17 May 2018Talk & Surg – Women Surgeon Series
Talk & Surg – Women Surgeon Series, created by AIS Channel, aims to teach, encourage and motivate young female surgeons, residents and scientists so that they are able to achieve their medical professional goals.
10 May 20185 things to know about transoral endoscopic thyroidectomy vestibular approach (TOETVA)
Advances in endocrine surgery has been made in recent years. More than 10 years ago various research groups in Germany first reported the possibility of transoral surgery of the thyroid and parathyroid glands. These were developed and evaluated within the framework of natural orifice transluminal endoscopic surgery (NOTES). While development of these innovative techniques that enabled surgery without visible scars did not become well accepted in Europe and America, it led to an optimized transoral endoscopic thyroidectomy vestibular approach (TOETVA). Here we present the surgical technique.
3 May 20186 things you should know about laparoscopic adjustable gastric banding (LAGB)
Laparoscopic adjustable gastric banding (LAGB) was a popular procedure at the end of the past century and the first years of this century. In recent decades, there has been a shift in the treatment of morbid obesity from LAGB to Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG). Nonetheless, there is a large number of patients with adjustable gastric banding, and bariatric and general surgeons should be aware of its use and the potential complications of this technique in order to make a prompt diagnosis in the Emergency Room.
29 March 2018Transanal Abdominoperineal Resection: Port Placement
The transanal approach to rectal pathologies has been spreading over the last few years. Its main application has been total mesorectal excision for rectal cancer. However, experiences with extended applications have been published, proving this technique to be feasible in pathologies such as inflammatory bowel disease and abdominoperineal resection. Here we present a video describing the technique of port placement during the Miles resection approached transanally.
15 March 20185 things you should know about barbed sutures
Barbed sutures have recently appeared in the market, and make it possible to use a suture without a final knot. The appearance of new barbed sutures is an advance in making knots and anastomoses, mainly in laparoscopic surgery, where most surgeons find dealing with these sutures to be a challenge. Barbed sutures seem to ease procedures, improving key aspects such as reproducibility and operative time.
6 March 2018Midterm effects of bariatric surgery on patients with insulin-treated type 2 diabetes
In this lecture we review a study conducted at Hospital Clinic (Barcelona) to evaluate the extent and duration of the hypoglycemic effect of bariatric surgery on patients with type 2 diabetes mellitus treated with insulin.
27 February 2018Laparoscopic pancreaticojejunostomy
Pancreaticojejunostomy is one of the most challenging steps in the laparoscopic pancreatoduodenectomy. We present a video focusing on this anastomosis, in a patient diagnosed with adenocarcinoma of the second portion of the duodenum.
22 February 20185 things you should know about trocar site closure
Since the advent of laparoscopic surgery, wound-related complications, such as infection, hernia development, or evisceration, have decreased. Even though less common than in open laparotomy, incisional trocar site hernia is one of the most important complications related with this access modality. The incidence of trocar site hernia ranges from 0.02-5%. It is not uncommon for it to require reoperation, which might involve a larger incision, with placement of a mesh and even bowel resection. Even though closure of the fascial defect does not prevent 100% the development of hernias, incidence is higher if it is not attempted, and for this reason it should always be considered.
30 November 2017Laparoscopic sleeve gastrectomy or Roux-en-Y bypass. 5-year results of the prospective randomized Swiss multicenter bypass or sleeve study
In this presentation, Dr. Peterli presented the 5-year results of the prospective randomized Swiss multicenter bypass or sleeve study (SM-BOSS) during the 22nd IFSO World Congress held in London in 2017. Results favored the bypass in terms of long-term weight loss and metabolic effect, with equal results in the secondary end points of the trial.
31 October 2017Laparoscopic gastric GIST
Surgical management of gastric GIST can be approached through minimally invasive techniques. In this video, a gastric GIST is diagnosed due to acute bleeding and endoscopic and surgical management are discussed, with our experts’ tricks explained through the procedure.