Advances In Surgery Channel

Published by Sara Nogueira Antonio M Lacy, MD PhD FACRS (Hon) Chief of Gastrointestinal Surgery AIS Channel President Clinical Case A 54 year-old female patient, with no important surgical or medical history, besides smoking, presents to the emergency department with low fever and gluteal pain. Physical exploration identifies a gluteal abscess and complementary imaging exams […]

Heather Hampel, MS, LGC Ohio State University Researcher Columbus, Ohio, USA Lynch Syndrome is an hereditary condition that entails a higher risk of colorectal cancer, endometrial cancer and other cancers. The main genetic feature is the presence of mutations in MMR genes leading to microsatellite instability (MSI). In this lecture, Dr. Heather Hampel guides us […]

Jordi Farguell Piulachs General Surgery Resident Hospital Clinic, Barcelona (Spain) Surgical site infections Surgical site infection is a type of healthcare-associated infection in which a wound infection occurs after an invasive (surgical) procedure.  Following the CDC criteria for SSI, the definition of surgical site infection is:   Date of event occurs within 30 days after any […]

Dr. Carolina Gonzalez-Abós Department of Gastrointestinal Surgery Hospital Clinic, Barcelona (Spain) It is important to provide correct nutritional support for patients with upper GI obstruction or neurological diseases. Different approaches can be taken to provide these patients with optimal nutrition. In this open classroom we will talk about the possibility of using feeding stomas and […]

Ana Otero Gastrointestinal Surgery Consultant Raquel Bravo Gastrointestinal Surgery Consultant Hospital Clinic, Barcelona (Spain)   We present an 81-year-old patient, with no known drug allergies, with a history of a labial neoplasm and a childhood TB who currently has a sigmoid colon neoplasm. Due to alterations in the depositional rhythm, a colonoscopy was performed that […]

Sara Tavares Nogueira, MD General Surgery Specialist AIS Channel Medical Team Introduction Esophageal cancer is the ninth most common cancer and the sixth most common cause of cancer death worldwide. The esophagus is a long structure, about 40cm long, that connects the pharynx to the stomach, allowing the ingested food to move forward. Surgically, it […]

Roser Termes Serra General Surgery Resident Hospital Clinic (Barcelona, Spain) Surgical site infection (SSI) can be defined as an infection that occurs in a wound created by an invasive surgical procedure within 30 days from the procedure, or within 90 days if prosthetic material was implanted. This definition includes a wide range of surgical infections, from […]

Antonio M. Lacy (Director of Department of Gastrointestinal Surgery) Marta Jiménez Toscano (Gastrointestinal Surgery Specialist) Hospital Clínic, Barcelona – Spain Case TaTME is not only a surgical technique: it is a new way to provide rectal cancer or rectal non-oncological treatment. TaTME involves different situations, which require different surgical steps and instruments. Each procedure needs […]

Joep Knol (Surgery Department) Jessa Hospital, Belgium Antonio M Lacy (Director of Department of Gastrointestinal Surgery) María Fernández-Hevia (Gastrointestinal Surgery Specialist) Hospital Clínic, Barcelona This video is focused in the main steps for combined transanal and transabdominal approach for rectal cancer, highlighting the most frequent mistakes and how to prevent them. Following the oncological principles, the first […]

F. Borja de Lacy Gastrointestinal Surgery Specialist Hospital Clinic, Barcelona, Spain   Several studies have shown improved survival outcomes in selected patients with peritoneal carcinomatosis of colorectal origin treated with cytoreductive surgery and HIPEC, as opposed to a treatment based on systemic chemotherapy alone. However, the most recent studies concerning oxaliplatin-based HIPEC have shown unexpected […]

Silvia Valverde, MD Gastrointestinal Surgeon Hospital Clinic, Barcelona (Spain) Pancreatic neuroendocrine tumors (P-NETs), or islet cell tumors, arise from pluripotent pancreatic exocrine cells and are relatively uncommon. Their incidence is estimated at fewer than 1 per 100,000 persons per year in Europe and Asia and has increased in recent decades, probably due to modern imaging […]

Romina Pena, MD Junior Attending, General Surgery Hospital Clinic, Barcelona (Spain) INTRODUCTION Anastomotic leaks are among the most devastating complications following colorectal resection. Despite improvements in preoperative preparation, surgical technique and postoperative care, complications varying from surgical site infection (SSI) to anastomotic leakage are still a heavy burden in colorectal surgery.  As to why they […]

Gabriela Moslein Professor of Surgery Department Head of the Center for Hereditary Tumors University of Witten-Herdecke After 15 weeks we reached the last lecture of our Ileal Pouch Series. Dr. Gabriela Moslein MD discusses the role of the continent ileostomy and explains, step by step, how to construct it. Although created decades ago, this Kock […]

Víctor Turrado-Rodríguez (Gastrointestinal surgery specialist) Dulce Momblan (Gastrointestinal Surgery Senior Specialist) Hospital Clínic, Barcelona – Spain As explained in previous chapters, fundoplication is routinely performed during paraesophageal hernia repair to prevent postoperative gastroesophageal reflux and to reinforce the repair to prevent recurrence. However, the choice of the best fundoplication technique is still controversial, and a […]

Mario Trejo Huamán General Surgery National University of San Marcos (Lima, Perú) Yeray Trujillo Loli General Surgery National University of San Marcos (Lima, Perú) WHAT YOU WERE AFRAID TO ASK ABOUT THE SURGICAL ANATOMY OF THE PERITONEUM: What is the Omental Bursa? What are the margins of the omental foramen [of Winslow]? Does it have […]

Willem Bemelman, MD PhD Departments of Gastroenterology and Surgery Academic Medical Center, Amsterdam Pouch leak can affect up to 20% of patients in the first year after surgery. Treatment options will take in consideration the timing to diagnosis and the presentation. In this lecture, Dr. Willem Bemelman MD PhD shows the role of vacuum therapy […]

Roser Termes Serra  General Surgery Resident Hospital Clinic (Barcelona, Spain) Introduction  Neuroendocrine tumors (NETs) are infrequent neoplasms that originate from endocrine glands (parathyroid, pituitary, adrenal glands), from endocrine islets inside other glands (pancreas, thyroid), or from the endocrine cells dispersed throughout the digestive system and the respiratory tract.  They can be categorized depending on their […]

Sara Tavares Nogueira, MD General Surgery Specialist AIS Channel Medical Team Introduction Surgical Site Infections (SSIs) are potential complications associated with any type of surgical procedure. Although SSIs are among the most preventable Health-Associated Infections (HAIs), they still represent a significant burden in terms of patient morbidity and mortality and additional costs to health systems […]

Sofia Espinoza Villalobos General Surgery resident Hospital Clinic (Barcelona, Spain) Introduction Anticoagulation in patients undergoing surgical procedures is challenging. Interrupting anticoagulation for a procedure increases the risk of thromboembolism. Surgery has associated bleeding risks that are increased by the anticoagulants administered for thromboembolism prevention. First of all, we are going to explain the coagulation cascade […]

Antonio de Lacy, MD PhD Department of Gastrointestinal Surgery Hospital Clínic Barcelona In this week’s episode of the Ileal Pouch Series, Dr. Antonio de Lacy PhD elucidates the advantages of the transanal approach in patients with carcinoma after proctocolectomy. Dr. Lacy presents a video-clinical case of a 31yr old female with PAF, treated initially with […]