Advances In Surgery Channel

Yoelimar Guzmán, MD Gastrointestinal Surgery Resident Ana Otero, MD, PhD Gastrointestinal Surgery Specialist Raúl Almenara, MD, PhD Gastrointestinal Surgery Specialist Senior AIS Channel Medical Team Hospital Clinic, Barcelona Rectal cancer is the third most commonly diagnosed cancer in males and the second in females, only after lung, prostate and breast cancer. In 2018, 1.8 million […]

F. Borja de Lacy, MD Gastrointestinal Surgery Specialist Hospital Clinic, Barcelona, Spain The total mesorectal excision technique has been the greatest single prognostic factor improving long-term outcome in patients with cancer of the rectum, by a decrease in locoregional recurrence and an increase in overall survival. Moreover, the prognosis of patients with rectal cancer has […]

Professor Felice Eugenio Agro Director and Chairman. Anesthesia and Intensive Care Department Campus Bio-Medico University Hospital Rome, Italy Dr. Roberto Angioli President, International Society of Gynecological Oncology Chairman, Department of Obstetrics and Gynecology Campus Bio.Medico University Rome, Italy Dr. Carolina Gonzalez-Abós Department of Gastrointestinal Surgery Hospital Clinic Barcelona, Spain Laparoscopic hysterectomy surgery demands a tailored […]

Romina Pena, MD Junior Attending General Surgery Surgical site infections (SSIs) are the most common and costly of hospital-acquired infections. They are associated with increased length of stay, emergency department visits and readmissions. Because most SSIs are preventable with evidence-based measures that have been published in guidelines, they have become a quality metric and a […]

In which patients do you perform Right Colectomy with CME?

Sara Tavares Nogueira, MD General Surgery Specialist AIS Channel Medical Team Colorectal Cancer Colorectal Cancer (CRC) represents 10% of all cancer diagnosis and cancer-related deaths worldwide. It is the 2nd most common cancer in women and the 3rd most common in men. Geographically, its incidence is higher in developed countries, but with the creation of […]

Roser Termes Serra, MD General Surgery resident Hospital Clínic de Barcelona (Barcelona, Spain) Background Trauma remains a major health problem worldwide and, in many countries, it continues to increase. Globally, road traffic injuries are the leading cause of death between the ages of 18 and 29, while, in the United States, trauma is the leading […]

Jordi Farguell Piulachs Gastrointestinal Surgery resident Hospital Clínic de Barcelona (Barcelona, Spain) PANCREATIC SURGERY Pancreatic cancer is one of the most aggressive malignancies associated with extremely poor 5-year survival rate (6–7%) . Since the tumor remains asymptomatic in the early stage, only 15% of patients have resectable disease at diagnosis. In the remaining cases, local […]

Victor Turrado-Rodriguez Dulce Momblan Gastrointestinal Surgery Specialists Hospital Clínic de Barcelona Hiatal hernia recurrence after laparoscopic repair has been reported in a significant percentage of patients, from 1.2% to 66%. Some authors have reported lower recurrence rates after mesh repair, but due to the differences in technique, type of mesh, and shape and size of […]

Ana Otero, MD, PhD Gastrointestinal Surgery Specialist AIS Channel Medical Team Indications and Contraindications for Strictureplasty Not all patients are candidates for bowel-preserving procedures. It was originally believed that strictureplasty should only be performed in short-length strictures, but this idea was challenged by Michelassi. Now the length of a stricture is not a significant variable […]

F. Borja de Lacy, MD Gastrointestinal Surgery Specialist Hospital Clinic, Barcelona, Spain With the latest advances in surgical education, new limitations on the process of excellence training have emerged. One of the most important self-confidence. Until recently, a surgeon was trained under the dogma “seeing one procedure, performing one procedure, teaching one procedure.” That increased […]

Carolina González Abós General Surgery Resident Lancet commissions set the key messages on global surgery. 5 billion people do not have access to safe, affordable surgical and anesthesia care when needed. An additional 143 million surgical procedures are needed in Low and Middle Income Countries every year to save lives and prevent disability. 33 million […]

Romina Pena, MD Junior Attending General Surgery HISTORIC BACKGROUND Intestinal antisepsis began in the 1900s with the goal of lowering morbidity and mortality rates after strangulated bowel obstruction surgery. Before the antibiotic era, scientists discovered that irrigation of the obstructed bowel prevented mortality by eliminating toxins that were related to intestinal bacteria. A study by […]

Sara Tavares Nogueira, MD General Surgery Specialist AIS Channel Medical Team Crohn’s Disease Crohn’s disease is a chronic, relapsing inflammatory bowel disease, that can affect the GI tract in all his extension. The most common portion affected is the terminal ileum and proximal colon. Epidemiologically, Crohn has no specific gender distribution. Onset usually occurs in […]

Antonio M Lacy (Director of the Gastrointestinal Surgery Department) Maria Fernández-Hévia (Gastrointestinal Surgery Specialist) Hospital Clínic, Barcelona – Spain Case A 44-year-old-male patient with no surgical record. He had a history of Crohn’s disease, which was diagnosed 24 years before. He received steroids during one year and remained asymptomatic afterwards. He presented with diarrhea and […]

Yeray Trujillo Loli General Surgery National University of San Marcos (Lima, Perú) WHAT ARE YOU AFRAID TO ASK ABOUT SURGICAL TECHNIQUE? How do you make surgical knots correctly? Is it OK to make every knot in the same direction? Is it OK to cross the edges of the suture to make the knot? To answer […]

Dulce Momblan Alba Torroella Victor Turrado-Rodriguez Ainitze Ibarzabal Xavier Morales Gastrointestinal Surgery Specialists Hospital Clínic de Barcelona CASE: A 75 year-old man with a medical history of atrial fibrillation and laparoscopic radical prostatectomy for prostate adenocarcinoma. He came to the Emergency Department due to melena and hemodynamic instability with a blood test which found 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 […]

Anna Muro Barbé Cardiovascular Surgery Resident Hospital Clínic de Barcelona Daniel Pereda Arnau Cardiovascular Surgeon Hospital Clínic de Barcelona Aortic regurgitation (AR) is the diastolic reflux of blood from the aorta into the left ventricle due to failure of coaptation of the valve leaflets at the onset of diastole. In terms of the cause of […]

David Nocca MD PhD Montpellier University Hospital, France In this open classroom, David Nocca et al. show a new procedure to handle morbid obesity. The sleeve gastrectomy (SG) is currently one of the most frequently performed bariatric procedures worldwide but there is a growing concern about its connection to gastroesophageal reflux. In general, it is […]