Advances In Surgery Channel

Silvia Valverde, MD. Internal hernia is a well-known complication after laparoscopic surgery, specially after a Roux-en-Y gastric by-pass. It consists in the protrusion of the small bowel through an acquired mesenteric defect caused by previous surgery. This condition can also be caused by a congenital defect with no previous surgery. The risk of intestinal ischemia […]

Victor Turrado-Rodriguez Dulce Momblán This second chapter on the management of paraesophageal hernias will focus on the indications, history and development of the different techniques and the main steps in hiatal hernia repair. Indication As stated in the previous chapter, the fact that paraesophageal hernia is an anatomic abnormality makes surgical restoration of the normal […]

Miguel Ramírez Backhaus. MD. PhD. FEBU. Associate Professor University CEU. Cardenal Herrera. Senior Attending Urologist in Fundación IVO. Co-Director of urosalud SLP Introduction According to the Swedish National PCA Register, PCA was the most common cause of death among patients with intermediate or high-risk disease 1. One reason potentially explaining this high mortality could be […]

Sara Tavares Nogueira, MD General Surgery Specialist AIS Channel Medical Team Introduction Acute pancreatitis is an inflammatory condition of the pancreas that manifests through local and systemic symptoms, which can vary greatly in severity. It is one of the most common diseases of the gastrointestinal tract and is associated with a great physical, emotional, and […]

Romina Pena M.D. Department of Gastrointestinal Surgery. Hospital Clínic Barcelona José M. Balibrea M.D. Ph.D. Department of Gastrointestinal Surgery. Hospital Clínic Barcelona Chairman of the Surgical Infections Committee of the Spanish Surgical Society Surgical site infection is still one of the most frequent postoperative complications, and can be costly and disabling. Multiple methods have emerged […]

Sofia Espinosa Gastrointestinal Surgery Resident Ana Otero Gastrointestinal Surgery Consultant Hospital Clínic, Barcelona (Spain) A 69-year-old male patient with a history of hypertension, morbid obesity and ischemic heart disease.  He presented with a giant inguinoscrotal hernia. Surgical repair was proposed. A CT-Scan  was performed in which the left inguinoscrotal hernia was found, containing the urinary […]

Victor Turrado-Rodriguez Dulce Momblan Hiatal hernias are characterized as a protrusion of the stomach, or a portion of it, through an enlarged esophageal hiatus into the mediastinum. CLASSIFICATION AND PATHOPHYSIOLOGY Hiatal hernias are classified into four types according to the anatomic location of the gastroesophageal junction and the extent of herniated stomach or adjacent organs. […]

Roser Termes General Surgery Resident Obesity, which is defined by an increase of the body adipose index with a BMI > 30 Kg/m2, is currently one of the major health problems of our society. The high incidence of this disease in first world countries makes it the main global epidemic of the 21st century, with […]

Robert G Sawyer INTRODUCTION Staphylococcus aureus is one of the most common pathogens responsible for surgical site infections and healthcare-associated infections (HAI) in general. It is associated with high morbidity and mortality rates in hospitalized patients. Methicillin-resistant Staphylococcus aureus (MRSA) has been the focus of many decontamination programs to prevent SSIs and other HAI, since […]

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 […]

F. Borja de Lacy Patients with peritoneal metastatic colorectal cancer have a significantly shorter overall survival rate than those with other isolated metastatis sites. Franko and colleagues reported that patients with peritoneal metastatic colorectal cancer have a median overall survival of 16 months, which is significantly shorter than those with other isolated metastasis sites. There […]

Jacqueline van Laarhoven The European average incidence level of pancreatic cancer varies but 12,1 per 100,000 people are diagnosed each year, with a variation in 5-year survival of 0.5% – 9%. At the time of diagnosis, 20% of the patients have a locally resectable tumor, 40% have metastasis, and 40% of patients have a locally […]

Sara Tavares Nogueira, MD General Surgery Specialist Hospital Clínic Barcelona INTRODUCTION Obesity is defined as an excess of body fat relative to lean body mass. Clinically, it is measured through the body mass index (BMI), calculated by dividing the weight by twice the height. It is an epidemic, affecting 39% of the adult population worldwide, […]

Pär Myrelid Md PhD. President of the Swedish Society for Colorectal Surgeons. Department of Surgery, Unit of Colorectal Surgery Linköping University Hospital, Sweden Dr. Pär Myrelid, President of the Swedish Society of Colorectal Surgeons, reviews the evidence on ileorectal anastomosis (IRA) in ulcerative colitis, comparing it to ileal pouch-anal anastomosis (IPAA). Concerning bowel function, reports […]

Luis Martínez-Piñeiro Chief of Urology Manuel Girón de Francisco Urologist Hospital Universitario La Paz (Madrid, Spain) In spite of its potential impact on sexual function (mainly erectile dysfunction), anastomotic urethroplasty is currently the best technique for urethral reconstruction, when indicated. Erectile dysfunction has been described in approximately 1% of patients. It is a feasible, relatively […]

Sofia Espinosa Gastrointestinal Surgeon Resident Ana Otero Gastrointestinal Surgeon Consultant Hospital Clínic, Barcelona (Spain) A 69-year-old woman with no known drug allergies, with a prior medical history of hypertension, type 2 diabetes mellitus  and chronic kidney disease. Secondarily to a rectum neoplasia the patient underwent an abdominoperineal resection (Miles intervention) with a terminal colostomy. Subsequently […]

Jordi Farguell Piulachs General Surgery resident. Hospital Clinic (Barcelona, Spain) Dr. Bemelman introduced the course talking about the importance of anastomotic leakage and the implications of its appearance in colorectal surgeries, specially when creating a low anastomosis. In the first part of the presentation, they talked about how they dealt with leaks. Strategies on how […]

Borja de Lacy General Surgery Resident Peritoneal carcinomatosis is a frequent disease. Up to 75% of cases appear in the initial diagnosis of ovarian cancer, 15% are synchronous with colorectal cancer, and it is often metachronous in selected cases such as perforated or T4 tumours. The most important prognostic factor for these patients is the […]

Roser Termes General Surgery Resident Laparoscopic inguinal hernia repair is a method of tension-free mesh repair based on a preperitoneal approach. The laparoscopic approach provides the mechanical benefit of placing a large piece of mesh behind the defect using the natural forces of the abdominal wall to disperse intra-abdominal pressure so as to keep the […]

Dr. González, PhD. Hospital Vall d’Hebron, Barcelona, Spain. Dr. Balibrea, PhD. Hospital Clinic, Barcelona, Spain. Lymphadenectomy in papillary thyroid carcinoma (PTC) is controversial. Up to 50% of cN0 patients become pN1 postoperatively, therefore a prophylactic lymphadenectomy can be considered in high-risk patients. One-step nucleic acid amplification (OSNA) is a molecular technique that enables real-time detection […]