Advances In Surgery Channel

In 2016, WHO guidelines were launched which have been started to be implemented in hospitals and practices throughout last year. Highlighting these in Nice will help people understand the effect of each of these interventions to prevent surgical site infections as well as the pros and cons of them. This is important because the recommendations can lead to major changes, but only if the innovation is embraced.

Surgical staplers have been used for nearly a century, in order to make gastrointestinal transections and anastomosis safe and reliable. Nonetheless, continuous advances in staplers are still being made. This Surgical Skills video explains how to use an automatic Linear Stapler that enables real-time feedback and powered rotation, articulation and firing with one hand.

In this video, Dr. Cristina Aquino discusses the role of physical activity before and after bariatric surgery. Dr. Tracy Martinez moderates the session in which Drs. Dale S. Bond, Scott Jamieson, and Marcos Morales also participate.

Transanal total mesorectal excision or TaTME is a novel approach for rectal cancer which can be performed simultaneously by two working teams. Here we describe the procedure step by step following our team’s technique.

Hepatic function must be preserved after hepatic resection for liver tumors. Advances in surgery and oncology have pushed the limits of irresectability. Two-staged liver resections have turned into resectable bilobar lesions and extensive tumors otherwise irresectable.

Professor Manoel Galvao provides a detailed review of the possible pathophysiological causes of the appearance of leakage after a sleeve gastrectomy, why these leaks become chronic fistulas, and the different endoscopic treatments available for their treatment.

Abdominal wall hernia is a major concern in cirrhotic patients, with an incidence of 20% that increases to 40% in cases of major ascites. In the past, a watch-and-wait policy was the standard approach to these patients, but it is associated with high morbidity and mortality rates. Optimizing the patient before elective surgical repair is critical to minimize postoperative complications and reduce recurrence.

Major abdominal surgery is associated with high rate of postoperative complications. Several studies hypothesize that prehabilitation may contribute to reduce postoperative complications.

The RYGBP is a standardized procedure, with clear and identified steps. In this lecture, Prof. Carlos Vaz describes the robotic approach to the procedure on a step-by-step basis, highlighting the possible advantages that this platform provides.

Primary hyperparathyroidism is the condition in which there are high levels of serum calcium due to non-suppressed parathyroid hormone (PTH) levels. Most cases are sporadic, and its prevalence has been reported as high as 2% in women population in the USA. 80% of cases are caused by a single parathyroid adenoma. The majority of the patients will require surgery as the definitive treatment.

In this lecture, Professor Ralph Peterli, explain the results of the SM-BOSS Randomized Clinical Trial that compares differences between the sleeve gastrectomy and the Roux-en-Y gastric bypass in the treatment of morbid obesity in terms of weight loss, changes in comorbidities, quality of life, and adverse events.

The lack of liver donors and the increasing use of marginal organs requires new techniques for the preservation and rescue of these grafts. Dr. Tolba, a transplantation expert and an experienced researcher, tells us about these new techniques.

Indications of bariatric procedures are currently extending from obesity patients to other pathologies, such as diabetes, which is becoming an increasingly common indication for metabolic surgery. At IFSO, Dr. Rubino will discuss the topic and give several recommendations, reviewing the available literature and guidelines.

In this lecture, Nikolaos G. Danias explains the etiology of this serious disease, its treatment, and the suitable surgical management to reduce mortality in these serious patients and improve their prognosis.

Obesity is a pandemic that on the Mediterranean area affects 15.1% of patients, especially those with lower education status and women. Laparoscopic surgery has become the standard of care and, after 2013, sleeve gastrectomy has become the most commonly performed procedure. Bariatric surgery is safe and effective and is associated with short length of stay in Mediterranean patients.