
Dr. Manuel Francisco Roxas is a consultant colorectal surgeon and Clinical Associate Professor at the University of the Philippines College of Medicine and Philippine General Hospital. More popularly known by his nickname “Ramy”, he is an elected Regent of the Philippine College of Surgeons, and the Director of its Cancer Commission.
He is also Senior Vice President for Medical Affairs of the Qualimed Hospital Network, as well as Co-Director for Surgery at the Healthway Cancer Care Center (currently undergoing construction), both of which comprise the hospital arm of Ayala Health.
Dr. Roxas has held various past positions as President of the Philippine Society of Colorectal Surgeons and the ASEAN Society of Colorectal Surgeons; Chief of the Division of Colorectal Surgery, Philippine General Hospital; and Chair of the Department of Surgery at The Medical City.
Aside from his Medical Degree from the De La Salle University Health Sciences Campus where he was valedictorian, Dr. Roxas has a Masters of Science Degree in Health Industries Management from the ESSEC Business School in Singapore, and a Scholarship in Surgical Leadership from the Harvard Medical School. He was also an International Guest Scholar of the American College of Surgeons and it’s National Surgical Quality Improvement Program.
As an academic colorectal surgeon, Dr. Roxas has published more than 55 peer reviewed articles and pioneered the following in the Philippines
Intraoperative Radiotherapy for Colorectal Cancer
Endorectal and Endoanal ultrasound
Pre-operative Radiotherapy and Total Mesorectal Excision
Multidisciplinary Team Approach for Colorectal Cancer
Laparoscopic Colorectal Surgery
Transanal Minimally Invasive Surgery
Robotic Colorectal Surgery
LIFT Technique for anal fistulas
Enhanced Recovery After Surgery (ERAS)
American College of Surgeons National Surgical Quality Improvement Program (NSQIP)

This session focuses on intestinal stomas and some tips you can take to improve in terms of prevention and detection. Sometimes, these are considered non-important issues, but this is not the case. When you create a stoma, you are creating a new organ. First, the preoperative steps are crucial for stoma operations. Stenting can be a very useful tool for obstructing rectal cancers. The algorithm that the doctor follows depends on the stage of cancer. If the cancer is locally advanced without metastasis, a small incision transverse colostomy is performed. Dr. Roxas points out that if you feel that the patient needs an ileostomy, it is recommended to do a laparoscopic because it is not easy to first make the incision and then look for the right part of the ileum to be removed. When it comes to transverse colostomy, it is more common for a prolapsed stoma to appear, and the wounds are larger. To sum up, prevention in intestinal stoma is very important because fewer surgeries will be performed, resulting in a healthier population.
Published
Jun 2022

With Philippine Society of Colon and Rectal Surgeons
Published
Apr 2022
Help your network discover Dr. Manuel Francisco Roxas's clinical expertise.