Dr. Jurriaan Tuynman

Anastomotic Leak Diagnosis - Best Practices

PROGRAM      1. Intraoperative Diagnosis - Dr. Jurrian Tuynman Since anastomotic leaks pose a real danger to patient outcomes, surgeons should always keep this problem in mind. To prevent them as much as possible, patient optimization must be achieved. The aspects and characteristics associated with anastomotic leakage should also be known so as to make good decisions regarding the procedure. However, sometimes anastomotic leaks cannot be prevented, so action must be taken. Recommendations supported by images are given.     2. Laparoscopy (second laparoscopic approach) to diagnose and treat anastomotic leak. - Dr. Nicolas Rotholtz Reoperative laparoscopic surgery is performed on patients who have already been operated through a laparoscopic procedure, but complications have required a further operation. The scientific literature on the techniques used in complications is discussed. Videos and images of the techniques, and technical documentation are also explained.     3. Early diagnosis and complementary tests according to anastomotic leak risk factors - Dr. Lucia Oliveira Given the gravity of anastomotic leaks and how important their treatment is, it is crucial to be aware of the risk factors and the techniques to prevent them. Despite this, anastomotic leaks can occur, so it is really important to detect them early. In this video, different paths are considered depending on the patient’s characteristics. The studies and papers that show the relationship between risks and symptoms in anastomosis are also discussed.

With Johnson & Johnson MedTech

TaTME implementation. Training, proctoring, monitoring & COLOR-III

According to published data the TaTME approach has potential, as it yields great results in terms of the quality of surgical specimens, good morbidity rate, and improvement of functional outcomes (fewer definitive ostomies and more anastomosis in the lower rectum). However, most of these results are the consequence of expert work. A proper training, proctoring and monitoring system must be established to make these results reproducible and avoid what happened with the laparoscopic approach, acceptance of  which was delayed in most centers due to some results achieved by untrained surgical communities. In this lecture, Jurrian Tuynman from VU medical center, Amsterdam, The Netherlands, explains the recommended strategy to deliver controlled and safe training in TaTME.