Advances In Surgery Channel

Carolina González Abós General Surgery Resident Low anterior resection is one of the most widespread approaches to treat rectal cancer. Sphincter-sparing procedures are currently feasible in up to 80 percent of patients requiring surgery for rectal cancer. Between 25 and 80 % of patients who undergo this kind of procedure develop one or more symptoms […]

Jordi Farguell General Surgery Resident Systemic Inflammatory Response Syndrome (SIRS) requires more than one of the following findings: temperature >38°C or <35°C; heart rate >90 beats per minute; respiratory rate >20 breaths per minute or PaCO2 <32 mmHg; and white blood cell count >12,000/cu mm, <4,000/cu mm, or >10% immature (band) forms. When using the […]

Sara Tavares Nogueira, MD (General Surgery Specialist) AIS Channel Ambassador to Portugal INTRODUCTION A colostomy is nothing more than an anastomosis between the colon and the skin. Colostomies may be temporary or permanent, depending on the underlying disease and conditions for which they are created. They can also be end colostomies (one terminal stoma) or […]

Ali Aminian (Associate Professor of Surgery) Cleveland Clinic Lerner College of Medicine Surgeon in the Section of laparoscopic and Bariatric Surgery Bariatric surgery is known to have favorable effects on the components of metabolic syndrome, including glycemic status, dyslipidemia, and blood pressure. As more long-term data becomes available, the metabolic and survival benefits gleaned from […]

Víctor Turrado-Rodríguez (Gastrointestinal surgery specialist) Hospital Clínic, Barcelona – Spain Introduction Acute appendicitis is the most common abdominal emergency, with a lifetime risk of around 8%. Appendicitis can present as uncomplicated or complicated (gangrene or perforation with or without an abscess). Perforation is found in 13-20% of patients. For many decades, open appendectomy was the […]

Federico Soria, Julia de la Cruz-Conty, Cristina Sousa-Cervera, María Soto, Francisco Miguel Sánchez Margallo. Jesus Uson Minimally Invasive Surgery Centre Foundation. Caceres (Spain). Introduction Endourological techniques currently involve a long, sequential learning curve and take up significant learning time, so young urologists sometimes have little opportunity to develop and refine their skills in daily clinical […]

F. Borja de Lacy Gastrointestinal Surgery Specialist Hospital Clinic de Barcelona, Barcelona, Spain Quality assessment in surgery needs to be clear and standardized to avoid confusion. One of the main endpoints in surgical quality assessment is the evaluation of post-surgical complications. In 1992, a new classification system was proposed to grade the severity of complications […]

Sara Tavares Nogueira, MD (AIS Ambassador to Portugal) Introduction Abdominal wall hernia is the most common complication following laparotomy, reaching figures as high as 50% in some studies. It is also the most common indication for reoperation, in a 3:1 margin over bowel obstruction. There are a variety of options for a ventral hernia repair, […]

Dr. Francisco M. Sánchez Margallo (Scientific Director) Dr. Javier Sánchez-Fernández (Training Coordinator) Minimally Invasive Surgery Centre Jesús Usón (Cáceres, Spain) Urology is becoming increasingly dependent on interdisciplinary cooperation between different areas of knowledge, technology and innovation. Thus, to meet new challenges, the current skills training and certification system requires permanent revision. Laparoscopic surgery (LS) in […]

Raquel Bravo (Gastrointestinal Surgeon Consultant) Ana Otero (Gastrointestinal Surgeon Consultant) Hospital Clínic, Barcelona (Spain) We report a case of a 36-year-old female with a 12-month history of chronic pelvic pain, dyschezia and rectal bleeding. These symptoms were refractory to hormonal, antispasmodic and opioid therapy. Magnetic resonance imaging detected a 2 x 2 cm nodule invading […]

× Matteo Frasson, MD. Colorectal Surgeon Hospital La Fe, Valencia (Spain) Dr. Frasson gives a demonstration of how to use the Endo-Sponge kit, unboxing all the items and showing its indications, tips and tricks. In low colorectal anastomoses, an anuscope is usually enough to place the device. For higher anastomoses an endoscopic tube is needed. […]

Dulce Momblan (Gastrointestinal Surgery Senior Specialist) Victor Turrado (Gastrointestinal Surgery Specialist) Hospital Clínic, Barcelona – Spain The first manometry system was developed by Jerry Dodds and Ron Wyle Arndorfer in 1970. Twenty years later, Ray Clouse developed what is now know as high-resolution manometry, increasing the number of sensors and decreasing the space between them […]

Roser Termes (Resident Surgeon) Jose Balibrea (Editor) Departament of Gastrointestinal Surgery Hospital Clínic, Barcelona Introduction Gallstone disease is one of the most common digestive disorders requiring hospitalization and one of the most expensive to treat, with a prevalence of 10-15% in adults in Europe and the USA. Between 10 to 50% of patients with cholelithiasis […]

Jacqueline van Laarhoven Hein Handgraaf Department of Surgery, UMCU, Universitair Medisch Centrum Utrecht, Utrecht University, Utrecht, the Netherlands Laparoscopic cholecystectomy is one of the most frequently performed laparoscopic operations. For a safe procedure, the Society of American Gastrointestinal and Endoscopic Surgeons strongly advises to use “the critical view of safety” as a strategy to minimize […]

Jordi Farguell Piulachs General Surgery resident Hospital Clinic (Barcelona, Spain) 1. WHAT IS A RCT In clinical research RCTs or randomized clinical trials are experimental studies that are used to answer clinical practice questions, and in the development of new medical interventions they form the basis for regulatory authorities’ decisions on their approval. RCTs are […]

Dr. Carlos Blanco and Dra. Victoria Capapé Endourology Unit University Clinic Hospital “Lozano Blesa” Zaragoza Retrograde intrarenal surgery (RIRS) is one of the main Renal stone removal treatments and has been gaining popularity among urologists for the last years. To achieve better visibility during the procedure, irrigation flow (IF) and irrigation pressures (IPs) must be […]

Glauco Alvarez, MD. Technical Director at Clinica of Obesity and Digestive Tract. Santa Maria, Brazil Hiperinsulinemic hypoglycaemia is a rare complication in late postoperative bariatric surgery (0.2-0.36% after LRYGB). It may be triggered by an increase in incretin levels but its physopathology is still unknown. In some cases pancreatectomy is the only therapeutic option. In […]

Raquel Bravo (Gastrointestinal Surgeon Consultant) Ana Otero (Gastrointestinal Surgeon Consultant) AM Lacy (Chief of Gastrointestinal Surgery) Hospital Clínic, Barcelona (Spain) The patient received mechanical bowel cleansing the day before. The rectal stump was cleaned with 250 cc of enema. The patient was fixed and placed in lithotomy position with legs in padded, adjustable stirrups. The […]

Dr. Victor Turrado (Gastrointestinal Surgery Specialist) Dulce Momblan (Gastrointestinal Surgery Specialist) Hospital Clínic, Barcelona, Spain Introduction Gastric cancer is the fifth cancer in incidence and the third cause of cancer-related death worldwide. It’s incidence is higher in Eastern Europe, Eastern Asia and South America than in North America and Western Europe. Almost one million cases […]

What is your most common intraoperative complication when performing right colectomy with CME?