Chest Wall Injury
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In this episode of the AAST Cutting Edge Podcast, host Dr. Caroline Park and co-moderator Dr. Susan Kartiko are joined by Dr. Christina Colosimo and guest Dr. Ron Gross, a foundational figure in chest wall injury surgery and original author of three ACS courses, to discuss surgical rib fixation and the evolving management of chest wall injuries. Dr. Gross traces the field from its earliest skeptics to the robust body of evidence now supporting SSRF in appropriately selected patients, grounded in his own career-defining experience with a flail chest patient in 2005 that shaped everything that followed.
The conversation covers the ACS Best Practice Guidelines for chest wall injuries released in November, indications for SSRF, how to build a multidisciplinary rib fixation program from the ground up, and where to send patients when your center is not yet equipped to operate. The episode closes with a candid look at cryoablation, its promise, its pitfalls, and why abdominal wall herniation may quietly reshape its future in chest wall care.