18 April 2019Pros & cons of non-operative management of acute appendicitis
Appendectomy is the standard of care for acute appendicitis. In recent years non-operative management (NOM) with antibiotics has been shown to be a feasible therapy for uncomplicated appendicitis. This lecture reviews the pros and cons of NOM for uncomplicated appendicitis in adults.
17 April 2019Training Model In Endourology. Retrograde Approach
Endourological techniques currently involve a long, sequential learning curve and take up significant learning time, so urologists-in-training sometimes have little opportunity to develop and refine their skills in daily clinical practice. For this reason, training based on simulation outside the operating room is currently accepted as a supplementary scenario in clinical training.
16 April 2019How to report complications in surgery: the Clavien-Dindo classification
The Clavien-Dindo classification has been shown to be understandable, simple, objective and reproducible, and has enjoyed a wide implementation into clinical practice. A more novel aspect has been the development of the Comprehensive Complication Index (CCI). The CCI, based on complications graded in the Clavien-Dindo classification, is a reflection of the entire postoperative experience and seems to be superior to traditional morbidity endpoints.
11 April 20195 things you should know about Component Separation for Ventral Hernia Repair
Abdominal wall hernia complicates 11% to 50% of all laparotomies. Traditional methods of repair have unacceptable rates of recurrence in long-term follow-up. Component separation techniques have emerged to overcome this problem, allowing for a more effective repair with fewer complications.
10 April 2019Training in Urological laparoscopic surgery
Urology is becoming increasingly reliant on interdisciplinary collaboration among various fields of knowledge, technology and innovation. Thus, the current training and skills certification system needs constant revision to adapt to new challenges.
9 April 2019Totally Laparoscopic Rectal Resection And Hysterectomy For Deep Infiltrating Endometriosis With Natural Orifice Specimen Extraction
Endometriosis is a gynecologic disorder defined by the presence of endometrial glands and stroma outside the uterine cavity. Deep infiltrating endometriosis (DIE) invades 5 mm into the retroperitoneum of the pelvic sidewalls, the rectovaginal septum, or the muscularis of the bowel, bladder or ureters. The rectum is being the most common bowel site of involvement. For symptomatic DIE, medical therapy should always be the first-line treatment. Therefore, a minimally invasive approach using laparoscopy is considered the gold standard option and challenging aiming at complete disease excision. Natural orifice specimen extraction also has several advantages when compared with abdominal incision that may directly impact the postoperative results of these young patients
4 April 2019Endo-Sponge: Tips and Tricks
Endo-sponge is an endoluminal device designed to treat colorectal anastomotic leakage. The patient should be stable, with no peritonitis and protected by a loop ileostomy or colostomy. In this video the application of endo-sponge therapy is reviewed step by step.
2 April 2019How to interpret a High Resolution Manometry
High resolution manometry (HRM) is a basic tool in the diagnosis of esophageal motor disorders. This lecture explains the basics of the interpretation of HRM.
28 March 20195 things you should know about common bile duct stones management
Review the management and treatment options for patients with common bile duct stones combined with gallstones. This disease has a high prevalence in our society, and generates a high level of healthcare resource consumption for its diagnosis and treatment.
26 March 2019Laparoscopic Fluorescence Cholangiography: What and when?
To identify the bile ducts during cholecystectomy, an intraoperative cholangiography can be performed. An alternative to the intraoperative cholangiography is near-infrared (NIR) fluorescence cholangiography using indocyanine green (ICG). This seems to be a useful, safe, and cost-effective tool to identify the bile ducts during cholecystectomy. In this talk, we will focus on the details of bile duct injuries after laparoscopic cholecystectomy and the role of fluorescence cholangiography.