Advances In Surgery Channel

Gallbladder cancer is one of the most common biliary malignancy. It is often diagnosed incidentally in the setting of a cholecystectomy for a benign disease. The majority of patients present with early-stage disease and a simple cholecystectomy may be enough. Other patients may benefit from more extended resections.

Surgical site infections (SSIs) are infections of an incision, organ, or space that occur after surgery. Most wound infections are caused by contamination with the patient’s own micro-organisms during surgery. Intraoperative surgical site irrigation is a common practice in surgical procedures in general, with all disciplines advocating some form of irrigation before incision closure. This is intended to reduce SSI, using different types of agents such as antibiotics and antiseptics. This practice, however, has been neither standardized nor is there compelling evidence that it effectively reduces the risk of surgical site infection (SSI).

‘1 in 5 people who walk through the door will have a diagnosis of haemorrhoids’

Ricardo Cohen and Rami Lufti discuss the advantages of sleeve gastrectomy and gastric bypass, moderated by Almino Ramos and Camilo Boza.

This talk focuses on the most important things that any surgeon should know about NSTI. High-quality studies published in important journals have also been analyzed, in order the provide the best knowledge in a manner that is easily applicable.

One of the highlights the ESCP meeting in Nice was Professor John Alverdy’s talk on Microbiomic and Metagenomic Influences on Colorectal Patients. Described by one ESCP member as “possibly the best lecture I have witnessed in 45 years of practice” – you don’t want to miss it!

IFSO 2018 in Dubai brought together world leaders in metabolic and bariatric surgery. More than 1200 abstracts from more than 90 countries were presented. Several communications on obesity and metabolic surgery were given, focusing on the different techniques and the best indications for each of them.

Since its emergence nearly 20 years ago, electrothermal bipolar vessel sealing technology is now a mainstay in most modern operating rooms.

Previously in the era of open surgery, extended lymph node dissection was difficult to teach because of limited surgical view in a very narrow space. Nowadays, laparoscopic and robotic approaches allow us to see detailed anatomy, and so learn to perform these procedures ‘from the screen’.

Dr. Carel Le Roux explains why bile acids should be considered a new gut hormone, not only with a digestive function but also with an important metabolic signaling function.

In this talk, Dr. Lazzati analyzes a significant cohort of bariatric patients, aiming to increase the evidence about readmission rates in this population. He also focuses on the differences in the risk factors for readmission compared to the literature. Better understanding of these risk factors will allow hospitals to develop individualized programs to decrease the 30-day readmission rates.

Prof Altomare is the head of the Functional and oncologic Coloproctology Unit, Dept of Emergency and Organ transplantation and President of the Interdepartmental Research Center for Pelvic Floor Diseases, past Chairman of the School of Specialization in General Surgery at the same University.

The Tokyo Guidelines are the main recommendations for Acute Cholangitis and Cholecystitis. The first consensus was in 2007, with two updates published since, in 2013 and 2018. We show here the main aspects of the latest revision.

Electrocautery, sealing and dividing devices have enormously improved surgical practice in recent decades. Faster and safer surgery can be performed with these devices, which have different uses.

Richard Brady – “These technological developments are set to become not only the biggest issues in surgery but will also fundamentally reshape our future society. Surgeons will see things they will not believe in this session and will understand the huge amount of work that is going on globally to revolutionise surgery using the very best that technology can offer. One of my favourite parts of the year is watching from the podium as jaws drop in the audience during these sessions.”