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Eric Knauer Profile
Eric Knauer

@EricKnauerMD

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537
Following
1,509
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9,541
Statuses

Assistant Professor of Surgery-Emory University. General Surgeon, educator. My tweets are my own. How I do anything is how I do everything. PGY25+ @emorysurgery

Atlanta, GA
Joined March 2013
Don't wanna be here? Send us removal request.
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@EricKnauerMD
Eric Knauer
2 years
Thank you for publishing this, 10 min read. I’ll be happy to discuss or answer any questions about it. @ISorianoMD @rbarbosa91 @CPark_MD @SAGES_Updates @VNikolian @JJcolemanMD @DissanaikeMD @SLBachman @Sharpknife_Aziz @KeithDelman
@gensurgnews
General Surgery News
2 years
“At the end of my intern year, I was very fortunate to be given the opportunity to go to a new program where I still worked very long hours but was treated like a surgery resident should be treated.” Eric Knauer, MD. @EricKnauerMD @EmorySurgery
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@EricKnauerMD
Eric Knauer
2 years
Trocar trajectory is critical. They may be 8cm apart on the skin,but if your angles are not right they will be too close on the inside and “hand cuff” you. Torquing to the target also results in hernias and pain. For Robo cases I’ve started saying PPP (parallel port placement).
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@EricKnauerMD
Eric Knauer
2 years
Look at this vessel in fossa that can ruin your day. Some stone debris. Bonus is I reveal one of my Knauer attending moves if you watch the entire clip (18s) @mj_pucci @cutitoutPODCAS1 @VNikolian @DissanaikeMD @SAGES_Updates @rdrummond @ISorianoMD @CPark_MD @rbarbosa91
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@EricKnauerMD
Eric Knauer
5 months
Have a great weekend everyone! Never saw a closed loop sbo like this before!! @rbarbosa91 @VNikolian @CPark_MD @OMGhanemMD @SAGES_Updates @EzraTeitelbaum @MISIRG1 @Cirbosque
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@EricKnauerMD
Eric Knauer
2 years
Another intern advice thread. Somewhere in Bellevue I was told: 1. Always listen to your chief 2. Never lie 3. Never screw up a pre-op Adding @ericpaulimd ‘s Next 3 minutes. Good luck new interns! @Sharpknife_Aziz @CPark_MD @SAGES_Updates @EzraTeitelbaum @TsengJennifer
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@EricKnauerMD
Eric Knauer
2 years
1. Appy trocar placement thread People ask me where I place trocars for a lap appy and my answer is it depends. Standard is supraumbilical cut down and two lower midline 5mm @SAGES_Updates @rbarbosa91 @CPark_MD @MISIRG1 @Cirbosque @DissanaikeMD @ericpaulimd @FilipinoSurgeon
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@EricKnauerMD
Eric Knauer
2 years
“Internal hernia of gallbladder”. I’ve seen this before where the cystic artery courses over the lower body of the gb. Made infundibulum look like a node or mass that was stuck to duo. @ISorianoMD @DissanaikeMD @thefighter_sm
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@EricKnauerMD
Eric Knauer
3 years
I avoid jejunostomy feeding tubes whenever possible but if I have to place one I don’t Witzel. Pic from basicmedicalkey. @SAGES_Updates @ericpaulimd @rbarbosa91 @CPark_MD @Sharpknife_Aziz
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@EricKnauerMD
Eric Knauer
2 years
When you do a small bowel resection and anastomosis always check the small bowel orientation to try to reduce kinking. Sometimes it kinks anyway. Not a debate on stapled, hand-sewn, iso, anti, etc..
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@EricKnauerMD
Eric Knauer
1 year
I bought ‘Better’ by @Atul_Gawande a while ago but had not started reading until this week.I have one chapter to go. A great book, add to your reading list. @ronhekier @rbarbosa91 @VNikolian @CPark_MD @SAGES_Updates @DissanaikeMD @ericpaulimd @mj_pucci
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@EricKnauerMD
Eric Knauer
1 year
Have a great weekend. Not sure if I shared these. GB was strangulated by the cystic artery. Liver not normal either. @rbarbosa91 @CPark_MD @VNikolian @mj_pucci @ezrateitlebaum @DissanaikeMD @SAGES_Updates @FedeSerrotMD @rdrummond @FilipinoSurgeon @ericpaulimd
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@EricKnauerMD
Eric Knauer
3 years
Critical View of Safety from ‘04 a year into practice for me. CVS was not well known at the time. I saw it described for the first time in Dr Strasberg’s chapter, 7th ed of Cameron. #safechole @mj_pucci @EzraTeitelbaum @cutitoutPODCAS1 @rbarbosa91 @DissanaikeMD @SAGES_Updates
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@EricKnauerMD
Eric Knauer
1 year
If you do cholecystectomies, watch at least the first 10 min of the incredible unedited video to see why the line of safety is so important #safechole @cutitoutPODCAS1 @mj_pucci @FedeSerrotMD @SAGES_Updates @DissanaikeMD @rbarbosa91 @VNikolian @CPark_MD @BehindTheKnife
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@EricKnauerMD
Eric Knauer
2 years
Question: In a patient with SMA embolism and mesenteric ischemia how long until small bowel ischemia is irreversible. How long until bowel perforates (2nd question)? @rbarbosa91 @CPark_MD @DissanaikeMD @DissanaikeMD @BBankheadMD @SAGES_Updates
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@EricKnauerMD
Eric Knauer
1 year
Have a great weekend! Narrated I made for trainees showing my robotic slip knot technique Part 1 @VNikolian @AnkitPatelMD @sdavis81 @EzraTeitelbaum @Herniadoc @herniabarbie @SAGES_Updates @OMGhanemMD @EmorySurgery
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@EricKnauerMD
Eric Knauer
2 years
Have a great weekend!! #EGS @AnkitPatelMD ⁩ ⁦ @rbarbosa91 ⁩ ⁦ @CPark_MD ⁩ ⁦ @VNikolian ⁩ ⁦ @DissanaikeMD ⁩ ⁦ @SAGES_Updates ⁩ ⁦ @Mike_TruittMD ⁩ ⁦ @MISIRG1 ⁩ ⁦ @me4_so
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@EricKnauerMD
Eric Knauer
2 years
Here it is, very humbled to be recognized like this. #residenteducation
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@EdLinEmory
Edward Lin
2 years
At the @CarterCenter and @EricKnauerMD gets 2022 @EmorySurgery Jr Resident Faculty Teaching Award! So many pearls from such an amazing surgeon and faculty. I'm still learning from him. @EmoryMidtown @jpsteinberg @WellstarHealth @EmoryMedicine #WHEA Fellow @GaSACS
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@EricKnauerMD
Eric Knauer
2 years
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@EricKnauerMD
Eric Knauer
3 years
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@EricKnauerMD
Eric Knauer
11 months
Be sure to register for the webinar Competency in Safe Cholecystectomy: Pre, Intra, and Post-Operative Strategies @SAGES_Updates @EzraTeitelbaum @rbarbosa91 @VNikolian Maybe I will wear my cape!!
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@EricKnauerMD
Eric Knauer
1 year
More trocar trajectories: When lysing adhesions from the ab wall they need to be lateral and directed up towards the ab wall. If they are too medial, too close to the adhesions, and pointed down its difficult to get the angle you need @FilipinoSurgeon @rbarbosa91 @VNikolian
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@EricKnauerMD
Eric Knauer
2 years
Trocar trajectory is critical. They may be 8cm apart on the skin,but if your angles are not right they will be too close on the inside and “hand cuff” you. Torquing to the target also results in hernias and pain. For Robo cases I’ve started saying PPP (parallel port placement).
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@EricKnauerMD
Eric Knauer
10 months
Patient has a 2cm obvious back lipoma. I’m going to make a transverse incision to excise in the office. Where would you inject the local, which local, what needle? Post a picture. @VNikolian @SAGES_Updates @Cirbosque @MISIRG1 @DerbyPBunit @teachmesurgery @EzraTeitelbaum
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@EricKnauerMD
Eric Knauer
1 year
I was really grateful to be recognized by our amazing graduating Chief residents and given this “Captain Chole” cape last weekend. @rbarbosa91 @CPark_MD @VNikolian @SAGES_Updates @FilipinoSurgeon @rdrummond @EzraTeitelbaum @DissanaikeMD @ericpaulimd @OMGhanemMD @cutitoutPODCAS1
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@EricKnauerMD
Eric Knauer
2 months
Great video showing all layers of the abdominal wall during optical entry for laparoscopy. I always say any lap surgery starts with safe access.
@FilipinoSurgeon
Ian S Soriano 🇵🇭
2 months
Direct gasless optical entry in Palmer’s point - one of the many ways to gain initial access in #MIS . What is your primary method and which area? What’s your back-up? @mj_pucci @OMGhanemMD @EricKnauerMD @AnkitPatelMD @HPB_Surgeon
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@EricKnauerMD
Eric Knauer
7 months
Critical View of Safety 1.Hepatocystic triangle cleared of fat and fibrous tissue 2.Lower 1/3 of gb dissected from cystic plate 3.Two structures entering the gb Frequently in cases of BDI the op note says CVS achieved. #safechole @mj_pucci @cutitoutPODCAS1 @FilipinoSurgeon
@DissanaikeMD
Sharmila Dissanaike
5 years
Thanks @HPB_Surgeon for this reminder of what the Critical View of Safety in lap chole actually is. Often see the term used inappropriately, when only the first criterion has been met
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@EricKnauerMD
Eric Knauer
2 months
Subtotal chole, fenestrating vs reconstituting (check tweet in first photo). #safechole @SAGES_Updates @cutitoutPODCAS1 @FedeSerrotMD @jennifermov @EzraTeitelbaum
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@EricKnauerMD
Eric Knauer
3 years
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@EricKnauerMD
Eric Knauer
2 years
Looking for 4 things on GB US 1. Are there stones 2. Gallbladder wall thickness measurement 3. Is there pericholecystic fluid 4. What is the CBD diameter? Another other info needed? @mj_pucci @CPark_MD @DissanaikeMD @ISorianoMD Classic posterior acoustic shadowing here.
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@EricKnauerMD
Eric Knauer
8 months
Defining Biliary Hyperkinesia and the Role of Cholecystectomy Kartik, Akash MBBS; Jorge, Irving A MD, MBA, FACS; Webb, Christopher MD; Lim, Elisabeth S MPH; Chang, Yu-Hui MS, PhD; Madura, James MD, FACS
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@EricKnauerMD
Eric Knauer
3 years
@SAGES_Updates @ChaseSurgical @Sharpknife_Aziz Surgeon’s knot, overrated or essential for surgery? I rarely ever throw one, it’s granny style for me usually. Apparently important in the fishing community according to The Google.
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@EricKnauerMD
Eric Knauer
1 year
Back to making a few hats. Including one for me.
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@EricKnauerMD
Eric Knauer
2 years
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@EricKnauerMD
Eric Knauer
2 years
4 years ago I left one work family and joined another. Thank you Dr Sweeney for bringing me to @EmorySurgery . Here’s a little chapter we wrote when I was his MIS fellow. Thanks @EdLinEmory #midcareerchange
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@EricKnauerMD
Eric Knauer
11 months
Put this one in your surgery toolbox.
@OMGhanemMD
Omar M Ghanem
11 months
When knot is under tension, there is a solution.. 🤖🤖 @SAGES_Updates @MISIRG1 #SurgTwitter #SurgEd
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@EricKnauerMD
Eric Knauer
3 years
A school in Atlanta requires masks and has eligible students and teachers that get vaccinated. They tested all students and teachers pre-k thru 6th for COVID. Zero positive tests. Zero. Masks work, vaccines work. #WearAMask #GetVaccinated @CarlosdelRio7
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@EricKnauerMD
Eric Knauer
3 years
A dedicated OR for emergency cases improved quality of care by decreasing cancellations and overruns in elective rooms and increasing the proportion of priority 3 patients who accessed care within the targeted time ⁦ @EdLinEmory ⁩ ⁦ @jpsteinberg
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@EricKnauerMD
Eric Knauer
2 years
@MISIRG1 @pferrada1 @Cirbosque @DissanaikeMD @mj_pucci @SWexner @almagoch @CirujanoGZ @rafagdiazgobbo @cjGomez22 @EzraTeitelbaum @cutitoutPODCAS1 @YoKawaguchiUT If night is 11pm to 7am then only in unusual circumstances. During that time period OR capacity should be reserved for true emergencies, which a cholecystectomy is not.
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@EricKnauerMD
Eric Knauer
2 years
A - just outside apex
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B - right at apex
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C - just inside apex
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D - anchor stitch in apex
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@EricKnauerMD
Eric Knauer
8 months
I did not buy this but may need to go back and get it.
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@EricKnauerMD
Eric Knauer
2 years
@ericpaulimd
Eric Pauli
3 years
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@EricKnauerMD
Eric Knauer
2 years
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@EricKnauerMD
Eric Knauer
2 years
Experience counts. When I was a resident, an attending at a small hospital we rotated thru liked to bend the needle when injecting local. the needle broke off in the deep sq on a large pt and we had a difficult time finding it. Don’t bend the needle, it works fine as is.
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@EricKnauerMD
Eric Knauer
2 years
Different patients. Im not ready to ban plugs yet, but choose your space. Outside or inside. Placing plug during open repair disrupts preperitoneal planes. @sdavis81 @AnkitPatelMD @nychernia @VNikolian @SLBachman @rbarbosa91 @muellermincey
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@EricKnauerMD
Eric Knauer
3 years
From almost a year ago but a good one. Here’s a teaser, I’ll try to get full video up later. WWYD? @mj_pucci @cutitoutPODCAS1 @EzraTeitelbaum @EHechenbleikner @SAGES_Updates @Cirbosque @FedeSerrotMD #safechole
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@EricKnauerMD
Eric Knauer
1 year
@SPerdawood Doesn’t matter, unless you are going to be placing a stoma. However, I prefer a more gradual incision around the umbilicus, rather than sharp corners.
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@EricKnauerMD
Eric Knauer
4 years
@MISIRG1 @Cirbosque @cutitoutPODCAS1 @ChaseSurgical The question of duration of antibiotics for intra-abdominal infection comes up frequently. The STOP-IT trial is a must read. Link: Credit to Mathieu Larouche for the first pic.
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@EricKnauerMD
Eric Knauer
1 year
Congratulations to this amazing chief resident class!! ⁦ @EmorySurgery ⁩ ⁦ @EmoryMedicine
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@EricKnauerMD
Eric Knauer
2 years
@samsfeelinggood Besides paging @ericpaulimd my only contribution here is that everyone calls a tube that goes into the GI tract a PEG tube. Even if this is a surgically placed gastrostomy or jejunostomy tube or a tube placed in IR.
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@EricKnauerMD
Eric Knauer
2 years
Look at this awesome group. A productive day for robotic hernia repair for the MIS fellows. knowledge @SAGES_Updates @AnkitPatelMD @SG_Surgery @Abubake25464671 @Chai_Christy (Yes I’m in there, it’s me, not one of the fellows)
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@EricKnauerMD
Eric Knauer
2 years
Started in practice 20 years ago today. Was a Friday and I was on call for the weekend. I took off the entire month of July after finishing fellowship, a great choice if you can do that.
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@EricKnauerMD
Eric Knauer
1 year
Have a great weekend! Awesome resident robotic surgery course today! @SAGES_Updates @jcdelo @AnkitPatelMD @jocburke13 @jackwecowskimd
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@EricKnauerMD
Eric Knauer
1 year
Great group of fellows and residents for @SAGES_Updates robotics course. @AnkitPatelMD @jocburke13 @jackwecowskimd
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@EricKnauerMD
Eric Knauer
4 years
@EzraTeitelbaum @Cirbosque @MISIRG1 Since I didn’t get any video of my lap CBDE today (despite hitting record) I’ll share this clip of a recent transcystic L-CBDE.
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