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PROGRAM
1. Technical modifications in colorectal anastomosis - Dr. Mark Soliman
The identification of problems during intervention and how these can affect the outcomes is an important starting point for study. So, as an introduction, we talk about tests for anastomosis on how choices can result in better operation outcomes.
When problems are known, prevention can be achieved by treating the problem before it occurs. Dr Mark Soliman discusses 3 videos, identifying potential problems, showing how an action could affect the outcome, and what action to take.
Even if measures are taken to prevent problems, they may still occur and therefore we need to be able to find solutions. Some recommendations for the treatment of problems once they are found are also given.
2. Risk factors for anastomotic leak - Dr. Abe Fingerhut
Anastomotic leaks are a significant hazard. To control it, knowledge about the main factors involved is needed, such as how and why they appear. It is important to recall these concepts and the severity of this risk before going deeper into the topic.
The video covers each risk factor: location, technical, mechanical (due to staplers), arterial variation and blow flow avoiding ischemia, and patient factors.
Even though risk factors are important, they are not the only parameters to keep in mind. There are also high risk situations, and factors pertaining to the surgeon’s actions that might result in a higher likelihood of anastomotic leak.
In this video. Dr. Abe Fingerhut describes his experience and techniques to reduce the likelihood of anastomotic leak.
3. Leak patient stratification - Dr. Lucia Oliveira
In this video, Dr Lucia Oliveira explains the standard definition of the term “anastomotic leaks” and its classification into degrees.
The importance of identifying and treating this complication (due to its characteristics) is discussed.
The risk factors for anastomotic leaks must be known to prevent them. A list is given, highlighting studies on obesity and nutritional impact.
However, it is not always possible to avoid complications, so it is important to establish intraoperative diagnosis systems. Some methods are given and explained.
Finally, Dr Oliveira explains her current routing to detect this complication.
