3 December 2018Deep Neuromuscular Blockade: Laparoscopic Sleeve Gastrectomy
Laparoscopic bariatric surgery demands a tailored approach from the surgical team, especially the anesthesiologist and surgeon. Collaboration is key in the attempt to achieve good outcomes and a low rate of complications. Deep neuromuscular blockade during laparoscopic surgery helps to improve the surgical space conditions; facilitate the use of low-pressure pneumoperitoneum; prevent sudden patient movements; and reduce postoperative pain.
29 November 2018TaTME: step by step
Transanal total mesorectal excision or TaTME is a novel approach for rectal cancer which can be performed simultaneously by two working teams. Here we describe the procedure step by step following our team’s technique.
27 November 2018Two-Stage Liver Surgery
Hepatic function must be preserved after hepatic resection for liver tumors. Advances in surgery and oncology have pushed the limits of irresectability. Two-staged liver resections have turned into resectable bilobar lesions and extensive tumors otherwise irresectable.
22 November 2018Bariatric leaks endoscopic treatment
Professor Manoel Galvao provides a detailed review of the possible pathophysiological causes of the appearance of leakage after a sleeve gastrectomy, why these leaks become chronic fistulas, and the different endoscopic treatments available for their treatment.
20 November 2018Abdominal wall surgery in cirrhotic patients
Abdominal wall hernia is a major concern in cirrhotic patients, with an incidence of 20% that increases to 40% in cases of major ascites. In the past, a watch-and-wait policy was the standard approach to these patients, but it is associated with high morbidity and mortality rates. Optimizing the patient before elective surgical repair is critical to minimize postoperative complications and reduce recurrence.
15 November 2018Prehabilitation for Elective Abdominal Surgery: Fundamentals and Outcomes
Major abdominal surgery is associated with high rate of postoperative complications. Several studies hypothesize that prehabilitation may contribute to reduce postoperative complications.
13 November 2018Totally Robotic Roux-en-Y Gastric Bypass. A Step by Step Approach
The RYGBP is a standardized procedure, with clear and identified steps. In this lecture, Prof. Carlos Vaz describes the robotic approach to the procedure on a step-by-step basis, highlighting the possible advantages that this platform provides.
8 November 20185 things you should know about primary hyperparathyroidism
Primary hyperparathyroidism is the condition in which there are high levels of serum calcium due to non-suppressed parathyroid hormone (PTH) levels. Most cases are sporadic, and its prevalence has been reported as high as 2% in women population in the USA. 80% of cases are caused by a single parathyroid adenoma. The majority of the patients will require surgery as the definitive treatment.
6 November 2018Laparoscopic Sleeve Gastrectomy or Roux-Y-Gastric Bypass?
In this lecture, Professor Ralph Peterli, explain the results of the SM-BOSS Randomized Clinical Trial that compares differences between the sleeve gastrectomy and the Roux-en-Y gastric bypass in the treatment of morbid obesity in terms of weight loss, changes in comorbidities, quality of life, and adverse events.
1 November 2018New techniques in organ preservation and liver transplantation
The lack of liver donors and the increasing use of marginal organs requires new techniques for the preservation and rescue of these grafts. Dr. Tolba, a transplantation expert and an experienced researcher, tells us about these new techniques.