DrVesiculero 🍆

Meto cuchillo, salen tripas 🔪

[Oliverio @LuisOliverio]

Las nuevas Guías Latinoamericanas de Pancreatitis Aguda (2026). Puntos importantes:

🟢 Cambio en el paradigma (gracias a WATERFALL Trial y otros): reanimación hídrica moderada a 1.5 ml/kg/h, con bolo SOLO en caso de haber hipovolemia franca.
🟢 No uses antibióticos profilácticos, solo en caso de necrosis pancreática infectada.
🟢 La CPRE es urgente (<24 horas) solo si hay colangitis aguda, sino no.
🟢 Menos es más; intenta diferir por lo menos 4 semanas la intervención de colecciones pancreáticas. Y si se necesita, idealmente endoscópico transluminal guiado por ultrasonido.
🟢 La hipertrigliceridemia es una causa (sobre todo si >500-1,000 mg/dL). El tratamiento: insulina en infusión.

Las voy a leer a fondo para actualizar las apps (https://t.co/FZoAsLTFc2).

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Vascular trauma: key 🔑 steps! @TomVargheseJr @SWexner @pferrada1 @CiruAndes2

[BehindTheKnife @BehindTheKnife]

Lap chole tips + tricks 👇🏼🙌🏼

[Antonio Caycedo-Marulanda MD, MSc. @caycedomarula]

Wednesday @OrlandoHealth cases 1, 2 &amp; 3 of the first FDA-approved magnetic colorectal anastomosis trial in the world All three successful. Immediate patency confirmed This tech is everything I believed it would be. The trial continues. #ColorectalSurgery #MagneticAnastomosis

[CardiovascularCorner @TrackYourHeart]

Laparoscopic intracorporeal knot-tying exercise

[Ron Barbosa MD FACS @rbarbosa91]

Short🧵regarding fascial closure:

I had a lot of fun with my 🧵on LOTR last week, but I must now return to my core content.

Let us briefly review why it is important to avoid catching too much subcutaneous tissue in our sutures when closing fascia.

[Dr. Mateo Avila @drteoa]

Después de una cole laparoscópica, parte del dolor NO viene de las incisiones… viene del gas (CO₂) que queda adentro.
Ese CO₂ puede irritar el diafragma y el peritoneo → y ahí aparece el típico dolor que se va al hombro o “dolor raro” en el pecho/abdomen alto.

📌 Este estudio comparó dos formas de terminar la cirugía:
✅ Aspirar activamente el CO₂ al final con succión
vs
❌ Dejar que salga solo al retirar los trocares.

[DoctorsPenaBischoff @DrsPenaBischoff]

When the appendix has already been used or removed, we have to create a neo-appendix or neo-Malone from a Colonic flap, as shown in the picture below.
Take-home message: Patients with ARM, HD, and spina bifida should not have their appendix removed unless it is necessary.

[Aras Emre Canda @ArasEmreCanda]

Cytoreductive Surgery and HIPEC for Peritoneal Metastases from Colorectal Cancer

En bloc cytoreductive surgery (CRS) is a key strategy in selected patients with peritoneal metastases.

📌 Technical highlights:

▶️ Total colectomy with bilateral parietal peritonectomy and omentectomy, performed en bloc

▶️ No stoma: continuity restored with ileorectal anastomosis

🔥 HIPEC performed using the Coliseum (open) technique, ensuring homogeneous distribution of heated chemotherapy within the peritoneal cavity

💡 Oncologic goal:

Achieving CC-0 cytoreduction (complete removal of all visible tumor burden)

Targeting microscopic residual disease through HIPEC

This comprehensive approach maximizes the potential for long-term survival while maintaining intestinal continuity.

#CRS #HIPEC #PeritonealMetastases #ColorectalCancer #SurgicalOncology #psogi

[TeamSurgery @TeamSurgery247]

Niemeier classification Gall bladder perforation

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Graphical explanation of the differences between the Graham patch 🆚 the Cellan Jones repair for perforated peptic ulcer ⤵️👁️🔪💥📍! #SoMe4Surgery @pferrada1 @SWexner @juliomayol @BJSurgery @TomVargheseJr @Cirbosque @almagoch @CirujanoGZ

[EduSurg Clinics @edusurg_clinics]

Laparoscopic appendicectomy - step by step surgery - Edusurg clinics. click here to watch full video: https://t.co/8NZxDlRAtb

#Surgery #LaparoscopicSurgery #LaparoscopicAppendicectomy #Appendectomy #SurgicalEducation #SurgicalSkills #MedEd #EdusurgClinics #LearnWithEduSurg

[RedCiruAndes @CiruAndes2]

The Barcelona Technique for Ileostomy Reversal: how to do it ⤵️🔪💥! #SoMe4Surgery @pferrada1 @PipeCabreraV @SWexner

[SurgMedia @surgmedia]

Carotid Endarterectomy (CEA)
Carotid Artery Disease, characterized by plaque buildup in the carotid arteries, can impede blood flow to the brain, increasing stroke risk. CEA involves surgically removing plaque deposits to restore proper blood flow and lower stroke risk.

Credit: 加治正知
#CarotidEndarterectomy #StrokePrevention #VascularHealth

[Dr. Johnny Stewart. MD , FRCSC / RMC, CAF @DrJonnys]

LAPAROSCOPIC TRANSABDOMINAL PRE-PERITONEAL ( TAPP ) FOR BILATERAL INGUINAL HERNIA
https://t.co/eoCiUG0ZzP

#SoMe4IQLatAm #SoMe4Surgery #Medtwitter

[Dr. Javier Flores @farmacotips]

ESPECTRO ANTIBACTERIANO QUE DEBES RECORDAR:

Gram Positivos

•Penicilinas Naturales
•Penicilinas Anti-estafilocócicas
•Oxazolidinonas
•Glucopéptidos
•Daptomicina

Gram Negativos

•Aztreonam
•Aminoglucósidos
•Polimixinas
•Ciprofloxacino
•Fosfomicina

Anaerobios

•Metronidazol

Intersección: Gram Positivos y Gram Negativos

•Aminopenicilinas + Inhibidores de Betalactamasa
•Carbapenems
•Delafloxacino
•Moxifloxacino
•Tetraciclinas Modificadas

Intersección: Gram Positivos y Anaerobios

•Clindamicina

Gram Positivos, Gram Negativos y Anaerobios

•Aminopenicilinas + Inhibidores de Betalactamasa
•Carbapenems
•Delafloxacino
•Moxifloxacino
•Tetraciclinas Modificadas

[DCRjournal @DCRjournal]

#DCRJournal Didactic Video on Laparoscopic ventral mesh rectopexy for male patients - Tips and Tricks: https://t.co/qa2UTH6PLu

@FicheraAlessand @JISBMD @ConorDelaneyMD @justinmaykel @KarimAlavi @KyleCologne @dubaicolorectal @SamAtallahMD @debby_keller

[RedCiruAndes @CiruAndes2]

The Luschka law: ureter crosses the external Iliac artery on the right and the common iliac artery on the left! By Professor @Ciruvillarreal #SoMe4Surgery @pferrada1 @PipeCabreraV @SWexner

[DrVesiculero 🍆 @00oscar2901]

@MrSnorlax85 @WhatsApp También pero no resuelve nada el soporte técnico. Inicio con la actualización

[Gerardo Alvarez @GerardoAlvMc]

@DrJonnys @drkeithsiau @drdalbir @KM_Pawlak @RNCsantander @morenominilap1 @sminaev2015 @CelestinoGutirr @MISIRG1 @bisturitx @almagoch Just to complement. Cellan Jones repair sometimes erroneously called Graham's patch.