with Dr. Woramin Riansuwan, Dr. Luis Chiroque, Dr. Brendan Moran
PROGRAM
1. SSI in OPEN colorectal surgery: right hemicolectomy - Dr. Woramin Riansuwan
Information is very important to understand what we are dealing with. So data about the costs and amount of incidence of Surgical Site Infections (SSIs) is a clear indicator of how important the treatment of this complication is.
In order to find solutions, it is crucial to know the 3 types of SSI: Superficial Surgical Site Infections, Deep Surgical Site Infections and Organ Space Surgical Site Infection; and the 4 different types of prevention: pre- hospitalization, preoperative, intraoperative and postoperative. Although there are different methods of prevention, some of them are more common in the majority of operations, which are explained in more detail.
Finally, for specific operations, more useful methods can be applied to prevent SSI. In the case of open right colectomy, specific methods exist too. These are covered by instructional videos, and some final recommendations are given.
2. LAR for colorectal cancer. Recommendations for SSI prevention - Dr. Brendan Moran
As is well known, there are continuous developments in medicine to improve techniques and patients outcomes. That is why continuous advances are being made for every illness.
Dr Moran discusses the advances in the management of rectal cancer, arguing that selecting the best approach is more important than the incisions. The use of MRI (Magnetic Resonance Imaging) in rectal cancer could help in the decision-making.
He then shows all the steps of TME (Total Mesorectal Excision), including patient examinations and the conditions that the surgeon should be aware of: preoperative planning, the techniques for the procedure and, finally, the conclusions. The different techniques are described using videos or images for clarity.
3. SSI in open colorectal surgery: left colectomy - Dr. Luis Chiroque
The topic of Surgical Site Infection (SSI) is introduced by a discussion of colorectal cancer in Peru. The question is how to prevent this problem in the specific case of open left colectomy. Dr. Chiroque discusses risk factors and various methods, procedures, and techniques to prevent SSI by means of visual help such as photos and videos.
More than 120 elective colorectal procedures are performed every year, 85% of which are oncological cases according to data from Almenara Hospital in Lima. The main causes of bowel obstruction are sigmoid volvulus, followed by hernias and colon cancer. Bearing in mind the safety standards, the usual approach taken is laparoscopic and open colorectal resection.
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