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🔪 Let’s talk openly about vascular injuries. A question to operating surgeons: How often did you injure vessels at the beginning of your surgical career? And how often does it happen now? Most of us follow a familiar curve — the complication curve. We don’t always talk about it, but we all experience it. ⸻ 📉 The first peak — early in training. At the start, your hands are unsure, the anatomy feels like an unfamiliar map. You miss a branch, apply tension at the wrong angle, underestimate the risk. The result? Intraoperative bleeding, anxiety, maybe even panic. 📈 Then comes experience. Your movements become deliberate, your technique refined, and the anatomy — familiar. You develop caution. Situational awareness. And the rate of vascular injuries drops significantly. 📉 But then comes the second peak. Strangely enough — not due to inexperience, but due to confidence. Now you know the anatomy intimately, your hands are quick, your skills precise. But that very confidence brings a new kind of risk: the belief that you can handle any bleeding. And that’s when injuries start to happen again — not because you don’t know, but because you’re sure you’ll manage. ⸻ 🧠 What helps? — Reminding yourself that anatomy varies. — Approaching every case as unique. — Recognizing that overconfidence can be just as dangerous as fear. ⸻ 💬 So, colleagues — what about you? Have you experienced that second peak of vascular injuries — after you already considered yourself a confident surgeon? 👇 Share your thoughts — real surgical wisdom grows in conversations like this.