Dr. Carol González

Prehabilitation in Patients Undergoing Pancreaticoduodenectomy: Are We There Yet?

Several studies in major abdominal surgery have shown that preoperative optimisation of surgical patients through prehabilitation is associated with fewer postoperative complications. However, patient response to preoperative optimisation is unpredictable and there are no studies confirming the real benefit in pancreatic surgery. The primary aim of this study is to assess the benefits of pre-rehabilitation in pancreatic surgery and to identify the factors associated with effective optimisation. Study results showed that prehabilitation improved preoperative status of patients who were included in the program. Otherwise, postoperative results are not directly reated to be included in the prehabilitation program, but to the preoperative patient frailty.  Project PI20/00835 funded by Instituto de Salud Carlos III (ISCIII) and co-funded by the European Union.

The Residents’ Challenge: Go Digital or Go Home!

Technology is rapidly advancing the field of surgical training offering a variety of tools to help surgery residents develop and refine their skills. Virtual reality simulators, for example, allow residents to practice complex surgical procedures in a safe and controlled environment, without putting real patients at risk. Advanced imaging technology, such as magnetic resonance imaging (MRI) and computed tomography (CT) scan, offers detailed visualization of the human body, giving surgeons the ability to accurately plan and execute surgical procedures. Robotics also play an increasingly important role in surgery allowing for more precise minimally invasive procedures. Additionally, telemedicine technology has made it possible for surgeons to receive remote guidance and assistance from experienced colleagues during surgeries. These technologies have the potential to improve patient outcomes, reduce surgical complications, and ultimately, enhance the overall quality of surgical care. As a surgery resident, is important to stay up to date with the latest technological advancements in surgical training in order to provide the best care for your patients.

With Johnson & Johnson MedTech

I’m Finishing My Residency, Now What?

The end of residency can be a difficult time, but mentorship, training and experience will lead the way to the next steps into the future. In this episode, Dr. Pena and Dr. González discuss how to navigate the end of the surgical residency program.  

Multicenter Randomized Controlled Clinical Trial Comparing Conventional and Lateral Invagination Techniques for Double Stapling Colorectal

In this OC we will present Multicenter Randomized Controlled Clinical Trial Comparing Conventional and Lateral Invagination Techniques for Double Stapling Colorectal Anastomosis:  The ILAC Trial. Currently, there are more than 10 participating centers from three continents and 50 patients have been included. The most common complication in colorectal surgery is anastomotic dehiscence. This complication significantly increases morbidity, mortality, costs, and generates a greater impact on quality of life. Malnutrition and obesity are preoperative risk factors; other intraoperative ones, such as hypoperfusion of the anastomotic tissue or the anastomotic technique; and others postoperative, such as some types of medication. The end of the linear suture line and the number of staple lines are in a direct relationship to the risk of dehiscence. This study aims to evaluate the effectiveness and safety of the lateral invagination technique of double-staple colorectal anastomosis in a randomized and controlled trial. The main hypothesis is that the double staple colorectal anastomosis lateral invagination technique reduces the incidence of suture dehiscence compared to the conventional technique. The study is randomized, multicenter and single-blind  The most important inclusion criteria are indication for left colon resection, sigmoid resection, or high rectum resection. Also, we highlight that a minimally invasive approach or open approach must be taken and a double staple colorectal anastomosis must be performed. Randomization will follow a a 1: 1 ratio between the two groups to assign patients who meet the inclusion criteria. An analysis by subgroup will be performed according to volume of the center of origin, type of surgery, presence or absence of a stoma, and surgical approach.

Everything You Should Know about COVID-19 – Top 2 Best SOC 2020

The World is going through a new Pandemic that is showing the weakness of our Health Systems and challenging our knowledge. Physicians are struggling to treat patients with severe cases of pneumonia, and surgeons need to know how and when to treat these patients. In this video we will show you the recommendations of the Spanish Society of Surgery.

Artificial Intelligence in Surgery

The success of a surgical procedure depends fundamentally on the prior knowledge of the surgeon summarized in the ability to make critical decisions and the technical skills necessary to perform each surgery. The critical decision -making capacity in surgery depends mainly on three parameters. – Situational assessment – Take actions based on the surgeon’s previous approach – Reassess the action taken once the impact of it has been seen. Artificial intelligence in medicine has been used in several fields and with different objectives. Static image analysis is one of the potential uses of artificial intelligence, the current applicability in radiology, pathology and dermatology is growing rapidly.