Let's Talk About Bleeding

Bleeding before, during or after surgery can significantly compromise the success of surgical procedures and consequently the safety of patients. A large percentage of individuals who undergo surgery have either a form of bleeding disorder or require anticoagulant medication impacting their underlying risk of bleeding. As colorectal surgeons, we must make significant considerations, including assessing the risk of bleeding associated with the specific procedure, timing of interruption and resumption of anticoagulation therapy, and whether to use bridging therapy. Management of intraoperative bleeding can be divided between pharmaceutical (sealants) vs surgical maneuvers. Postoperative bleeding requires prompt identification and management, in the form of further surgery or the involvement of interventional radiology. For this important episode of the AIS channel Colorectal surgical journeys, we have brought together a selected group of experts to go over these important topics that impact decision-making in everyday surgical practice.

1. Welcome and Introduction - Dr. Salvador Morales-Conde (Spain)

2. Anticoagulant therapy before surgery - Dr. Antonio Caycedo (Canada)

3. Intraoperative bleeding: sealants - Dr. April Roslani (Malaysia)

4. Postoperative bleeding suspicion - Dr. Hongwei Yao (China)

5. Postoperative bleeding: embolization - Dr. Fernando Gómez (Spain)

6. Surgical management of the bleeding - Dr. Salvador Morales-Conde (Spain)

7. Panel Discussion - All faculty moderated by Dr. Salvador Morales-Conde (Spain)