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Bleeding before, during or after surgery can significantly compromise the success of surgical procedures and consequently the safety of patients. A large percentage of individuals who undergo surgery have either a form of bleeding disorder or require anticoagulant medication impacting their underlying risk of bleeding. As colorectal surgeons, we must make significant considerations, including assessing the risk of bleeding associated with the specific procedure, timing of interruption and resumption of anticoagulation therapy, and whether to use bridging therapy. Management of intraoperative bleeding can be divided between pharmaceutical (sealants) vs surgical maneuvers. Postoperative bleeding requires prompt identification and management, in the form of further surgery or the involvement of interventional radiology. For this important episode of the AIS channel Colorectal surgical journeys, we have brought together a selected group of experts to go over these important topics that impact decision-making in everyday surgical practice.

1. Welcome and Introduction - Dr. Salvador Morales-Conde (Spain)

2. Anticoagulant therapy before surgery - Dr. Antonio Caycedo (Canada)

3. Intraoperative bleeding: sealants - Dr. April Roslani (Malaysia)

4. Postoperative bleeding suspicion - Dr. Hongwei Yao (China)

5. Postoperative bleeding: embolization - Dr. Fernando Gómez (Spain)

6. Surgical management of the bleeding - Dr. Salvador Morales-Conde (Spain)

7. Panel Discussion - All faculty moderated by Dr. Salvador Morales-Conde (Spain)

Faculty keyboard_arrow_down
Dr. April Roslani MBBCh, MS, FRCS, FACS; Dean, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia Colorectal Surgery
Dr. Antonio Caycedo MD, MSc, FRCS Chief of Colorectal Surgery at Orlando Health, Medical Director for the National Accreditation Program for Rectal Cancer (NAPRC), Professor of Surgery at the University of Central Florida, Adjunct Associate Professor of Surgery at Queen’s University, Associate Clinical Researcher at the Health Sciences North Research Institute (HSNRI), Orlando, USA Colorectal Surgery
AIS Ambassador
Dr. Fernando Gómez Vascular and Interventional Radiology, Hospital Clinic-Hospital Sant Joan de Deu, Barcelona Head Inteventional Oncology Antoni van Leeuwenhoek-Netherlands Cancer Institute, Amsterdam Radiology
Dr. Salvador Morales-Conde MD, PhD, Head, Department of Surgery, University Hospital Virgen Macarena, Past President, Spanish Association of Surgery and European Association of Endoscopic Surgery; President-Elect, European Hernia Society, Spain General Surgery
Dr. Hongwei Yao MD, PhD, General Secretary, Chinese Society of Colorectal Surgery (CNSCRS) Chairman, Chinese Society of TaTME Surgeons (CSTAS) Study chair, Chinese Colorectal Cancer surgery Database (CCCD) Study chair, Chinese TaTME Registry Collaborative (CTRC) Gastroenterology
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