Dr. Carlo Angelo Cajucom

AIS Awards 2023

Welcome to the AIS Awards 2023! The event acknowledges the collective efforts of residents, surgeons, healthcare professionals, and the AIS Team in democratizing medical training through online content. With 11 awards across four categories and 45 nominees, the ceremony reflects the remarkable achievements of the AIS Community. Awards are based on real AIS Channel metrics, with two categories determined by audience votes. While celebrating winners, we also recognize the dedication of outstanding surgeons not nominated today. The prizes to be distributed will be as follows: Emerging KOLs Category Most Listened Podcast Most Viewed SOC Most Viewed ACW More Events Held KOL Category More Events Held Most Viewed OOO Live Webinar Category Most Viewed Live Surgery Greatest Social Impact Special Awards Category Best Academic Initiative Congress of the year Surgical Event of the year The virtual gathering provides a unique opportunity for professionals to connect, making the ceremony unforgettable. Join us in honoring the AIS Community's achievements this 2023!

Maintaining Mental Balance in Residency

Residents are exposed to a daily tremendous amount of stress and responsibility in the workplace. This can often cause mental health issues, such as depression, anxiety, and burnout. Unfortunately, many of them are not aware of the importance of mental health and do not have the resources to address it.

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Anastomotic Leaks, What we think we know

Professor Carlo Cajucom is the current Vice-President of the Philippine Society of Colon and Rectal Surgeons (PSCRS).  He completed his General Surgery and Colorectal Fellowship training in the Department of Health accredited surgical programs, where he is now the Chief of colorectal surgery and the Program Director. He has travelled in different countries, learning the art of colorectal surgery. from experts. He is an academic surgeon who teaches colorectal surgery in 2 medical universities. His passion for teaching and training is evident in his role as Director of the Philippine Association of Training Officers in Surgery, a position that he has held for 8 years. He is currently the head of Colorectal  Surgery at the Medical City. He is  a member of the Board of Trustees of ERAS Philippines. His particular interest is in the field of Colon and Rectal Surgical Oncology both in Minimally Invasive (laparoscopy) and Maximally Invasive Surgery (pelvic exenteration, multivisceral resections, lymph node dissection)  as well as Anorectal surgical conditions.  

Left Colectomy - LAR: Best Practices to Avoid Bleeding Complications

One of the main surgical complications is operative bleeding. It is often caused by injury to blood vessels, and severe hemorrhage coming from major vascular structures. But it can also occur in wrong dissection planes or layers during the procedure. Anatomical knowledge and identifying anatomical landmarks remain crucial factors in preventing operative bleeding. Effective exposure of visual fields is a key strategy for preventing severe bleeding during surgery. The concept of Complete Mesocolic Excision comes with a more meticulous D3 dissection, seeking apical lymph nodes with Central vascular ligation (CVL). This technique is thought to have oncologic advantages, but also a higher risk of vascular injuries. All the more reason to have detailed vascular anatomical knowledge and a sound surgical technique. Understanding the tissue, device and technology interaction, particularly an energy device, play key roles in operations. But even though these devices are mainstays when performing a procedure and also used to reduce blood loss, they can, however, also be the cause of inadvertent injury if not properly handled. Left colectomy with selective vascular preservation will be demonstrated, giving some tips and tricks of oncologic principles and on the identification of key structures and planes to carry out the procedure.

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Postoperative intraluminal/extraluminal bleeding management

PROGRAM      1. Postoperative intraluminal/extraluminal bleeding management - Dr. Carlo Cajucom The main issue discussed in this webinar will be Postoperative Intraperitoneal Bleeding Management in Colorectal Surgery. One of the main surgical complications is postoperative bleeding because it can lead to major morbidity and mortality. Intraperitoneal bleeding is often caused by an injury to blood vessels or severe hemorrhage from major vascular structures.   The most important is an early and timely diagnostic that can will reduce overall morbidity and mortality. In an ideal situation,  initial recovery through the peripheral líneas can it be sufficient but sometimes we will need intensive and critical care. We must ensure an accurate diagnosis and then a fast and efficient fluid and blood loss.   The most common site of bleeding is the zone presacral. There are many creative approaches to providing a good tamponade of presacral hemorrhage. As conventional hemostatic measures often fail to control this type of bleeding, several alternative methods for definitive control have been described. New techniques are being currently developed for colon cancer. The concept of Complete Mesocolic Excision provides a more meticulous D3 dissection after apical lymph nodes with central vascular ligation (CVL). This news techniques are thought to have oncologic advantages, but also a higher risk of vascular injuries. In conclusion, postoperative intraperitoneal bleeding remains a feared complication. Management of this complication requires earlier recognition, assessment with appropriate instruments, and a well-organized team.     2. Endovascular Treatment of gastrointestinal bleeding - Dr. Rodolfo J. Blandon Like many complications, there are many options for treatment of gastrointestinal (GI) bleeding. Dr. Rodolfo Blandon goes over the characteristics of nuclear bleeding scan, computer tomography angiography, catheter angiography and ultrasound. Each one is best suited to a different case of GI bleeding. Furthermore, he reviews the characteristics of the 3 of the embolic agents currently used: gelfoam, coils and particle embolic.  Not every case of bleeding is the same. We can differentiate between upper and lower GI bleeding. In each clinical case, the bleeding is different and so is the type of image used. Dr. Blandon uses visual aids to explain clinical cases, discussing the treatment used.  To conclude, he gives some important take-home messages.     3. Postoperative intraluminal bleeding - Dr. Mark Whiteford Finding the source and reason for any kind of bleeding is crucial for optimal treatment. Moreover, preventive action can be taken even before the bleeding is detected in the postoperative period. Two examples are staple line reinforcement and anastomotic examination with flexible sigmoidoscopy,. Once the bleeding has occurred, certain methods can end the hemorrhage, which have both pros and cons. Endoscopy is a very useful tool, which is the focus of all the explanations about preparation in the operation room and the instruments needed. Dr Mike Whiteford discusses three videos that provide more visual information about the interventions for different kinds of situations, showing different patients and situations found on postoperative bleeding and how they were treated. Finally, more data is given about the results of endoscopy treatment and the main points.

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