In this episode of the Surgical Assistant Podcast, Kelly and John welcome surgical educator, author, and former ASA vice president Rebecca Hall to discuss strengthening surgical assisting through education, resources, and professional standards. Rebecca explains how her pocket guide, Suture and Surgical Hemostasis (2nd edition), grew from teaching tools she created for students, and why updates like mesh, new sutures, and evolving technology matter for assistants making real-time closure decisions. They also cover The Practice and Principles of Surgical Assisting (2025), inspired by Karen Ludwig’s vision for an ASA-based textbook written by surgical assistants to better reflect OR realities. The conversation highlights ethics, scope of practice, independent practice, gaps in hands-on training and access to H&Ps/EHRs, and the need for more relevant CE content created by working assistants.

https://www.amazon.com/Suture-Surgical-Hemostasis-Pocket-Guide/dp/1416022473https://www.amazon.com/Practice-Principles-Surgical-Assisting/dp/126426437200:00 Welcome and Guest Introduction

.01:52 Rebecca's Background and Credentials

02:57 Location Update to Ohio

04:23 Creating the Suture Pocket Guide

05:43 Importance of Suture Knowledge

07:51 Second Edition Updates09:04 The Surgical Assisting Textbook

09:27 Karen Ludwig's Legacy

10:46 Need for More Resources

11:52 Ethics and Scope of Practice

14:21 Standing Up for Your Limits

15:46 Creating Resources for the Field

17:44 Available Textbooks and Materials

19:21 Improving Surgical Assistant Education

20:41 Improving CE Courses

21:42 Writing CE Articles

23:23 Sharing Knowledge and Experience

24:14 Defining Excellence in Surgical Assisting

26:26 Learning Surgeonese

27:55 Patient History and H&Ps

30:20 Epic Access for Assistants

32:27 Discussing Surgical Technique

33:55 Education Program Challenges

37:15 Hands-On Training Standards

38:54 Hospital Utilization Issues

40:59 Closing Thoughts and Resources

Kelly and John continue their hernia series with a practical discussion of hiatal and paraesophageal hernias for surgical first assistants, clarifying the four types (type I sliding vs types II–IV paraesophageal/giant) and why case details matter for preparation. They review key anatomy and risks near the hiatus (including aorta, pleura, vagus nerves, short gastrics) and emphasize reading the H&P, communicating with the surgeon, and anticipating equipment needs. John walks through major laparoscopic steps and common variations, including hernia sac reduction, mediastinal dissection, crural closure (EndoStitch vs swedged-on needle), bougie sizing, mesh options, Penrose for esophageal retraction, and Nissen vs Toupet fundoplication, plus complications like dysphagia, gas bloat, and pneumothorax. Kelly adds robotic setup considerations such as docking, port placement, AirSeal, instrument choices, and liver retraction options.

Robotic ApproachVideo by Dr. David Lourie:https://youtu.be/UfRGXkUY0ew?si=xAMjVgFa8Uzt95wg

Robotic approach (SAGES) by Caitlin Houghton

https://youtu.be/GbdQVAmRXro?si=XBzFY-kQCkHERqQV

Laparoscopic Approach:

https://youtu.be/7XmBH39KzcA?si=3JEHL42Vz7YDcQdx

https://youtu.be/4_ED29Dt-Bg?si=2yzxZSelMW8gQh6H

https://youtu.be/4_ED29Dt-Bg?si=USIUC5JT-4vn3g-x

In this episode of the Surgical Assistant Podcast, John and Kelly break down ventral, umbilical, and incisional hernias from the surgical first assistant’s point of view, focusing on anatomy, how defects form, and why risk factors like obesity, pregnancy, smoking, diabetes, prior surgery, increased intra-abdominal pressure, and especially wound infection matter for recurrence and outcomes. They review common presentations (pain, bulge), the role of clinical exam and CT imaging, and clarify reducible vs incarcerated vs strangulated hernias and why urgent cases are about freeing compromised bowel. The discussion includes operative considerations such as exposure, protecting bowel, lysis of adhesions, defect measurement, mesh sizing and handling, suture choices, open primary vs open mesh repairs, and robotic positioning tips, plus a practical “vacuum pack/space bag” umbilical dressing technique to help reduce seroma formation.

Kelly and John discuss John’s experience attending the Maddox Trauma Critical Care and Acute Care Surgery Conference and the Medical Disaster Response conference in Las Vegas, highlighting why these events are valuable for surgical assistants. John shares meeting Dr. Kenneth Maddox and keynote speaker Dr. Frank Butler, and explains how the conference offers cutting-edge trauma, acute care, and disaster-response education, panel Q&As, vendor innovations, and substantial CE opportunities. They cover practical logistics and cost-saving strategies such as early registration, requesting discounted rates, hotel deals, possible hospital reimbursement, and combining the trip with a vacation. John also notes key takeaways like ransomware preparedness, AI in the OR, ongoing debates such as REBOA, and recommends a reusable bowel suturing simulator from LifeLike BioTissue for at-home practice.

For Information on the Mattox Conference:

https://www.trauma-criticalcare.com/

For Lifelike 2 layer Bowel Simulated Tissue:

https://lifelikebiotissue.com/

John interviews co-host Kelly about her experience at the recent joint ASA/NSAA conference in Atlanta, which sold out with 173 attendees and over 200 including vendors. Kelly explains the typical conference flow, from Friday registration and optional pre-conference workshops to the State of the Association updates and keynote, followed by Saturday’s scientific sessions, vendor hall networking, and raffles. She shares highlights including a stapling technologies workshop with historical devices, standout vendor products like the SYLK incision dressing, and impactful talks on complex deformity correction, colorectal surgery, bariatric duodenal switch, wound closure principles, and neurosurgical considerations. Kelly notes strong professional energy, cross-mingling between organizations, progress toward unification under the American Academy of Surgical Assistants, and announces next year’s conference in Tampa, April 16–17, 2027.

In this episode of the Surgical Assistant Podcast, host John interviews Dr. Terry Herring, division chair for surgical services and director/founder of the Fayetteville Technical Community College (FTCC) Surgical First Assistant program, launched in 2019. Herring explains the program is entirely online with a paid, work-based learning clinical component where students count cases at their current employer under surgeon preceptorship. Admission requires candidates to be credentialed surgical technologists and already hold an associate degree. They discuss certification expectations, professional organization membership, and why SFA roles are growing as a cost-effective hospital model.

For Information of enrolling in FTCC's SFA program or program questions please contact Dr. Herring at:

herringt@faytechcc.edu

Welcome to Season 2 of the Surgical Assistant Podcast!

In this episode, Kelly and John dive into the world of hernias, starting with inguinal hernias. They discuss the basics of what a hernia is, the differences between direct and indirect inguinal hernias, and highlight key anatomical landmarks. They also touch on the historical evolution of hernia surgery and offer practical tips on prepping and draping for these procedures. Stay tuned for insights on mesh types, surgical techniques, and more to keep you informed and at the top of your game in the OR. Don't forget to like, comment, and subscribe to stay updated with our latest episodes!

00:00 Welcome to Season Two

00:30 Introduction to Hernia Series

01:22 Understanding Hernias

03:44 Inguinal Hernia Anatomy

05:07 Direct vs Indirect Hernias

09:22 Hernia Repair Techniques

11:39 Historical Evolution of Hernia Surgery

14:24 Anatomical Landmarks and Surgical Considerations

14:40 Triangle of Pain and Triangle of Doom

17:17 Robotic and Laparoscopic Approaches

25:06 Critical Anatomy in Hernia Surgery

25:33 Regional Variations in Surgical Techniques

26:23 Prepping and Draping for Inguinal Hernia Surgery

32:10 Open Inguinal Hernia Repair: Step-by-Step

34:43 Mesh Types and Techniques in Hernia Repair

39:21 Robotic and Laparoscopic Hernia Repair

42:26 Tips and Tricks for Surgical Assistants

49:02 Conclusion and Upcoming Events

Welcome to another episode of the Surgical Assistant Podcast! Join John and Kelly as they sit down with Dan Payson and Lou Magrone from Allstar Surgical Assist, a New Jersey-based company aiming to revolutionize the field of surgical assisting. This episode delves into the innovative billing model introduced by Allstar Surgical Assist, which sets out to provide a game-changing solution for independent surgical assistants. Learn how this model alleviates the common headaches tied to insurance reimbursements and variability in income, allowing surgical assistants to control their schedules and focus on what they do best. Listen in as Dan and Lou share their insights, the onboarding process, and how they support providers in growing their own first assist businesses. This episode is jam-packed with valuable information for anyone in the surgical assisting field or those considering making the switch to an independent practice. Don't forget to check out the links in the description for more information!

https://allstarssurgical.com

info@allstarssurgical.com