Advances In Surgery Channel

The fifth chapter of the Hiatal Hernia Repair Series centers on hiatal hernia recurrence, from definition to diagnosis, treatment and outcomes.

Patients with fibrotic Crohn’s disease frequently develop obstructive symptoms and may require surgical treatment at some time in their life. Indeed, up to 50% to 60% of Crohn’s disease patients will require at least 1 surgical resection within 10 years after diagnosis. To avoid the risks associated with repeated surgical resection, in particular the development of short-bowel syndrome, strictureplasty techniques have been proposed as bowel-sparing procedures. Stricturoplasty was originally described in 1886 for management of pyloric strictures and was first utilized in Crohn’s disease in 1982. It should be considered in patients with fibrotic strictures, especially those with multiple or long strictured segments or previous small bowel resection.

This video will review the five things that you should know about 5G technology and surgery.

Current evidence on global surgery.

Current evidence show that mechanical bowel preparation needs to be redesigned based on microbiome science.

The ECCO Guidelines, created by the European Crohn’s and Colitis Organisation, are evidence-based guidelines designed to guide professionals in the treatment of patients with Crohn’s disease. The new edition was published in November and is composed of 2 segments: one for Medical treatment and another for Surgical treatment, that will be the focus of this video.

This video aims to answer questions about surgical technique: what you should know but are afraid to ask. Three theoretical questions will be presented and answered.

In this video, 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 estimated that 10% to 20% of patients suffer from symptomatic reflux after an SG, regardless of whether or not they used to have it before surgery (1) . In this study, 25 patients undergo a Nissen Sleeve gastrectomy. This surgical technique consists on creating a short and narrow Nissen valve around the sleeved stomach. Good results have been shown after a year of follow up. According to this group, the Nissen sleeve could be a great choice among bariatric techniques. even to prevent the new onset of GERD in sleeve patients.