13 June 2019Definitions of comorbidity remission after bariatric surgery
To standardize the outcomes of BS in different studies, the American Society for Metabolic and Bariatric Surgery has proposed a uniform method of defining the results on comorbidity remission after BS. In this video we focus on the definitions of T2DM, HT and HCLT remission after BS.
11 June 2019Fighting the Resistance: Time to Rethink the Staphylococcus aureus Battle (RG Sawyer)
Staphylococcus aureus is one the most common microorganisms responsible for healthcare-associated infections. Of these, respiratory infections have the highest morbidity and mortality rates. Our focus has been MRSA infections, but this study shows that MSSA infections are exceeding MRSA in incidence rate.
6 June 2019Nissen Sleeve Gastrectomy
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.
4 June 2019Cytoreductive surgery and HIPEC in peritoneal carcinomatosis from colorectal cancer: a review of the evidence-based research
This video will focus on cytoreductive surgery and HIPEC in peritoneal carcinomatosis from colorectal cancer, a review of the evidence-based research. Cytoreductive surgery and HIPEC seem to prolong survival in selected patients with peritoneal carcinomatosis of colorectal origin, especially those with limited peritoneal disease, compared to systemic chemotherapy. There is a substantial number of patients with peritoneal metastases from colorectal cancer who can achieve cure after cytoreductive surgery and HIPEC. The most significant factors associated with survival are the PCI and the completeness of the cytoreduction.
30 May 2019Current resectability criteria for pancreatic cancer
Pancreatic cancer has a poor prognosis, with best survival rates if the pancreatic cancer can be treated operatively. At the time of diagnosis, 20% of the patients have a locally resectable tumor. This video aims to provide an overview of the resectability criteria for pancreatic cancer.
28 May 2019Gastrojejunal Anastomosis in LRYGB – Hand-sewn vs Circular vs Linear
Obesity is an epidemic condition affecting about 39% of the adult population worldwide. Bariatric surgery procedures provide the most effective treatment. Of those, laparoscopic Roux-en-Y gastric bypass is the best established. This procedure mandates the construction of a gastrojejunal anastomosis between the gastric pouch and the alimentary limb, which can be hand-sewn, stapled circular or stapled linear.
23 May 2019Ileo-rectal anastomosis in UC: an option to consider
Dr. Pär Myrelid discusses the role of ileorectal anastomosis in ulcerative colitis and reviews the literature on bowel function, continence, quality of life, sexual function and fecundability.
22 May 2019Anastomotic Urethroplasty
When to perform an anastomotic urethroplasty rather than other surgical techniques. Description of the main aspects. Optimal cases selection for best surgical outcomes.
21 May 2019Parastomal hernia repair under Sandwich technique after previous Sugarbaker failure
Parastomal hernia is one of the most common complications following stoma creation, with a reported incidence of up to 50%in clinical examination and even 78% using computed tomography. The surgical approaches for parastomal hernia include local repair by suture, stoma relocation and mesh-based techniques, although none of the techniques has been able to provide satisfactory results. We report a case of recurrent parastomal hernia treated laparoscopically using the Sandwich technique which combines the keyhole and the Sugarbaker techniques.
16 May 2019LET’S TALK ABOUT LEAKS!
Anastomotic leakage is one of the most feared complications in colorectal surgery. As surgery evolves we try riskier anastomosis facing new complications. In this online congress we talked about how to deal with anastomotic leakage.