Advances In Surgery Channel

Dr Rubino gives an overview of the guidelines, which address the multidisciplinary approach to diabetes, the impact of metabolic surgery on gut physiology, as well as indications for surgical treatment and the type of surgery recommended.

The increased number of bariatric procedures will be associated with an increase in the number of complications. Stapling of the nasogastric tube during sleeve gastrectomy is an unusual and dreaded complication in bariatric surgery. This lecture reviews the main recommendations on the steps to avoid the stapling of the nasogastric tube and what to do when it happens.

Carel W. Le Roux explains in this lecture the different changes in brain activity and how these mechanisms as well as their mediators can influence weight loss.

Visual as well as manual assessments are sometimes necessary in order to evaluate a pathological bowel in Crohn’s disease. Operating during the acute obstruction process may help determine the transition point and therefore the diseased segment when other exams have failed. Here we review the surgical management of Crohn’s disease, focusing on the decision making as well as the different surgical options.

Management of complex abdominal infections can be challenging! A global approach to the patient, early directed therapy, and source control (the least invasive possible) are our best options to reduce mortality.

Sutures hold apposing tissues together to facilitate the healing process. Knowledge of the fundamental concepts regarding sutures, such as external configuration, strength, memory and types of materials is crucial to select the most suitable suture for each stage during a surgical procedure.

In the 2017 SIS-E Congress Presidential Address Lecture, Professor Jörg Schroeder shared his thoughts on the circumstances surrounding surgical complications and the way in which surgeons deal with them.

A thyroid nodule is a discrete lesion within the thyroid gland that is radiologically distinct from the surrounding thyroid parenchyma. Generally, only nodules >1 cm should be evaluated, as they have a greater potential to be clinically significant cancers.

A reported increase in Laparoscopic Re-do Hiatus Hernia. Repairs prompted me to take an in depth look at the reasons for recurrence, and compile a video illustrating the pitfalls and how to avoid them.

In this lecture we will review the laparoscopic Entry Techniques. Laparoscopic surgery is the procedure of choice for most surgical pathologies, both scheduled and emergency. Complications associated with laparoscopy are often related to entry. Life-threatening complications include injury to the bowel, bladder, major abdominal vessels, and an anterior abdominal-wall vessel. Other less serious complications can also occur, such as postoperative infection, subcutaneous emphysema and extraperitoneal insufflation.

In this lecture we try to define the key aspects of metabolic surgery, currently the best option to treat a great number of the patients with type 2 diabetes.

Even though they are included in most current SSI prevention measure guidelines, some aspects of both surgical site hair removal and the choice of antiseptic agents are still a matter for discussion.

Surgical removal of rectal cancer has the strongest impact on oncologic outcomes. It is feasible to follow the principles of TME through a minimally invasive approach. Currently surgeons still struggle with issues such as male and obese patients with a narrow pelvis and section of the distal margin. Simultaneous dissection through a transabdominal and transanal approach represents a solution for these problems and many more (Cecil approach). The new transanal access platforms, 3D visualization system and robotic surgery turns this innovative approach into the least aggressive one for the treatment of rectal cancer. The following video shows a combined robotic and transanal approach to rectal cancer with local extension.

AIS Channel was recognized once again for its worldwide educational performance during the 22nd World Congress of International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) held in London from 29th August to September 2nd 2017.

Surgical site infection (SSI) is the most common healthcare-associated infection accounting for approximately 31% of all infections among hospitalized patients. Surveillance of SSI has been shown to be an important component of strategies to reduce SSI. This lecture reviews the CDC criterion for SSI.

The introduction of the EEA detachable anvil in the proximal colon when performing a colorectal anastomosis is usually performed transabdominally. However, intraabdominal insertion of the anvil should be regarded as an additional tool for colorectal anastomosis. The following video presents a case with intraabdominal introduction of the anvil during a total colectomy with an ileorectal anastomosis.