Advances In Surgery Channel

Primary signet ring cell carcinoma of the colon is different in colonic and rectal patients in term of both pathological and clinical features. Patients have a poor prognosis, but stage III carcinomas benefit from adjuvant chemotherapie.

Explanation regarding the latest minimally invasive procedures in the field of surgery for the patients with inflammatory bowel diseases

Thoracic surgery has evolved continuously into a less invasive approach. As a result of this progress, various techniques have been developed to perform safe and effective procedures with minimal trauma to the patient.

Carcinoma in situ of the breast represents a heterogeneous group of neoplastic lesions confined to the breast ducts. When appropriate treatment is done the prognosis is excellent. BCT and mastectomy are the local treatment surgery options for DCIS.

Revisional bariatric procedures are increasingly common. With more primary procedures being performed to manage severe obe sity and its complications, 5% to 8% of these procedures will fail, requiring revisional surgery.

Since its first description in 2009, CME has become a standard technique for the surgical treatment of colon cancer. In this video we will show our technique for laparoscopic right colectomy with complete mesocolic excision and D3 lymphadenectomy, step-by-step.

Neoadjuvant therapy followed by total mesorectal excision is the gold standard treatment for locally advanced rectal cancer. However, there’s a 20-30% of patients who achieve pathological complete response after neoadjuvant therapy. Those patients could be enrolled in a “watch and wait” program, avoiding comorbidities related to surgery. We’ll talk about 5 things you should know about this non-operative management with active surveillance.

Squamous cell carcinoma of the anus is a rare cancer but its incidence is increasing throughout the world, and is particularly high in the human immunodeficiency virus positive (HIVþ) population.

Anal neoplasms comprise a variety of different cancers, including SCC, adenocarcinoma, melanoma and sarcoma

In this OC we will review What´s new about anal Squamous Cell Carcinoma

Periprosthetic fractures are becoming more common every day. We present a Vancouver B1 type fracture synthesized with a percutaneous system that combines plate, screws and cerclage.

Incisional hernia (IH) is an increasingly concerning pathology after midline incisions. Its prevention with a prophylactic mesh augmentation is gathering clinical evidence for high-risk patients and new protocols are being implemented.

Peritoneal surface malignancy surgical treatment is a high complexity therapy that must be performed in very selected patients by a specialized multidisciplinary team. In this OC we explain the protocols and steps for implementation of a successful program.

Worldwide, groin hernia repair is one of the most common surgeries, performed on more than 20 million people annually. A consensus classification is needed to perform research, adapt treatments to hernia types, and carry out quality audits. In this video we review the latest classification proposed by the European Hernia Society.

Impact factor, H index, altmetrics. What does it mean? This presentation provides a short overview and explains how to interpret these metrics. All these indexes share one important fact: the numbers should be put in perspective and results should be placed in context.

Corrosive ingestion is a rare but potentially lethal event that continues to occur despite preventive public health policies. This OC summarizes the basics of treatment of these patients.

This OC aims to introduce and widen your knowledge of cleft lip and palate surgery. Incidence and prevalance, types of cleft, anatomy of palatal muscles, and surgical management will be described.

Complete mesocolic excision (CME) was first described in May 2009 by Werner Hohenberger and his colleagues. It arose from the concept of Total Mesorectal Excision illustrated by Heald , and consists on sharp dissection of the visceral fascial layer from the parietal one, complete mobilization of the mesocolon with an intact fascia and true high ligation of the supplying arteries and draining veins at their origin. Current evidence suggests this technique is associated with better specimen quality, lower recurrence rates, higher disease-free survival, but also higher incidence of intraoperative injuries and surgical morbidity.

CME has become the standard of care in some groups, while in others is performed in subjective selected cases.