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This year we began at the Hospital Clínic in Barcelona, where Ricard Corcelles and Ainitze Ibarzabal performed revisional bariatric surgery on a patient with weight regain after a laparoscopic Roux-en-Y gastric bypass. They showed how an effective, easy and low aggressive operation can be performed by sectioning the biliopancreatic limb and creating a new JJ anastomosis closer to the ileocecal valve.
February focused on colorectal surgery. First Antonio Lacy and his team applied the Cecil approach to a patient with familial adenomatous polyposis who required a total proctocolectomy - the benefits of the combined work were evident. Then Juan José Espert, together with Ricard Corcelles, showed the least aggressive and most effective treatment for parastomal hernias, the laparoscopic Sugarbaker technique. Following the main steps in combination with some tips and tricks led to a nice repair of the parastomal hernia.
In March Raquel Bravo and Antonio Lacy used the most advanced surgical robot to perform an oncologic resection in a patient with colon cancer. This surgery illustrated the fine dissection provided by this system. Then we moved to Belgium, with Guy-Bernard Cadière, who performed revisional bariatric surgery on a morbid obese patient with a failed laparoscopic gastric band. He successfully showed all the essentials of this procedure.
Scientific validation of surgical strategies is necessary to ensure their safety and benefits. Dion Morton from Queen Elizabeth Hospital at Birmingham broadcast two surgical procedures, explaining their scientific basis. More specifically, he performed a mesh reinforcement for abdominal wall reconstruction (BORODIN Trial), followed by live discussion among experts and finishing with an appendectomy to modulate the immune response and remission for chronic ulcerative colitis (Accure-UK Trial).
Bariatrics was the leading topic in April. Matthew Kroh from the Cleveland Clinic in Ohio visited the Hospital Clínic in Barcelona where he proctored Gloria Fernández-Esparrach and Oriol Sendino during the endoscopic revision of an enlarged gastro jejunal anastomosis in a patient with weight regain after a laparoscopic Roux en Y gastric bypass, which provides a low aggressive treatment for these patients.
Unfortunately the laparoscopic Roux en y gastric bypass is not suitable for all morbid obese patients: in these cases the sleeve gastrectomy is a valid option but should be performed properly ensuring the best long-term results. For this reason, Antonio Lacy and Ricard Corcelles showed the new tools and devices available to perform the ideal sleeve gastrectomy, including light-guided and calibrated dissection, new stapling technology and tissue perfusion verification.
Bowel occlusion is a common issue after a laparoscopic Roux-en-Y gastric bypass. Prompt diagnosis and early surgical treatment should be performed by MIS. In May Ricard Corcelles and Raquel Bravo broadcast the main steps for surgical revision of internal hernias and repair of the mesenteric gaps in a patient with a previous gastric bypass.
Focusing on proctology, Eloy Espin from Vall d'Hebron Hospital in Barcelona showed novel therapies for the treatment of anal fistulas.
The first half of 2016 has been great. Keep checking our website and newsletter, because there is still more to come.
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