Advances In Surgery Channel

Sleeve gastrectomy is a bariatric procedure with increasing popularity. However, some patients may develop GERD after this operation. The Roux-en-Y gastric bypass is the surgical gold standard for the treatment of these patients.

Discuss and share your opinion

The 7th AIS Live congress was held last month, this time focusing in the latest data about the TaTME approach, among the experts was Prof Heald and this is his opinion about the event.

Discuss and share your opinion

Multidisciplinary collaboration is useful to provide greater insight into the specific circumstances of a patient and allow for a more personally tailored treatment. The radiologist may provide a useful preliminary diagnosis by the use of non invasive tests.

Satisfactory outcomes in surgical procedures strongly depend on the early and adequate management of all risk factors, like major bleeding events and adverse effects of transfusions. Reoperations caused by coagulation disorders waste theatre capacity and surgical teams’ worktime. An option for optimal bleeding management is to use thromboelastometry to distinguish between surgical bleeding and coagulopathy.

There are diverse chronic complications of pancreatitis. Pseudocyst develops in up to 10% of cases and surgery can be necessary for its treatment. An endoscopic cystogastrostomy can be considered as an option for the management of relapse.

Discuss and share your opinion

Small bowel occlusion is a frequent pathology in the emergency room. However it is rare in young patients without previous surgical record. Despite this rarity, it is important that they these cases attract the attention of the surgeon because it may require surgery.

Discuss and share your opinion

Discuss and share your opinion

Patients with an indication of proctocolectomy require a reservoir to achieve bowel transit restoration. The literature describes many types of them. The J Pouch is the most popular due to a favorable balance between postoperative complications and quality of life.

Complications after reversing an ileostomy are infrequent. The combination of abdominal pain and fever calls the attention of surgeons, that will evaluate the patient in order to diagnose an anastomotic leakage. In some cases clinical and radiological studies are not enough to clarify the suspicion,  a laparoscopic examination, if required, provides both diagnosis and treatment.

The Transanal Total Mesorectal Excision is an innovative approach for rectal cancer. It provides several advantages compared to the fully laparoscopic technique.  With this procedure, issues like transection of the distal margin and difficult cases may have found a solution.

At present, MIS for rectal cancer is fully represented by laparoscopic and transanal approaches. Both, are provided with particular benefits and a special learning curve. There is no doubt that a wide experience in colorectal surgery is important. It is a reality that a laparoscopic approach is a standardized procedure and is well accepted among surgeons.

Radical esophageal surgery is associated with a high rate of morbi-mortality. The actual effort is addressed to accomplish the resection and restore the bowel transit with the lowest aggression and improvement of the end result.