All these years that I have been a surgeon, the time that I most dread is when I open a patient after so much deliberation, diagnostics and sleepless nights.We really do not like to be surprised by a different finding intra-operatively. The reason why patients undergo so much work-up before surgery is because we are trying to answer all the "what ifs" under heaven. You cannot imagine how much anxiety a surgeon feels when intraoperatively he finds a different ball game. That is why, an experienced surgeon is the most sought after operator there is. We do not have the luxury to open books or ask our colleagues when we are in the middle of a surgery. The buck stops in our hands.
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