Chapter 90 - Part A: The Esophagus Is Not a Tube: Why It Fails So Easily

    In this BoardsCast episode, we begin Tobias Chapter 90 – Esophagus by dismantling the biggest misconception in thoracic and cervical surgery: The esophagus is NOT a simple tube. It is the worst organ in the body to suture, the least forgiving of trauma, and the most prone to catastrophic postoperative failure. Understanding why the esophagus fails — anatomically, mechanically, physiologically — is essential for both board exams and real-world surgical decision-making. You’ll learn: Why the esophagus lacks serosa — and why that alone changes everythingHow segmental blood supply makes healing unpredictableWhy tension, motion, swallowing pressure, and contamination doom repairsDifferences between cervical vs thoracic esophagus (boards love this)Why dehiscence, strictures, and fistulas are the rule, not the exceptionHow to build a mental model of esophageal failure before you ever pick up a scalpelWhat “you should not operate on the esophagus unless absolutely necessary” really meansThis episode gives you the foundational mental model you need before learning techniques, closure patterns, or clinical indications. 🎁 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

  6. 5D AGO

    Chapter 89 - Part E: Successful Resection, Failed Patient: The Jaw Surgery Trap

    In this BoardsCast episode, we conclude Tobias Chapter 89 - Mandibulectomy and Maxillectomy with a hard surgical truth:  a perfectly executed jaw resection can still leave you with a failing patient. In jaw oncology, the resection is only half the operation. The other half is biomechanics, alignment, occlusion, airway, soft-tissue tension, salivary contamination, nerve disruption, and postoperative function. When those pieces don’t align, a “successful” surgery quickly becomes a clinical failure. This episode exposes the hidden traps behind mandibular and maxillary resections and explains why function—not margins—is the true determinant of success. You’ll learn: Why biomechanical destabilization is the #1 cause of postoperative failureHow loss of occlusion leads to drift, malalignment, and feeding dysfunctionWhy maxilla and mandible fail in completely different waysHow tension, saliva, and muscle imbalance sabotage reconstructionBoard-relevant patterns of lingual nerve injury, mandibular drift, palatal defects & oronasal communicationWhy reconstruction sometimes increases failure risk instead of preventing itPractical strategies to keep your resection from becoming a disasterThis episode teaches you how to prevent the functional failures that occur after the margins are clean. 🎁 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

  7. 5D AGO

    Chapter 89 - Part D: Reconstruction vs Second Intention: When Fixing the Defect Makes Things Worse

    In this BoardsCast episode, we continue Tobias Chapter 89 - Mandibulectomy and Maxillectomy by exploring one of the most counterintuitive truths in maxillofacial surgery: Sometimes, the worst thing you can do is “fix” the defect. After mandibulectomy or maxillectomy, reconstruction may seem like the right choice — but in many cases, reconstruction creates more complications than it prevents. Between tension, necrosis, infection, occlusal mismatch, airway compromise, and mechanical failure, repairing the defect can turn a stable patient into a failing one. This episode explains when to reconstruct, when not to, and how to decide — exactly what the boards expect you to understand. You’ll learn: Why reconstruction can worsen biomechanics, occlusion, or airway functionWhen second intention healing provides a superior biologic outcomeFlap choices: axial, local, regional, and when each failsThe mechanical traps of tension, dead space, and unstable load transferWhy maxilla vs mandible defects heal differentlyHigh-risk situations where reconstruction predictably failsBoard-relevant case patterns involving partial vs segmental jaw defectsThis episode teaches you to stop thinking “fill the hole” and start thinking “optimize function and healing.” 🎁 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

  8. 5D AGO

    Chapter 89 - Part C: Maxillectomy Isn’t Mandibulectomy: Why the Upper Jaw Fails Differently

    In this BoardsCast episode, we continue Tobias Chapter 89 - Mandibulectomy and Maxillectomy by breaking down a critical but often misunderstood reality: maxillectomy is not mandibulectomy. The upper jaw functions differently, carries load differently, fails differently, and requires an entirely separate mental model for planning and reconstruction. Unlike the mandible — a mobile, curved beam with bilateral musculature — the maxilla is a fixed structural platform integrated with the nasal cavity, sinuses, orbit, and hard palate. Resections here change airway dynamics, occlusion, cosmetic appearance, and skull biomechanics in ways mandibular surgery simply does not. You’ll learn: Why maxillary mechanics are fundamentally different from mandibular mechanicsHow defects destabilize nasal airflow, sinuses, and palatal supportWhy cosmetic distortion is predictable — and unavoidableHow bone invasion patterns differ between mandible and maxillaWhat determines postoperative function (and dysfunction)Why reconstruction is about partitioning, not load-bearingHigh-yield board patterns involving SCC, fibrosarcoma, melanoma & acanthomatous lesions in the maxillaIf mandibulectomy is about load dynamics, maxillectomy is about anatomical compartments — and understanding those differences is the key to success. 🎁 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
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Ratings & Reviews

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out of 5
2 Ratings

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
    88
  • Rating
    Clean
  • Copyright
    © 2026 Simini Boards Cast
  • Show Website
    Simini Boards Cast